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Biomedical subjects

J Pries

Publications and source records attributed to J Pries.

4 recordsLinked to original sources

Hyperthyroidism appearing as hyperemesis gravidarum.

Vomiting is a poorly recognized manifestation of hyperthyroidism. During pregnancy, this appearance can be indistinguishable from hyperemesis gravidarum. Two patients with intractable hyperemesis gravidarum were found to have hyperthyroidism. Their symptoms resolved when thyroid functions returned to normal. Given the ease of laboratory confirmation, excellent therapy, and the seriousness of delay in diagnosis, thyrotoxicosis should be considered in patients with unusual or severe hyperemesis gravidarum.

Adult↗

Inhibition of human fat cell adenylate cyclase mediated via alpha-adrenoceptors.

Human adipose tissue contains alpha- as well as beta-adrenoceptor sites mediating antagonistic catecholamine effects on lipolysis. To characterize the mechanisms of catecholamine action in biochemical terms we have studied the effects of the almost pure beta-adrenoceptor agonist isoproterenol and of the mixed adrenergic agonist adrenaline on human fat cell adenylate cyclase in the presence of alpha- and beta-adrenoceptor blocking drugs. In contrast to the almost pure beta-adrenergic agent isoproterenol, the mixed agonist adrenaline, besides its stimulatory action, also had inhibitory effects which became apparent upon complete beta-adrenoceptor blockade using 0.05 mmol/l propranolol. Under these conditions adrenaline caused a dose-dependent inhibition of basal and parathyroid hormone-activated enzymic activity with a maximum of 30-50%, which was dependent on GTP and could be reversed by simultaneous alpha-adrenergic blockade using 5 mumol/l dihydroergotamine or 10 mumol/l phentolamine. These results support the concept of antogonistic alpha- and beta-adrenoceptor sites coexisting as regulatory subunits of the human fat cell adenylate cyclase.

Adenylyl Cyclase Inhibitors↗