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J Pereda

Publications and source records attributed to J Pereda.

At least 19 recordsLinked to original sources
PubMed2006

Co-administration of pentoxifylline and thiopental causes death by acute pulmonary oedema in rats.

BACKGROUND AND PURPOSE: Pentoxifylline exhibits rheological properties that improve microvascular flow and it is widely used in vascular perfusion disorders. It also exhibits marked anti-inflammatory properties by inhibiting tumour necrosis factor alpha production. Thiopental is one of the most widely used drugs for rapid induction of anaesthesia. During experimental studies on the treatment of acute pancreatitis, we observed that when pentoxifylline was administered after anaesthesia with thiopental, most of the rats exhibited dyspnea, signs of pulmonary oedema and died. The aim of the work described here was to investigate the cause of the unexpected toxic effect of the combined treatment with thiopental and pentoxifylline. EXPERIMENTAL APPROACH: Pulmonary vascular permeability and arterial blood gases were measured, and a histological analysis was performed. The possible role of haemodynamic changes in the formation of pulmonary oedema was also assessed. KEY RESULTS: Co-administration of pentoxifylline and thiopental increased pulmonary vascular permeability and markedly decreased arterial pO2, with one third of rats suffering from hypoxemia. This combined treatment caused death by acute pulmonary oedema in 27% of normal rats and aggravated the respiratory insufficiency associated with acute pancreatitis in which the mortality rate increased to 60%. This pulmonary oedema was not mediated by cardiac failure or by pulmonary hypertension. CONCLUSIONS AND IMPLICATIONS: Co-administration of pharmacological doses of pentoxifylline and thiopental caused pulmonary oedema and death in rats. Consequently, pentoxifylline should not be administered when anaesthesia is induced with thiopental to avoid any possible risk of acute pulmonary oedema and death in humans.

Acute Disease↗
PubMed2005

Emergence of a glomus-like body in the human yolk sac: a microanatomical analysis of its structure.

Since the last decade the Yolk sac (YS) has been a topic of increasing interest due to the growing use of high-resolution sonography in early determination of pregnancy. Human YS shape and diameter are indicators of viability of pregnancy during the early embryonic period. Nevertheless, the major interest concerns the vital function it plays in early embryo growth and development. Two compartments are recognized in this organ: the yolk sac proper and the vitelline stalk. In this study we report the identification and partial characterization of a glomus-like body in the wall of the secondary YS in humans. A detailed structural description is also presented on the time course of formation of this new structure, at precisely sequential stages between 4-8 wk post-conception. The significance of this new compartment on the YS function is analyzed. Light and scanning electron microscopy were used to investigate the microstructure of the YS and the vitelline stalk during the first 8 wk of development. Ten YSs were collected from embryos (aged between 24-50 days) obtained from emergency salpingectomies due to tubal ectopic pregnancy. From 5 wk onward a new structure was observed in the YS located near the apex of the pear-shaped yolk vesicle and closed to the connecting stalk. We designate this differentiation as glomus-like body. This structure is 1-1.5 mm long and merged from a pocket-like structure of the extraembryonic splanchnic mesoderm of the YS wall. It likely represents an area of convergence of the vascular network of the YS wall. Our findings underline the remarkable complexity of the human secondary yolk sac during early development. The detailed description of the microanatomy of this vital organ is of theoretical and practical interest in order to unravel the mechanisms used by the yolk sac to transport nutrients to the embryo.

Aborted Fetus↗
PubMed2003

Efficacy of flutrimazole 1% powder in the treatment of tinea pedis.

The aim of the study was to compare the efficacy and tolerability of flutrimazole 1% powder vs. bifonazole 1% powder in treating tinea pedis. A multicentre, double blind, randomized, parallel and comparative study was conducted. Two hundred and twenty-two patients with clinically and mycologically confirmed tinea pedis were randomized to flutrimazole (n = 136) or bifonazole (n = 138) 1% powder applied twice daily for 4 weeks. The corresponding clinical cure rates were assessed at 2 and 4 weeks of treatment, and the global (clinical and mycological) cure rates were determined at the fourth week. Clinical cure rates were 83.5 and 82.4% for flutrimazole and bifonazole, respectively (95% CI: -0.0806 to 0.1009). Global cure rates were observed in 65.3 and 70.1% of patients treated with flutrimazole and bifonazole, respectively (95% CI: -0.0828 to 0.1779). Three non serious adverse events at the application site--itching (one patient per group) and dishydrotic eczema (one patient treated with flutrimazole)--were recorded during the study. These results support that flutrimazol 1% powder applied twice daily for a duration of 4 weeks is highly effective in the treatment of tinea pedis, showing a similar therapeutic profile with that of bifonazole 1% powder.

Adolescent↗
PubMed2002

Role of cytokines and oxidative stress in the pathophysiology of acute pancreatitis: therapeutical implications.

Severe acute pancreatitis causes a high incidence of mortality due to the systemic inflammatory response syndrome leading to multiple organ failure. At present, there is no treatment against severe acute pancreatitis, other than supportive critical care. The relationship between pancreatic injury and the uncontrolled systemic response is not completely understood. Nevertheless, experimental and clinical evidences have shown that pro-inflammatory cytokines and oxidative stress are critically involved in the development of local and systemic complications associated with severe acute pancreatitis. Serum levels of pro-inflammatory cytokines, such as TNF-alpha and IL-1beta, increase during the course of acute pancreatitis and they appear to be the driving force for the initiation and propagation of the systemic response. Accordingly, pretreatment with an antibody against TNF-alpha or blockade of TNF-alpha production with pentoxifylline ameliorates experimental acute pancreatitis. In addition, serum IL-6 and IL-8 levels appear to be correlated with severity of pancreatic inflammation. The role of oxidative stress in acute pancreatitis has been evidenced indirectly by beneficial effects of antioxidants as well as directly by pancreatic glutathione depletion and increased lipid peroxidation. Furthermore, circulating xanthine oxidase released by the damaged pancreas acts as a source of systemic oxidative stress contributing to lung inflammation. In conclusion, pancreatic injury seems to trigger at least two different pathways, i.e. pro-inflammatory cytokines and oxidative stress, both involved in the systemic effects of acute pancreatitis. Elucidation of these mechanisms and their interactions is critical to develop a treatment based on the pathophysiology of acute pancreatitis.

Acute Disease↗
PubMed2001

Is there a mesonephric cell contribution to the gonadal primordium before sexual differentiation in humans?: An ultrastructural study.

Differentiation of the intermediate mesoderm involves a complex series of events that result in the formation of the rudiment of the entire adult renal system, gonads and gonoducts. This work, using light, transmission, and scanning electron microscopy describes in human embryos of different ages, the development and spatiotemporal organization of the mesonephric nephron, and the development of the gonadal primordium, with the purpose of knowing if and how these two blastemas contribute to the origin of the non germinal cell content of the gonad primordium. Our results show that between Carnegie stage 13 and 20, the mesonephric nephrons facing the gonadal area, are separated by a band of mesenchymal tissue from the gonad primordium and they retain their structural integrities at the level of epithelial wall and their basement membrane. The morphological stability of basement membranes of different nephric structures, as well as the mesonephric duct during the period studied, confirm the previous opinion that the mesonephros is functional. During the same period of time, the structural events underlying gonad development show that primordial germ cells (PGCs) first invade the gonadal area, and thereafter interact both with epithelial coelomic cells and mesenchymal cells. Both types of cells surround PGCs, initiating the growth and differentiation of the gonadal primordium. Therefore, a mesonephric cell contribution to the genesis of the somatic cell components of the gonadal primordium should be discarded in humans. The present work emphasizes the need for more research in this field.

Epithelium↗
PubMed1999

Distribution and space-time relationship of proteoglycans in the extracellular matrix of the migratory pathway of primordial germ cells in mouse embryos.

In this paper we present an in situ ultrastructural cytochemical study on the distribution and spatial-temporal expression of proteoglycans (PGs) in the extracellular matrix of the migratory pathway of mouse primordial germ cells (PGCs) during the different phases of migration, by the use of the cationic dye ruthenium hexammine trichloride (RHT). Embryos of 9, 10, 11 and 12 days of development were used. The treatment with RHT revealed PGs as electron dense layers, granules, and filaments. Whereas granules prevailed in the extracellular spaces of the migratory route during the whole migratory process, the amount of filamentous structures increased during the migration phase of PGCs. At the end of the migratory process the surface of the PGCs lost its reaction by RHT. There were differences in the size of the granules of PGs at the initial migratory period (9-day-old embryos) as compared with the other days of gestation. There was a strong reaction for PGs in the extracellular spaces, expressed as a meshwork of granules interconnected by filaments, as well as reaction on the basement membranes during the peak of the PGCs migration in 10-day-old embryos. These results support the hypothesis that these molecules may have an important role in the migration of PGCs, although the precise mechanism involved in this process is not yet clear.

Animals↗
PubMed1998

Morphological and cytochemical study of extracellular matrix during the migratory phase of human and mouse primordial germ cells.

Primordial germ cells (PGCs), the ancestors of functional gametes in mammals, originate in an extragonadal location, and then migrate to and colonize the genital ridges during early organogenesis period. PGCs move actively from their original site, the wall of the hindgut, through the extracellular matrix (ECM) of the dorsal mesentery. This movement is controlled in part by components of the ECM. Cells are known to bind to individual ECM glycoproteins in a complex and poorly understood way. During migration in embryos, PGCs must alter their overall adhesiveness to the endodermal epithelium to allow locomotion. This study examined the ECM material of the migratory route during mouse and human PGCs migration. Mouse embryos obtained from Swiss Rockefeller mouse and normal human embryos between 4 and 7 weeks of development, collected during salpingectomy performed on patients with tubal ectopic pregnancies, were analyzed. The study was based on a morphological analysis using scanning electron microscopy (SEM), and on the histochemical and ultracytochemical identification of glycosaminoglycans (GAGs) and proteoglycans. In each age group, the mesenchyme was widely separated by intercellular spaces and materials. Fine filamentous strands extended between the surface of mesenchymal cells and the surface of PGCs. Hyaluronan and chondroitin and/or dermatan sulfate were localized in the ECM of the PGC migratory pathway both in mouse and human embryos. Hyaluronan was clearly reduced in the later stage of the migratory processes; on the contrary, the chondroitin sulfate reaction product increased. These results are consistent with previous observations showing that hyaluronan is a major component of the ECM, and are also suggestive of the significant role played by hyaluronan, chondroitin sulfate and dermatan sulfate during migration, thus providing a permissive substrate for cell migration during development. The observed temporal and regional patterns suggest that these GAGs are important morphogenetic factors both in the mouse and human although the precise biological function of the proteoglycans are not currently clear.

Animals↗
PubMed1995

Ultrastructure of human cumulus oophorus: a transmission electron microscopic study on oviductal oocytes and fertilized eggs.

The aim of the present study was to assess the heterogeneity of cumulus cells that occurs in human cumuli associated with oviductal oocytes and fertilized eggs. Transmission electron microscopy was used to study the cumulus masses surrounding both unfertilized oocytes and fertilized eggs (a pronuclear and a 4-cell stage) recovered at different intervals after ovulation. The specimens were obtained by flushing the oviducts of normal cycling women who underwent surgical sterilization. The cumuli were expanded due to large and irregular intercellular spaces; small linear gap junctions were seen at cell contacts, whereas annular gap junctions were found only in the cytoplasm of some cells. Both types of junction were less abundant in fertilized specimens. Cells surrounding fertilized eggs projected numerous long, thin microvilli into the intercellular spaces. As a rule, the inner layer of the cumulus mass (corona cells) was composed of cells whose surface was relatively smooth. Cumulus cells showed oval nuclei with one or more nucleoli. The cytoplasm of most cells possessed abundant organelles typical of steroidosynthesis: (i) mitochondria with tubular or villiform cristae; (ii) a well-developed smooth endoplasmic reticulum; and (iii) electron dense lipid droplets often surrounded by a few concentric membranes of smooth endoplasmic reticulum and/or in close contact with microtubules and microfilaments. Microperoxisome-like structures were also present. After fertilization, an enhancement of the steroidosynthetic characteristics occurred in the outer layers of the cumulus mass, but not in the corona cells, which still appeared capable of protidosynthesis. Together, these morphological features support the hypothesis that the cumulus of oviductal oocytes and particularly of fertilized eggs, luteinizes like parietal granulosa cells, generating a steroid hormonal micro-environment in the oviduct which may affect fertilization and zygote segmentation. Cumulus cells showing spermiophagic activity, as well as activated macrophages, leukocytes and red blood cells, were also found in the cumulus mass. The macrophages may play a local role both by phagocytic activity and by modulating the steroid secretion of the neighbouring cumulus cells which occurs in the ovarian follicle and corpus luteum. In conclusion, the cumulus mass surrounding tubal oocytes and fertilized eggs appears to be a heterogeneous and dynamic system, in which the micro-environment for fertilization and early embryo development is provided by diverse cell populations in addition to the oviductal cells.

Adult↗
PubMed1994

The structure of the human yolk sac: a scanning and transmission electron microscopic analysis.

Human yolk sacs were studied by light, transmission and scanning electron microscopy. Twelve human embryos at Carnegie stages ranging from 13 to 20 (28-49 days of gestation) were used for this research. The series of events which occur in the yolk sac wall during its period of maximum functional activity were recorded. The endodermal epithelium consisted of a single layer of columnar cells which, through cellular proliferation, formed endodermal cords which became cavitated, thereby forming endodermal vesicles. At the peak of yolk sac activity, intercellular spaces became very large and isolated individual endodermal cells. The epithelial cells were characterized by numerous microvilli on their free surface, high pinocytotic activity and by the formation of dense cisternae. Abundant intracellular vesicles fused together to empty their contents into the endodermal vesicles. The luminal surfaces of both intracellular and endodermal vesicles presented microvilli. The endodermal cells were characterized by an abundant granular endoplasmic reticulum, a well-developed Golgi apparatus, numerous mitochondria and glycogen particles. Endodermal vesicles were normally seen opening into the vitelline cavity through an endodermal orifice. The surface of the outer mesothelium was covered by numerous lengthy microvilli which were denser here than in the endodermal layer. A mucus-like material, present on the surface of the mesothelium, showed relatively few alterations during the study period. The mesothelial cells were less rich in organelles and far less active than the endodermal cells. The microanatomy of the endoderm supports the contention that its cells serve as absorptive structures as well as sites of protein synthesis during early embryonic development. Therefore, the endodermal vesicles could function as a pump regulating the fluid volume into the vitelline cavity, thereby avoiding the collapse of the organ due to the absorptive activity of the endodermal cells. Furthermore, mesothelial microvilli together with their mucous material harbor a layer of serous exudate and thus create a lubricated cushion designed to protect the thin mesothelium from frictional damage.

Endoderm↗
PubMed1992

Human preimplantation development in vivo: ultrastructural observations.

The ultrastructure of a 2-cell, 4-cell, 7-cell and 16-cell human embryos fertilised and developed in vivo were compared using transmission electron microscopy. Among the structures which exhibited more notable changes throughout these developmental stages, were the mitochondria, ribosomes, nuclear envelope and nucleolus. Mitochondria which were initially round, dense with cristae oriented parallel to the surface changed to oval with less dense mitochondrial matrix and with cristae perpendicular to the mitochondrial membrane. Ribosomes and polyribosomes decreased in amount from 2 to 7-cell stages and increased again at the 16-cell stage. The nuclear envelope exhibited intense blebbing activity at the 4-cell stage, less at 7 and none at 16. The nucleolus initially very dense was progressively infiltrated by chromatin, became reticular at the 7-cell stage and appeared fully mature at the 16-cell stage. This study discloses structural details of human preimplantation embryos which may be of interest in the assessment of comparable material obtained in vitro. Some unique features that may have bearing on the ontogenesis of cell organelles and cell differentiation are discussed.

Blastocyst↗
PubMed1991

A unique fibrillar coat on the surface of migrating human primordial germ cells.

Primordial germ cells (PGCs) were studied by electron microscopy in human embryos at 27 and 30 days of gestation. PGCs were mainly found in the hindgut epithelium, some at the stage of separation from the endoderm, and others in migration through the mesenchyme of the dorsal mesentery between the primitive intestinal wall and the coelomic epithelium, including the coelomic angle. A few PGCs were still located in the endodermal epithelium. Before the process of separation and migration, PGCs appeared clearly different from neighboring somatic cells (endodermal, mesenchymal and epithelial cells of the hindgut and the coelomic layer). PGCs located in the endodermal epithelium were large and showed an irregular cell body often provided with filopodia-like processes that contacted somatic cells to form small areas of focal junctions. As a rule, PGCs possessed a large, round nucleus containing one or two conspicuous nucleoli. Lipid droplets, abundant glycogen particles, ribosomes and mitochondria were often observed in their cytoplasm. A detailed ultrastructural analysis revealed a delicate fibrillar coat frequently present on the free surface of PGCs during their migratory phase through the mesenchyme of the dorsal mesentery. This surface coat, likely corresponding to a glycocalyx, appeared as a particular, conspicuous filamentous layer of 30 nm thickness, mainly in the leading pseudopodial projections of PGCs migrating toward their target. The surface coat of PGCs can be associated with the binding sites of specific macromolecular components of the extracellular matrix, including fibronectin, and hence plays a role in PGCs recognition and migration during this special embryonic phase.(ABSTRACT TRUNCATED AT 250 WORDS)

Cell Membrane↗
PubMed1990

Subcellular structure of prenatal human ovary: mitochondrial distribution during meiotic prophase.

The dynamics of mitochondrial population during the first meiotic prophase in the fetal human ovary was studied in sequential stages of development, from week 13 to week 23 of intrauterine life; the study was performed by means of electron microscopy. Two mitochondrial translocations were observed: first, from a random cytoplasmic distribution during leptotene, the mitochondria translocate toward a perinuclear location during zygotene. Second, from this perinuclear position they migrate toward a pole of the cell where they contribute during diplotene to form the Balbiani's vitelline body. Coincident with these mitochondrial redistributions, changes in mitochondrial cristae morphology were observed. From a tubular profile during early leptotene, they turn parallel with a more electron dense matrix during zygotene and pachytene, and finally arciform in diplotene. Since meiosis is a process that probably requires high levels of energy, these dynamic changes in mitochondrial population and the close association between mitochondria and nuclear membrane may be related with energy producing reaction that may be necessary for insuring the completion of the first meiotic prophase.

Cell Cycle↗
PubMed1989

Ultrastructure of a 4-cell human embryo developed in vivo.

The ultrastructure of a 4-cell human embryo undergoing development in vivo is described. The embryo recovered from the Fallopian tube 130 h after a single episode of intercourse and 70 h after the luteinizing hormone peak in plasma, was partially surrounded by cumulus cells. The blastomeres, of even size, were nucleated and had a similar distribution of cytoplasmic organelles. No signs of abnormality or cellular degeneration were observed. Transmission electron microscopy of serial sections revealed the presence of primitive desmosomes between cells, abundant vesicles within the blebs of the outer sheet of the nuclear membrane, blebbing of the inner sheet of the nuclear membrane and close association between the inner sheet of the nuclear membrane and the intranuclear annulate lamellae. Nucleolar precursors lacking the structural organization of mature nucleoli were also found. Similarities and differences between this and other preimplantation human embryos reported earlier are analysed.

Blastomeres↗
PubMed1987

Ultrastructure of a two-cell human embryo.

A two-cell human embryo recovered from the Fallopian tube 82 h following the LH peak in plasma and 37 h after a single episode of intercourse was examined by transmission electron microscopy. At the time of recovery the embryo was denuded of cumulus cells, and both the zona pellucida and the two adjoining blastomeres were intact. The finding of two polar bodies in the perivitelline space, two nucleated blastomeres and remnants of the fertilizing sperm tail within the cytoplasm of one of them, were considered as evidences that the embryo was normally fertilized. Among the most conspicuous features found were the presence of very distinct desmosome-like structures between blastomeres, and the cytoplasmic cell organelles distribution in three areas referred as: a sub-cortical, a middle and a perinuclear bands. An outstanding feature was the extensive blebbing of the nuclear envelope. In general, the features seem to correspond to a normally developing two-cell embryo undergoing cleavage at a normal rate.

Blastomeres↗
PubMed1985

An electron microscopic study of sperm penetration into the human egg investments.

The ultrastructure of human spermatozoa located in the cumulus cells and the zona pellucida of a pro-nuclear egg, and in the zona pellucida of a two-cell egg, both fertilized in-vivo, has been analysed in order to understand how the human spermatozoon penetrates the investing coats of the oocyte. Among the 36 spermatozoa found in the cumulus cells, 31 were phagocytosed by cumulus cells and 5 were wedged in the matrix between the cells. These spermatozoa were acrosome-reacted and their equatorial segment was intact. Six of the seven spermatozoa found in the zona pellucida (four spermatozoa in the pronuclear egg and three in the two-cell egg) had lost the equatorial segment, while the other one was partially reacted. The sperm heads were located in slits with sharp edges. From these findings it was concluded that in the human (1) only few and normal spermatozoa seem to reach the cumulus cells after natural insemination, (2) the acrosome reaction probably occurs sometime before the spermatozoa reach the vicinity of the corona cells, (3) the reaction of the equatorial segment seems to occur during or before the initial phase of zona penetration, since the spermatozoa located in the matrix of the zona pellucida had no equatorial segment. No evidence of the presence of spermatozoa with an intact acrosome in the matrix of cumulus cells or with an intact equatorial segment in the zona pellucida were found.

Female↗