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Biomedical subjects

J de Haan

Publications and source records attributed to J de Haan.

103 records · Page 6Linked to original sources

The lecithin/sphingomyelin ratio in Macaca arctoides.

The amniotic fluid lecithin/sphingomyelin ratio (L/S ratio) of stumptail macaque monkeys (Macaca arctoides) was investigated by means of serial amniocenteses during the second half of pregnancy. Ten dated pregnancies were studied in 9 individual monkeys. The mean number of successful amniocenteses per pregnancy was 4. A rapid increase in the L/S ratio suggesting maturation of lung surfactant synthesis occurred as early as 130--140 days of pregnancy in some animals, and as late as 150--160 days in others. The earliest and latest times at which the L/S ratio first exceeded 2.0 were 135 and 164 days, respectively. These observations indicate that the L/S ratio of M. arctoides follows a course similar to that observed in human pregnancy, with a rise at 0.7--0.8 of term gestation. M. arctoides thus appears to be a useful model for the study of factors affecting fetal lung maturity, on the basis of the amniotic fluid L/S ratio. In particular, a rapid rise in L/S ratio before 130 days of pregnancy would be highly suggestive of accelerated maturation of pulmonary surfactant production.

Amniocentesis↗

Ultrasonographic diagnosis of intervillous thrombosis related to Rh isoimmunization.

Greyscale ultrasonography of the placenta was performed in 54 primigravidae with placentas located on the anterior wall of the uterus, in a longitudinal study. During pregnancy single and multiple 'nodular increased transsonity' was seen echoscopically in the placenta. After birth these findings proved to be highly correlated to 'intervillous thrombosis'. The clinical value of these findings is discussed.

Chorionic Villi↗

Pressure in the hydrocephalic fetal head during the first stage of labor.

Intraamniotic pressure was studied in the 30th week of amenorrhea in relationship with fetal intracranial pressure with open-tip catheters. The fetus had a severe hydrocephalus (echoscopy 16 cm) due to a teratologic malformation of the cerebrum. Clinically nonoperative treatment was indicated. Intracranial pressure (X) was invariably higher than intraamniotic pressure (Y) between contractions: Y = 2.04 + 0.54 X, and during contractions: Y = 5.30 + 0.55 X. There was no definite relationship between intrauterine and intracranial pressure, and the fetal tachogram. A definite relationship was established with the supine position of the patient and decelerations in the fetal tachogram. It is suggested that when fetal cardiac decelerations are seen during the first stage of labor it seems advisable to look for factors such as umbilical cord compression and decrease of materno-placental perfusion rather than fetal head compression.

Amniotic Fluid↗

APC, beta-catenin, and E-cadherin and the development of recurrent endometrial carcinoma.

Endometrial carcinoma, generally, has a good prognosis. However, in some patients, the tumor appears to behave very aggressively, a course that cannot be explained with histopathological characteristics. More insight into the molecular background can be valuable to clarify these differences in tumor behavior. The three components associated with the Wnt pathway--i.e., adenomatous polyposis coli (APC), beta-catenin, and E-cadherin--were evaluated in a case-control study of 28 patients with stage-I endometrial carcinomas to determine their involvement in the development of recurrent disease. Mutation analysis of the mutation cluster region of the APC gene, determination of gene promoter methylation status of the APC-1A and E-cadherin genes, and immunohistochemical analysis of APC, E-cadherin, and beta-catenin were performed using paraffin-embedded tumor tissue. Twenty-one APC gene mutations were detected in 12 of 28 (43%) patients. Only three mutations would result in a stopcodon in the APC gene. APC gene promoter methylation was assessed in 12 of 28 (43%) patients. APC immunostaining was absent in two of 24 (8.3%) patients. The occurrence of APC mutations, APC gene promoter methylation, and APC immunostaining were not predictive for recurrence. No E-cadherin expression was observed in four of 24 patients (17%). E-cadherin gene promoter methylation could not be detected in any of the patients. The absence of E-cadherin expression was predictive for distant metastases, but not for local recurrence. Nuclear localization of beta-catenin was present in nine of 24 (38%) patients and was not predictive for recurrent disease. Involvement of epigenetic and genetic aberrations in APC and beta-catenin genes seems to be of minor importance for the development of local recurrences and distant metastases. Although the number of patients is limited, E-cadherin expression appears to be predictive for the development of distant metastases in endometrial carcinoma.

Adenomatous Polyposis Coli↗