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Biomedical subjects

R Millar

Publications and source records attributed to R Millar.

At least 37 records · Page 2Linked to original sources

Gonadotropin-releasing hormone gene expression in MDA-MB-231 and ZR-75-1 breast carcinoma cell lines.

The presence of gonadotropin-releasing hormone (GnRH)-binding sites in human breast carcinomas and breast tumor cell lines as well as the demonstration of the inhibitory effects of GnRH analogues on the growth of these cells raised the possibility that GnRH is produced locally by breast tumor cells themselves. Immunoreactive GnRH was shown to be present in acetic acid extracts of cultured MDA-MB-231 and ZR-75-1 breast carcinoma cells. These extracts were separated by high-performance liquid chromatography and were analyzed by means of region-specific antisera with differing GnRH sequence specificities. A peak of GnRH which coeluted with synthetic mammalian GnRH in 2 different high-performance liquid chromatography systems was similarly detected by antisera directed at the NH2 terminus, at the middle portion and at the N and COOH termini together. The GnRH gene is expressed in these breast tumor lines, as determined by S1 nuclease protection assay, oligonucleotide primer extension studies, and polymerase chain reaction amplification of complementary DNA using oligonucleotides. The primer extension studies indicate that several forms of mRNA are present. The predominant form corresponds to the excision of intron I and the use of a start site about 60 bases upstream of intron I as in the human hypothalamus. Less usage is made of other start sites further upstream. Much larger species of mRNA were also present and correspond to the retention of intron I as in human placenta. The demonstration of GnRH gene expression and the presence of immunoreactive GnRH in mammary carcinoma cells known to have GnRH-binding sites and to be affected by GnRH analogues suggests that GnRH may serve an autocrine regulatory role.

Base Sequence↗

Pain-free cutting of split skin grafts by application of a percutaneous local anaesthetic cream.

The use of a novel percutaneous anaesthetic preparation for the pain-free cutting of split skin grafts has been assessed in a series of 80 patients, age range 12 to 96 years. The technique was completely successful in 80% of these cases, with complete analgesia established within one hour of initial application. Duration of anaesthesia was such that pain-free cutting of the skin was possible up to 5 hours after initial application of the preparation. Failures of the technique were largely attributed to a loss of anaesthetic potency in the preparation, application of an inadequate amount to the site or patient anxiety. The use of the percutaneous anaesthetic preparation was found to offer considerable advantages over conventional infiltration anaesthesia for this type of surgery. Several additional surgical applications of percutaneous anaesthesia are also considered.

Administration, Cutaneous↗

Radial forearm flap cover of the elbow joint.

Three clinical cases are presented to illustrate the usefulness of the radial artery forearm flap in the repair of defects over the elbow joint. Incorporation of a segment of vascularized muscle may be indicated where intra-articular infection is present. The secondary defect in the distal forearm was covered by split skin graft and was free of problems in each case.

Aged↗

Exogenous GnRH overrides the endogenous annual reproductive rhythm in green iguanas, Iguana iguana.

Female green iguanas, Iguana iguana, were caught in Belize, Central America (17 degrees N), in December, at the onset of seasonal gonadal activity. The animals were immediately transferred to San Diego (32 degrees N). Ovarian follicular development continued, with peak plasma hormone levels measured in January and February; 200 pg/ml for progesterone (P) and 800 pg/ml for total estrogens (Et = estradiol [E2] + estrone [E1]). E2 was the predominant estrogen throughout the cycle. Follicular atrophy was indicated in April with circulating progesterone and estrogen levels decreasing to baseline (refractory phase) levels (P = 20 pg/ml; Et = 50 pg/ml). Approximately midway through the refractory phase of their annual reproductive cycle (late May), either the D-Arg6 analog of Chicken II or mammalian GnRH was administered via intraperitoneal osmotic pumps for 14 days to nine females. The analog of chicken II induced a fivefold increase in total circulating estrogens within 3-4 days after implantation. Both continuous and pulsatile delivery of the chicken II analog produced a similar pattern of steroidogenic response. A radical sham control animal showed no increase in steroidogenesis. Mammalian GnRH produced a pattern of similar duration, although the magnitude of the steroidogenic response was only half that produced by the chicken II analog. Estrogen titers approached baseline levels in all treatment groups two days after treatment ceased. Progesterone levels increased in all treatment groups during the delivery of exogenous GnRH, although the increases were not consistent. Untreated male cagemates housed with treated females exhibited increased territoriality, courtship behavior, and mating, which began on day 4 or 5 of the treatment period. The control female was not courted by its male cagemate.

Animals↗

Electrical injury of the eye.

A 17-year-old male suffered superficial and deep facial burns after coming into contact with a high tension electrical cable with his head and right side of the face. The right eye sustained severe thermal coagulative injuries and subsequently was enucleated. Histopathological examination showed that the retinal neuropile was relatively intact although the retinal and choroidal circulations were severely compromised. The left eye was less affected but a dense cataract developed and required lensectomy. Visual acuity remained poor in the left eye due to retinal atrophy, retinal vascular attenuation and optic nerve degeneration. Electroretinographic tests and pseudo-random binary stimulus visually evoked responses were useful in predicting the visual outcome.

Adolescent↗

Sustained feeding or fasting affects levels of glucagon (IRG) in porcine plasma, gut and pancreas.

Arterial glucagon levels are elevated in fed pancreatectomised pigs and the source was sought by measuring the hormone in arterial, portal, hepatic and renal venous blood, and in gut tissues. Pigs which were starved for 48 hours (basal) were compared with sham operated or pancreatectomised pigs which were fed or starved for 7 days post operatively. Feeding of sham operated pigs caused a uniform increase in IRG 3485, while starvation resulted in a decreased portal IRG 7000. Pancreatectomy was associated with a uniform decrease in portal IRG 3485 and increase of IRG 7000 regardless of nutritional status. Hepatic and renal extraction of 23-26% was noted in fed animals (IRG 3485 in sham operated; IRG 7000 in pancreatectomised). In all starved pigs, hepatic and renal extraction were reduced to zero. The gastric and caecal mucosa and the pancreas contained most of IRG 3485. Gastric and caecal levels were increased after feeding of either group of animals, while fasting caused a marked increase in pancreatic IRG 3485 and a decrease in ileal IRG 7000. These studies demonstrate a direct effect of sustained nutritional status upon the distribution of glucagon in plasma and gastro intestinal tissues.

Animals↗

Serum ACTH levels in patients with polycystic ovarian disease.

Serum adrenocorticotrophic hormone levels were assayed in 8 patients with polycystic ovaries and a similar number of control subjects. Serum ACTH concentrations were normal in 6 patients and marginally elevated in 1. Investigations of markedly elevated readings in another patient showed this to be due to an interfering factor rather than the ACTH molecule itself.

Adrenocorticotropic Hormone↗

Effects of chicken and mammalian gonadotropin-releasing hormones (GnRH) on in vivo pituitary gonadotropin release in amphibians and reptiles.

The ability of mammalian and chicken gonadotropin-releasing hormones (GnRH) and their agonistic analogs to stimulate in vivo gonadotropin release were tested in a frog (Rana catesbeiana), snake (Naja naja), and turtle (Sternotherus odoratus). In the frog, chicken and mammalian GnRH were equipotent in stimulating the release of FSH and LH. Attendant increases in plasma androgen and the occurrence of spermiation confirmed the release of biologically active gonadotropin. Neither of the GnRH preparations or their agonists produced significant changes in plasma hormones in either of the reptiles. In light of comparable data for the actions of these GnRH preparations in mammals and birds, it appears that species specificity in the response to different GnRHs does not correlate well with the nature of the homologous hypothalamic GnRH molecule.

Animals↗

Correction for deadtime losses in a gamma camera/data analysis system.

In quantitative analyses of dynamic radionuclide studies, using large activities of 99mTc flowing through organs it is necessary to determine accurately count-rate losses and to provide appropriate corrections. A method is described for estimating deadtimes and applying corrections to the observed counting rates using a two component model where the gamma camera is considered to have a purely paralyzable deadtime and the data analysis system a purely non-paralyzable deadtime.

Radionuclide Imaging↗

Cryosurgical ablation of accessory atrioventricular connections: a method for correction of the pre-excitation syndrome.

Cryothermia, a new technique for definitive treatment of the pre-excitation syndrome, is described in two patients. The first patient presented with a normal P-R interval with a delta wave and reciprocating tachycardia. Preoperative electrophysiologic study suggested a free-wall atrioventricular connection on the left posterior atrioventricular (A-V) groove. At surgery, epicardial mapping confirmed the site of pre-excitation on the posterior left ventricular (LV) wall. An electrogram arising from the accessory pathway (AP) was recorded at the site of earliest ventricular activation. Interatrial delay combined with an apparently long accessory pathway to the ventricle caused the P-R interval to appear normal. Local pressure abolished pre-excitation. The site of early ventricular activation was cooled to -60 degrees C with a specially designed cryoprobe. All evidence of pre-excitation and arrhythmias disappeared. The second patient presented with a refractory reciprocating tachycardia and was found to have an AP in the septum capable of only retrograde conduction. Retrograde conduction was abolished by applying a temperature of 0 degrees C to the anulus at this site during tachycardia. Conduction over the AP and reciprocating tachycardia returned with rewarming. Ablation of the AP was obtained by applying a temperature of -60 degrees C for 90 seconds on two occasions to the same area. The His bundle was not injured.

Adult↗

A specific radio-immunoassay for gonadotrophin-releasing hormone.

A specific antiserum has been made to synthetic gonadotrophin-releasing hormone (GnRH) conjugated to keyhole limpet haemocyanin and appears to be directed against amino acids 6-8 of this decapeptide. This has allowed the development of a radio-immunoassay for GnRH sensitive to 5 picograms per tube. Although it is easily measurable in hypothalamic extracts, we have failed to detect GnRH in plasma and urine from normal subjects and menopausal women.

Animals↗

Injuries caused by rubber bullets: a report on 90 patients.

The injuries in 90 patients caused by rubber bullets are described. There was 1 death and 17 people in the series had permanent disabilities or deformities. In 41 patients the injuries necessitated admission to hospital. One fatality outside this series is known. Injuries to the head and neck were frequent and severe.

Abdominal Injuries↗

Burns to infants using walking aids.

Thirty-one burns and scalds to infants using walking aids are recorded. The mechanism of injury and resulting morbidity are described. The need for more rigerous precautions is discussed.

Accidents, Home↗