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Biomedical subjects

R G Edwards

Publications and source records attributed to R G Edwards.

279 records · Page 16Linked to original sources

Aspects of the molecular regulation of early mammalian development.

Many regulatory systems operate in the early mammalian embryo. This brief overview surveys several systems and their integration including polarities and axes, left-right differentiation, timers in cells, tissues and in gene expression, and imprinting. Polarities are essential from the very earliest stages of oocyte formation, and maintain their significance until blastocyst stages and beyond. They determine cleavage axes and the distribution of maternal proteins in the oocyte, distinct distributions being identified at the animal pole especially. Left-right axes are no doubt expressed from the earliest embryonic stages, and perhaps even in determining slight differences in the axes of cleavage and of maternal protein distribution. Timers, equally fundamental, have been demonstrated to control many functions in oocytes and embryos. Many fundamental processes in early mammalian oocytes and embryos are closely timed. They are classified into circadian rhythms, hourglass timers, clocks regulating major aspects of development including transcription, longevity via telomere clocks and long-range systems. Imprinting and methylation, increasingly important in establishing stable phenotypes in early embryos, might develop abnormally under some circumstances including intracytoplasmic sperm injection and cloning. A general summary briefly describes some other aspects of regulation, especially chromosomal anomalies in human embryos.

Animals↗

How identical would cloned children be? An understanding essential to the ethical debate.

The ban on human cloning in many countries worldwide is founded on an assumption that cloned children will be identical to each other and to their nuclear donor. This paper explores the scientific basis for this assumption, considering both the principles and practice of cloning in animals and comparing genetic and epigenetic variation in potential human clones with that in monozygotic twins.

Animals↗

Early human development.

Explore the source record for details and available documents.

Embryonic and Fetal Development↗

The recent saga of cardiovascular disease and safety of oral contraceptives.

This review presents detailed risk estimates from relevant epidemiological and other studies on the comparative safety of second and third generation oral contraceptives (OC). Written with the intention of presenting a repository of the available information, it also discourses briefly into the symptomatology and diagnosis of diseases associated with OC use and presents some of the critical comments made about various epidemiological analyses. A general critique including observations and opinions of various investigators completes the review. We stress that our own opinions on the various studies, or an attempt to adjudge the relative safety of second and third generation OC, are not given since they form the substance of our second paper which completes this symposium.

Cardiovascular Diseases↗

Conclusions: the relative safety of modern oral contraceptives.

Published data on the relative safety of second and third generation oral contraceptives (OCs) is critically assessed. The original four studies published in 1995/1996 and their conclusions are examined in detail, including comments made by other investigators. Each study has advantages and flaws which are balanced in detail. Newer studies are then examined in the same manner. All recent papers indicate an equivalence of safety of second and third generation OCs, as the effects of various confounders and biases have been identified and analysed. We conclude that absolute risks are minor with both generations and that no reasons now exist to indicate any differences in their overall safety. We analyse finally how the pill crisis arose, and make suggestions about future reporting on OC safety.

Contraceptives, Oral↗

Treatment of male infertility by in vitro fertilization: factors affecting fertilization and pregnancy.

IVF was attempted in more than 100 couples where the man was considered to be the cause of the infertility. 57% of all oocytes were fertilized and embryo replacement was achieved in 60-70% of cases. Pregnancies following IVF were established in cases with a long duration of infertility and different male factors such as oligospermia, teratospermia, asthenospermia and auto-immunity. Almost 50% of men with very low numbers of active spermatozoa (0.5 X 10(6)/ml motile spermatozoa) were able to establish pregnancy. No correlation was found between the percentage motility and the chance of fertilization in cases with abnormal semen, but a reduction of the incidence of fertilization was noticed in cases with extreme oligospermia (5 X 10(6)/ml) where 41% of the oocytes were fertilized. The results of the post coital hamster egg tests were inaccurate in predicting the outcome of IVF. The collection of split ejaculates, and the careful preparation of spermatozoa using sedimentation and layering methods proved to be beneficial, improving sperm motility and raising the chance of fertilization.

Embryo Transfer↗