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Biomedical subjects

C Wood

Publications and source records attributed to C Wood.

At least 163 records · Page 9Linked to original sources

Ca2+ versus Zn2+ transport in the gills of freshwater rainbow trout and the cost of adaptation to waterborne Zn2+

Previous work suggested that Ca2+ and Zn2+ share a common uptake pathway in rainbow trout gills. We here report on relationships between the kinetic variables for unidirectional Ca2+ influx and unidirectional Zn2+ influx during a 1 month exposure of freshwater rainbow trout to Zn2+ (150 &micro;g l-1=2.3 &micro;mol l-1 as total zinc, Zn). Initial exposure to Zn2+ caused a large competitive inhibition of Ca2+ influx, as indicated by a threefold increase in apparent Km for Ca2+ (measured in the presence of Zn2+). There was also a smaller non-competitive inhibition (50 % decrease in Jmax) of the Ca2+ transport system, which was abolished after 1&shy;2 weeks of exposure. The Km, measured in the absence of Zn2+, decreased dramatically (i.e. elevated affinity) on days 1&shy;4 but increased thereafter; both true and apparent Km finally stabilized significantly above control levels. However, the Km values for Ca2+ (<200 &micro;mol l-1) were low relative to the Ca2+ level in the water (1000 &micro;mol l-1), and therefore the changes did not influence the actual Ca2+ influx of the fish, which tracked Jmax. In contrast, water [Zn2+] (2.3 &micro;mol l-1 as total Zn) was close to the reported apparent Km (3.7 &micro;mol l-1) for Zn2+ influx in the presence of 1000 &micro;mol l-1 Ca2+. Unidirectional Zn2+ influx increased during the first week of exposure to waterborne Zn2+, followed by a persistent reduction to about 50 % of control levels, effects that may be largely explained by the observed changes in true Km for Ca2+. We speculate that the initial response of the fish to elevated [Zn2+] is to compensate for a reduced availability of Ca2+ by markedly increasing the affinity of a dual Ca2+/Zn2+ transporter. Once the Ca2+ influx is 'corrected' by restoration of functional transport sites (Jmax), the system is tuned to limit the influx of Zn2+ by a persistent reduction in the affinities for both ions. The changes in influx characteristics for Ca2+ and Zn2+ were correlated with internal physiological alterations indicative of adaptation to Zn2+ and increased metabolic cost. Depressed plasma [Ca] was corrected within 1 week, and there were no effects on whole-body [Ca] or [Zn]. A slight accumulation of Zn in the gills was associated with increased branchial metallothionein levels. Rates of protein synthesis and degradation in the gills were initially increased and whole-body growth was transiently impaired, effects which were reversed after 18 days of exposure. Sublethal challenge with Zn2+ (at 450 &micro;g l-1=6.9 &micro;mol l-1 as total Zn) always depressed plasma [Ca] in control fish, but by 1 month of exposure to Zn2+ at 150 &micro;g l-1 (as total Zn), experimental fish were resistant to challenge. However, the fish did not acquire increased survival tolerance (LT50) to a lethal concentration of Zn2+ (4 mg l-1=61 &micro;mol l-1 as total Zn).

Journal Article↗

Ammonia and urea metabolism in relation to gill function and acid-base balance in a marine elasmobranch, the spiny dogfish (Squalus acanthias)

Nitrogenous waste excretion in resting dogfish occurred largely (>90 %) as urea-nitrogen (urea-N) efflux across the gills, with a very small urea efflux via the kidney. Ammonia excretion, almost entirely at the gills, accounted for less than 3 % of total nitrogen excretion. Given the extremely high blood urea levels (approximately 640 mmol-N l-1) 'retained' for osmoregulation, and blood ammonia levels (approximately 80 &micro;mol-N l-1) comparable to those of teleosts, the gills of resting dogfish were exceptionally impermeable to both urea and ammonia. Experiments investigated the origins of these low permeabilities and the responses of urea-N and ammonia-N excretion and acid&shy;base status to 6 h infusions with iso-osmotic solutions of NaCl (control), NH4Cl, NaHCO3, urea and its analogues thiourea and acetamide. NaCl had no effects, whereas NH4Cl loading caused intense acidosis and marked elevation of acidic equivalent, ammonia-N and urea-N excretion rates, the latter despite unchanged blood levels of urea-N. Apparent branchial ammonia permeability increased greatly. Acidosis resulted from both stimulated urea production and branchial NH3 loss, the former making the larger contribution. NaHCO3 loading caused intense alkalosis, a marked elevation of basic equivalent excretion and a moderate stimulation of urea-N excretion. Blood urea-N levels were again unchanged. Infusion of urea itself raised blood urea-N levels, but initially reduced branchial urea-N excretion. Acetamide and thiourea infusions both moderately elevated branchial urea-N excretion. We suggest that the low ammonia permeability may arise metabolically from an ammonia scavenging system in the gills, that a 'back-transport' mechanism in the gills may contribute to the low urea permeability, and that the dissociation between blood urea-N levels and excretion rates may reflect urea production at extrahepatic sites. These studies demonstrate that urea synthesis in the dogfish is linked more to nitrogen availability than to acid&shy;base status.

Journal Article↗

Pulsatile urea excretion in the ureagenic toadfish Opsanus beta: an analysis of rates and routes

This study focused on the rates and routes of urea-N and ammonia-N excretion in the ureagenic toadfish and on the possibility that urea-N excretion occurs in pulses. Experimental approaches included the following: confinement in small individual containers with automated hourly sampling of water to follow temporal excretion patterns; divided chambers to separate excretion from the anterior and posterior parts of the fish; collection of urine and rectal fluid via chronic indwelling catheters; and gavage with [14C]-labelled polyethylene glycol 4000 to detect regurgitation of gastrointestinal fluids. When a standardized 'crowding' pre-treatment was employed to induce ureotelic behaviour, the fish exhibited significant elevations in the activity of glutamine synthetase in liver, kidney and gills, elevated plasma and bile urea-N levels, but unchanged ammonia-N and urea-N levels in most other body fluids. Unencumbered ureotelic fish confined in small containers excreted 82 % of their waste-N as urea-N and 18 % as ammonia-N; almost all (94 %) of this urea-N excretion occurred in a single pulse of less than 3 h duration about once every 24 h. This daily pulse did not occur by regurgitation of gut fluids, by excretion through prominent pores behind the pectoral fins or by discharge of rectal fluid or urine. Intestinal and urinary excretion accounted for less than 10 % of whole-body urea-N excretion and a negligible fraction of ammonia-N excretion. Pulsatile urea-N excretion occurred at the head end across the gills and/or body surface. Ammonia-N excretion, which was not pulsatile, also occurred largely through the head end. However, once the toadfish had been placed in divided chambers, urea-N excretion became continuous rather than pulsatile, and ammonia-N excretion increased greatly. A severe stress response was indicated by high levels of plasma cortisol, and the skin, which lacks scales, became a significant route of both ammonia-N and urea-N excretion. We speculate that the normal adaptive significance is that ureotelism facilitates cryptic behaviour, allowing the toadfish to virtually eliminate N-waste excretion during long periods while it remains sheltered in burrows. However, during severe stress, the effects of extremely high cortisol levels overwhelm the ammonia and urea retention mechanisms, and both substances leak across the general body surface.

Journal Article↗

Media components influence viral gene expression assays in human fetal astrocyte cultures.

In vitro neurovirological studies of viral infectivity or viral gene expression may be confounded by the multiple neural cell types and/or fibroblast contamination present in early passage cultures prepared from dissociated human central nervous system (CNS) tissue. We have developed highly enriched astrocyte cultures for neurovirological study by culturing in a serum-free defined medium, B16, supplemented with basic fibroblast growth factor (FGF-2). Subculture in this medium selects against fibroblast proliferation and favors sustained proliferation of a highly enriched glial fibrillary acidic protein (GFAP)-positive cell population. These astrocytes support productive replication of cytomegalovirus (CMV) and transient expression of transfected CMV and human immunodeficiency virus type 1 (HIV-1) viral promoters. By comparison, CNS cultures developed in standard serum-containing medium initially contain predominantly astrocytes, but show increasing contamination with fibroblasts with sequential passage. These cultures support CMV viral synthesis in both fibroblasts and astrocytes, cell types distinguishable only by immunostaining for cell specific antigen. CMV or HIV-1 promoter activities, quantitated by transient gene expression assays, are distinctly lower in CNS cultures maintained in serum-containing medium.

Astrocytes↗

The development of The Royal College of Surgeons of England's patient satisfaction audit service.

Clinical auditing is now well recognized as an effective way of ensuring the highest quality of surgical services by ensuring that practice is recorded, reviewed and made accountable. Surgeons increasingly see this as necessarily involving the monitoring of 'consumer feedback' by patients. Taking the initiative to encourage its membership to recognize these issues, in 1990 The Royal College of Surgeons of England Surgical Audit Unit (RCS) embarked upon a three year project to investigate the patient's experience of surgery and surgeons, and to develop an 'audit instrument' to record their routine evaluation. A two-stage pilot study provided information on response rates, question validation and the methodology required to run such studies routinely as audits. This is now offered to UK hospitals as a patient satisfaction audit service.

England↗

Treatment of menorrhagia.

The treatment of menorrhagia has changed significantly in two ways. Between 20% to 40% of women complaining of menorrhagia have normal to below normal blood loss and may avoid medical and surgical treatment by learning how to cope with menstrual loss. Ninety per cent of women with menorrhagia not responding to drug therapy can be treated by a wide variety of endoscopic procedures and hysterectomy is required for only a few of these patients. This article reviews the subject with emphasis on current practice and new endoscopic procedures.

Endometriosis↗

The NADH dehydrogenase subunit 7 gene is interrupted by four group II introns in the wheat mitochondrial genome.

We have characterized a wheat mitochondrial gene, designated nad7, capable of encoding a 394-amino acid subunit of the respiratory chain NADH dehydrogenase complex. It contains four introns possessing group II features and their positions differ from those in both the liverwort mitochondrial nad7 pseudogene and the nuclear gene encoding the homologous 49 kDa subunit of complex I in Neurospora. The derived amino acid sequence of the wheat nad7 gene is strongly conserved relative to its nuclear or organellar counterparts in other organisms. C-to-U type RNA editing, which is observed at 32 positions within the coding region of wheat nad7 transcripts, strengthens protein sequence similarity. RNA editing is also predicted to improve base-pairing within the domain V/VI regions of all four introns.

Amino Acid Sequence↗

Paranthropus boisei: an example of evolutionary stasis?

Of the presently recognised early hominid species, Paranthropus boisei is one of the better known from the fossil record and arguably the most distinctive; the latter interpretation rests on the numbers of apparently derived characters it incorporates. The species as traditionally diagnosed is distributed across approximately one million years and is presently confined to samples from East African sites. The hypodigm has been examined for evidence of intraspecific phyletic evolution, with particular emphasis on the areas best represented in the fossil record, namely the teeth and mandible. The results of this examination of 55 mandibular and dental variables which uses the gamma test statistic for the detection of trend, and nonparametric spline regression (Loess regression) for investigating pattern and rate of temporal change, show that within Paranthropus boisei sensu stricto most evidence of temporally related morphological trends relates to the morphology of the P4 crown. There is little or no evidence of any tendency to increase in overall size through time. Fossils from the Omo Shungura Formation and West Turkana which have been recovered from a time period earlier than the P. boisei sensu stricto hypodigm resemble the latter taxon in some features, but differ from it in aspects of cranial morphology. There is insufficient fossil evidence of the earlier taxon to tell whether it changes through time, but when trends of 47 mandibular and dental variables are assessed across the combined East African "robust" australopithecine sample, there is evidence for a relatively abrupt change around 2.2-2.3 Myr in approximately 25% of the dental and mandibular remains. Some of these changes correspond with the temporal trends within P. boisei sensu stricto, but others, such as mandible height, do not. If the earlier material is ancestral to P. boisei sensu stricto, evidence from the teeth and jaws is consistent with a punctuated origin for the latter taxon.

Africa, Eastern↗

trans-activation of the HIV promoter by a cDNA and its genomic clones of human herpesvirus-6.

Human herpesvirus 6 (HHV-6) is a lymphotropic herpesvirus, and in vitro, it can productively infect human CD4+ T cells as HIV-1. Co-infection of T cells by HIV-1 and HHV-6 can lead to both activation of the HIV-1 promoter and acceleration of the cytopathic effects. An HHV-6 (GS) cDNA clone, pCD41, encoding for a 41-kDa nuclear protein was identified and characterized previously (Chang and Balachandran, J. Virol. 65, 2884-2894 and 7085, 1991). Sequence analyses show that this protein has significant homology with the human cytomegalovirus UL44 gene coding for the ICP36 family of early-late-class phosphoprotein. Using this cDNA as the probe, a 3.8-kb EcoRI genomic fragment encoding the HHV-6(GS)P41 was cloned and designated as pGD41. When cotransfected with the HIV LTR CAT into CV-1 cells, both the pCD41 and pGD41 clones trans-activated the HIV LTR. Sequence analyses of pCD41 indicate that there are two potential open reading frames (ORFs), A and B, which are homologous to the ORFs found in the genomic clone pGD41. Deletion constructs of the pCD41 clone demonstrated that ORF-A was critical for the HIV LTR activation. Deletion analyses of the pCD41 ORF-A and the use of promoter constructs further mapped an internal functional promoter within the pCD41 sequence that can direct the synthesis of the trans-activating protein. By using HIV LTR deletion mutants, the NF-kappa B binding sites were found to be critical for response to the pCD41 trans-activation.

Amino Acid Sequence↗

Use of TrpE fusion protein to identify antigenic domains within the BIV envelope protein.

Nine different recombinant clones spanning various regions of the bovine immunodeficiency-like virus (BIV) envelope gene open reading frame were generated. These clones span the entire external glycoprotein as well as the transmembrane glycoprotein region. These proteins were expressed as fusions to the TrpE protein in E. coli. The levels of recombinant protein expressed varied, some clones expressed enough protein that can be detected in a Coomassie blue-stained gel, whereas other proteins could only be detected by Western blot analyses. A recombinant env protein representing the extracellular domain of the env protein was detected by BIV-infected bovine sera. In addition, a 134 amino acid peptide which may represent a major immunoreactive epitope was identified. This peptide is located at the amino terminus of the transmembrane glycoprotein and was specifically recognized by all BIV-infected calf sera tested. The identification of this epitope and the use of recombinant envelope protein will enable us to develop a more effective screening test to study the epidemiology of BIV infection.

Animals↗

In vitro maturation and the fertilization and developmental competence of oocytes recovered from untreated polycystic ovarian patients.

OBJECTIVE: To determine the maturational and developmental competence of immature oocytes recovered in situ from anovulatory and ovulatory patients with polycystic ovaries (PCO). DESIGN: A newly designed method for recovery of immature oocytes from 2 to 10 mm follicles by transvaginal ultrasound or laparoscopy was used to compare the recovery and maturation of oocytes from 9 anovulatory polycystic ovarian syndrome (PCOS) patients and 10 ovulatory patients without polycystic ovaries (PCO) (experiment 1). In a second study (experiment 2), we compared the maturation, fertilization, and development of oocytes recovered from another 10 anovulatory PCOS and 13 ovulatory PCO patients. Two types of culture methods and time intervals for maturation were also examined. RESULTS: In experiment 1, a significantly higher number of immature oocytes were recovered from PCOS patients (15.3) compared with non-PCO patients (2.8). Sixty-five percent of oocytes cultured in medium with gonadotropins, estrogen, and fetal calf serum matured to metaphase II by 43 to 47 hours, and 81% were mature at 48 to 54 hours of culture. Thirty-four percent of the inseminated oocytes fertilized and 56% of the cultured pronuclear oocytes cleaved to eight cells or more. In experiment 2, there was no significant difference between anovulatory PCOS and ovulatory PCO patients in the number of oocytes recovered or their maturation, fertilization, and development. There was no difference between oocytes matured in medium or in coculture with mature granulosa cells, with or without added hCG. However, significantly fewer oocytes were immature and more fertilized when oocytes were inseminated after 34.5 to 35.5 hours of maturation than 29.5 to 32.5 hours of maturation. A pregnancy and the birth of a normal baby occurred in one of the anovulatory PCOS patient receiving an abbreviated steroid replacement protocol after ET. CONCLUSION: Immature oocyte recovery could be developed as a new method for the treatment of women with infertility due to PCO because the oocytes of these patients retain their maturational and developmental competence.

Anovulation↗

Endoscopy in the management of endometriosis.

Endoscopy has replaced laparotomy in nearly all patients requiring surgical treatment of endometriosis. Controlled trials have shown electrosurgery is more effective than expectant treatment in the resolution of infertility due to peritoneal endometriosis and equally effective as laparotomy. Laparoscopy surgery reduces patient morbidity and costs when compared with laparotomy. No significant difference has been demonstrated between laser or electrosurgery in resolving infertility related to peritoneal endometriosis. Peritoneal endometriosis is difficult to diagnose and its extent is obscured by occult endometriosis in microscopic foci. Biopsy is required to establish the diagnosis as all of the described lesions of endometriosis may also be due to other diseases. Excision of the lesions may be by electrosurgery, laser or scissor diathermy. Scissor diathermy has advantages over laser or electrosurgery. Endometriomas may be removed by one- or two-stage excisional surgery. Follow-up laparoscopy is often indicated because of the association with secondary adhesive formation. Pouch of Douglas endometriosis requires special attention to the identification of the extent of disease and the technique of removal. Rectal involvement may require rectal surgery, most of which can be achieved by laparoscopy. Hysterectomy and oophorectomy may be performed laparoscopically and are indicated for recurrent extensive disease not controlled by medical or conservative surgical procedures, for adenomyosis or for extensive pelvic adhesions.

Endometriosis↗

Laparoscopic hysterectomy.

Laparoscopic hysterectomy is a substitute for abdominal hysterectomy and not for vaginal hysterectomy. Most hysterectomies currently performed with an abdominal approach may be performed with laparoscopic dissection of part or all of the abdominal portion followed by vaginal removal, including fibroids of 1000 g. There are many surgical advantages, particularly magnification of anatomy and pathology, easy access to the vagina and rectum, and the ability to achieve complete haemostasis and clot evacuation during underwater examination. Patient advantages are multiple and are related to avoidance of a pain producing abdominal incision. They include a reduced period of hospitalization and recuperation and an extremely low rate of cuff infection and ileus. It must be emphasized that conversion to laparotomy when the surgeon becomes uncomfortable with the laparoscopic approach should never be considered a complication; it is rather a prudent surgical decision that will profoundly decrease patient risk. The laparoscope can be used in combination with hysterectomy in a variety of ways with significant surgical and patient advantages. With few exceptions, laparoscopic hysterectomy can replace abdominal hysterectomy. Surgical outcome is the same. In experienced hands, the complication rate is low. Patient benefits are related to avoidance of an abdominal incision and include improved cosmetics and more rapid recovery.

Endometriosis↗

Biopsy diagnosis and conservative surgical treatment of adenomyosis.

STUDY OBJECTIVE: To diagnose adenomyosis by vaginal ultrasound and percutaneous or transcervical myometrial biopsy, and use the results to choose treatment and assess prognosis. DESIGN: Evaluation of 31 consecutive women referred by other physicians. SETTING: A private gynecologic practice. PATIENTS: The women had menstrual symptoms that had not responded to medical treatment or uterine curettage. INTERVENTIONS: Myometrial diagnosis was made by percutaneous ultrasound-guided needle biopsy, by transcervical electrosurgical loop biopsy at the time of endometrial resection, or by needle biopsy at the time of laparoscopy or laparotomy. Endometrial resection was performed in 15 patients, laparoscopic myometrial reduction in 7, and excision of adenomyotic myometrium or localized adenomyoma in 8. MEASUREMENTS AND MAIN RESULTS: Cure was defined as relief of menorrhagia and dysmenorrhea. Endometrial resection cured menorrhagia in 12 of 15 patients but dysmenorrhea in only 3 of 8; myometrial excision cured 7 of 8, and myometrial reduction 4 of 7 women. CONCLUSIONS: Vaginal ultrasound combined with transabdominal or transcervical myometrial biopsy established the diagnosis of adenomyosis in all patients. Endometrial resection and myometrial reduction or excision reduced the need for hysterectomy to 30% in these women.

Adult↗

Microinjection: choice of embryo transfer technique.

Subzonal sperm microinjection (SUZI) is indicated in severe oligoasthenozoospermia, in which the total count of motile sperm is inadequate for in vitro fertilization (IVF), and in cases with repeated failure of fertilization. Sperm for microinjection are selected following centrifugation on a Percoll gradient and stimulation with pentoxifylline and 2-deoxyadenosine. Motile sperm (2-10 per egg) are injected into the perivitelline space and fertilized oocytes are then cultured for two days prior to transfer into the Fallopian tube (tubal embryo stage transfer, TEST) or uterus. During 1992, SUZI results showed a total fertilization rate of 30% (19% were 2 pronuclear, 11% were polyspermic), a transfer rate of 55% and pregnancy rates of 15.2% per transfer and 8.3% per cycle. Recent pregnancy data in mild-moderate male factor infertility showed that gamete intrafallopian transfer (GIFT) results were consistently superior to TEST or IVF, suggesting a beneficial effect of the tubal environment on fertilization and early embryonic development. Accordingly, the combination of SUZI followed by the immediate transfer of injected oocytes into the Fallopian tube, the MIFT procedure, was explored. An initial study of 21 consecutive microinjection candidates showed a clinical pregnancy rate of 24% per cycle. Information regarding fertilization and polyspermy rates was available from supernumerary oocytes in 90% of patients. A randomized, controlled trial comparing MIFT with SUZI or TEST in severe male factor infertility is required to confirm the improved pregnancy rate in MIFT cycles.

Embryo Transfer↗

Ipratropium bromide nasal spray in non-allergic rhinitis: efficacy, nasal cytological response and patient evaluation on quality of life.

Intranasal fluorocarbon anticholinergic agents have been used to treat the nasal hypersecretion of perennial non-allergic rhinitis, but chronic use has been restricted either due to the potential for systemic anticholinergic adverse events or due to the irritating properties of the fluorocarbon metered dose formulations. This study evaluates a new aqueous nasal formulation of ipratropium bromide (Atrovent Nasal Spray 0.03%) in subjects with perennial non-allergic rhinitis in a double-blind, placebo-controlled trial. Two hundred and twenty-eight patients were randomized to receive two sprays per nostril of either ipratropium bromide (42 micrograms/nostril) or placebo-administered three times a day as an aqueous nasal spray over an 8-week interval. Patients were evaluated bi-weekly and maintained daily diaries for duration and severity of nasal symptoms. Ipratropium bromide reduced the mean severity and duration of rhinorrhoea within the first week and throughout the 8 weeks of active treatment compared with placebo (P < 0.05). Secondary endpoints of efficacy (patient and physician global assessments and a quality of life assessment) also supported the use of ipratropium bromide nasal spray for rhinitis symptom control. With the reduction in rhinorrhoea by the ipratropium bromide nasal spray, patients reported a marked improvement in daily moods vs placebo (P < 0.01). Both placebo and ipratropium bromide nasal spray induced a modest reduction of nasal congestion, sneezing and postnasal drip. This improvement in these other nasal symptoms was consistent with the known soothing effects of a nasal saline vehicle. There were no drug-related serious or systemic anticholinergic adverse events.(ABSTRACT TRUNCATED AT 250 WORDS)

Administration, Intranasal↗

Laparovaginal hysterectomy.

The technique and complications of 141 patients having laparovaginal hysterectomy in private practice are reported. Abdominal hysterectomy was avoided in the 110 patients having preliminary laparoscopic surgery for pelvic disease, ovarian removal, or a uterus larger than 12cm. Postoperative morbidity included pulmonary embolus (3), vesicovaginal fistula (2) and pelvic haematoma (4). The frequency of complications was less than that reported after abdominal or vaginal hysterectomy. The surgical technique changed during the series; the operative care of the bladder and ureter requires particular attention. A larger number of patients in a variety of centres require study before the laparoscopic procedure can be determined to be as safe as abdominal or vaginal hysterectomy. The laparoscopic procedure has the potential to replace the majority of abdominal hysterectomies.

Evaluation Studies as Topic↗