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Biomedical subjects

P Alm

Publications and source records attributed to P Alm.

At least 217 records · Page 12Linked to original sources

Adrenergic and cholinergic innervation of the rag urinary bladder.

The autonimic innervation of the rat urinary bladder was studied using histochemical methods and nerve stimulations. A sparse adrenergic innervation of the detrusor muscle was found. It was supposed to originate from long adrenergic neurones. The trigonum area had a rich ssupply of adrenergic fibres, probably derived from short adrenergic neurones. A uniformly rich supply of acetylcholine-esterase (AChE)-positive nerves was found in the WHOLE BLADDER. Postganglionic sympathetic denervation caused no detectable change of adrenergic or AChE-positive nerves in the bladder, while parasympathetic decentralization or denervation produced a total disappearance of adrenergic fibres. The AChE-positive nerves were appreciably reduced in number after parasympathetic decentralization and not detectable after postganglionic denervation. Neither adrenergic nor AChE-positive ganglion cells could be demonstrated in the bladder wall. Electrical stimulation of the hypogastric nerves or the pelvic nerves distal to the pelvic ganglia elictied contraction of the detrusor muscle. The responses were not affected by hexamethonium, dihydroergotamine or proparanolol but were slightly reduced by guanethidine, reduced to about 40% by atropine and potentiated by eserine. Stimulation of the pelvic nerve proximal to the pelvic ganglion was partially blocked by hexamethonium. It si concluded that the urinary bladder of the rat is supplied by postganglionic adrenergic fibres mainly via the pelvic nerves and only to a lesser extent via the hypogastric nerves. Probably cholinergic fibres pass to the bladder mainly via the pelvic nerves but also via the hypogastric nerves, having their cellbodies outside the bladder wall, partly proximal to the pelvic ganglia.

Acetylcholinesterase↗

Reduced level of uterine norepinephrine transmitter during hCG-induced pseudopregnancy in the rabbit.

The bulk of rabbit uterine norepinephrine is present in short adrenergic neurons which have unique functional properties. Pseudopregnancy was induced in adult nulliparous rabbits by a single injection of 1,500 IU of human chorionic gonadotrophin (hCG). By the 6th day of pseudopregnancy, the total uterine content of norepinephrine was reduced to a level only 40% of that found in untreated controls. At 12 days after the injection the amine level was greater than at 6 days but still significantly less than in controls. By 18 days, when the progestational proliferation of the endometrium had subsided, the levels in uteri of control and injected animals were similar. The findings support previous findings indicating the presence of a peripheral neuro-endocrine mechanism influencing uterine motor function.

Animals↗

On the autonomic innervation of the human vas deferens.

The autonomic innervation of the human vas deferens was studied histochemically. In the well-developed smooth muscle layers there were a small number of delicate adrenergic nerve terminals. Varicose nerve terminals able to take up and bind quinacrine were also found. These nerves may represent a specific nerve population previously denoted as "purinergic" nerves. In contrast, nerves displaying acetylcholine esterase (AchE) activity and/or immunoreactivity specific for vasoactive intestinal polypeptide (VIP) were mainly found subepithelially in the connective tissue of the mucosa.

Acetylcholinesterase↗

A prospective population-based management program including primary surgery and postoperative risk assessment by means of DNA ploidy and histopathology. Adjuvant radiotherapy is not necessary for the majority of patients with FIGO stage I-II endometrial cancer.

A management program for FIGO stage I-II nonserous, nonclear-cell adenocarcinomas was evaluated. Histopathology and DNA ploidy were used to estimate postoperatively the risk of progression or death of disease and to tailor treatment. The patient material was a population-based consecutive cohort of all women with endometrial cancer in the Southern Swedish Health Care Region diagnosed between June 1993 and June 1996 (n = 553). Of these, 335 were eligible for the management program. Patients estimated to be at low risk were treated by surgery only, while high-risk patients also received vaginal brachytherapy. A large low-risk group consisting of 84% (n = 283) of the patients with an estimated disease-specific 5-year survival of 96% (95% CI = 93-98%) was identified. The high-risk group (n = 52, 16%) showed a worse outcome with an 80% 5-year disease-specific survival (95% CI = 65-89%). The difference in survival between the groups was highly significant (P < 0.0001). Half of the progressions were distant in the high-risk group. Although there is a clear indication for adjuvant therapy for this group, locoregional radiotherapy could be expected to fail in cases with distant progression. Thus, effective systemic treatments need to be developed. Low-risk patients, constituting the majority (84%) of the patients, can be safely treated by surgery only.

Adenocarcinoma↗

Beta 2-microglobulin in squamous cell carcinomas of the head and neck and in tumours heterotransplanted into nude athymic mice.

Beta 2-microglobulin (beta 2m) is a small polypeptide, related to the immunoglobulins and present on nucleated cells as part of the strong transplantation antigens. Elevated plasma levels have been recorded in patients with various malignant diseases. Human beta 2m has also been detected immunohistochemically in carcinomas transplanted into nude mice, and in the plasma of tumour-bearing mice. In the present study the occurrence of human beta 2m was studied in the plasma of 26 patients with squamous cell carcinoma (SCC) of the head and neck and in six heterotransplanted carcinoma lines. Extractable beta 2m was measured in seven SCC of the head and neck and in the six heterotransplanted tumour lines. Immunohistochemically detectable beta 2m was studied in 20 SCC and in six heterotransplanted tumour lines. Only 3 of 26 patients (12%) had elevated p-beta 2m levels. Stage IV tumours seemed to have more p-beta 2m (though within the normal range) than did less advanced tumours. There was no correlation between the total amount of extractable beta 2m in the patients' tumours and p-beta 2m. However, there was an association between the concentration of beta 2m in the tumours and p-beta 2m. Human beta 2m could be detected in the plasma of mice with tumours from all tumour lines, and there was a tendency toward an association between tumour size and p-beta 2m. The ratio of p-beta 2m/tumour volume differed between the tumour lines. Tumour volume doubling time (DT) was determined for the various tumour lines, and there was a correlation between DT and beta 2m concentration of the tumours.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Flow cytometrical DNA measurements in endometrial hyperplasias. A prospective follow-up study after abrasio only or additional high-dose gestagen treatment.

As part of a prospective study on endometrial hyperplasias the DNA content in individual cells was measured by flow cytometry in 109, 35 and 12 cases of cystic glandular, adenomatous and atypical hyperplasias respectively. About 20% of all types of hyperplastic endometria revealed a non-diploid DNA index compared to 6% in normal endometria and 29% in well differentiated carcinomas. Increasing severity of hyperplasia was accompanied by increased proliferative activity as reflected by increased S-phase-and (S + G2)-fractions. The findings emphasise a previous suggestion that all types of hyperplasias are predecessors to endometrial carcinomas. Examination after 3 months following abrasio alone or in combination with high-dose gestagen treatment revealed a still high frequency of non-diploid cells. This was the case in endometria without histologic signs of hyperplasia as well as in those still demonstrating hyperplastic changes. Hypothetically chromosomal aberrations could be the main reason for the development of hyperplasias.

Adenoma↗