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Biomedical subjects

C Wiedeking

Publications and source records attributed to C Wiedeking.

11 recordsLinked to original sources

Sympathetic nervous system function in XYY subjects.

Initial reports of males with the XYY sex chromosome anomaly indicated that these individuals excessively exhibit impulsive, aggressive, and criminal behavior. Central nervous system (CNS) defects, including low intelligence, in certain XYY subjects may be associated with these antisocial behaviors. The sympathetic nervous system (SNS) is activated in stressful conditions of "fight or flight" upon standing up from a supine posture, with physical exercise, and with aggressive behavior. Norepinephrine (NE) is the principal neurotransmitter of the SNS, and plasma levels of NE and dopamine-beta-hydroxylase are indices of SNS function. We questioned the integrity of SNS function in XYY subjects for two reasons: (1) their inferred propensity for aggressive behavior and the association of this behavior with increased NE levels; and (2) their potential for CNS dysfunction, which could be reflected in abnormal SNS regulation by the CNS. In the current study plasma levels of NE in XYY subjects are nonsignificantly higher than in normal volunteers. Additionally, XYY patients have a normal NE half-life indicating normal SNS activity and metabolism. Thus, we are unable to document with confidence any abnormality in SNS function in these XYY subjects.

Adolescent↗

The dup(3q) syndrome: report of eight cases and review of the literature.

Clinical and cytogenetic examinations were performed on eight unrelated infants with duplication of part of the long arm of chromosome 3. A review of published cases shows a clinical syndrome characterized by statomotoric retardation, shortened life span, and a multiple congenital anomalies (MCA) syndrome of abnormal head configuration, hypertrichosis, hypertelorism, ocular anomalies, anteverted nostrils, long philtrum, maxillary prognathia, down-turned corners of the mouth, highly arched or cleft plate, micrognathia, malformed auricles, short, webbed neck, clinodactyly, simian crease, talipes, and congenital heart disease. The dup(3q) syndrome is a clinically easily recognizable entity.

Abnormalities, Multiple↗

H-Y antigen in transsexuality, and how to explain testis differentiation in H-Y antigen-negative males and ovary differentiation in H-Y antigen-positive females.

H-Y antigen was determined in eight transsexual patients. Two of the four male-to-female transsexual patients typed as H-Y antigen-negative, while the other two typed as expected from their phenotypic and gonadal sex, namely H-Y antigen-positive. Of the four female-to-male transsexual patients, three typed as H-Y antigen-positive and one was H-Y antigen-negative, as expected. The presence of normal testes in H-Y antigen-negative males is assumed to result from a mutation of nucleotide sequences of the H-Y structural gene for antigenic determinants. Thus, an H-Y is produced with normal receptor-binding activity which can sustain the testis determination of the bipotent gonadal anlage. In the case of H-Y antigen-positive females with normal ovaries a deletion of the autosomally located H-Y structural gene is assumed. This deletion should affect sequences for repressor-binding (as was suggested for H-Y antigen-positive XX-males) and for receptor-binding activity of the H-Y antigen molecule. The resulting H-Y antigen is unable to bind to the gonadal receptor of the bipotent gonadal anlage. Thus an ovary is determined. The relevance of H-Y antigen for the aetiology of transsexualism is discussed.

Chromosome Deletion↗

Follow-up of 11 XYY males with impulsive and/or sex-offending behaviour.

Eleven behaviourally abnormal XYY males who had been treated in a structured combined programme of antiandrogen medication and counseling were followed up 1 year after cessation of the programme. Behavioural ratings were made in each of 5 categories: assault against people, destructiveness against things, threatening behaviour, stealing, and self-harming. On examining the follow-up findings, therapeutic success appeared questionable.

Adolescent↗

Plasma noradrenalin and dopamine-beta-hydroxylase during behavioral testine of sexually deviant XYY and XXY males.

In a behavior study of a sexually deviant XYY and XXY male, who were both murderers, plasma noradrenaline (NAA), dopamine-beta-hydroxylase (DBH) were determined radioenzymatically under resting conditions and during exertional and emotional stress. Under a physical sork load on the bicycle ergometer both had normal plasma NA and DBH levels. During emotional stress both had NA increases of the same magnitude. During an arithmetic test NA values did not increase more than expected for the sitting position.

Adult↗

Pituitary function in adult males receiving medroxyprogesterone acetate.

The pituitary, adrenal, and gonadal functions of nine males (six XY, two XYY, and one XY/XYY) were studied after at least 6 months of medroxyprogesterone acetate (MPA) therapy for antisocial or sex-offending behavior. Five were studied both before and during therapy, four only during therapy. MPA was effective in decreasing serum gonadotropin and plasma testosterone concentrations. MPA caused no change in the 24-hour rhythm or total integrated concentration of growth hormone. The plasma cortisol circadian rhythm was suppressed but not obliterated by MPA therapy. Although a significant decrease (P less than 0.001) in 24-hour integrated concentrations of plasma cortisol was also found, the rise in the plasma cortisol level after insulin-induced hypoglycemia was unchanged.

Adrenal Cortex↗

[Transsexuality-medical and legal aspects (author's transl)].

Transsexuals have a subjective conviction that they belong to the opposite sex and demand a change of sex. They suffer mainly from lack of understanding in their environment. In the German Federal Republic the legal problem of transsexuals has become a legislative one through the verdict of the Bundesgerichtshof of 21.9. 1971. By contrast, pragmatical solutions have been found in the United States during the last 10 years, particularly since Gender Identity Clinics came into existence. The etiology of transsexualism is unknown. The most reliable diagnostic test is the two-year test, living practically in the desired sex. Counselling, hormonal and surgical therapy do not constitute a cure, but rehabilitation. At the present time these are the only measures to help transsexuals.

Activities of Daily Living↗

Plasma noradrenaline and dopamine-beta-hydroxylase during sexual activity.

Plasma noradrenaline (NA) concentrations and the activity of its synthetic enzyme, dopamine-beta-hydroxylase (DBH), were determined during sexual activity in one male subject on three occasions. Blood was obtained through an intravenous catheter by means of a peristaltic pump and an automatic fraction collector. NA was significantly (P less than 0.001) related to stages of sexual arousal and erection quality. Maximal arousal and erection was accompanied by plasma NA concentration 100% to 1200% higher than basal levels. NA levels also increased significantly with upright posture and with emotional stress. DBH activity did not correlate closely with sexual arousal and erection.

Adult↗