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Biomedical subjects

K Griffiths

Publications and source records attributed to K Griffiths.

At least 163 records · Page 9Linked to original sources

Salivary cortisol and dehydroepiandrosterone sulphate levels in postmenopausal women with primary breast cancer.

Cortisol and dehydroepiandrosterone sulphate (DHAS) were measured in saliva from postmenopausal women with primary breast cancer and a control group of comparable age. Specimens were collected at 2-hr intervals during wake-span for two consecutive days, and circadian rhythmicity was demonstrated for each of the hormones in both populations. The marginally elevated levels of cortisol and lower levels of DHAS associated with the cancer group, and the larger inter-subject variation, make it unlikely that these hormone measurements would be of value in identifying women at risk of developing breast cancer.

Aged↗

Bimodal age-frequency distribution of epitheliosis in cancer mastectomies: relevance to preneoplasia.

A census of epitheliosis in 500 consecutive cancer mastectomies has been carried out. The probability of concurrence of this phenomenon with cancer has a bimodal age-frequency distribution. It is high in cancer mastectomies from women in their early 40s, low in the late 50s and high again in the elderly. Epitheliosis during the reproductive life span is regarded as a reversible ovary-dependent abnormality. It is greatly increased in the premenopausal cancerous breast and it is thought that it carries increased risk for cancer initiation. In contrast the probability of epitheliosis in the breast in the elderly cancer patient is only slightly greater than in "noncancerous" post mortem breasts of similar age. Much of this "epitheliosis" may represent, in fact, indolent autonomous cancer though a small proportion could be epitheliosis supported by extraovarian estrogen.

Adult↗

Studies with steroid-fluorescein conjugates on oestrogen target tissues.

Steroid--fluorescein amine and steroid-BSA-fluorescein-isothiocyanate conjugates have been prepared and their ability to bind to oestrogen receptors assessed in competitive binding studies. The binding of all the fluorescent conjugates to uterine cytosol proteins was low when compared with either oestradiol or diethylstilboestrol. A comparative study was carried out to assess the relationship between oestrogen receptor content, determined biochemically, and histochemical localisation of the oestrogen binding components on thin sections of rat uteri, DMBA-induced mammary tumours and also human breast tumour tissue taken at mastectomy. The data indicate that in thin sections of tissue all of these conjugates appear to bind not to the classical oestrogen receptor moiety but to other oestrogen binding proteins.

9,10-Dimethyl-1,2-benzanthracene↗

Proliferation of human prostatic epithelial cells in culture: aspects of identification.

A reproducible explant culture technique has been developed to study in monolayer, the growth of human prostatic epithelium from specimens of tissue removed from patients with benign prostatic hyperplasia. The procedure was used to study hormone responsiveness of prostatic tissue. The cells appear to originate from the progenitors of glandular epithelium and possess epithelial characteristics, as assessed by histologic, electron microscopic and immunocytochemical procedures. Close cell-to-cell contacts, desmosomes and microvilli were visualized in electron micrographs. In addition, we observed immunocytochemical localization of epithelial antigens in the cells which constituted the monolayer by using antisera raised against purified prostatic epithelium. Prostatic acid phosphatase was not detected histochemically in the monolayers and may reflect the non-secretory state of the cells. Growth parameters under various hormonal conditions were assessed by counting metaphase arrested cells, total cell number and measurement of the area covered by the monolayers. Proliferation was significantly increased by the addition of physiological concentrations of either testosterone or 5 alpha-dihydrotestosterone.

Cell Count↗

Psychotropic drug use in Northern Ireland 1966-80: prescribing trends, inter- and intra-regional comparisons and relationship to demographic and socioeconomic variables.

A study of psychotropic drug prescribing, derived from the computerized pricing data in Northern Ireland from 1966, showed that the use of these drugs reached a peak in 1975, when about 12.5% of the adult population were estimated to have been receiving them, and declined in the following 5 years. Benzodioazepines accounted for three-quarters of all psychotropic drugs prescribed in 1980. Benzodiazepine tranquillizer prescribing was consistently 20-30% higher than in the rest of the United Kingdom, in contrast to hypnotic and antidepressant prescribing which has been consistently lower. The rate of increase in benzodiazepine tranquillizer prescribing was greater than in other European countries, but the level remains lower than in Iceland and Denmark. The influence of a number of demographic and socioeconomic variables was studied in an intra-regional analysis of the 1978 data for the 17 health districts in the province, using multivariate and multiple regression statistics. The prescribing of benzodiazepine hypnotics was almost entirely accounted for by the proportion of elderly (over 65 years) and women aged 45-59 years: neuroleptic prescribing was largely a function of factors associated with rural areas (overcrowding and unemployment) and the proportion of elderly; but neither tranquillizer, antidepressant, barbiturate hypnotic nor psychostimulant prescribing were satisfactorily explained by these variables.

Anti-Anxiety Agents↗

A prognostic index in primary breast cancer.

From a multiple-regression analysis of prognostic factors and survival in a series of 387 patients with primary breast cancer, a prognostic index has been constructed, based on lymph-node stage, tumour size and pathological grade. This index is more discriminating than lymph-node stage alone, and enables a larger group of patients to be identified with a very poor prognosis.

Adult↗

Quantitative oestradiol receptor values in primary breast cancer and response of metastases to endocrine therapy.

Quantitative values if oestradiol receptor were determined in the primary breast cancer of 526 patients, 106 of whom have so far required hormonal therapy for metastatic disease (premenopausal patients-oophorectomy; postmenopausal patients-tamoxifen 20 mg twice daily). The rate of response to treatment was significantly higher in patients with receptor-positive primary cancers, and the likelihood of response further increased in proportion to the measured receptor concentration. Preliminary data also suggest that patients with high receptor values in the primary tumour will enjoy a longer remission than those with low measured values. Assays of oestradiol receptor were also carried out on biopsy specimens of accessible metastases, largely skin and lymph-node recurrences, in 24 patients who were treated mainly with local measures. Receptor status was the same in both the primary and the secondary tumour in only 18 patients.

Adult↗

Oestrogen receptors and survival in early breast cancer.

Oestrogen receptor status was related to survival in 414 patients with primary breast cancer. Women with oestrogen receptors in their tumours survived significantly longer than those without receptors; this was true for both premenopausal and postmenopausal women and also when the patients were subdivided into those with and without axillary metastases. Patients with axillary metastases and no oestrogen receptors in their tumours had the worst prognosis, while women with axillary metastases and oestrogen receptors had a death rate similar to that of women with no axillary metastases and no receptors. Patients without oestrogen receptors and with no axillary metastases were identified as a high-risk group, and it would seem appropriate to include such patients in future trials for adjuvant therapy in early breast cancer.

Breast Neoplasms↗

The immunocytochemical detection of protein hormones in human prostatic tissues.

The immunocytochemical detection of four pituitary protein hormones in tissue from 13 patients with benign prostatic hyperplasia has been described. There have been marked differences in the distribution and intensity of reaction product attributable to the various hormonal antisera. The intracellular presence of endogenous prolactin and FSH in the epithelial cytoplasm has been suggested together with the stromal localization of growth hormone and prolactin. Minimal diffuse staining over most cellular components was observed with the LH antiserum. This technique has provided an invaluable means of studying the potential involvement of pituitary protein hormones in the control of prostatic function and disease.

Cytoplasm↗