Biomedical subjects

J E Peña

Publications and source records attributed to J E Peña.

5 recordsLinked to original sources

PubMed2004

Long-acting follicle-stimulating hormone analogs containing N-linked glycosylation exhibited increased bioactivity compared with o-linked analogs in female rats.

The effects of altering the number and type of additional carbohydrate moieties on the pharmacokinetic and pharmacodynamic properties of FSH were examined in this report. A series of single-chain follitropins, containing variable numbers of additional N- (or O-) linked carbohydrates, were designed and expressed in Chinese hamster ovary cells. Proper folding, efficient receptor binding, and signal transduction were confirmed by in vitro assays. Pharmacokinetic and pharmacodynamic parameters were evaluated in immature female Sprague Dawley rats. Increasing the number of glycosylation sites with either N- (or O-) linked moieties extended the elimination half-life as much as 2-fold compared with recombinant human FSH (rhFSH). However, there was a maximum elimination half-life such that further glycosylation provided no additional lengthening of the half-life. Conversely, biopotency, as assessed by inhibin A levels 74 h post injection, and follicle production were significantly higher for the N-linked analogs. Rats stimulated with the longest acting analogs (either N- or O-linked) showed significantly higher ovarian weights than rats receiving a single injection of rhFSH. The analog containing four additional N-linked sites (rhFSH-N4) had the greatest number of large, preovulatory follicles. Although the half-life of rhFSH-N4 displayed no further enhancement beyond the other longest acting analogs, this analog exhibited significantly increased biopotency in rats. This work provides the basis for the generation of a series of reagents potentially useful for therapeutic applications.

Amino Acid Sequence↗

PubMed2003

Providing assisted reproductive care to male haemophiliacs infected with human immunodeficiency virus: preliminary experience.

Outlined is our experience with couples in whom the male was both human immunodeficiency virus (HIV) seropositive and a haemophiliac who underwent assisted reproductive technologies (ART) in order to attain family goals while minimizing the risk of HIV transmission. We report their demographics, attitudes towards assisted reproduction, and ART performance and outcomes. The study included HIV serodiscordant couples (n = 11) who underwent ART at a university-based infertility practice from August 1997 to May 2002. Prior to treatment, couples prospectively completed a survey regarding their demographics and attitudes towards assisted reproduction. All couples underwent ART and pregnancy outcomes were analysed. The majority of the patients were fully employed, college-educated, in good health, married and motivated to have a child while minimizing the risk of HIV transmission. Eleven couples underwent 25 cycles of ART [19 in vitro fertilization (IVF) cycles; five frozen embryo transfer cycles; and one oocyte donation cycle] resulting in nine successful pregnancies. The ongoing/delivered pregnancy rate per initiated IVF cycle was 42.1% per embryo transfer. Eight of 11 (72.7%) couples achieved a successful pregnancy. More than half (six of 11; 54.5%) the couples conceived during their initial attempt. Four of nine (44.4%) pregnancies were multiple gestations, including three sets of triplets. All female recipients tested seronegative for HIV at 3 and 6 months post-embryo transfer. All delivered babies (n = 8) tested seronegative for HIV at birth and 3 months postpartum. Four pregnancies are currently ongoing. ART should be considered for HIV serodiscordant couples with haemophilia who desire to have children in order to minimize the risk of viral infection.

Adult↗

PubMed2000

Usefulness of Doppler sonography in the diagnosis of ovarian torsion.

OBJECTIVE: To assess the predictive value of Doppler sonography in the diagnosis of ovarian torsion and to correlate Doppler results with surgical findings and various clinical characteristics. DESIGN: Retrospective study of discharged inpatients. SETTING: An academic community hospital. PATIENT(S): Twenty-one patients with surgically confirmed ovarian torsion over an 8-year period. INTERVENTION(S): Data were collected on Doppler flow results, ultrasound and surgical findings, patient characteristics, and associated morbidity. MAIN OUTCOME MEASURE(S): Accuracy of Doppler diagnosis as to presence of ovarian torsion. RESULT(S): Twenty-one patients had surgically confirmed ovarian torsion. Doppler sonography was performed in 10 of the 21 patients. Doppler sonographic findings were normal in 60% (6 of 10), and abnormal (decreased or absent) in 40% suggestive of torsion. In cases involving ovulation induction, Doppler sonography findings were normal in 25% (1 of 4). Furthermore, the time to diagnosis of ovarian torsion (mean = 5.3 hours) and the time to hospital discharge (mean = 2 days) were both decreased when compared with instances when normal flow was detected by Doppler sonography (59 hours and 2.7 days, respectively). CONCLUSION(S): Abnormal flow detected by Doppler sonography is highly predictive of adnexal torsion and is therefore useful in the diagnosis of ovarian torsion. However, when normal flow is detected by Doppler sonography, it does not necessarily exclude an ovarian torsion; in fact, torsion is missed in 60% of cases, and time to diagnosis in these cases is delayed. In cases of ovulation induction, sensitivity is increased to 75%.

Adult↗

PubMed2000

Citrus leafminer (Lepidoptera: Gracillariidae) density: effect on yield of 'Tahiti' lime.

The relationship between damage by citrus leafminer, Phyllocnistis citrella Stainton, and 'Tahiti' lime yield were investigated in a 15-yr-old and a 5-yr-old lime orchard. Citrus leafminer population densities were controlled by insecticide applications of abamectin plus FC 435 oil, abamectin plus FC435 oil plus imidacloprid, and methomyl. The control was not treated. To ensure adequate citrus leafminer densities, adult citrus leafminer were periodically released in the experimental plots during fall and winter. For the 15-yr-old trees, the least amount of leaf area damage occurred in the abamectin plus FC 435 oil plus imidacloprid (1.9%) and the abamectin plus FC435 oil (2.3%) treatments compared with the control treatment (10-21%). In the 5-yr-old orchard, the least amount of leaf area damaged occurred in the abamectin plus FC 435 oil plus imidacloprid (0.4%) and the imidacloprid (0.1%) treatments compared with the control (20.85%). The percentage of leaf area damaged was linearly correlated with the average number of mines per leaf, average mine days, and cumulative mine days in both orchards. In both orchards, the percentage of leaf area damaged and cumulative mine days was linearly correlated with the number of fruit per tree and total fruit weight per tree. Calculating the economic injury levels indicated that 16-23% and 18-85% of leaf area damaged caused significant yield reductions in 15-yr-old and 5-yr-old trees, respectively.

Animals↗

PubMed1999

Beekeeper' arthropathy.

OBJECTIVE: To describe the clinical, analytical, and radiological features of an observed arthropathy affecting beekeepers. METHODS: Prospective study of 34 patients (32 male, 2 female), mean age 42 years (range 16 to 66 years), evaluated for the presence of acute or chronic arthritis related to beekeeping. All patients were working and living in the same village, Fuenlabrada de los Montes (1300 habitants), where there is a census of 180 beekeepers. An epidemiologic inquiry reported that > 50% of them reported episodes of arthritis on the hands during the month of August, at the time of honey collection. RESULTS: Acute arthritis was observed in 10 patients. Pain, tenderness, joint swelling, and warmth were present in most cases. Chronic arthropathy was noted in 32 patients. Tenderness was present in 16 cases, synovial thickening in 12, limited joint mobility in 8, bony swelling in 15, and joint deformities in 13 patients. Radiological study showed periarticular soft tissue swelling, bone sclerosis, periostitis, bony erosions, subchondral cysts, geodes, osteophytes, and joint narrowing. CONCLUSION: Beekeepers have joint disease apparently related to bee stings. Etiopathogenesis is unknown. Mechanical trauma, venom compounds, infection, and foreign body synovitis are factors that are thought to influence the pathogenesis of this syndrome. We designate the condition "beekeepers' arthropathy," and consider it an occupational disorder.

Adolescent↗