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Biomedical subjects

J M Acosta

Publications and source records attributed to J M Acosta.

At least 19 recordsLinked to original sources

Prenatal exposure to nitrofen induces Fryns phenotype in mice.

Prenatal exposure to nitrofen is known to cause multiple malformations in mice. The reported malformations include lung hypoplasia, diaphragmatic hernia, cardiovascular defects, skeletal malformations, cleft palate, and renal abnormalities. The authors present detailed findings of craniofacial defects after prenatal exposure to nitrofen, and propose that together with the previously reported malformations, nitrofen exposure induces a Fryns phenotype in mice. Fryns syndrome is a rare human genetic syndrome that is an autosomal recessive disorder characterized by lung hypoplasia, diaphragmatic hernia, craniofacial malformations, skeletal malformations, cardiovascular malformations, and genitourinary malformations. Timed-pregnant Swiss Webster mice were gavage-fed 25 mg of nitrofen on day 8 of gestation. Control animals received olive oil. Osteogenesis and chondrogenesis were studied in fetuses recovered on day 17 after Alcian blue-Alizarin red staining. Approximately 26% of the nitrofen-exposed embryos had severe craniofacial defects, and there was generalized delay in chondrogenesis and osteogenesis throughout the skeleton. No such defects were noted in the control group. The authors propose that prenatal exposure to nitrofen induces a Fryns phenotype in mice, and thus speculate that nitrofen may target similar molecular mechanisms to those that lead to Fryns syndrome.

Abnormalities, Drug-Induced↗

Novel mechanisms in murine nitrofen-induced pulmonary hypoplasia: FGF-10 rescue in culture.

We evaluated the role of the key pulmonary morphogenetic gene fibroblast growth factor-10 (Fgf10) in murine nitrofen-induced primary lung hypoplasia, which is evident before the time of diaphragm closure. In situ hybridization and competitive RT-PCR revealed a profound disturbance in the temporospatial pattern as well as a 10-fold decrease in mRNA expression level of Fgf10 but not of the inducible inhibitor murine Sprouty2 (mSpry2) after nitrofen treatment. Exogenous FGF-10 increased branching not only of control lungs [13% (right) and 27% (left); P < 0.01] but also of nitrofen-exposed lungs [23% (right) and 77% (left); P < 0.01]. Expression of mSpry2 increased 10-fold with FGF-10 in both nitrofen-treated and control lungs, indicating intact downstream FGF signaling mechanisms after nitrofen treatment. We conclude that nitrofen inhibits Fgf10 expression, which is essential for lung growth and branching. Exogenous FGF-10 not only stimulates FGF signaling, marked by increased mSpry2 expression, in both nitrofen-treated and control lungs but also substantially rescues nitrofen-induced lung hypoplasia in culture.

Adaptor Proteins, Signal Transducing↗

Ampullary obstruction monitoring in acute gallstone pancreatitis: a safe, accurate, and reliable method to detect pancreatic ductal obstruction.

OBJECTIVE: The aim of this study was to determine the value of ordinary clinical and laboratory data, including the monitoring of ampullary gallstone obstruction in the early phases of the disease, in the diagnosis of acute gallstone pancreatitis (AGP). METHODS: One hundred and thirty-two patients were studied. The inclusion criteria were admission within 48 h from the onset of symptoms, clinical presentation compatible with AGP, bile-free gastric aspirate, elevation of serum amylase and bilirubin, and ultrasonographic demonstration of cholelithiasis. Monitoring of ampullary obstruction included severity of pain, presence of bile in the gastric aspirate, and serial serum bilirubin determinations. The clinical diagnosis of AGP was confirmed or excluded by surgical exploration, and that of ampullary obstruction by intraoperative cholangiography (IOC) or endoscopic retrograde cholangiopancreatography (ERCP). RESULTS: The overall accuracy of the diagnostic tests for AGP was high: sensitivity, 0.94; specificity, 0.99; positive predictive value, 0.95; and negative predictive value, 0.99. Detection of spontaneous ampullary decompression was correct in 100% of the patients, and that of ampullary obstruction, in 61%. The accuracy of this test was sensitivity, 1.0; specificity, 0.92; positive predictive value, 0.61; and negative predictive value, 1.0. CONCLUSIONS: Clinical criteria and ordinary laboratory determinations are sufficiently accurate to discriminate between patients with AGP and those with other acute abdominal pathologies. Careful monitoring of patients' pain, quality of nasogastric aspirate, and serum bilirubin level can accurately identify the few cases with persistent ampullary obstruction. Those patients can then be selected for intervention to restore the ampullary patency and prevent progression of acute pancreatitis.

Acute Disease↗

Effect of duration of ampullary gallstone obstruction on severity of lesions of acute pancreatitis.

BACKGROUND: This study was done to determine the effects of duration of obstruction on severity of lesions in patients with acute pancreatitis of biliary origin. STUDY DESIGN: This case controlled study used patient data collected prospectively on protocol during a 27-year period in a university teaching hospital. We studied a group of 97 patients with acute pancreatitis, all with an impacted stone at the ampulla of Vater at exploration (Group Ob), and a control group of 49 patients with acute gallstone pancreatitis who experienced spontaneous ampullary disobstruction within 24 hours from the onset of symptoms and who showed a patent ampulla at exploration (Group Cont). Duration of obstruction was defined as the time elapsed between the onset of symptoms and exploration in Group Ob, and from the onset of symptoms until the appearance of signs of ampullary disobstruction in Group Cont. Severity of disease in both groups was determined by the appearance of the pancreas at exploration. Patients in Group Ob were divided into three subgroups according to duration of obstruction: under 24 hours, 25 to 48 hours, and more than 48 hours. RESULTS: The incidence of severe pancreatic lesions was higher in Group Ob than in Group Cont (19.7 percent compared to 6.1 percent, p < .01). Mean duration of obstruction was also significantly longer in Group Ob than in Group Cont (42.4 hours compared to 10.6 hours). In the subgroups of patients whose obstruction lasted under 48 hours, the incidence of severe lesions was low: in the 24 hours or fewer group, severe lesions were observed in 8.1 percent (3 of 37); and in the 25 to 48 hours group, the incidence was 10.6 percent (5 of 47). Neither subgroup differed significantly from Group Cont (6.1 percent, 3 of 49). When duration of obstruction exceeded 48 hours, however, frequency of severe lesions increased significantly to 84.6 percent (11 of 13) (p < .001). CONCLUSIONS: The findings in this study suggest that duration of ampullary obstruction is a major factor determining the severity of pancreatic lesions: severe pancreatic lesions are rare in patients whose obstruction lasts not more than 48 hours. In contrast, pancreatic necrosis develops in nearly all patients with obstruction beyond 48 hours. It may be safe to treat patients conservatively during the first day of the illness. If obstruction is not resolved by the second day, endoscopic retrograde cholangiopancreatography or surgical intervention must be carried out.

Adolescent↗

Purification and partial characterization of maize mosaic virus.

Leaf extracts containing maize mosaic virus (MMV) were purified by treatment with activated charcoal followed by filtration through Celite. Virus was concentrated from the filtrate by sedimentation onto a sucrose pad and then further purified by centrifugation in a 20--50% continuous sucrose density gradient. Buoyant density of virus particles in sucrose solution was 1.181 g/ml. Nucleic acid extracted from virus preparations reacted with orcinol and behaved like RNA in Pederson's diphenylamine test. It was digested by pancreatic RNase and apparently is single-stranded RNA. Virus preparations also contained lipids. The morphology and constituents of MMV particles are therefore those expected for a rhabdovirus.

Lipids↗

Acute pancreatitis of rare causation.

From a review of 800 patients with acute pancreatitis, eight having rare causation were selected. Definite obstruction of the common pancreatic duct was noted in four patients, and direct injury of the parenchyma, vascular lesions of pancreatic vessels and presumed autoimmune factors were responsible in the remaining four patients. Although the definitive treatment of nonobstructive pancreatitis remains controversial, surgical relief of obstruction of the pancreatic duct provides the most appropriate therapeutic approach for obstructive pancreatitis.

Acute Disease↗