Search PubMed⌕ Search

Biomedical subjects

L Clark

Publications and source records attributed to L Clark.

At least 163 records · Page 9Linked to original sources

Cigarette smoking reduces human gastric luminal prostaglandin E2.

The effect of smoking three cigarettes on the release of prostaglandin E2 (PGE2) by the gastric mucosa was studied in seven healthy smokers. Smoking caused the expected increases in pulse rate, blood pressure, plasma glucose, and carboxyhaemoglobin. In addition, smoking resulted in a significant (p less than 0.05) reduction in the volume of pentagastrin stimulated gastric juice from 76.1 +/- 4.4 to 54.1 +/- 4.6 ml/15 min and PGE2 output from 22.8 +/- 4.9 to 12.2 +/- 3.8 ng/15 min but did not alter acid output. It is concluded that smoking reduces the amount of PGE2 in the gastric lumen and that this may explain why it is a risk factor for peptic ulcer.

Adult↗

Phagocytosis and killing of Gardnerella vaginalis by human neutrophils.

Gardnerella vaginalis was ingested and killed by neutrophils in the presence of normal human serum. Heat inactivation of the serum inhibited these processes. The opsonisation of some but not all G vaginalis strains was enhanced by immune rabbit serum. Immune serum did not, however, enhance intracellular killing. Blockade of the classical pathway of complement activation had no effect on the opsonic activity of human serum. These results suggest that the opsonisation, phagocytosis, and killing of G vaginalis by human serum and neutrophils is primarily mediated by complement activated by the alternative pathway. Serum without neutrophils has little effect on the viability of G vaginalis.

Animals↗

Risk factors for prematurity and premature rupture of membranes: a prospective study of the vaginal flora in pregnancy.

Prematurity remains a major cause of perinatal mortality in the United States. Some research has indicated that infectious agents play a role in either initiating preterm labor, causing premature rupture of the membranes, or preventing tocolysis. This study attempted to determine if the presence of various vaginal pathogens in early pregnancy was associated with the subsequent development of premature rupture of membranes or preterm labor. We found that among 233 evaluable patients those with Trichomonas vaginalis were significantly more likely to have premature rupture of the membranes (p less than 0.03), and those with Bacteroides sp. were more likely to be delivered of their infants before 37 weeks (p less than 0.03) and to have infants weighing less than 2500 gm (p less than 0.05). Those with Ureaplasma urealyticum more frequently began preterm labor (p less than 0.05). Preterm premature rupture of the membranes was found significantly more often among patients with Bacteroides sp. Stepwise multiple logistic regression analysis indicated that those associations were not related to the number of previous abortions, deliveries, or preterm deliveries or to maternal age. We conclude that microbiologic screening in early pregnancy may aid in the assessment of patient risk for preterm delivery.

Adolescent↗

Possible change in noradrenergic receptor sensitivity following methylphenidate treatment: growth hormone and MHPG response to clonidine challenge in children with attention deficit disorder and hyperactivity.

Growth hormone (GH) and 3-methoxy-4-hydroxyphenelethylene glycol (MHPG) response was measured hourly for 4 hours in 8 children with Attention Deficit Disorder with Hyperactivity (ADD+H) following an acute single-dose of clonidine. The clonidine challenge was repeated before, during, and one day after 12 weeks of treatment with methylphenidate (MPH). Before MPH treatment, the plasma growth hormone (GH) rose to 31.3 +/- 4.6 (Mean +/- SE) ng/ml; during MPH treatment, the GH peak was only 14.8 +/- 3.2 ng/ml; one day after discontinuation of MPH, GH rose to only 20.8 +/- 3.9 ng/ml. MHPG release was inhibited by clonidine in all treatment conditions but tended to be more decreased during MPH treatment. Some children with ADD+H may have hypersensitivity of the post-synaptic alpha-1 noradrenergic receptor which is diminished by MPH treatment. The extent to which these effects are pharmacological or represent a change in receptor sensitivity requires further study.

Adolescent↗

Effect of indomethacin on the ocular hypotensive action of timolol maleate.

A randomized, double-masked, cross-over study of nine healthy normal subjects was conducted to determine whether indomethacin affected the ocular hypotensive action of timolol maleate. A significant decrease in intraocular pressure occurred with timolol maleate 0.5% eyedrops (used twice a day) alone. Indomethacin (25 mg three times a day, given orally) administered concurrently had no effect on timolol's hypotensive action. No subjective or objective side effects occurred and there were no significant changes in blood pressure, pulse rate, or respiratory rate with either treatment.

Double-Blind Method↗

Effect of cimetidine on intraocular pressure in patients with glaucoma.

The effect of an intravenous infusion of cimetidine, 2 mg/kg of body weight over 1 hour, on intraocular pressure was studied in four patients with medically controlled glaucoma and compared with the effect of a control infusion of normal saline. Cimetidine, a powerful histamine-H2-receptor antagonist, had no effect on the intraocular pressure in any of the patients.

Adult↗

Effect of catalase on the proliferation of human lymphocytes to phorbol myristate acetate.

Phorbol esters have been documented to stimulate the proliferation of human blood mononuclear cell cultures. In addition, these agents are also known to stimulate the production and release of reactive oxygen species by monocytes. We demonstrated previously that H2O2, one of these oxygen metabolites, impairs the proliferative capacity of human blood lymphocytes. Therefore, in these experiments, we determined whether or not the H2O2 released by monocytes after activation by PMA modifies the proliferation of lymphocytes to this agent. Human blood mononuclear cells (80% lymphocytes and 20% monocytes) were incubated with PMA, and lymphoblastic transformation (LBT) was quantitated at 3 and 5 days by pulsing the cultures with thymidine. Initial experiments established that the concentration of PMA required for optimal LBT was 50 ng/ml. We then demonstrated that this concentration of PMA also induces a burst in hexose monophosphate shunt activity and H2O2 production of mononuclear cells as indicated by the enhanced oxidation of 14C-glucose and 14C-formate, respectively. The amount of H2O2 released into the medium was substantial. Our measurements indicate that the concentration of H2O2 could reach values as high as 0.008 mM during the first 2 hr of the cultures. The addition of catalase to PMA-treated cultures in concentrations sufficient to scavenge the H2O2 released by the monocytes was associated with an enhanced thymidine uptake (mean 79%). These results indicate that the hydrogen peroxide released by the monocytes modifies the response of lymphocytes to the PMA. Paradoxically, mononuclear cell cultures depleted of monocytes also had a lower proliferation to PMA than mononuclear cell cultures. This observation indicates that monocytes also produce factors required for lymphocyte proliferation to PMA such as an interleukin. In contrast, to PMA cultures, catalase did not alter the proliferation of mononuclear cell cultures stimulated by PHA. We previously documented that PHA does not stimulate an immediate burst in the oxidative metabolism of mononuclear cultures. Therefore, the effect of catalase in these two culture systems appears to correlate with the capacity of the mitogen to stimulate the oxidative metabolism of mononuclear cells. These observations suggest that the release of reactive oxygen species by monocytes may modify the response of lymphocytes to antigens both in vitro and in vivo.

Antibody-Dependent Cell Cytotoxicity↗

Evaluation of a latex agglutination test for detection of antibodies to rubella virus in selected sera.

A new latex agglutination test for rubella virus was used to test sera with a hemagglutination inhibition titer of less than or equal to 8 (97 specimens) or greater than or equal to 256 (158 specimens). Maximum latex agglutination test sensitivity was achieved when low-titer sera were tested undiluted and high-titer sera were diluted (1:10). A modification of the protocol of the manufacturer resulted in a latex agglutination-hemagglutination inhibition agreement of 96.7%.

Antibodies, Viral↗

Lateral Sims' deliveries: a new application for an old technique.

The left lateral Sims' position is a time-honored but neglected childbirth position. Increasing use of bed deliveries as a part of natural childbirth in birthing rooms makes side deliveries attractive, since the perineum is better visualized and the obstetrician has greater freedom of movement. Impeding widespread adoption of the lateral Sims' position is a lack of experienced personnel to teach the procedure and a lack of suitable descriptions and depictions in the literature. This paper presents the advantages and problems of using this position and provides a detailed description of the technique for those interested in incorporating it into their practices.

Delivery, Obstetric↗

Determination of hydroxyl radical production in aqueous solutions irradiated to clinically significant doses.

Decarboxylation of 14C-carboxylbenzoic acid in aqueous solutions after low-dose irradiation has been used to determine the relative magnitude of oxidation reactions and estimate the hydroxyl radicals produced. The G CO2 values determined from these measurements of 0.4 to 1.0 mM solutions of benzoic acid after x-ray doses of 1000 rads ranged from 0.72 to 0.77, in excellent agreement with values reported by authors using much higher doses of radiation. Superoxide dismutase and catalase, known scavengers of superoxide and hydrogen peroxide, respectively, did not show impairment of the oxidation of benzoic acid. On the other hand, biologically significant concentrations of phenol and mannitol appear to impair the radiation-induced oxidation of benzoic acid, indicating that the process is secondary to a reaction with OH . . We found that serum and glucose, common cell media contents, are potent OH . scavengers. These observations indicate that the oxidation of benzoic acid can be as a reliable method to estimate OH . with radiation doses of clinically significant magnitudes. In addition, these results suggest that the radiation induced by OH . in cell systems can be significantly modified by the type of buffer used.

Benzoates↗

Preventing acetylsalicylic acid damage to human gastric mucosa by use of prostaglandin E2.

To determine the lowest dose of prostaglandin E2 (PGE2) capable of preventing the acetylsalicylic acid (ASA)-induced fall in the gastric transmucosal potential difference, six healthy men (mean age 24 years) were studied on 5 separate days, in random sequence. In the control experiment, 100 ml of 140 mM hydrochloric acid was instilled five times into the stomach for 15 minutes each time, during which the transmucosal potential difference was measured continuously. In the test experiments, 20 mM ASA plus PGE2 in doses of 0, 0.1, 0.5, or 1.0 mg were added to the control solution during the second and third instillations. The mean control potential difference (+/- standard error) was -50 +/- 2 mV. During the administration of ASA there was a 25% reduction in the potential difference; this change was statistically significant (p less than 0.01). With all three doses of PGE2 the fall in potential difference was prevented. The results demonstrate that ASA damage to human gastric mucosa can be prevented entirely by concurrent administration of as little as 100 micrograms of PGE2. This supports the view that mucosal protection is a physiologic function of PGE2.

Adult↗

A kindred with congenital vellus hair cysts.

Vellus hair cysts were present from birth in two of four siblings and their mother. There has been no tendency for remission. This is the first report of vellus hair cysts appearing at birth, and the second report of a kindred in which there was apparent autosomal dominant inheritance. This disorder appears to represent a developmental anomaly of vellus hair follicles.

Child↗

Characteristics of the metabolic response of human monocytes to red cells sensitized with anti-D alloantibodies.

In these studies we have characterized the metabolism of the HMPS pathway of PBMs and PMNs from normal persons during interaction with human red cells sensitized with anti-D alloantibody. This was correlated with ADCC as determined by the 51Cr release assay. In this system, the lysis by PBMs of RBCs sensitized with anti-D alloantibodies was mediated by both monocytes and lymphocytes, although the activity of the monocytes was greater. Monocytes, but not lymphocytes, has a burst in HMPS activity during interaction with anti-D-sensitized RBCs. This could be detected with T:E ratios similar to those which caused 51Cr release from the target. Oxygen was required for optimal lysis of antibody-coated RBCs by monocytes, but ADCC was not totally impaired under hypoxic conditions, suggesting that mononuclear cells may have at least two mechanisms for accomplishing ADCC-one that is oxygen-dependent and another that does not involve oxygen radicals. ADCC under aerobic conditions was accompanied by a burst in HMPS activity. In the absence of oxygen there was a 60% reduction in ADCC and no stimulation of the HMPS. However, results of studies for detection of oxygen radicals using standard scavengers during ADCC were negative. In contrast to monocytes, PMNs did not mediate significant ADCC in similar T:E ratios and did not have a metabolic burst when incubated with anti-D-sensitized RBCs. This appears to relate to the low activity of PMNs compared to monocytes in the lysis of RBCs sensitized with anti-D antibody.

Colchicine↗