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Biomedical subjects

L Gillespie

Publications and source records attributed to L Gillespie.

At least 19 recordsLinked to original sources

Production of chimeric hamsters by aggregation of eight-cell embryos.

Chimeric animals were produced by aggregation of 8-cell-stage embryos from two strains of hamsters (LVG and Bio 1.5). Two series of experiments were performed. In the first series, embryo pairs in contact with each other were classified as aggregates even if 2 distinct embryos could still be distinguished. Of 88 aggregates transferred, 2 chimeras were obtained. Pregnancy rate was 25%, and embryo survival was 35%. In the second set of experiments, only embryo pairs that had coalesced to form a single giant blastocyst were classified as aggregates. Of 56 aggregates transferred, 6 chimeras were obtained. Pregnancy rate was 83%, and embryo survival was 30%. Of the 8 chimeras, 6 were phenotypic males, and 2 were phenotypic females. Both females were germ line chimeras. Of the 6 males, 4 reproduced normally, 1 had abnormal external genitalia but normal spermatogenesis, and 1 was sterile and had atrophic testes. Each of the fertile males transmitted only a single component, either the LVG or the Bio 1.5. Examination of the testes from the sterile chimera revealed that in excess of 80% of the seminiferous cords were devoid of germ cells. These results demonstrate that hamster chimeras can be obtained by aggregation of 8-cell-stage embryos.

Animals

Lumbar nerve root compression and interstitial cystitis--response to decompressive surgery.

An identifiable lumbar nerve root compression appears to cause urological dysfunction consistent with interstitial cystitis. Ten patients (9 females, 1 male) were evaluated for chronic pelvic pain. Cystoscopic and histological appearances were consistent with a diagnosis of interstitial cystitis. Magnetic resonance studies of the lower spine consistently demonstrated a lateral compression of the L5 dorsal nerve root. Decompression of the lateral foramina of L5 resulted in immediate relief of pain in 9 patients, who have been followed up for 6 months without a recurrence. Possible mechanisms involving sympathetic dystrophy of the pelvic plexus are reviewed.

Cystitis

Probe-evoked potential findings following unilateral left-hemisphere lesions in children.

An evoked potentials procedure that has repeatedly provided evidence of predominant right-hemisphere engagement during language tasks in recovered adult aphasics was applied to the study of 14 children with early unilateral left-hemisphere lesions and in 14 matched normal subjects. In contrast with the adult patients, the children with left-hemisphere lesions displayed the normal pattern of predominant left-hemisphere engagement in visuospatial tasks. These data suggest that language restitution and development following early lesions involves intrahemispheric rather than interhemispheric functional reorganization.

Adolescent

Immunofluorescent and histochemical staining confirm the identification of the many diseases called interstitial cystitis.

Interstitial cystitis comprises a complex of diseases typified by symptoms of pelvic pain. Functional complaints do not aid the clinician in determining loss of anatomical capacity. Histochemical staining with PAS-colloidal iron/Van Geison's counterstain offers improved diagnostic ability for the pathologist and correlates well with immunofluorescent findings. Four distinct diseases can be identified through immunofluorescent staining, indicating that each is the result of different responses of the urothelium and endothelium to injury. Loss of bladder capacity associated with these diseases can be expected with age, but immunofluorescent staining for IgM within the capillaries of the interstitium is a more sensitive predictor.

Cystitis

Painful bladder syndrome--a clinical and immunopathological study.

Painful bladder syndrome is a clinical diagnosis in patients with symptoms of varying severity which always include frequency and suprapubic pain and occasionally include dysuria, nocturia and urgency persisting for more than 3 months with no loss of bladder capacity and no overt infection. Immunofluorescence studies of biopsy specimens in 38 female patients were assessed and correlated with the duration and severity of symptoms, and also with routine histology (including mast cell infiltration and integrity of the glycosaminoglycans layer), in order to assess the role of immunological mechanisms in this distressing condition. The results indicated that submucosal angiogenesis and persistence of antigen-antibody complex in vessel walls could be responsible for this syndrome.

Adolescent

Immunopathology of interstitial cystitis.

This study describes histologic, ultrastructural, and immunofluorescence microscopy findings of cystoscopically directed biopsies of lesional tissue and uninvolved bladder from 308 patients with chronic interstitial cystitis (IC) and no evidence of infection, collagen vascular, or other systemic disease. The majority of cases exhibited strong urothelial cell staining for immunoglobulin A (IgA), which was focal or diffusely involved all layers of the epithelium. Electron microscopy revealed widening of the interstitium between urothelial cells, which may explain leakage of IgA into the urine in cystitis patients. Staining for fibrinogen and IgA was present both in lesional biopsies and uninvolved bladder tissue, suggesting a response to injury affecting the entire bladder urothelium. A minor patient population with idiopathic IC revealed granular IgM (with or without C3) in vessel walls of the lamina propria, suggesting immune complex disease. Ultrastructural evidence of vascular damage included necrosis of endothelial cells, fibrin deposition, and reduplication of basement membranes. Staining for IgE correlated with presence of mast cells and was present in less than 2% of cases, indicating that these cells do not play a prominent role in the pathogenesis of the disease. In the majority of patients with IC mucosal staining for IgA and fibrinogen was a characteristic pattern representing increased IgA secretion and a reaction pattern to injury of unknown cause. A subgroup of patients had evidence of vascular damage and immune complex disease. This study therefore defines two main reaction patterns in interstitial cystitis, which may have implications on prognosis and therapy of the disorder.

Adult

Effect of abdominal perineal resection on genitourinary tract.

One hundred ten patients at the UCLA Medical Center underwent abdominal resection from 1974 to 1980. The following effects on the urinary tract are discussed: surgical complications, anatomic changes, and functional complications. Urologic investigation and management of incontinence will be presented.

Abscess

The diaphragm: an accomplice in recurrent urinary tract infections.

Sexually related recurrent urinary tract infections were caused by a method of contraception, the diaphragm, in 74 per cent of the women in this study. Urodynamic studies demonstrated severe alteration in urinary flow and elevation of the bladder neck angles. By altering the fit of the diaphragm, or changing to another form of birth control, 96 per cent of these women were infection-free at one year without antibiotic suppression.

Adult

Use of saralasin to detect renovascular hypertension in childhood.

Current methods to evaluate renovascular hypertension in the pediatric population often requires a general anesthetic. Saralasin, an angiotensin II competitive inhibitor, is a safe, noninvasive technique which can be utilized at the bedside in a salt-depleted child off antihypertensive medication. Two illustrative cases are presented.

Aldosterone

Aortoenteric fistula. A complication of renal artery bypass graft.

The incidence of gastrointestinal bleeding secondary to aortoenteric fistula has increased in recent years consequent to more frequent aortic reconstructive procedures. It is necessary to approach any such patient with this diagnostic consideration in mind, since early specific therapy may decrease the mortality. In this setting, there is usually sufficient time available to perform definitive tests to establish the correct diagnosis. We report a 37-year-old patient in whom aortoenteric fistula developed following a renal artery bypass graft.

Adult