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Biomedical subjects

G A Schuiling

Publications and source records attributed to G A Schuiling.

At least 19 recordsLinked to original sources

The benefit and the doubt: why monogamy?

Monogamy--a bond between two partners of opposite sex--is a relatively rare phenomenon in mammals (3-5%, from a total of 4000 mammalian species). The duration of the bond may vary from one breeding period to life-long. Monogamy does not exclude 'genetic promiscuity', i.e., extra-pair mating. In fact, this is rather common. Monogamy is an intrinsically unstable mating strategy. Benefits include the (relative) certainty of access to the partner's reproductive potential, but the chief disadvantage is that access to other potential partners is strongly diminished, particularly in those cases where males exhibit strong mate-guarding behavior. Mate-guarding, in particular the guarding by males of females with a good territory or of females that accept the territory of a male, has been shown to be the most important selective pressure leading to the evolution of monogamy. A monogamic bond strongly favors the evolution of male investment in the raising of offspring, as is the case in most birds (90% of bird species are monogamic and most exhibit biparental care of young). Mammals exhibit this type of behavior to a far lesser extent (female mammals monopolize the feeding of newly born young). Most male mammals do not look after their offspring; humans are an exception in this respect. Like most mammals, humans are not strictly monogamic. A tendency to social monogamy has evolved, however, and is subject to strong reinforcement by cultural factors, particularly religion. As a result, in a number of cultures monogamy is the predominant mating system; however, most cultures (about 85%) are polygamic. For humans, the optimal evolutionary strategy is monogamy when necessary, polygamy when possible.

Animals↗

A time to be born and a time to die: reflections on euthanasia.

Euthanasia is, and probably will remain a controversial issue. Although many doctors will agree that under certain circumstances a demand for euthanasia should be granted (and in fact often is granted when the occasion arises), the subject generally gives rise to very emotional debates. Attempts to decriminalize euthanasia generally fail, and this contrasts sharply with the attitude of many towards issues like capital punishment and the objectives of, for example, the military. In this essay this apparent contradiction is discussed from the evolutionary biological point of view. It is argued that euthanasia always concerns the death of a member of some 'in-group' (which in some way we regard as part of ourselves), while capital punishment and the death of (political) enemies always concerns the death of members of some 'out-group'. It is inherent in our genetic make-up, evolved over millions of years, that we oppose the death of members of in-groups and are indifferent to (even promote) the death of members of out-groups. Attempts to regulate these inclinations by cultural and religious wisdom or commands ('[there is] a time to be born and a time to die' and 'love thy enemies like thyself') are only marginally successful, because biological urges generally dominate cultural notions.

Attitude to Death↗

Opinions about 'unexplained subfertility'.

The term 'unexplained subfertility' applies to the situation in which a couple, despite serious attempts, does not achieve pregnancy, while according to current knowledge no physiological or anatomical abnormalities can be found. In this paper, possible causes of this phenomenon are reviewed and opinions of six doctors working in the field of reproductive medicine are described. The most significant finding of this study is that all doctors hold personal views with a high level of certainty about the causes of unexplained subfertility. However, they hardly agree with each other! In conclusion, in the field of reproductive medicine there is a dangerous combination of strong personal opinions and much disagreement with regards to unexplained infertility.

Expert Testimony↗

Early menopause?

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Age Factors↗

Honor your father and your mother.

While on the one hand there is much mutual love and care in the relationship between parents and their offspring, there may, on the other hand, be also much mutual 'sound and fury', which sometimes is far from 'signifying nothing' (William Shakespeare, Macbeth). Indeed, from conception on, individuals are confronted with parent-offspring conflicts of all kinds. Initially these conflicts concern physiological matters (implantation, nutrition, weaning, etc.), but later in life the accent is on psychological ('you must this', 'you must that', 'don't do that' etc.) and social affairs, and phenomena such as child abuse, infanticide and incest may occur. It is, therefore, certainly not self-evident that children honor their parents. To reinforce their position, parents (societies) may appeal to a 'divine' commandment which helps them make their children suppress any tendency to conflict toward them (and hence to their culture), so that children conform to their parents' norms and values. When such psychological and sociological parent-offspring conflicts are not resolved satisfactorily, it can be suggested, children may (consciously or unconsciously) have aggressive feelings toward their parents: Freud's 'Oedipus complex'. This complex, it is argued, can also be seen as a parent-offspring conflict. Given their biological basis, parent-offspring conflicts can hardly be considered as abnormal. Conflicts between adults and their offspring have always existed and will always exist, simply because it is inherent in our genetic make-up: parents and offspring of sexually reproducing species--humans included--are only about 50% genetically related and hence have different interests at all levels of being. Indeed, parent-offspring conflicts are such stuff as we are made on, and our little life is rounded with its consequences (adapted from William Shakespeare, The Tempest).

Adult↗

Activation of peripheral leukocytes in rat pregnancy and experimental preeclampsia.

OBJECTIVE: The aim of this study was to search for activation markers of peripheral leukocytes in experimental preeclampsia in the rat. STUDY DESIGN: Experimental preeclampsia was induced in 14-day-pregnant rats by infusion of endotoxin (1.0 microg/kg body weight). For comparison, rats with normal pregnancies that were infused with sodium chloride solution and cyclic rats that were infused with either endotoxin or sodium chloride solution were used. At various points before and after the infusion, blood samples were withdrawn and analyzed by means of whole-blood flow cytometry to evaluate expression of inflammation-associated adhesion molecules (CD11b, CD11a, CD49d, and CD62L) and CD14 on the leukocytes. RESULTS: Normal pregnancy was associated with increased CD11b (granulocytes and monocytes), CD11a (monocytes and lymphocytes), and CD49d (granulocytes, monocytes, and lymphocytes) expression. In addition to these changes found in normal pregnancy, reduced CD62L and increased CD11a and CD49d expression was found on granulocytes after endotoxin treatment of pregnant rats. No effect of endotoxin was observed in cyclic rats. CONCLUSION: Leukocytes of rats with experimental preeclampsia and, to a lesser extent, those of rats with normal pregnancies had an activated phenotype. These results are consistent with our previous findings in human subjects and suggest that (experimental) preeclampsia results from a generalized inflammatory response.

Animals↗

Suppression by developing ovarian follicles of the low-dose endotoxin-induced glomerular inflammatory reaction in the pregnant rat.

OBJECTIVE: In the current study the role of developing ovarian follicles in the control of the endotoxin-induced pregnancy-specific inflammatory reaction was evaluated. STUDY DESIGN: Follicular development was induced in pregnant rats (n = 20) by means of daily intraperitoneal injections of follicle-stimulating hormone from day 11 of pregnancy until the end of the experiment. Control pregnant rats (n = 20) received daily sodium chloride injections. All pregnant rats were infused for 1 hour with either 2 mL endotoxin solution (1.0 microg/kg body weight) or 2 mL sodium chloride solution on day 14 and killed 4 hours or 3 days later. At death, the left kidneys were snap-frozen and immunohistologically stained for the presence of polymorphonuclear leukocytes and monocytes. RESULTS: The results show that in control pregnant rats endotoxin significantly increased glomerular polymorphonuclear leukocyte and monocyte numbers at both 4 hours and 3 days after endotoxin infusion. Induction of follicular development did not affect glomerular polymorphonuclear leukocyte number after endotoxin infusion but significantly decreased the number of monocytes in the glomeruli at both 4 hours and 3 days after endotoxin infusion. CONCLUSION: We conclude that follicles stimulated with follicle-stimulating hormone produce a follicular factor or factors that are able to prevent the endotoxin-induced influx of monocytes into the glomeruli of pregnant rats. It is suggested that these factors play a role in the control of inflammatory processes associated with reproduction, including the disease of pregnancy, preeclampsia.

Animals↗

Corticosterone treatment of pregnant low dose endotoxin-treated rats: inhibition of the inflammatory response.

PROBLEM: Can the endotoxin-induced inflammatory response, underlying experimental pre-eclampsia, in pregnant rats be inhibited by corticosterone? METHOD OF STUDY: On day 10 of pregnancy, rats were implanted with pellets containing 25% corticosterone and 75% cholesterol (n = 10) or with 100% cholesterol-pellets (n = 10). On day 14 of pregnancy, rats were infused with either endotoxin (1.0 microg/kg bw) or saline. Three days later, they were sacrificed. Cryostat kidney sections were immunohistologically stained for the presence of neutrophils (PMN) and monocytes (MO) and the expression of inflammation-associated adhesion molecules. RESULTS: In cholesterol-treated rats, endotoxin significantly increased glomerular numbers of PMN and MO, glomerular expression of ICAM-1 and VCAM-1 and glomerular numbers of LFA-1 and VLA-4-positive cells as compared with saline. Corticosterone treatment significantly inhibited glomerular infiltration of PMN, MO and LFA-1 positive cells after endotoxin infusion. It did not affect glomerular ICAM-1 or VCAM-1 expression or numbers of VLA-4 positive cells. CONCLUSIONS: It is concluded that pre-treatment with corticosterone inhibits the low dose endotoxin-induced glomerular inflammatory reaction in pregnant rats, most likely by inhibiting LFA-1 expression, thereby decreasing the adhesiveness of inflammatory cells for activated endothelial cells.

Animals↗

Pregnancy enhances the sensitivity of glomerular ecto-adenosine triphosphate-diphosphohydrolase to products of activated polymorphonuclear leukocytes.

To test the hypothesis that pregnancy enhances the sensitivity of glomerular ecto-adenosine triphosphate-diphosphohydrolase to products of activated polymorphonuclear leukocytes, cryostat-cut kidney sections of pregnant and cycling rats were exposed to activated polymorphonuclear leukocytes and subsequently stained for ecto-adenosine triphosphate-diphosphohydrolase activity. The results show that the levels of ecto-adenosine triphosphate-diphosphohydrolase activity of pregnant rats showed a significantly greater decrease after incubation with activated polymorphonuclear leukocytes than did those of cycling rats.

Adenosine Triphosphatases↗

Pregnancy aggravates proteinuria in subclinical glomerulonephritis in the rat.

Because subclinical renal disease may be aggravated during pregnancy--as reflected in the occurrence of proteinuria, for example--we investigated whether a subclinical glomerulonephritis (SG) in the non-pregnant rat (passive Heymann nephritis), a condition without proteinuria, is aggravated when the animals become pregnant and, if so, whether this is associated with a glomerular inflammatory reaction. SG was induced in non-pregnant rats 8 days before pregnancy. On day -1, part of the group of rats became pregnant. Three experiments were performed. In experiment 1, 4-hour urine albumin excretions and blood pressure (tail cuff) were measured. In experiment 2, the glomerular filtration rate (GFR) was measured with the chromium 51-labeled ethylenediaminetetraacetic acid method, while in experiment 3, parameters characteristic of a glomerular inflammation were studied. Experiment 1 revealed that non-pregnant rats with SG did not exhibit proteinuria. However, after the rats became pregnant, a significant proteinuria occurred, without an increase in systolic blood pressure. Experiment 2 revealed that the GFR did not increase in pregnant rats with SG, while experiment 3 showed that only pregnant animals exhibited a significant glomerular inflammation; this glomerular inflammation was characterized by intraglomerular influx of polymorphonuclear cells and monocytes. The results suggest that an SG in the rat may flare up during pregnancy. This exacerbation is characterized by proteinuria and coincides with a glomerular inflammatory reaction. It is suggested that proteinuria and the glomerular inflammatory reaction are causally related and promoted by the pregnant condition.

Albuminuria↗