The production of guanine radicals in DNA via the flash−quench technique is shown to cause the formation of covalent adducts between DNA and histone protein. In the flash−quench experiment, the DNA-bound intercalator Ru(phen)2dppz2+ (phen = 1,10-phenanthroline, dppz = dipyridophenazine) is excited with 442 nm light and quenched oxidatively by Co(NH3)5Cl2+, methyl viologen (MV2+), or Ru(NH3)6 3+ to produce Ru(phen)2dppz3+, a strong oxidant (+1.6 V) that can oxidize a nearby guanine base (+1.3 V). The guanine radical thus produced is vulnerable to nucleophilic attack and can react with amino acid side chains to form DNA−protein cross-links. Evidence for DNA−protein cross-linking was provided by the chloroform extraction assay, a filter binding assay, and gel electrophoretic analysis. After flash−quench treatment, pUC19 plasmid DNA undergoes a dramatic decrease in mobility that is reversed upon digestion with proteinase K, as seen by agarose gel electrophoresis. In polyacrylamide gel electrophoresis (SDS-PAGE) experiments, the histone protein shows similar mobility shifts. Cross-linking is observed with poly(dG-dC) and mixed sequence DNA, but not with poly(dA-dT), indicating that the reaction requires guanine bases. Measurements of emission quenching indicate that for a given quencher, the amount of cross-linking is correlated to the amount of quenching. When comparing different quenchers, however, the amount of cross-linking is inversely related to the amount of quenching and decreases in the order Co(NH3)5Cl2+ > MV2+ > Ru(NH3)6 3+. This trend in cross-linking correlates instead with the lifetime of the guanine radical measured by transient absorption spectroscopy, and suggests that the cross-linking reaction requires > 100 μs. These results demonstrate that the flash−quench technique is an effective approach for the study of covalent adducts between DNA and protein formed as a result of guanine oxidation, and suggest one possible fate for oxidatively damaged DNA in vivo.

The intrauterine device (IUD) is gaining popularity as a reversible form of contraception. Ultrasonography serves as first-line imaging for the evaluation of IUD position in patients with pelvic pain, abnormal bleeding, or absent retrieval strings. This review highlights the imaging of both properly positioned and malpositioned IUDs. The problems associated with malpositioned IUDs include expulsion, displacement, embedment, and perforation. Management considerations depend on the severity of the malposition and the presence or absence of symptoms. Three-dimensional ultrasonography has proven to be more sensitive in the evaluation of more subtle findings of malposition, particularly side-arm embedment. Familiarity with the ultrasonographic features of properly positioned and malpositioned IUDs is essential.

Ultrasonography is the ideal noninvasive imaging modality for evaluation of scrotal abnormalities. It is capable of differentiating the most important etiologies of acute scrotal pain and swelling, including epididymitis and testicular torsion, and is the imaging modality of choice in acute scrotal trauma. In patients presenting with palpable abnormality or scrotal swelling, ultrasonography can detect, locate, and characterize both intratesticular and extratesticular masses and other abnormalities. A 12-17 MHz high frequency linear array transducer provides excellent anatomic detail of the testicles and surrounding structures. In addition, vascular perfusion can be easily assessed using color and spectral Doppler analysis. In most cases of scrotal disease, the combination of clinical history, physical examination, and information obtained with ultrasonography is sufficient for diagnostic decision-making. This review covers the normal scrotal anatomy as well as various testicular and scrotal lesions.

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