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Biomedical subjects

H Gold

Publications and source records attributed to H Gold.

At least 37 records · Page 2Linked to original sources
PubMed1989

Identification and characterization of an RNA molecule that copurifies with RNase P activity from HeLa cells.

An RNA molecule, 340 nucleotides in length and designated H1 RNA, copurifies with RNase P activity from extracts of HeLa cells or isolated HeLa cell nuclei. When the genomic DNA of various organisms is probed with H1 cDNA in Southern hybridization assays, only mammalian DNA gives a positive signal. The gene coding for H1 RNA in human cells is present in one to three copies per cell. The nucleotide sequence of H1 RNA, which shows little homology to the known sequences of its analogs from prokaryotes and yeast, can be drawn as a two-dimensional, hydrogen-bonded structure that resembles similar structures proposed for the RNA subunit of RNase P from these other sources. Part of the hypothetical structure is virtually identical to structures that can be drawn for analogous RNAs from Saccharomyces cerevisiae, Schizosaccharomyces pombe, and S. octosporus.

Blotting, Southern↗
PubMed1989

Transient primary hypothyroidism in the newborn: experience of the Victorian Neonatal Thyroid Screening Programme.

Between May 1977 and December 1986, the Victorian Thyroid Screening Programme tested approximately 570,000 newborns for congenital hypothyroidism. One hundred and sixty-six cases of primary hypothyroidism, confirmed by formal thyroid function tests, were identified, of which 24 were later found to be transient. In addition, there were two patients with permanent dyshormonogenesis who passed through a stage of being biochemically euthyroid and so could have been diagnosed mistakenly as transient hypothyroidism. Fourteen of the transient cases were due to excessive intake of iodine. In two, this was due to maternal ingestion of iodide during pregnancy and in 12 the babies received large amounts of topical iodine antiseptic. Two cases were caused by maternal anti-thyroid antibodies and in eight instances the cause was unknown. The large number of cases due to the topical application of iodine antiseptic emphasizes the need for caution when using this substance in neonates.

Female↗
PubMed1988

Thyroid function in very preterm infants.

Indices of thyroid function were measured in 108 infants born at 23-31 weeks gestation, after birth, at 24 and 72 h, and at 1, 3, 4, 5 and 6 weeks of age. This group was characterised by low serum thyroxine (T4), normal thyroid stimulating hormone (TSH), low-normal thyroid binding globulin (TBG), low free thyroxine index (FTI) and low triiodothyronine (T3). The incidence of hypothyroxinaemia defined as a serum T4 value of less than 65 nmol/l was 58% after birth, increasing to 84% at 1 week, after which there was progressive reduction to 36% by 6 weeks of age. Mean T4 values were inversely proportional to gestational age during this study period. Infants of 23-28 weeks gestation had significantly lower T4, TBG, FTI and T3 values compared to those of 29-31 weeks gestation. Infants who had hyaline membrane disease (HMD) had significantly lower T4 and FTI values compared to those without HMD for up to 3 weeks of age. Similar differences were found between deaths and survivors in the first week after birth. This study suggests that there is increasing delay in maturation of the hypothalamic-pituitary-thyroid axis control with increasing prematurity. In addition, the data suggest that infants who were extremely preterm or those with HMD had worse and more persistent abnormalities of thyroid function secondary to their illness and metabolic stress. The significance of our findings, in particular that of prolonged hypothyroxinaemia, is uncertain. The role of thyroid replacement therapy in these very preterm infants therefore need to be assessed with a randomised clinical trial.

Age Factors↗
PubMed1987

Symptomatic hypothyroxinemia with normal TSH levels in preterm infants.

The authors report eight preterm infants with hypothyroxinemia who developed clinical features similar to those described in congenital hypothyroidism: prolonged jaundice, hypoactivity, lethargy, constipation, edema, and hoarse cry. All had low serum thyroxine, normal thyroid stimulating hormone, and normal thyroid binding globulin levels. After exclusion of other causes for the symptoms, thyroid replacement therapy was started, resulting in rapid resolution of symptoms and return to euthyroid status. Follow-up of these infants after cessation of therapy revealed normal growth and development and normal thyroid function. The authors therefore recommend a prospective study to investigate the incidence of hypothyroxinemia, frequency of associated clinical features, and the benefits of thyroid replacement therapy based on a randomized controlled trial.

Humans↗
PubMed1987

Noninvasive detection of human cardiac transplant rejection with indium-111 antimyosin (Fab) imaging.

Diagnosis of rejection after cardiac transplantation is currently made by right ventricular endomyocardial biopsy. To evaluate antimyosin imaging as a noninvasive means of detecting human cardiac rejection, the Fab fragment of murine monoclonal antimyosin antibodies was labeled with indium-111 and given intravenously to 18 patients (age 45 +/- 12 years) in 20 studies 7 days to 9 years after transplantation. Endomyocardial biopsy specimens were obtained at the time of each imaging study. Eight patients had positive scans confirmed by biopsy as rejection, and eight patients had negative scans and no evidence of rejection on biopsy. Discordance was observed in four studies, two with positive scans and no rejection on biopsy and two with negative scans and positive biopsy. The sensitivity, specificity, and overall accuracy of the technique were each 80%. Imaging with radiolabeled antimyosin antibody Fab fragments may be of value in the noninvasive identification of rejection in the cardiac transplant recipient.

Adult↗
PubMed1982

Monozygotic twins discordant for trisomy 21.

Monochorionic twins were phenotypically discordant for Down syndrome. Chromosome analysis of lymphocytes showed both to be mosaics. Fibroblast chromosome analysis showed that one twin was 46,XY and the other 47,XY, +21. Blood mosaicism appears to have resulted from placental anastomoses. The twins are presumed to be monozygotic on the basis of placentation, identical blood groups, HLA haplotypes, and serum proteins. We offer some speculation on the manner of occurrence of this rare event.

Diseases in Twins↗
PubMed1976

The relationship of myocardial infarct size and prognosis.

Patients with cardiogenic shock were arbitrarily divided into groups, those in whom shock appeared within 6 hours after the onset of acute infarction and those in whom the symptoms appeared more than 6 hours after the onset of acute infarction. The patients with more rapidly developing shock had larger areas of necrosis (average 48%) than the slow-onset group (average 28%). The former group had more sites of total occlusion of the epicardial arteries (3.5 vs 1.6) than the slow-onset group. By postmortem X-ray examination less collateral flow was visible in the rapid-onset shock patients than the slow-onset ones. These observations suggest that slow-onset shock is more likely to respond to presently available therapeutic interventions than the cases with rapid-onset shock.

Coronary Vessels↗
PubMed1975

Revascularization after 3 hours of coronary arterial occlusion: effects on regional cardiac metabolic function and infarct size.

Two experimental series of closed chest dogs were compared: Group A (five dogs with 7 days of continuous occlusion of the proximal left anterior descending coronary artery); and Group B (six dogs with 7 days of reperfusion after 3 hours of acute occlusion of the same artery). Hemodynamic measurements, ventricular wall motion, coronary sinus blood flow and regional metabolism in both coronary occluded and nonoccluded segments of the left ventricle were measured sequentially. The infarct size was characterized by detailed histopathologic analysis. In the control dogs (Group A), mechanical and metabolic function remained severely depressed after 7 days of occlusion, and mean infarct size was 31.6 percent. In Group B, significant mechanical and metabolic dysfunction developed during 3 hours of occlusion and did not improve during the 1st hour of reperfusion. However, after 7 days of reperfusion, function returned to near preocclusion level. Mean infarct size was 14.2 percent, but in two of the six dogs infarct size was 43 percent and 23 percent, respectively. The study confirmed the unstable character of the early phase of reperfusion, attributed to cell swelling, edema and hemorrhages that resulted in inadequate coronary reflow, arrhythmias and functional derangements. Prolonged reperfusion for 7 days reduced mean infarct size and improved cardiac function.

Animals↗
PubMed1975

Consequences of coronary arterial occlusion on remote myocardium: effects of occlusion and reperfusion.

Focal necrosis (microinfarcts) and regional lactate derangements were observed in closed chest dogs in the nonoccluded (remote) posterior segments of the left and right ventricles after acute occlusion of the proximal left anterior descending coronary artery. Focal infarcts in the remote areas were observed in five of the six dogs with 7 days of occlusion of the left anterior descending artery and in six of seven dogs with 7 days of reperfusion after 3 hours of occlusion. There was a good correlation between the finding of microinfarcts and myocardial lactate derangements in the corresponding remote myocardium. No significant lactate derangements or microinfarcts were found in sham experiments. These findings suggest that ischemia of the remote myocardium frequently accompanies an acute coronary occlusion and may result in irreversible focal lesions.

Animals↗
PubMed1975

Consequences of reperfusion following acute coronary occlusion.

The sequential effects of reperfusion following acute intracoronary balloon occlusion were investigated in closed-chest anesthetized dogs by simultaneous measurement of hemodynamics and regional metabolism and histopathologic study. Simultaneous regional determinations of myocardial metabolic function were carried out in coronary-occluded and nonoccluded segments of the left ventricle. A 3-hour occlusion of the proximal left anterior descending coronary artery (LAD) resulted in significant decrease in cardiac function. Intitial reperfusion was marked by major washout of metabolites and development of frequently serious arrhythmias. Reperfusion following 3 hours of LAD occlusion led to futher deterioration in hemodynamics and metabolism: 30% of the dogs developed shock. Lactate extraction decreased further in the nonoccluded region and reached production levels in the occluded zone. Potassium loss increased in both zones. Oxygen extraction remained unchanged. Pathophysiologic examination of tissue specimens from the reperfused zone revealed microthrombi, patchy necrosis, fragmentation of myofibrils, vascular congestions, and hemorrhages.

Acute Disease↗
PubMed1975

The chemistry of fluorescent whitening agents. Major structural types.

This gives a summary of those fluorescent whitening agents (FWAs) that have industrial importance. Firstly, a survey of the general physical and applicational properties is given, and then the chemistry of FWAs is dealt with. The FWAs are classified in six major structural classes: (A) stilbenes (B) coumarin and carbostyril compounds, (C) 1,3-DIPHENYL-2-PYRAZOLINES, (D) naphthalimides, (E) benzoxazolyl substitution products of conjugated systems, and (F) combined products of other heteroaromatics with ethylene or aromatic systems, owing to their methods of preparation and to their optical characteristics.

Chemical Phenomena↗