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Biomedical subjects

C Grande

Publications and source records attributed to C Grande.

At least 55 records · Page 3Linked to original sources

[The profile surgery. Mandibular osteotomies].

During the years 1987-1994, 31 mandibular osteotomies have been performed in 25 patients, 15 had mandibular alteration alone, 10 of them with prognatism, 2 with microretrognatia and 3 with chin hipoplasia. The other 10 had a combined maxillary-mandibular alteration with hipoplasia and maxillary retrussion. The preoperative work-up included cephalometric and dental study, and a cast model was done to asses the theoretical benefic of the osteotomy. All these patients underwent orthodontic treatment before and after surgery. The results have been good or very good in 96% of the cases. The ortognatic surgery offers significant aesthetic and functional improvement to these patients.

Adolescent↗

Dehydroepiandrosterone sulphate, body fat distribution and insulin in obese men.

Sex steroid hormones may be involved in determining body fat distribution in men. Recent evidence suggests that insulin may be an important regulator of sex hormones metabolism in men. Few data, however, are available on the relationship of dehydroepiandrosterone sulphate (DHEA-SO4), a major secretory product of the adrenal gland, to regional distribution of body fat or to insulin levels in men. We therefore examined the association of DHEA-SO4, total testosterone and free testosterone to waist-to-hip ratio (WHR) and to subscapular-to-triceps ratio (STR) in 34 obese, otherwise healthy men. In addition, we examined the relation between these sex steroid hormones and insulin response to an oral glucose tolerance test. DHEA-SO4 was significantly positively related to STR and significantly negatively related to insulin area. These associations remained significant after adjustment for age and obesity. Using multiple linear regression, DHEA-SO4 was independently related to both STR and insulin area. Without claiming any causality in the observed associations, we conclude that, in obese men, high DHEA-SO4 levels are related to centralized adiposity, while low DHEA-SO4 levels are related to hyperinsulinemia.

Adipose Tissue↗

Influence of metabolic control of pregnant diabetics on fetal lung maturity.

We studied the relationship between the metabolic control of pregnant diabetics and fetal lung maturity. In 31 diabetic and 20 normal pregnancies we analysed phospholipids in amniotic fluid and glycaemic control parameters. There were no differences in amniotic fluid lecithin/sphingomyelin (L/S) and phosphatidylinositol/sphingomyelin (PI/S) ratios between pregnant diabetics with strict metabolic control and the control group. Pregnant diabetics with poor metabolic control had significantly different L/S and PI/S ratios than the normal pregnant women. Six women in this group of poorly controlled diabetics had mature surfactant in amniotic fluid (L/S > or = 2.7 and presence of phosphatidylglycerol) at 32-34 weeks of amenorrhea; the difference was significant (p < 0.05) with respect to the control group. These six women had recurrent hypoglycaemic episodes (6.4 +/- 1.3 episodes/week) at 14-27 weeks of amenorrhea. Our findings suggest that hypoglycaemic stress on the fetus could disturb fetal synthesis of pulmonary phospholipids.

Adult↗

Plasma molecular forms of gastrin, neurotensin and somatostatin in pregnancy and gestational diabetes after an oral glucose load or a mixed meal.

At present the physiological role of gastrin, neurotensin and somatostatin in pregnancy and gestational diabetes is scarcely known. We have measured their different molecular forms in plasma of six female controls, six normal pregnant (NP) women and six gestational diabetic (GD) women under basal conditions and 30 min after an oral glucose load (100 g) and a liquid mixed meal in order to study if their alteration could contribute to the impaired glucose tolerance in GD. Total basal concentrations of neurotensin and somatostatin were higher in GD than in controls and NP, and no change was found after the glucose load or mixed meal in GD. Neurotensin-1-13 was the main molecular form of all neurotensins at basal time in the three groups studied, being higher in GD in comparison with controls and NP. Somatostatin-1-14 was the predominant molecular form in controls and GD under basal conditions and did not show any change any change after stimuli. In NP, somatostatin-1-14 showed a significant increase following both kinds of stimuli. Total gastrin concentrations in NP and GD showed a significant increase after the glucose load, which was not observed in controls. Gastrin-17 was the main molecular form at basal time and 30 min post-stimuli in GD but not in NP and controls. We suggest that the basal elevation of neurotensin and somatostatin levels could contribute to the impaired glucose tolerance observed in gestational diabetes, as well as to the lack of post-stimuli responses for neurotensin and somatostatin in GD.(ABSTRACT TRUNCATED AT 250 WORDS)

Administration, Oral↗

Determination of the optimized individual kinetic constants of the aminolysis reaction in basic medium of beta-lactam antibiotics by a numerical computational method.

The individual kinetic constants of the aminolysis reaction in basic medium of several beta-lactam compounds (6-aminopenicillanic acid, carbenicillin, 7-aminocephalosporanic acid, and cephalothin) are determined and improved by application of a computational method KINBETA. The method uses a modified version of the AGDC optimization algorithm adapted to the reaction system. Initial estimates of the constants for this reaction, obtained from the conventional methodology reported in the literature, were used. The computational method applied is self-consistent and affords both a considerable saving in experimental time and more reliable and exact results.

Anti-Bacterial Agents↗

Environmental fate and effects of dicamba: a Canadian perspective.

Literature on the environmental fate and effects of the benzoic acid herbicide dicamba was reviewed to provide a scientific basis to derive Canadian Water Quality Guidelines. Included in the review was information on the uses and production of dicamba, its physical and chemical properties, environmental monitoring data in Canadian surface water and groundwater, soils, sediments, and biota, and its environmental degradation, persistence, and fate. Through monitoring, dicamba has been detected in less than 8% of surface-water samples to a maximum concentration of 13 micrograms.L-1, while 2% of groundwater samples were positive up to 517 micrograms.L-1. Only one study that analyzed sediments (with no detections) and no field studies that investigated residues in biota were found. Microbial degradation is the most important process governing the dissipation of dicamba in aquatic and soil environments. Photolysis, hydrolysis, volatilization, adsorption to sediment, and bioconcentration are not expected to be significant removal processes, based on limited environmental fate data. The half-life of dicamba in water is < 7 d, although residues have been detected in surface-water supplies in Alberta more than 6 mon after application. The literature reports the half-life in soils ranges from 4 to 555 d; however, < 12 wk would be typical under Canadian conditions. High moisture and temperature, and other conditions that favor microbial degradation, would likely reduce the half-life to < 4 wk. The principal soil and plant metabolite is 3,6-dichlorosalicylic acid, with minor amounts of 2,5-dihydroxy-3,6-dichlorobenzoic acid and 5-hydroxydicamba found. Dicamba is highly mobile in soil, and significant leaching is possible; its water solubility is 6.5 g.L-1 (25 degrees C) and it has a log octanol-water partition coefficient of 0.477. Acute and chronic toxicological studies for all nontarget plants and animals were also reviewed. The major groups of organisms for which toxicological data were collected were freshwater fish, invertebrates and plants, tame hays and cereals, legumes, and other crops, and livestock poultry and mammals. The acute toxicity (< or = 96-hr LC50) to freshwater fish ranged from 28 to 516 mg.L-1, whereas that for invertebrates ranged from 3.9 to > 100 mg.L-1. No chronic data were found for either of these groups. The chronic EC50 to 14 freshwater algae, based on growth inhibition, ranged from 100 to > 10,000 micrograms.L-1. No studies on freshwater macrophytes or any marine organisms were found. Agricultural crops exhibited varying toxicity.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

TGF-beta 2 gene and protein expression in maternal and fetal tissues at various stages of murine development.

The transforming growth factor beta family of peptides have diverse actions on the reproductive tracts of primates and rodents. In this study we report the expression of high levels of mRNA of one member of this superfamily, TGF-beta 2, in the pregnant mouse uterus. Using Northern blot analysis and in situ hybridization techniques, we have examined the pattern of expression of TGF-beta 1, TGF-beta 2 and colony-stimulating factor (CSF-1) in mouse maternal and fetal tissue at specific days of gestation. We report here that TGF-beta 2 is synthesized primarily in maternal decidual and uterine epithelial tissues. We observed a shift in the major site of synthesis from decidua to uterus between days 8.5 and 10.5 of gestation. These data demonstrate that the expression of TGF-beta 2 is differentially regulated in the decidua and uterine epithelial cells at various times during gestation. Small amounts of TGF-beta 2 mRNAs were detected in the fetus, and none was detected in placenta, yolk sac, or amniotic membrane. The uterus is likely the major site of synthesis of the TGF-beta 2 found in mouse amniotic fluid. TGF-beta 1 mRNAs are expressed in the uterus at markedly lower levels when compared to TGF-beta 2 mRNAs in both the decidua and uterus. Our results suggest that there is a unique regulation of TGF-beta 2 during pregnancy which may depend on pregnancy hormone(s) and differentiates it from the other mammalian isoforms of the TGF-beta s. TGF-beta 2 may play an important, albeit unknown, role at the maternal/fetal interface.

Amniotic Fluid↗

Monoclonal antibody to amphomycin. A tool to study the topography of dolichol monophosphate in the membrane.

Understanding the topographical orientation of dolichol monophosphate (Dol-P) in the membrane of the endoplasmic reticulum (ER) is of utmost importance for studying the regulation of asparagine-linked protein glycosylation in eukaryotic cells. This was practically impossible due to the nonavailability of a suitable probe. Recent studies on the specific interaction between a lipopeptide, amphomycin, and Dol-P, provided an insight to develop a monospecific antibody to amphomycin which could recognize the amphomycin-Dol-P complex in order to detect Dol-P immunocytochemically in the ER membrane. We report herein the successful production of a monoclonal antibody to amphomycin. The antibody belongs to the IgG+IgM subclasses and is specific for amphomycin when analyzed by the enzyme-linked immunoassay and immunoblot procedures. The antibody recognizes with equal potency both the native amphomycin and also mild acid-hydrolyzed amphomycin from which N-terminal fatty acylated aspartic acid has been removed. Preincubation of amphomycin with the antibody partially reduced the inhibitory action of amphomycin on dolichol phosphate mannosyltransferase (EC 2.4.1.83). Furthermore, exposure of capillary endothelial cells to amphomycin, followed by the monoclonal antibody to amphomycin, followed sequentially by staining with FITC-conjugated goat anti-mouse IgG and examination under a fluorescent microscope gives intense fluorescence at the perinuclear region of the cell with a structure reminiscent of the ER.

Amino Acid Sequence↗

Hypothyroidism following radiotherapy for head and neck cancer: multivariate analysis of risk factors.

The incidence of hypothyroidism following radiotherapy for head and neck cancer is 10-45% in several series. In order to identify possible risk factors a multivariate analysis was performed in 221 patients previously treated with either radiotherapy alone or combined with surgery or chemotherapy. Diagnostic procedures included: total T3 and T4, free T4 and TSH measured by radioimmunoassay, and thyroid scintigraphy. The absolute rate of hypothyroidism was 41.17% (subclinical 26.24%, clinical 14.93%). No thyroid nodules were detected in any patient. By multivariate analysis, risk factors that significantly influenced a higher incidence of hypofunction were: high radiation dose (p = 0.000), combination of radiotherapy and cervical surgery (p = 0.003), time from therapy (p = 0.022) and no shielding of midline (p = 0.026).

Cobalt Radioisotopes↗

Autoimmune insulin syndrome in a patient with progressive systemic sclerosis receiving penicillamine.

The case of a patient with progressive systemic sclerosis, who developed hypoglycaemia and insulin autoantibodies, is described. Repeated blood glucose measurements showed levels less than 2.8 mmol/l. High immunoreactive insulin levels, with undetectable free insulin, led to the discovery of anti-insulin antibodies in the patient's serum. He had no history of exogenous insulin use and was receiving penicillamine treatment. A double mechanism for the autoimmune insulin syndrome in this case is proposed: acting in a patient with increased humoral immunoresponsiveness, penicillamine might have induced the development of insulin autoantibodies.

Adult↗

[Diabetes and pregnancy. Our experience in pregnancy diabetes (1977-1988)].

The records of 303 females with gestational diabetes (GD) seen from 1977 to 1988 in the Hospital La Paz in Madrid were reviewed. In some respects, two periods were separately considered, period A from 1977 to 1983 and period B from 1983 to 1988, the latter corresponding to the activity of the Diabetes and Pregnancy Unit. Significant differences in fetal mortality (0.65%) with nondiabetic pregnant women or between periods A and B were not found. Macrosomic fetuses (the most common abnormality, 18.5%) were related with maternal age, a macrosomic fetus in previous pregnancies, degree of carbohydrate intolerance at the time of diagnosis of the diabetes and need for insulin therapy. This latter feature indicates a more severe degree of metabolic involvement. Regarding risk factors, the most common were older maternal age, family history of diabetes and obesity. The pancreatic reserve in nonobese women with GD (2.1 +/- 0.8 ng/ml) was lower than in obese women with GD (3.3 +/- 0.9 ng/l) (p less than 0.001), higher than in progestational diabetic women type II (1.1 +/- 0.7 ng/ml) and type I (0.15 +/- 0.1 ng/ml) (p less than 0.001), and it was not different from that in normal pregnant women (2.15 +/- 0.6 ng/ml). Insulin therapy for the control of diabetes was required in 24.5% of pregnant women. During the period B, termination of pregnancy by means of cesarean section (25.3%) was higher than in normal pregnant women (11.2%) (p less than 0.001). After pregnancy, 13.2% of patients in period A and 39.1% in period B (p less than 0.01) complied with the evaluation of carbohydrate metabolism. Overall, 26.2% had carbohydrate intolerance and 5.9% diabetes mellitus. Although the creation of the Diabetes and Pregnancy Unit has provided a better care and follow-up of the diabetic pregnant women, has not resulted in significant differences in fetal mortality.

Adult↗

Gut regulatory peptides and pancreatic beta-cell response to nutritional stimuli in the elderly.

Pancreatic beta-cell and gut regulatory peptide responses were investigated in 13 healthy elderly and 12 young subjects (control group) after a standard meal test. In addition to hyperinsulinemia and hypergastrinemia, we found lower basal and postprandial total integrated responses (TIR) for gastric inhibitory polypeptide and bombesin in the elderly group. The mean postprandial TIR for neurotensin (NT) was significantly higher in the aged subjects, but the somatostatin response was suppressed in this group.

Aged↗

[Detection of gestational diabetes with the 50-gram glucose test: prevalence and relationship with to factors].

Prevalence of gestational diabetes was investigated in 222 pregnant women between the 24th and 28th weeks of gestation. A glucose screening test (GST) was performed with a 50 g glucose load, followed by a blood sample 1 hour later. Patients with glycemic levels greater than or equal to 140 mg/dl (7.8 mmol/l) 1 hour after the glucose administration were considered as having a positive GST and scheduled for a full oral glucose tolerance test (OGTT), which was interpreted according to O'Sullivan and Mahan criteria. Fifty-four patients had a positive GST, and 10 of them were diagnosed as having gestational diabetes mellitus. These figures indicate a gestational diabetes prevalence of 4.5% in general population and 18.5% in women selected by GST. The fetal weight index in patients with gestational diabetes was 1.13 +/- 0.10, whereas in normal women this index was significantly lower (p less than 0.01). Patients with positive GST and normal OGTT did not have an increased risk for fetal macrosomia. GST results were significantly higher in pregnant women with advanced age (greater than or equal to 35 years) and with late menarche (greater than or equal to 16 years), but did not vary according to maternal parity. Also, these results were significantly related with the number of risk factors for gestational diabetes encountered in a given patient, but not with any of them as examined alone, except for age. We conclude that GST performed in the 24th-28th weeks of gestation reveals 4.5% undetected gestational diabetes in our population. Certain maternal features (age, menarche, number of risk factors) influence on GST results.

Adult↗

Pulmonary phospholipids in amniotic fluid of pathologic pregnancies: relationship with clinical status of the newborn.

We evaluated phospholipids, C-peptide and cortisol levels in amniotic fluid of 203 pathologic pregnancies (63, class A, B and C diabetics; 11 class D, F and H diabetics; 44 preclampsia and 85 Rh-isoimmunization); the control group was 82 normal pregnant women. There was an acceleration of fetal pulmonary maturation in women with preclampsia and severe Rh-isoimmunization in class D, F and H diabetics (at 34 weeks gestation the incidence of mature surfactant (lecithin/sphingomyelin greater than or equal to 2.7 and presence of phosphatidyl-glycerol) in these groups was 30%, 50% and 100%, respectively, while it was zero in the control group). At 37 and 38 weeks only 44.4% of the class A, B and C diabetics had mature surfactant and there was a significant difference with respect to the control group (x2 = 4.9; p less than 0.05); C-peptide levels in these diabetics (class A, B and C) were higher than in controls (p less than 0.001); in pregnant women with accelerated fetal lung maturation they were lower. We demonstrated a close relationship between fetal pulmonary maturity and the type of surfactant in amniotic fluid, which was independent of gestational age.

Amniotic Fluid↗

[Evaluation of the carbohydrate metabolism in the drug addict].

A prospective study to determine the carbohydrate metabolism in 23 intravenous drug users (IVDU) was carried out. 13 of them had no infection complications (group A), while the other 10 had acute associated infectious (group B). Both groups showed basal glycemia, insulin and glycosylated hemoglobin levels, similar to the control determinations. There were no correlations between these parameters and the hepatic function test alterations or the immunological changes in the IVDU. Our results showed that there were no alterations in the carbohydrates metabolism of the IVDU with a normal nutritional state, in spite of the well-known hypoglycemic effects of opiates in the experimental animal mode.

Adolescent↗

A comparison of the rate of DNA synthesis in myeloblasts from peripheral blood and bone marrows of patients with acute nonlymphocytic leukemia.

Durations of S-phase (Ts) and total cell cycle times (Tc) were measured from the peripheral blood (PB) and bone marrow aspirates (BM) of five patients with acute nonlymphocytic leukemia (ANLL). Intravenous bromodeoxyuridine (BrdU) was used as the first label for S-phase cells and a monoclonal anti-BrdU antibody was used to detect the positive cells. Tritiated thymidine [( 3H]Tdr) was used as a second label in vitro, and the Ts was calculated by counting the number of cells labeled either by BrdU or by [3H]Tdr or by both. Our data demonstrate that the duration of S-phase in myeloblasts obtained from BM is quite similar to that of circulating leukemic cells. Finally, the most accurate assessment of percentage of myeloblasts actively engaged in DNA synthesis can be obtained only from bone marrow biopsies following in vivo labeling.

Acute Disease↗

Amphetamine and chlorpromazine modify cerebral insulin levels in rats.

Rats treated with chlorpromazine (CPZ) (1 mg/kg/day i.p.) experienced a marked decline in cerebral insulin levels (0.057 +/- 0.01 ng/g wet weight) with respect to a control group (0.38 +/- 0.05 ng/g wet weight), while rats given D-amphetamine bitartrate (AMPH) chronically (20 mg/kg/day p.o.) showed a rise in cerebral insulin (0.55 +/- 0.04 ng/g wet weight). Combined treatment with both drugs at the same dosages produced lower cerebral insulin levels (0.46 +/- 0.10 ng/g wet weight) than in the AMPH animals. In the groups of rats treated with CPZ and with AMPH + CPZ, there was a slight elevation in serum insulin levels. Serum glucose values did not vary.

Amphetamine↗