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Biomedical subjects

T Kyaw

Publications and source records attributed to T Kyaw.

4 recordsLinked to original sources

Immunomodulatory effect of bovine PTH extract on lymphocyte response to plant mitogens.

Human peripheral blood lymphocytes were incubated in the presence of various concentrations of bovine parathyroid hormone extract (PTH) or with PTH plus different concentrations of plant mitogens (PHA, Con-A and PWM) to determine whether PTH can modulate lymphocyte proliferation. Lymphocyte proliferation was assessed by 3H-thymidine incorporation into the lymphocytes after a 72-96 h incubation period. After initial inhibition, PTH stimulated lymphocyte proliferation at concentrations of 0.25-0.5 micrograms/0.2 ml and inhibited 3H-thymidine uptake at concentrations of greater than 1 microgram/0.2 ml. Similar responses were seen when the lymphocytes were incubated with PTH plus PHA. In contrast, PTH inhibited 3H-thymidine uptake by the lymphocytes when the cells were stimulated with Con-A (0.25-2 micrograms/0.2 ml) and PWM (0.25-2 micrograms/0.2 ml). The suppressive effects of PTH were not due to loss of lymphocyte viability as determined by trypan blue exclusion. It is speculated that the PTH mediated immunomodulatory effect on peripheral blood lymphocytes may be due to PTH itself or to some other factor(s) in the extract. In view of the common embryonic origin of the parathyroid glands and the thymus, the possibility that thymic-like hormones may be involved in the immunomodulatory process cannot be excluded.

Adult

The renin-angiotensin system in hypothyroidism of short duration.

In six hypothyroid patients (2 male, 4 females, ages 22 through 59 years), plasma renin activity (PRA) and aldosterone (Aldo) were measured when the patients were euthyroid on levothyroxine therapy and one month after the therapy was stopped. Colonic mucosal potential differences were measured during the hypothyroid and euthyroid stages, and catecholamine sensitivity was determined by the blood pressure response to infused norepinephrine. Significant differences were observed in the PRA and aldosterone concentrations which were 4.1 +/- 2.5 ng/ml/h and 9.4 +/- 5.9 ng/dl, respectively in the hypothyroid stage and 6.9 +/- 2.3 ng/ml/h and 15.2 +/- 7.3 ng/dl, respectively when the patients were made euthyroid. The colonic mucosal potential differences (which reflect increased endogenous mineralocorticoid activity), became more electronegative after correction of hypothyroidism (-16.8 +/- 7.5 mV vs -32 +/- 18.2 mV; P less than 0.04) concentrations. Statistically significant decreases in norepinephrine pressor effects were observed in hypothyroid patients when compared to the euthyroid state (7.4 +/- 2.3 vs 10.9 +/- 1.9 micrograms/ng/min; P less than 0.01). It is concluded that patients with hypothyroidism have a hormonal pattern reminiscent of "low renin hypertension", and exhibit decreased sensitivity to catecholamines. Such changes are corrected when the patients become euthyroid on levothyroxine therapy.

Adult

Interaction between gabaergic and opioid pathways in the regulation of gonadotropin secretion in males.

The effects of naloxone infusion given together with an infusion of LRH on gonadotropin secretion, were studied in 6 normal male volunteers before and after pretreatment with the GABA-transaminase inhibitor, valproic acid. In concordance with previous studies, naloxone infusion augmented the LRH-stimulated secretion of LH. Baseline serum LH concentrations were not significantly different after valproic acid pretreatment compared to control values. Similarly, valproic acid pretreatment failed to blunt the naloxone-augmented LRH-stimulated secretion of LH. Our data suggest that the previously reported animal studies on the central suppressive effect of GABA on endogenous LRH release is less prominent than the suppressive effect of opioidergic regulatory mechanisms in the human male.

Adult

Acute suppurative thyroiditis.

A 25 year old woman suddenly developed pain in a neck mass which had been present for 10 years. Aspiration of a large cyst revealed by ultrasonography produced blood stained fluid from which E. coli was subsequently grown. Acute suppurative thyroiditis is the least common inflammation of the gland, and E. coli infection has been reported only once before in the past decade. A technetium scan is helpful in distinguishing acute from subacute thyroiditis.

Acute Disease