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Biomedical subjects

L A Van der Walt

Publications and source records attributed to L A Van der Walt.

13 recordsLinked to original sources

Gastric acid secretion and gastrin release in the baboon.

Significant species differences have been demonstrated in gastric physiology, a factor that limits extrapolation of animal data to man. Primate physiology is thought to be similar to that of man; however, gastric function has not been adequately documented in the primate. In the present study six baboons (body weight 25.5 +/- 1.8 kg) were trained to sit in a chair and gastric acid secretion and gastrin release was studied in conscious animals. Mean basal acid secretion was 1.3 +/- 0.1 mmol (H+)/hr. Maximum output after pentagastrin (12 micrograms/kg/hr) was 9.5 +/- 0.9 mmol (H+)/hr and 11.0 +/- 0.4 mmol (H+)/hr after histamine (40 micrograms/kg/hr). A statistically significant (by cosinor analysis) circadian rhythm was demonstrated for intragastric pH over 24 hr in fasted baboons (P less than 0.001). Mean basal serum gastrin level was 37.7 +/- 8.3 pg/ml. The integrated gastrin response after administration of a protein rich meal was 2.52 +/- 0.07 ng x min/ml and this increased to 5.17 +/- 0.18 ng x min/ml (P less than 0.05) following simultaneous administration of a meal with atropine (0.2 mg/kg) (P less than 0.05). Our results suggest that there is significant basal and stimulated acid secretion in the baboon; the amount of acid secreted is similar to that reported in man. Gastric pH demonstrated a circadian rhythm. Postprandial gastrin release was significantly enhanced by cotreatment with atropine. As the present findings are similar to those previously reported in man, the baboon may be a useful model for further studies in gastric physiology and experimental peptic ulceration.

Animals↗

Exogenous gonadotropins--serum oestrogen and progesterone and the effect on endometrial morphology in the rat.

The serum levels of oestrogen and progesterone in hyperstimulated, pregnant rats were compared with those of normal pregnant animals. The endometrial morphology was studied before (4.5 days), at the time of (5.5 days) and after (6.5 days) implantation. In the hyperstimulated group serum oestradiol levels were significantly higher than in the controls at 2.5 and 4.5 days, while progesterone levels were similar in the two groups. Consequently the progesterone:oestradiol ratio was significantly lower in the experimental groups prior to implantation. Significant changes in the endometrium caused by the raised oestradiol levels, included an early increase in gland epithelial height, increased surface epithelial height, increased number and length of microvilli, deficiencies in the glycocalyx and decreased mitotic activity in the surface epithelium and stromal cells. In addition, epithelial cell degeneration and failure of decidualisation of stromal cells was observed. These morphological changes adversely affect embryo attachment and implantation. Similar pathological changes in the endometrium may occur in human in vitro fertilisation utilising superovulation and may be an important factor in the low success rate of these programmes.

Animals↗

Functional endocrine modification of the thyroid following ovariectomy in the canine.

The study involves bilateral ovariectomy in bitches followed by the monitoring of oestradiol, thyroxine and total triiodothyronine levels in order to study control mechanism alterations. Levels of oestradiol dropped significantly following surgery to reach basal concentrations after 2 weeks. Serum total thyroxine, free thyroxine and total triiodothyronine decreased following ovariectomy to stabilize in a steady state within 3 weeks of surgery. Levels of thyroid-binding globulin initially increased as a result of oestrogen ablation, thereafter levels decreased steadily. Modification of the hypothalamo-thyroxine-releasing hormone receptor site and changes in androgens and thyroid-binding globulins are discussed as possible causes for the changes in circulating thyroid hormone concentrations.

Animals↗

Pituitary and thyroid function before and after portacaval anastomosis in patients with normal livers.

Basal plasma thyroid hormone, testosterone and cortisol levels, TSH and PRL responses to TRH, and LH and FSH responses to LRH were assessed in six young subjects with normal liver function and anatomy before and after portacaval anastomosis. All tests were normal and unchanged by the operations. It is concluded that in patients with normal liver function, portal systemic shunting does not produce alterations in the pituitary-gonadal and pituitary-thyroid axes. The abnormalities of these endocrine functions in patients with cirrhosis are probably related to the severity of hepatocellular dysfunction rather than to the effects of portal systemic shunting.

Adolescent↗

Chloramphenicol binding to normal and kwashiorkor sera.

The binding of chloramphenicol to normal and kwashiorkor sera was investigated in vitro. Chloramphenicol is predominantly albumin bound, although a significant degree of binding to the other major protein fractions occurs. From the clinical view point, a decreased degree of binding of kwashiorkor serum (+/-5%) is not of significance.

Alpha-Globulins↗

The binding of chloroquine to normal and Kwashiorkor serum.

The binding of chloroquine to kwashiorkor and normal serum was investigated. The results show that more drug is bound in kwashiorkor serum, and that this occurs predominantly at the gamma globulin fraction. Therapeutically, in malnutrition there is no significant abnormality of protein binding with respect to chloroquine.

Alpha-Globulins↗

The significance of serum oestradiol and progesterone levels in evaluating the response to clomiphene citrate.

In practice, the prediction of ovulation after the administration of clomiphene citrate (Clomid) has been based on measurement of biphasic basal body temperature and menstrual changes. In this article a protocol is presented to gauge adequately the extent of the response to the drug and to monitor reliably the occurrence of ovulation. The measurement of oestradiol levels at two different times, coupled with a single progesterone estimation, has proved the method of choice in monitoring Clomid response. These assays may provide reliable criteria for establishing suitable doses for individual patients.

Adolescent↗