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Biomedical subjects

R N Taylor

Publications and source records attributed to R N Taylor.

At least 127 records · Page 7Linked to original sources

Identification of a novel sex steroid binding protein.

We describe a cytoplasmic steroid binding protein in the chick oviduct which has intriguing characteristics. This protein binds [3H]estradiol with high affinity (Kd = 30 X 10(-9) M) and limited capacity (300 fmol/mg of cytosol protein). It sediments at 8 S in low-salt sucrose density gradients and at 4 S in high-salt gradients. Unlike the estrogen receptor, however, this protein also binds progesterone, R5020, testosterone, and 5 alpha-dihydrotestosterone with similar affinities and in a competitive manner. Moreover, it is not translocated to the nucleus by the in vivo administration of these sex steroids. The protein is only present in estrogen-responsive tissue, and like the sex steroid receptors, its synthesis appears to be regulated by estrogen.

Animals↗

The Pearl Pregnancy Index reexamined: still useful for clinical trials of contraceptives.

Data from 25 studies of intrauterine contraceptive devices show close agreement between the Pearl Pregnancy Index and a cumulative, 12 month, life-table pregnancy rate. Analysis of data from the early stages of these clinical trials shows the Pearl Index to be superior to the short-term life table in predicting the outcome of the study. The error introduced by using the Pearl Index as a single measure of contraceptive efficacy in clinical trials, under conditions in which those trials are often carried out, is probably very minor compared to the effect of situational factors that affect studies and to differences among various life-table methodologies. The real strength of the life-table analysis of contraceptive performance is not the single, summary, 12 month pregnancy rate it provides, but the complete picture of various reasons for termination over time, particularly when a large number of woman-months of experience has accrued.

Actuarial Analysis↗

Assessment of laboratory improvement by the Center for Disease Control Diagnostic Immunology Proficiency Testing Program.

The data accumulated from 1969 to 1979 in the Diagnostic Immunology portion of the Center for Disease Control Proficiency Testing Program were evaluated for evidence of change in performance among the participating laboratories. Evidence of improved performance was found for the rubella, rheumatoid factor, tularemia, quantitative immunoglobulin (immunoglobulin G, A, and M), and hepatitis B tests. No evidence of change was detected for the streptococcal enzyme, C-reactive protein, infectious mononucleosis, antinuclear antibodies, Salmonella and Brucella agglutinins, and syphilis tests. Data obtained from other tests were inadequate to determine trends. In most tests, deficiencies were identified which could be corrected and thereby could improve performance. It is pointed out that proficiency testing not only improves laboratory performance, but also can be used to evaluate performance levels, identify method, standard, or performance deficiencies, educate, estimate impact of possible changes, serve as external quality control, and document changes.

Centers for Disease Control and Prevention, U.S.↗

Correlation of nuclear acceptor sites for oestrogen receptors with gene transcription in vitro.

The interaction of oestrogen receptors with their nuclear acceptor sites was studied to ascertain whether these acceptor sites are involved in the regulation of ovalbumin-gene expression in the chick oviduct. As previously described, two distinct oestrogen-receptor species exist, and both are translocated into the nucleus after oestrogen administration in vivo [Smith, Clarke, Zalta & Taylor (1979) J. Steroid Biochem.10, 31-35]. In the present investigation we observed that the tubular-gland-cell concentrations of cytoplasmic receptors (800-900/cell) do not vary with prolonged withdrawal, nor do the relative ratios of the two receptor types change; however, the nuclear accumulation and retention of these receptors after secondary oestrogen administration are attenuated in a time-dependent fashion. Chicks were withdrawn from oestrogen for 24-84h. Some animals were then restimulated with oestrogen and killed after 4h, when oviduct nuclei were isolated. These nuclei were assayed for nuclear receptor concentrations and for their capacity to synthesize ovalbumin mRNA in vitro. Although an equal number of cytoplasmic receptors appeared to be translocated, oestrogen-receptor occupancy within the nucleus was not equal, but was inversely proportional to the preceding length of withdrawal. This decrease in nuclear acceptor sites was accompanied by a similar decrease in the capacity of these same nuclei to transcribe ovalbumin mRNA in vitro. A statistical evaluation of nuclear oestrogen-receptor concentrations and ovalbumin-mRNA synthesis in vitro was made. Correlation analysis revealed a Pearson coefficient r=0.87 (P<0.001, n=17), indicating that a high degree of correlation exists between these two parameters. These results are consistent with the hypothesis that nuclear oestrogen-receptor-acceptor complexes may correspond to initiation sites for RNA polymerase II transcription of an oestrogen-regulated gene.

Animals↗

Center for Disease Control Diagnostic Immunology Proficiency Testing Program results for 1978.

Data from about 1,000 laboratories participating in the Diagnostic Immunology portion of the 1978 Center for Disease Control Proficiency Testing Program provided information dealing with laboratory performance and trends in testing protocols. Ninety specimens were distributed in scheduled quarterly and semiannual shipments, and five additional specimens were provided in a special survey. The specimens offered both qualitative and quantitative challenges for a wide variety of analytes which included syphilis serology, rheumatoid factor, bacterial agglutinins, hepatitis B surface antigen, immunoglobulins and other serum proteins, infectious mononucleosis, rubella, toxoplasma, antinuclear antibodies, and streptococcal exoenzymes. This paper summarizes the results of the 1978 program.

Agglutinins↗

Reference preparation to standardize results of serological tests for rheumatoid factor.

The variance of between-laboratory results for rheumatoid factor tests was reduced through the use of a reference serum preparation. Two separate proficiency testing surveys have shown reduction of 58 to 81% in variance with samples of differing levels and composition. Reduction of variance was seen in data from laboratories in which the same methods and reagents were used, but greater reduction in variance was seen in results from laboratories using different methods and reagents. This study demonstrates that comparability of results of rheumatoid factor tests can be significantly improved through the use of a standard reference serum preparation and that confidence in such results can therefore be increased. A serum rheumatoid factor level of approximately 50 IU/ml is equivalent to a titer of 160 in the Singer-Plotz latex test, which has traditionally been accepted as evidence of rheumatoid arthritis.

Arthritis, Rheumatoid↗

Comparison of kinetic and end-point diffusion methods for quantitating human serum immunoglobulins.

Proficiency testing results were used to compare the kinetic and end-point versions of the single radial immunodiffusion method for quantitating human serum immunoglobulins. Statistical analysis of the results indicated that the results were not normally distributed but that the log normal distribution gives the best fit of any of the well-known frequency distributions. Consequently, statistical analysis of immunoglobulin results must be log transformed before parametric statistical tests can be appropriately applied. In general, there were no significant differences in level, precision, or interlaboratory comparability for these two methods. However, levels were different for participants using Hyland reagents, and better interlaboratory comparability was achieved by the end-point assay for immunoglobulin M. There were no significant differences in reported levels when compared by manufacturer within the same method.

Humans↗

Center for Disease Control Diagnostic Immunology Proficiency Testing Program results for 1977.

A summary of the yearly data accumulated and analyzed in the diagnostic immunology portion of the Center for Disease Control 1977 Proficiency Testing Program provides information on the trends in testing protocols from over 900 participating laboratories. One hundred and fourteen specimens prepared by the Center for the Disease Control were distributed quarterly or in special surveys. The specimens chosen provided feedback from a broad range of tests commonly performed in diagnostic immunology laboratories and included those for rubella antibodies, hepatitis B surface antigen, bacterial antibodies, rheumatoid factor, immunoglobulins and other serum-specific proteins, syphilis serology, and carcinoembryonic antigen. This summary provides an overview of the trends observed since last year's report.

Centers for Disease Control and Prevention, U.S.↗

Changes in menstrual cycle length and regularity after use of oral contraceptives.

This is an analysis of changes in menstrual cycle length and regularity occurring for a group of 211 women who had discontinued use of oral contraceptives. The analysis is based on prospectively recorded histories from the Menstruation and Reproduction History Program. Post-pill menstrual cycle length and regularity are compared with pre-pill averages. In the first post-pill cycle, there was an average increase of 6 days in cycle length. In subsequent cycles, however, cycle length and regularity were comparable to pre-pill norms in most cases.

Adult↗

The risk of post-pill amenorrhea: a preliminary report from the Menstruation and Reproduction History Research Program.

Menstrual cycle lengths prior to and after oral contraceptive use were prospectively recorded for 245 women. In this preliminary study, a difference in the distributions in the pre- and post-pill cycle lengths was observed. An increase of 5 days in the medial cycle length occurred after oral contraceptive use had been discontinued. Although there was an approximately twofold relative risk of amenorrhea of 90 days' duration or more after discontinuing pill use, the differences in the rates of amenorrhea between the pre-pill and post-pill cycles were not statistically significant.

Adult↗

Reduction of variation in results of rheumatoid factor tests by use of a serum reference preparation.

Standaridizing test results for rheumatoid factor by comparing results obtained for an unknown with results obtained for a serum reference preparation decreased variance between laboratories, as measured in the Center for Disease Control proficiency testing program, by 77%. The amount of improvement was also estimated by the type of test and by the manufacturer's product. Standardization resulted in an increase in the number of reported results that were within a twofold dilution of the median value. The percentage increased from 50.3 to 93.7% for the slide tests and from 78.1 to 91.2% fro the tube tests. Decrease in variance by manufacturer's product ranged from 94 to 27%. The study demonstrated that adopting a reference serum standard could substantially improve the comparability of rheumatoid factor test results and that proficiency testing programs can be used to estimate improvement which could be expected as a result of standardization.

Analysis of Variance↗

Results of a nationwide proficiency test for carcinoembryonic antigen.

A proficiency testing survey for carcinoembryonic antigen (CEA) was conducted by the Center for Disease Control. The results from 125 laboratories throughout the United States indicate that many laboratories perform satisfactorily, but some laboratories need substantial improvement. Failure to follow manufacturer's recommendations and failure to heed the indications of "out of control" control results were two of the reasons for poor performance. Results reported for samples with CEA levels of larger than or equal to 20 ng/ml showed that the direct method produced significantly higher values than the indirect method on either whole of diluted plasma. Almost one-fourth of the results reported in this survey were placed in the wrong nominal group. It was determined that the results were log normally distributed and, consequently, that statistical methods that are appropriate for this distribtuion should be used for the analysis of CEA results. Most of the variation observed was the result of poor comparability between laboratories rather than lack of precision within the laboratory. This indicates that better performance could be achieved by better standardization and closer adherence to established procedures.

Carcinoembryonic Antigen↗

Center for disease control diagnostic immunology proficiency testing program results for 1976.

Over 900 laboratories participated in the Diagnostic Immunology portion of the 1976 Proficiency Testing Program, which was provided by the Center of Disease Control under the authority of the Clinical Laboratories Improvement Act of 1967. One hundred specimens prepared by the Center for Disease Control for analysis were distributed on a quarterly schedule or in special surveys. Feedback from participating laboratories included over 37,500 qualitative and 33,000 quantitative responses, which were analyzed to determine individual laboratory proficiency levels. In addition, information supplied by participants in each survey helped to delineate trends in testing protocols. The specimens chosen for analysis called for a broad range of tests commonly performed in diagnostic immunology laboratories, including those for rubella antibodies, hepatitis B surface antigen, bacterial antibodies, rheumatoid factor, immunoglobulins and other serum-specific proteins, and carcinoembryonic antigen. A summary of the data analysis is provided so that the laboratories can improve their overall performance levels.

Agglutination Tests↗