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Biomedical subjects

J C Mott

Publications and source records attributed to J C Mott.

At least 19 recordsLinked to original sources

Nephron sparing by partial median nephrectomy for treatment of renal hemangioma in a dog.

A 6-year-old neutered male Golden Retriever was admitted for evaluation of intermittent hematuria of 2 months' duration. A 3-cm heterogeneous mass causing distortion of the caudomedial aspect of the left kidney was detected via ultrasonography. Histologic examination of a renal tissue sample obtained by ultrasound-guided biopsy revealed a telangiectatic vascular plexus of unknown origin. Low glomerular filtration rate was identified by a modified exogenous creatinine clearance test. Excretory urography revealed a filling defect in the medial aspect of the caudal pole of the kidney, near the hilus. Because total renal function was low, a decision was made to perform nephron-sparing surgery involving resection of centrally located renal parenchymal and pelvic tissue by en bloc resection in the median plane, instead of radical nephrectomy. After surgery, the hematuria resolved and further decrease in renal function was not evident. Nephron-sparing surgery is a viable option for dogs with compromised renal function when there is concern that radical nephrectomy may precipitate uremia.

Animals↗

Effects of the beta-adrenergic agonist, ritodrine, and insulin on plasma potassium concentrations in fetal lambs.

Prolonged infusion of the beta 2-adrenergic agonist, ritodrine, into sheep during late pregnancy decreased maternal plasma K+ from 3.6 to 2.5 mmol l-1 during the first 6-8 h of infusion, as it does during tocolysis in women. This decrease was not accompanied by significant change in fetal plasma K+ concentration. Ritodrine infusion (1-3.5 micrograms kg-1 min-1) directly into the fetus also did not decrease fetal plasma K+ significantly. In contrast, insulin (2.5 mU kg-1 min-1), infused together with glucose (3.6 mg kg-1 min-1) directly into the fetus decreased fetal plasma K+ concentration by 0.8 mmol l-1 within 1 h. The results suggest immaturity in beta 2-adrenergic receptor regulation of electrogenic K+ uptake by muscle in fetal lambs.

Adrenergic beta-Agonists↗

Photoperiod: an important regulator of plasma prolactin concentration in fetal lambs during late gestation.

Measurement of prolactin (PRL) at 120-140 days gestation in chronically-cannulated fetal lambs and their mothers during hormonally-extended breeding seasons shows that photoperiod is a major determinant of PRL secretion in the fetal lamb as well as in its mother. About 80% of the variance between fetuses in plasma PRL concentration is associated with variation in ambient photoperiod. The magnitude of this effect far exceeds the range of previously reported diurnal or ontogenetic changes in PRL in the fetal lamb.

Animals↗

Control of the foetal circulation.

Foetal cardiac output is high, and the heart has not been shown to have the sustained reserves demonstrated in the adult heart. About 40% (approximately 200 ml. kg body weight-1. min-1) of the combined output of both ventricles (CVO) in unanaesthetized foetal lambs in late gestation is directed to the umbilical circulation. At least one-half of the systemic flow (approximately 300 ml. kg body weight-1. min-1) goes to skin and carcass. About 50% of the remainder (10% CVO) is shared by brain, heart and kidney and the rest by other viscera; less than 6% CVO perfuses the lungs. Hypoxaemia, acidaemia and various vasomotor agents influence the partition of cardiac output between systemic and umbilical circulations, with or without relatively small changes of blood pressure, which is low by adult standards. In general, the conductance of systemic circuits is more susceptible to change than that of the umbilical. Both cerebral and myocardial blood flow increase several-fold during hypoxaemia. The additional volume flow of blood demanded by such vasodilatation in organs forming a relatively small proportion of body weight is more than accounted for by concurrent vasoconstriction in muscle (which contributes a substantial fraction of body weight) and other tissues. Both humoral and reflex neural mechanisms are involved in these adjustments.

Adrenal Glands↗

Renin substrate in plasma of unanaesthetized pregnant ewes and their foetal lambs.

1. In unanaesthetized preparations 6-14 days after catheterization, the concentration of renin substrate (AI 212 +/- 20 ng/ml. S.E. of mean) in the plasma of foetal lambs during the last third of gestation was significantly less than that of paired samples of maternal plasma (AI 350 +/- 27 ng/ml.). 2. During the first 5 days following catheterization the concentration of renin substrate in maternal plasma was lower than subsequently but was raised if the uterus contained a nephrectomized foetus. 3. The concentration of renin substrate in the plasma of intact foetal lambs without nephrectomized twins varied little in the post-catheterization period and later; the concentration of substrate in nephrectomized foetal lambs averaged threefold that of intact lambs and a similar concentration of substrate was found in intact twins of such lambs in the immediate post-catheterization period. 4. It is suggested that the ratio of foetal/maternal plasma renin activity understates their relative enzyme activity since foetal substrate concentration is so considerably less than maternal.

Angiotensinogen↗

Renin and angiotensin-like levels in foetal, new-born and adult sheep.

1. Plasma renin (measured as rate of formation of angiotensin I ng/ml.hr(-1) in the presence of added substrate at pH 7.5 and 37 degrees C) was much lower in recently nephrectomized foetal, new-born and older lambs than in intact siblings or other similar lambs.2. Angiotensin II-like concentrations were measured using a superfusion technique in an extracorporeal circuit. Resting concentrations in acute experiments under anaesthesia were deduced by comparison of carotid blood of intact lambs with that from recently nephrectomized lambs.3. Angiotensin II-like activity (mean +/- S.E. of mean, 315 +/- 117 pg/ml.) was readily detectable in foetal blood at 123-138 days gestation. The highest concentrations (mean +/- S.E. of mean 839 +/- 96 pg/ml.) were found in lambs less than 8 hr old, delivered vaginally. The lowest concentrations of angiotensin II-like activity occurred in lambs delivered by Caesarean section (mean +/- S.E. of mean < 123 +/- 12 pg/ml.). Concentrations declined with post-natal age.4. Hypovolaemia as a result of haemorrhage evoked an increase in angiotensin II-like concentrations in foetus, new-born lambs and adult sheep. The greatest increase of angiotensin-like concentrations was seen in new-born lambs. This rise was associated with increase of plasma renin.5. The rise of arterial pressure during bilateral carotid occlusion in new-born lambs was accompanied by an increase of angiotensin II-like concentration.6. It is concluded that the renin-angiotensin system is functional and can be stimulated during intra-uterine life. The increase of angiotensin II-like concentration following parturition is probably transient and associated with the trauma of delivery. This contrasts with observations made in the rabbit which suggest that full functional maturity of the renin angiotensin system is delayed until the second week of life.

Angiotensin II↗

Factors influencing plasma renin and angiotensin II in the conscious pregnant ewe and its foetus.

1. Plasma renin (measured in the presence of additional substrate) was significantly higher (10.7 +/- 1.1 S.E. of mean ng/ml.hr) in foetal lambs of 111-144 days gestation age (full term 147 days) than in their mothers (1.5 +/- 0.2 ng/ml.hr S.E. of mean, P < 0.001) but plasma angiotensin II concentrations were in the same range (ewe 47.3 +/- 6.6 S.E. of mean, foetus 47.4 +/- 14.1 S.E. of mean pg/ml.). The endogenous velocity of renin production by foetal plasma was also greater than that of maternal plasma.2. Foetal plasma [Na(+)] (137 +/- 0.8 S.E. of mean m-equiv/l.), was lower than that in the ewe (142 +/- 1.5 m-equiv/l. S.E. of mean, P < 0.01).3. Foetal plasma renin in lambs of less than 120 days gestation was lower (9.2 +/- 2.7 S.E. of mean ng/ml.hr) than that in lambs of over 130 days gestation (12.6 +/- 2.6 ng/ml.hr S.E. of mean, P < 0.01). Foetal plasma [K(+)] (3.8 +/- 0.1 S.E. of mean m-equiv/l.) was also lower in lambs of less than 120 days gestation than in those over 130 days (4.1 +/- 0.1 S.E. of mean m-equiv/l., P < 0.001).4. When small volumes of blood (</= 3% of blood volume) were withdrawn from foetal lambs, plasma renin increased. The% increase of plasma renin in hypoxaemic foetal lambs was significantly less (P < 0.05) than in control lambs. At the end of 60 min hypoxaemia, arterial pressure and plasma [K(+)] were significantly higher in hypoxaemic than in control foetal lambs.5. During foetal hypoxaemia, plasma angiotensin II concentration increased concurrently with plasma renin.6. Bilateral nephrectomy was performed in two foetal lambs. Plasma renin fell to very low levels and angiotensin II became undetectable.7. Adrenaline ( approximately .0.42 mug/min.kg I.V.) infused into the foetus did not alter foetal plasma renin. When adrenaline was infused into the ewe ( approximately 0.26 mug/min.kg) maternal plasma renin increased. Maternal infusion of adrenaline raised foetal plasma renin significantly more (P < 0.05) than foetal infusion.8. It is concluded that the foetal kidney is the major source of foetal renin in the last quarter of gestation and that renin release is stimulated by very small reductions of blood volume. Hypoxaemia does not augment renin release and cannot be responsible for high levels of renin and angiotensin associated with vaginal delivery.

Angiotensin II↗