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Biomedical subjects

R C Sawhney

Publications and source records attributed to R C Sawhney.

At least 19 recordsLinked to original sources

Glucoregulatory hormones in man at high altitude.

Concentrations of glucose, lactic acid, free fatty acid (FFA), insulin, cortisol and growth hormone (GH) in the blood were monitored in 15 euglycaemic men (sojourners, SJ) at sea level (SL) and while at altitudes of 3500 m and 5080 m, in acclimatised low landers (ALL) and in high altitude natives (HAN). In SJ, blood glucose and insulin concentrations showed a significant increase on the 3rd and 7th day after arrival at high altitude (HA), thereafter returning to sea level values and remaining the same during the entire period of their stay at 3500 m. Subsequently, on arrival at higher altitude (5080 m) the glucose concentrations again showed an increase over the preceding values and returned to SL values on day 41 while at 5080 m. A significant increase in cortisol concentrations was seen on day 3 after arrival at HA and the increased levels were maintained until day 21 at 3500 m. The cortisol concentrations on day 30 after arrival at 5080 m came down to SL values and remained unchanged thereafter. No appreciable change in GH and FFA was seen during the sojourn at HA. On the other hand, blood lactic acid concentration decreased significantly. There was no difference between the fasting glucose concentrations in ALL at 3500 m and in HAN at 3500 m and 4200 m compared to values of SJ at SL, whereas ALL at 4200 m had higher glucose values. Concentrations of plasma insulin and GH in ALL and HAN were higher than the values of SJ at SL, whereas cortisol values did not show any difference. These observations indicated that at HA the glucose values were high for the insulin concentration observed and might have been due to increased secretion of GH by the pituitary gland.

Adaptation, Physiological

Antifertility activity of volatile fraction of neem oil.

NIM-76, the odorous and volatile fraction of neem oil, was investigated for its antifertility activity in vivo in rats, rabbits and rhesus monkeys. The drug is effective when applied before coitus but not so when applied during post-coital stages. It, therefore, appears to act mainly by its spermicidal effect. No alteration in the estradiol (E2) and progesterone (P) values was observed after the application of the drug in monkeys.

Animals

Thyroid function in sojourners and acclimatised low landers at high altitude in man.

The circulatory levels of T4, T3, rT3, TSH as well as TSH response to TRH, thyroid hormone binding proteins and T3 concentration of erythrocytes were studied in (i) healthy euthyroid sea level residents (SLR) at sea level, (ii) during three weeks of stay of SLR at an altitude of 3500 m (sojourners, SJ), (iii) SLR staying at high altitude (HA) for 3 months to 10 years (acclimatised low landers. ALL), (iv) high altitude natives (HAN) and (v) euthyroid men during intermittent exposure to simulated altitude of 3500 m in a hypobaric chamber maintained at an ambient temperature of 22 degrees C to 24 degrees C. Hypoxic stress either simulated or natural, produced marked elevation in plasma T4 and T3 within 4 h and the increased levels were maintained during the entire period of exposure. The circulatory levels of T4 and T3 were higher in HAN and ALL compared to SLR values. The T3 concentration of erythrocytes was decreased (P less than 0.01) at HA, whereas plasma rT3, TBG and T4 binding capacities of TBG and TBPA did not show any appreciable change. Plasma TSH at high altitude in SJ, ALL and HAN was not significantly different from the SLR values. Furthermore, when L-eltroxine treated (L-T4, 0.5 mg/d for 11 days) euthyroid men were subjected to simulated altitude, there was an elevation in both T4 and T3 suggesting that the rise in hormone levels was independent of pituitary secretion of thyrotropin. Both T4 and T3 returned to SLR values when SJ and HAN were brought down to SL.(ABSTRACT TRUNCATED AT 250 WORDS)

Acclimatization

Contraceptive efficacy of Depot Provera jet-injected into the cervix.

Depot-medroxy progesterone acetate (DMPA) was jet deposited into the uterus/cervix of rats, rabbits and rhesus monkeys with the help of a modified jet injection apparatus. Since the drug was delivered under pressure, it was distributed deep into the muscular layers around the place of deposition. After one deposition the drug acted as an effective contraceptive for a period of three months. The merits of this delivery technique are discussed.

Animals

Circadian rhythmicity of growth hormone at high altitude in man.

Circulatory levels of growth hormone (GH) were estimated at 0600 h, 1200 h, 1800 h and 2400 h in each of 10 subjects of sea level residents (SLR) in New Delhi (226 m) and in high altitude natives (HAN) settled at an altitude of 3650 m. Both in SLR and HAN the GH secretion showed an identical pattern, the values were lowest at 0600 h and highest at 2400 h. Nevertheless, in HAN the GH levels at different timings of the day were found to be significantly higher than in SLR.

Adult

Thyroid function during intermittent exposure to hypobaric hypoxia.

Circulatory levels of triiodothyronine (T3) and thyroxine (T4) and their kinetics were studied in rabbits exposed to intermittent hypobaric hypoxia (5200 m, 395 mm Hg, PO2 83 mm Hg) 6 h daily for 5 weeks in a decompression chamber maintained at room temperature of 22 degrees-24 degrees C. Kinetics of T3 and T4 were studied on days 21 and 28 of hypoxic exposure. The T3 and T4 values were found to be significantly lower on day 8 of exposure to hypoxia compared to the pre-exposure values. The decreased levels were maintained throughout the entire period of hypoxic stress. The metabolic clearance rate, production rate, distribution space and extrathyroidal T3 and T4 pools were significantly decreased in animals under hypoxic stress compared to the control animals. The decline in thyroid hormone levels and their production in rabbits under hypoxic stress indicate an adaptive phenomenon under conditions of low oxygen availability.

Animals

Effect of estrogens on thyroid function. I. Alterations in rhesus plasma thyrotropin and its kinetics.

The circulating levels of TSH, its metabolism, and its response to synthetic TRH were studied in five euthyroid menstruating rhesus monkeys before and during treatment with estradiol monobenzoate (E2B, 50 microgram/kg BW/day sc). The pre-E2B treatment mean plasma TSH level was 1.4 +/- 0.12 (SE) microunit/ml. A significant increase in mean plasma TSH (P less than 0.01) to 1.54 +/- 0.29 microunit/ml was observed as early as 48 h after intiation of E2B treatment; it continued to rise progressively to day 28 when it plateaued around a mean concentration of 3 microunit/ml. It normalized within 10 days after cessation of E2B therapy. After iv TRH (5 microgram/kg BW), a consistent rise in plasma TSH was observed before and on days 11 and 56 of E2B therapy. The peak TSH level and maximum rise over the basal level (deltaTSH) during the three tests were not significantly different. During E2B therapy there were remarkable changes in TSH kinetics. These alterations included a significant decrease (P less than 0.01) in metabolic clearance rate, contraction of the distribution space, and expansion of the extrapituitary TSH pool, but there was no appreciable change in TSH production rate. Although a definite trend towards the above alterations was discernible on day 17 of treatment, they were well established by day 66. These data suggest that the estrogen-induced rise in circulating TSH was caused mainly by decreased degradation and not by increased production.

Animals

Serum levels of thyrotropin, thyroid hormones and their response to thyrotropin releasing hormone in infective febrile illnesses.

In 25 patients suffering from fever of infection, serum levels of thyrotropin (TSH), thyroxine (T4), triiodothyronine (T3), and thyroxine binding globulin (TBG) were estimated on two consecutive days during the febrile period and again 3 to 10 days after the fever had subsided. The serum TSH and T3 responses to 100 mug iv TRH were also studied during fever. Hormones were estimated by specific radioimmunoassays and TBG by radioligand binding assay. As compared with age and sex matched normal controls, patients with fever of infection had significantly lowered levels of total serum T3 and TBG. The serum TSH and total T4 concentrations were not significantly altered. During fever both % FT4 and absolute FT4 were significantly elevated, whereas only % FT3 was significantly increased and due to lowered serum total T3 levels the absolute FT3 were not significantly altered as compared to that in normal subjects. After the fever had subsided, the serum T3 levels returned to normal and the serum TBG levels increased. There was no correlation between basal serum levels of T3 and TSH during fever. Although in response to iv TRH the mean rise in serum TSH during fever was comparable to that in normal subjects, the overall TSH response showed an inverse correlation with serum TT3 levels. Following iv TRH there was a significant increase in serum T3 levels and the T3 response in fever was comparable to that in normal subjects. These data suggest that hormone secretion by the thyroid and its responsiveness to endogenous TSH are maintained during fever. The lowered T3 levels are not suggestive of a hypothyroid state, but perhaps could be due to decreased peripheral conversion of T4 to T3 and to decreased binding of T3 to serum proteins. The exact mechanism or significance of these alterations in thyroid function during febrile illness remains to be elucidated.

Adolescent

Study of the pituitary-thyroid functions at high altitude in man.

The alterations in serum levels of T3, T4, TSH and TBG, TSH response to 100 mug iv TRH, and urinary excretion of T3 and T4 were studied in 8 healthy men at sea level (SL), on days 1, 2, 4, 8 and 16 after arrival by air at high altitude (3,700 m, HA), and during days 5 to 7 after their return to SL. No significant alterations in serum levels of TSH and TBG or TSH response to TRH were observed during exposure to HA or on return to SL. There was, however, an acute elevation in both serum total T3 and T4. Serum total T3 from a mean basal+/-SE value of 128+/-13 ng/dl increased to 320+/-18 on day 1 and remained significantly elevated at 225+/-48 up to day 8 after arrival at high altitude. Similarly serum total T4 increased from basal level of 9+/-0.92 mug/dl to 15.2+/-1.2 and remained elevated till day 16 and it was 11+/-1.19 mug/dl during days 5 to 7 after return to SL. The urinary excretion of both T3 and T4 was decreased. These changes perhaps were the result of complex physiologic adjustments on acute exposure to high altitude, like shrinkage of the T3 and T4 distribution pools, altered binding capacities of thyroid hormones binding proteins, and a reduction in clearance of thyroid hormones from the plasma compartment; and were probably not suggestive of an enhanced thyroid activity. Their actual significance in high altitude adaptation in man is not clearly understood.

Adult

Thyroid function in changing weather in a subtropical region.

Serum and 24-hr urine samples were collected on 2 consecutive days during the first week of each month for 1 yr from eight healthy euthyroid men aged 25-37 yr. The means of minimum and maximum environmental temperature for the 30 days period preceding the sample collection represented the temperature for that month. Total serum thyroxine (T4), triiodothyronine (T3), thyrotropin (TSH), and urinary T3 and T4 were measured by specific radioimmunoassays and serum thyroxine-binding globulin (TBG) by the radioligand binding assay. The serum TSH and urinary T3 and T4 responses to 100 mug intravenous TRH were studied in five subjects during summer and again during winter. The serum concentration of these hormones and TBG did not reveal significant variations throughout the year. However, the mean urinary excretion of both T3 and T4 during coldest months (January and February), at 0.97 and 1.95 mug/24 hr, respectively were significantly higher than the corresponding values (T3, 0.48; T4, 1.18 mug/24 hr) during the hottest months (May-July). The TSH, and urinary T3 and T4 responses to identical doses of TRH during summer and winter did not differ significantly. Since urinary T3 and T4 indirectly reflect the prevailing unbound serum levels of these hormones, it is likely that the greater availability of free and biologically active thyroid hormones could help the body to adapt to cold by increasing nonshivering thermogenesis.

Adaptation, Physiological

Circadian responsiveness of the hypothalamic-pituitary axis.

Five healthy men 25-38 years old were subjected to simultaneous composite intravenous stimulation tests of insulin hypoglycemia (0.1 U/kg), thyrotropin-releasing hormone (TRH, 100 mug), and luteinizing hormone-releasing hormone (LHRH, 50 mug) at weekly intervals to study the circadian responsiveness of the hypothalamic-adenohypophyseal axis at 0600, 1200, 1800, and 0000 hours. Blood sugar (BS), LH, follicle-stimulating hormone, TSH, prolactin, cortisol (C), growth hormone, and testosterone (T) levels were estimated before and after the administration of drugs. Comparisons were made between basal and delta values (difference between basal and peak or nadir levels) at different tests. Significant circadian variations in BS, GH, C, and, to a lesser extent PRL, responses were observed 0600 h basal and delta BS values were the lowest, delta BS was highest at 0000 h accompanied by maximal hypoglycemic symptoms; the delta values of both C and GH were significantly higher at 0600 h and 0000 h; highest mean delta PRL was observed at 0600; at 1800 h the basal plasma PRL level was maximum but the delta PRL was lowest. Plasma TSH, LH, and FSH responses did not show significant circadian variations. These results suggest that circadian variations are evident when stimuli act through central or hypothalamic mechanisms; however, direct stimulation of the adenohypophysis resulted in indentical responses at different periods tested.

Adult