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Biomedical subjects

G Contreras

Publications and source records attributed to G Contreras.

At least 55 records · Page 3Linked to original sources
PubMed1991

Nucleotide sequence analysis of Urabe mumps vaccine strain that caused meningitis in vaccine recipients.

Mumps virus was isolated from the cerebrospinal fluid of eight patients who acquired meningitis within 4 weeks of immunization with live Trivirix vaccine that contains mumps (Urabe Am 9), measles (Schwarz), and rubella (RA 27/3) viruses. Part of the haemagglutinin-neuraminidase (HN) gene from three postvaccination isolates of mumps virus, three wild strains and the Urabe and Jeryl Lynn vaccine strains was cloned following polymerase chain reaction (PCR) amplification, for the purpose of sequence analysis. A 200-nucleotide portion of the cloned HN genes was sequenced and compared to published sequences of two other strains (RW and SBL-1). The postvaccination mumps strains were identical in sequence to Urabe and were distinguishable from the wild and the Jeryl Lynn vaccine strains. Twenty-two out of 200 positions were seen to vary among the group of viruses. It was concluded that the Urabe vaccine strain was the cause of postvaccination meningitis. Therefore, with effect from 1990, Trivirix measles, mumps and rubella vaccine is no longer licensed for sale in Canada.

Base Sequence↗
PubMed1991

Stimulatory effect of angiotensin II on electrolyte transport in canine tracheal epithelium.

1. The present study examines the effect of angiotensin11 (A11) on Cl- and Na+ transport in canine tracheal epithelium. 2. A concentration-dependent increase in the potential difference and in short-circuit current of the trachea was found. 3. Frusemide reduced values of Cl- dependent electrical parameters; net Cl- flux from serosa to mucosa accounted for 72% of total short-circuit current. 4. Frusemide, indomethacin and chlorpromazine blocked the stimulatory effect of A11. 5. These reactions show that A11 stimulates ion transport across the canine tracheal epithelium and suggest that two mechanisms may be proposed to explain the action of A11 on Cl- flux: (1) Ca(2+)-dependent increase in intracellular cAMP and (2) increase in Na(+)-2Cl2-K+ Cotransport activity.

Angiotensin II↗
PubMed1991

Ventilatory drive and respiratory muscle function in pregnancy.

It has been demonstrated that during pregnancy expiratory reserve volume (ERV) decreases and minute ventilation (VE) increases initially and then stabilizes. In order to determine the role of thoracoabdominal mechanics, control of breathing, and inspiratory muscle function in these alterations, we studied inspiratory pressures, lung volumes, thoracic configuration, and respiratory drive in 18 normal pregnant women at Weeks 13, 21, 30, and 37 of pregnancy. Ten of them were studied 6 months after delivery. Transdiaphragmatic pressure (Pdi) was measured at Week 37 and 3 months after delivery in an additional group of seven women. VE as well as VT/TI increased early during gestation and remained unchanged thereafter. In contrast, mouth occlusion pressure (P0.1) increased progressively during pregnancy, from 1.53 +/- 0.16 (mean +/- SE) to 2.02 +/- 0.18 cm H2O, and fell significantly to 1.1 +/- 0.15 cm H2O after delivery, indicating that effective respiratory impedance increases during pregnancy. Mean P0.1 correlated with progesterone plasma levels (r = 0.918 p less than 0.05). No changes in Plmax, PEmax, and Pdimax, were observed. End-expiratory gastric pressure (Pga) increases significantly during pregnancy: 11.8 +/- 0.8 versus 8.4 +/- 1.12 cm H2O after delivery (p less than 0.012). This increment was correlated with the fall in ERV observed in late pregnancy (r = 0.74 p less than 0.05). Our results demonstrate that during pregnancy ventilatory drive and respiratory impedance increase with the consequent stabilization of VE, but our data do not permit us to differentiate whether the increment in P0.1 is secondary to the increase in impedance or to the rise in progesterone. Respiratory muscle function remains normal despite the alteration of thoracic configuration.

Adult↗
PubMed1991

[Eosinophilic pneumonia causing severe respiratory insufficiency. Clinical case].

A 37 year-old previously healthy woman developed severe respiratory failure and diffuse pulmonary infiltrates. A diagnosis of Eosinophilic pneumonia was made based on elevated blood counts of eosinophils and high numbers of them in the broncho-alveolar lavage. The patient recovered after steroid therapy and remained well six months later. Most cases of eosinophilic involvement of the lung have a chronic course and only recently has acute eosinophilic pneumonia been recognized. Typical findings on bronchoalveolar lavage and cure with steroid therapy provide the basis for diagnosis.

Acute Disease↗
PubMed1989

Effect of the administration of oral poliovirus vaccine on infantile diarrhoea mortality.

Infectious diarrhoea is one leading cause of infantile mortality in developing countries. Rotaviruses and other enteroviruses have an important role in diarrhoea but, currently, there are no vaccines available to immunize infants. The use of oral poliovirus vaccine (OPV) over two decades has shown that, besides protecting effectively against poliomyelitis, it can interfere with intestinal infection by other enteroviruses. This interference by the vaccine viruses could explain two epidemiological observations showing that repeated and massive administration of OPV was followed by a statistically significant decrease of infantile diarrhoea mortality. OPV administration could have two objectives: to prevent poliomyelitis and to reduce infantile diarrhoea of viral aetiology.

Developing Countries↗
PubMed1989

Tumorigenicity testing of various cell substrates for production of biologicals.

The data presented in this paper confirm earlier findings that the antithymocyte globulin (ATG) treated newborn Wistar rat is more sensitive than the nude mouse in allowing the metastatic potential of a cell substrate to be displayed. Several human neoplastic cell lines such as HeLa, FL, Hep-2, KB and WiDr cells as well as monkey kidney cell lines such as Vero and BSC-1 cells, which failed to metastasize in nude mice, formed metastases in ATG-treated newborn rats. Earlier studies on the tumorigenicity of Vero monkey kidney cells were extended to various passage levels of BSC-1 aneuploid and CV-1 diploid monkey kidney cells in order to establish the effect of prolonged in vitro culture on the oncogenic potential of African green monkey kidney cells. It was found that BSC-1 and CV-1 cells--like Vero cells--showed increased tumorigenicity in the rat model with increasing cell passage. Cells of all three cell lines passaged 146 to 257 times formed invasive adenocarcinomas in the muscle (inoculation site) of the animals. Considering the passage levels, at which the adenocarcinomas appeared and lung metastases were detected, the malignant potential was most pronounced in CV-1 cells, followed by Vero cells and was lowest in BSC-1 cells. Results obtained from the in vitro tumorigenicity assay of cell colony formation in soft agar confirmed the rat test results: increased cell passage of all three monkey kidney cell lines resulted in higher cell colony formation. The in vitro chick embryo skin culture assay was found unsuitable for the differentiation of various passage levels of these cell lines.

Animals↗
PubMed1988

Stimulatory effect of angiotensin II on the electric properties of the isolated toad skin.

In 1982 we showed that angiotensin II (Agt II) stimulates the bioelectric properties of the isolated toad skin and that this effect is blocked by pretreatment of the skin with indomethacine [J. B. Concha et al., IRCS Med. Sci. 10, 584 (1982)]. Ussing's technique and several inhibitors were used to continue this study on the isolated Pleurodema thaul skin. Serosal Agt II produced a dose-dependent increase in electrical parameters: a maximal concentration of 6 X 10(-6) M Agt II increased potential difference by 43 +/- 7.8% and short-circuit current by 51.5 +/- 7.7%. The responses were not affected by either alpha or beta blockers or by atropine. Indomethacine blocked responses to the calcium ionophore A23187 and to Agt II which were similar to each other. Additive effects of Agt II and of the calcium ionophore A23187 were found. No response to Agt II was obtained when Ca2+-free Ringer was used on the serosal side. Calcium channel blockers (nifedipine, verapamil, manganese), pentobarbitone and saralasin blocked the response to Agt II. This pharmacological evidence is in favour of the hypothesis that Agt II activates specific membrane receptors, leading to Ca2+ release and formation of prostaglandins which stimulate adenyl cyclase. This increases cAMP secretion, which in turn increases apical membrane permeability to sodium and enhances the active transport system.

Adrenergic alpha-Antagonists↗
PubMed1988

Experience in Canada with the new revised monkey neurovirulence test for oral poliovirus vaccine.

Nine years of experience in our laboratory, using more than 1500 cynomolgus monkeys in 138 tests, has shown that the new neurovirulence test (NVT) adopted by the World Health Organization (WHO) for live, oral monovalent vaccine of each poliovirus type, was a reproducible and sensitive assay likely to ensure the safety of this vaccine in humans. Our findings were the following: (1) when the test vaccine and the appropriate homotypic reference vaccine were tested in a single group of monkeys, the concurrent use of the reference vaccine considerably increased the reproducibility of the NVT; (2) in the assessment of the degree of attenuation of each lot of vaccine, the use of 12 monkeys for types 1 and 2 vaccines and 20 monkeys for type 3 vaccine (inoculated intraspinally each for reference and test vaccine) was satisfactory; (3) the virus dose used per monkey (10(5.6) to 10(6.6) pfu per monkey) was found not to be critical, i.e. the lower virus dose yielded mean lesion scores in the central nervous system of monkeys at least as high or higher than the tenfold higher virus dose; (4) the statistical analysis of our data showed that the old intrathalamic (IT) assay was considerably less sensitive than the new intraspinal (IS) assay, i.e., a test vaccine with a twofold increase in monkey neurovirulence would have a 41% chance of failing in the IT test (using 30 monkeys per vaccine), while this chance increased to 99% in the WHO IS assay (using 12 or 20 monkeys per vaccine). Since the introduction of the WHO NVT in Canada, the laboratory findings in monkeys were confirmed by vaccine experience in humans; the number of vaccine-associated paralytic poliomyelitis cases in the population showed a further decline.

Animals↗
PubMed1988

Weekly cuirass ventilation improves blood gases and inspiratory muscle strength in patients with chronic air-flow limitation and hypercarbia.

We studied the effects of an 8-h, once-a-week schedule of cuirass ventilation (CV) in 5 patients with advanced chronic air-flow limitation and chronic hypercarbia (PaCO2, 58.6 +/- 10.1 mm Hg; mean +/- SD). Repeated measurements of arterial blood gases, maximal inspiratory mouth pressure (P1max), 12-min walking distance, and respiratory cycle were performed during a 1-month run-in period. Quality of life and transdiaphragmatic pressure were measured once. All patients completed the planned 4-month study. Four of them were ventilated for longer periods because CV could not be discontinued at the end of the study. PaCO2 showed a significant fall starting during the first month; PaO2 significantly increased from the second month, whereas P1max significantly rose from the third month on. Maximal transdiaphragmatic pressure increased in the 2 patients with abnormal baseline values. The fall in PaCO2 was associated with an increase in tidal volume because of a longer inspiratory time. Significant improvements in quality of life and in the 12-min walking distance were observed. We conclude that weekly CV improves blood gases, inspiratory muscle strength, and clinical conditions of patients with chronic air-flow limitation and chronic hypercarbia, probably because of correction of chronic inspiratory muscle fatigue.

Blood Gas Analysis↗
PubMed1988

Antibodies to hepatitis delta virus in intravenous drug addicts and male homosexuals in Spain.

In a study to determine the incidence of infection with hepatitis delta virus (HDV) in high-risk groups in Spain, tests to detect serological markers of infection with hepatitis B virus (HBV) and total antibodies against HDV (anti-HDV) were performed in serum samples from 451 unselected intravenous drug addicts and 168 homosexual or bisexual men. Most samples were obtained from primary health care units in Madrid. In drug addicts 87.4% of samples were positive for HBV markers and 15.1% were positive for anti-HDV. However, the incidence of anti-HD was much higher in HBsAg carriers (70.7%) than in individuals positive for anti-HBs (10.4%). Ninety-two samples (54.8%) from homosexual men were positive for HBV markers, but all were negative for anti-HD. Thus, parenteral transmission seems to play a major role in the spread of HDV in Spain, the sexual route being of minor relevance.

Acquired Immunodeficiency Syndrome↗
PubMed1986

Inspiratory muscle function in unilateral diaphragmatic paralysis.

Pulmonary function has been extensively studied in unilateral diaphragmatic paralysis (UDP), but there is scarce information regarding inspiratory muscle function in this condition. We therefore studied inspiratory muscle function in 8 patients with UDP (Group 1: age 48.3 +/- 2.1 yr of age, means +/- SD) as well as in 7 patients with UDP and concomitant cardiopulmonary disease (Group 2: 60.6 +/- 13 yr of age). Twelve young normal subjects were also studied (32.3 +/- 7.7 yr of age). Maximal static transdiaphragmatic and inspiratory mouth pressure were measured at FRC. Gastric (Pga), esophageal (Pes), and transdiaphragmatic (Pdi) pressure swings were measured during quiet breathing. There was no difference in inspiratory muscle function in left-sided versus right-sided UDP. Paradoxical gastric pressure swings were observed in 4 patients from Group 1 and in 5 from Group 2. In 2 patients from Group 1 and 1 from Group 2, Pga did not change during quiet breathing. In the remaining 3 patients, Pga swings were similar to those observed in the normal subjects. Maximal Pdi was reduced in half of the patients from Group 1 and in all of the patients from Group 2. Maximal inspiratory pressure was below normal values in 2 patients from Group 1 and in all patients from Group 2. We conclude that unilateral diaphragmatic paralysis is associated with an abnormal pattern of use of respiratory muscles during quiet breathing, characterized by the use of intercostal and accessory inspiratory muscle or compensatory use of abdominal expiratory muscles. Inspiratory muscle strength was impaired in some of the patients, and it worsened when cardiopulmonary disease was present.

Adult↗