Thesis (Ph. D.)--University of Missouri-Columbia, 2009. / The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Vita. "May 2009" Includes bibliographical references.

In this study, the effect of aging on various cells of the immune system was investigated. The two experimental models used were normal young (1-2 months) and old (22-24 months) DBA/2 mice and autoimmune-susceptible young (1-2 months) and old (5-6 months) MRL-Ipr/Ipr (Ipr) mice. Autoreactive T cell clones isolated from DBA/2 mice were used to study the age-induced differential responses of syngeneic T cells and B cells. These cell interactions were found to be greatly diminished in old DBA/2 mice, and this appeared to be due to an intrinsic defect in the cells from old mice. A decreased syngeneic mixed lymphocyte reaction (SMLR) was also found to be associated with these defects in T-T and T-B interactions. The decreased SMLR was due to a reduction in the production of interleukin-1 by macrophages from old mice. In the Ipr mice, age-induced alterations in the cell surface characteristics of the abnormal T cells that accumulate in the lymph nodes were studied. The double-negative T cells from the lymph nodes of old Ipr mice were found to express a cell surface marker, J11d, that is normally present only on immature T cells in the thymus. Furthermore, the number of double-negative J11d⁺ T cells also increased in the thymus of old Ipr mice. Autoreactive T cell clones isolated from DBA/2 and /pr mice exhibited the properties of both T_H1 and T_H2 subsets as the clones secreted IL-2, IL-4 and IFN-γ, and activated both B cells and macrophages. The current study indicates that with increasing age, the autoreactive T cell-induced immunoregulation is disturbed, which may account for reduced immune responsiveness to foreign antigens and increased susceptibility to autoimmune diseases. / Ph. D.

Thesis (Ph. D.)--University of Washington, 1998. / Vita. Includes bibliographical references (leaves [111]-128).

Thesis (Ph.D.)--University of Melbourne, Centre for Neuroscience and Howard Florey Institute, 2009. / Typescript. Includes bibliographical references.

Thesis (M.S.)--University of Michigan, 2003. / Includes bibliographical references.

Thesis (M.S.)--University of Michigan, 2001. / Includes bibliographical references.

Thesis (Ph. D.)--University of Texas at Austin, 2007. / Vita. Includes bibliographical references.

During mitogen-induced transformation of human lymphocytes, phosphoglycerate kinase (PGK) exhibits new electrophoretic forms (pl=8.5-8.9). Electrophoresis and electrofocusing showed that the new forms are not due to expression of the autosomally linked isozyme found in semen (PGK-B; pl=9.7). The multiple electrophoretic forms are the result of protease modification of sex-linked PGK-A isozyme.When peripheral lymphocytes from young persons are stimulated in vitro with phytohemagglutinin, a selective increase in the levels of the glycolytic enzymes occurs concomitantly with blastogenesis. Human lymphocytes from a geriatric population were also subjected to mitogen stimulation. The initial levels of the enzymes were essentially identical in lymphocytes from young and old subjects as were mitogenfree cultured controls. However, during mitogen stimulation the cells from the old subjects failed to increase the glycolytic enzymes. This inability to activate glycolysis may be related to the decline in cell-mediated immunity which occurs with advancing age. Triosephosphate isomerase (TPI) has an increased thermolabile component in skin fibroblasts from patients with progeria (41.4 per cent)and Werner's syndrome (20.1 per cent) when compared with normal fibroblasts (0-3 per cent). The incorporation of various protease inhibitors failed to affect the percentages of heat-labile triosephosphate isomerases. The labile component appears to be identical to the deamidated form of the enzyme which accumulates in other aging cells. Isoelectric focusing demonstrated increased quantities of the deamidated TPI-A form in progeria and Werner's syndrome fibroblasts as compared to normal. The deamidated TPI-A was considerably more labile than the native TPI-B indicating the increased lability of triosephosphate isomerase in premature aging syndrome fibroblasts is due to an accumulation of the deamidated form of the enzyme. The levels of several proteases were found to be diminished in progeria fibroblast extracts as compared to normal. A deamidation mechanism of enzyme degradation plays a key role in the normal cellular catabolism of this enzyme and the mechanism for accumulation of defective forms in aging cells is apparently exacerbated by an impaired proteolytic capacity.

Gender has long been considered an important factor in uncovering the etiology of schizophrenia. There is now strong evidence that gender is related to the age at onset of psychotic symptoms and somewhat weaker evidence of gender differences in other aspects of schizophrenia, such as clinical and functional outcomes. Simultaneously, there is growing evidence that age at onset itself is an important prognostic factor. This dissertation seeks to investigate the complex relationship between gender, age at onset, and outcomes of schizophrenia spectrum disorders, in light of two main mechanisms, estrogen protection and psychosocial development. The estrogen protection hypothesis posits that estrogen has antipsychotic effects that result in a later age at onset and more favorable outcomes for pre-menopausal women compared with men with onset at the same age. When women lose estrogen protection around menopause, they may develop a more severe illness. The psychosocial development hypothesis posits that women who have later onset due to estrogen protection have more time to develop psychosocial resources that improve their role functioning later in life. In Chapter 2, a systematic literature review was conducted on the relationship between gender and age at onset of schizophrenia spectrum disorders in determining functional outcomes. There was some support for the psychosocial development hypothesis where age at onset mediates the relationship between gender and functional outcomes. Three studies were identified that conducted formal mediation analyses and used minimum criteria to detect mediation in the remaining studies. Together, these findings suggest that women have better functioning outcomes than men, by virtue of having later illness onset. Chapters 3 & 4 utilized a nationally representative sample of people with schizophrenia spectrum disorders in China to further examine the relationship between gender, age at onset, and other illness outcomes. Unlike many studies in the current literature, this dataset included people who had never sought formal treatment, providing a unique opportunity to explore the possibility of selection bias in other studies that primarily recruit participants from treatment settings. Furthermore, the majority of schizophrenia research has been conducted in high-income countries, and these data from China could provide some important insights from a low- to middle-income country. In Chapter 3, finite mixture techniques were used to model the entire distribution of age at onset as a function of gender and family history, taking into account any clustering patterns of observations. The analysis identified an early-onset group characterized by men and those with a family history, a mid-onset group characterized by both men and women without a family history, and a late-onset group characterized by women without a family history. Distinguishing between these groups showed that gender and family history are indeed robust predictors of age at onset. Chapter 4 investigated a) the interaction between gender and age at onset in producing clinical outcomes and b) the mediating effect of age at onset in the relationship between gender and role functioning outcomes. This study did not find evidence of interaction between gender and age at onset in producing clinical outcomes. It did find that women’s increased probability of marrying was mediated by a later age at onset. Overall, the results of this dissertation provide even further support of the well-established relationship between gender and age at onset. However, applying the estrogen protection hypothesis to schizophrenia spectrum outcomes requires further study. This dissertation also suggests that the psychosocial development hypothesis, which is not well-studied, may provide a promising new perspective on whether and why women appear to have better outcomes. This research also expands our knowledge of gender differences in schizophrenia spectrum disorders in China and highlights the importance of further research in other low- to middle-income countries. While the estrogen protection and psychosocial development hypotheses are surely important in our understanding of women with schizophrenia spectrum disorders, conducting this study using a dataset from China called attention to other social, political, and economic issues that women face that affect all aspects of their illness. These issues and their impact on women are likely different in high-income countries. Ultimately, the estrogen protection and psychosocial development hypotheses can only be understood within the complex context of women’s lived experience with schizophrenia spectrum disorders.

Thesis (PhD) -- Stellenbosch University, 2002. / ENGLISH ABSTRACT: Children and adults may differ in their immune function. An adequate function of the individual's immune system is crucial to the risk for development of tuberculosis (TB) after infection with Mycobacterium tuberculosis (Mtb). Epidemiological evidence suggests an age-related incidence of TB. Furthermore, the prevailing clinical expression t ' of TB varies between age groups. -The aims of this study were to characterise the cellular immune response at different ages in TB patients and healthy individuals living in a region highly endemic for TB and to relate the findings to the clinical expression of TB in different age groups. A total of 150 persons of different ages were included in this study: 50 TB patients, (identified on the basis of clinical, radiological and microbiological characteristics), 49 healthy Mantoux positive (~15mm) and 51 healthy Mantoux negative (<15mm) subjects. All patients <12yrs were identified as having primary TB and postprimary TB was only diagnosed in patients ~12yrs. Haematologic indices were obtained from all the included subjects and found to be agerelated. With the exception of the absolute lymphocyte counts, all indices were significantly different in TB patients when compared to healthy controls. Whole blood was cultured and stimulated with PHA, PPD and ESAT -6 to measure lymphocyte proliferation and IFN-y, TNF-a, IL-2 and IL-10 production in the supernatants of the cultures. After stimulation with PHA, the production of IFN-y, TNF-a and IL-10 as well as lymphocyte proliferation were all age-related. After stimulation with PPD, age correlated positively with IFN-y production in healthy Mantoux positive subjects< 12yrs. In the age groups <20 yrs, patients produced similar amounts of IFN-y when compared to healthy age-related Mantoux positive controls. TNF-a and IL-2 production were not different between patients and controls. In this whole blood system, measuring any of these cytokines on their own did not differentiate patients from controls at all ages. The ratio of PPD stimulated IFN-y to TNF-a production was significantly less in patients with primary TB and postprimary TB when compared to Mantoux positive controls, irrespective of age. These findings indicate that calculated ratios between several cytokines may be useful markers of disease at all ages. ESA T -6 stimulated IFN -y production did not result in any significant correlation with age, but was significantly less in healthy Mantoux positive subjects ~12 yrs when compared to healthy Mantoux positive subjects <12 yrs and TB patients of all ages. This finding suggests that a positive immune response to ESAT -6 is indicative of recent immunological contact with Mtb. Total IgE was measured in serum. In children <12 yrs these values correlated with age and were highest in healthy Mantoux positive controls, thereby not confirming any inverse correlation between IgE and TB. Age should be recognised as a significant variable in quantitative measurements of cellular immune responses. / AFRIKAANSE OPSOMMING: Die immuunsisteem van kinders en volwassenes kan verskillend wees. Die mate van immuniteit van 'n individu is deurslaggewend vir die risiko om tuberkulose (TB) na infeksie met die Mycobacterium tuberculosis (M tb) te ontwikkel. Epidemiologiese bevindings suggereer dat die insidensie van TB ouderdomgebonde mag wees. V erder verskil die voorkomende kliniese beeld van TB ook tussen ouderdomsgroepe. Die doelstellings van hierdie studie was om die sellulere immuunrespons op verskillende ouderdomme by TB-pasiente en gesonde individue wat in 'n streek met hoogs endemiese TB-insidensie woon te vergelyk. Die doel was ook om vas te stel hoe hierdie bevindings by die kliniese beeld van TB by verskillende ouderdomsgroepe inpas. Daar is l50 persone van verskillende ouderdomme in hierdie studie ingesluit: 50 TBpasiente (geidentifiseer op grond van kliniese, radiologiese en mikrobiologiese karakteristieke), 49 gesonde Mantoux -positiewe (:2':l5mm) en 5l gesonde Mantouxnegatiewe (<l5mm) persone. Alle pasiente <l2 jaar is gediagnoseer met primere TB. Postprimere TB is alleenlik gediagnoseer in pasiente :2':l2 jaar. Daar is aangetoon dat. hematologiese indekse van al die persone in hierdie studie ouderdomsverwant was. Daar was n beduidende verskil in alle indekse van TB-pasiente in vergelyking met die gesonde kontroles met die uitsondering van die absolute limfosiettellings. Kulture van volbloed is gedoen en gestimuleer met behulp van PHA, PPD en ESAT -6 om limfosiet-proliferasie, IFN-y-, TNF-a-, IL-2- en IL-l0-produksie in die supematante van die kulture te meet. Na stimulasie met PHA was die produksie van IFN-y, TNF-a en IL-l0, asook die limfosiet-proliferasie ouderdomsverwant Na stimulasie met PPD het ouderdom positief gekorreleer met IFN-y produksie in gesonde Mantoux-positiewe persone <l2 jaar. In die ouderdomsgroep <20 jaar het pasiente dieselfde hoeveelhede IFN-y geproduseer as gesonde, ouderdomsverwante Mantoux-positiewe kontroles. Daar was geen verskil tussen die produksie van TNF -a. en IL-2 tussen pasiente en kontroles nie. In hierdie volbloed-sisteem het die meet van nie een van hierdie sitokiene op sigself 'n verskil getoon tussen pasiente en kontroles van aile ouderdomme nie. Die verhouding van PPD-gestimuleerde IFN-y- tot TNF-a.-produksie was betekenisvol minder in pasiente met primere TB en postprimere TB in vergelyking met Mantouxpositiewe kontroles, ongeag ouderdom. Hierdie bevindings toon dat berekende verhoudings tussen verskillende sitokiene waardevoile merkers van 'n siektetoestand {TB) by aile ouderdomme kan wees. ESAT-6 gestimuleerde IFN-y-produksie het geen betekenisvoile korrelasie met ouderdom getoon nie. Daar was egter betekenisvol minder produksie in gesonde Mantoux-positiewe persone ~l2 jaar as in gesonde Mantoux-positiewe persone <l2 jaar, asook in vergelyking met TB-pasiente van aile ouderdomme. Hierdie bevinding kan daarop dui dat 'n positiewe immuun respons op ESAT -6 'n aanduiding van onlangse immunologiese kontak met M tb is. Totale IgE was in serum bepaal. In kinders <l2 jaar het hierdie waardes gekorreleer met ouderdomme en die waardes was die hoogste in gesonde Mantoux-positiewe kontroles. Hierdeur is daar nie bevestig dat daar 'n omgekeerde korrelasie tussen IgE en TB is nie. Ouderdom behoort dus as 'n belangrike veranderlike gesien te word in die kwantitatiewe meting van die sellulere immuunrespons.