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Biomedical subjects

R S Mathur

Publications and source records attributed to R S Mathur.

At least 73 records · Page 4Linked to original sources
PubMed1985

Luteinized unruptured follicle syndrome in mild endometriosis. Assessment with biochemical parameters.

Failure to extrude an ovum, with subsequent luteinization of the unruptured follicle (LUF), has been proposed as a cause of infertility in women with mild endometriosis. To assess the incidence of this process we performed laparoscopies in the early luteal phase on 16 women with mild endometriosis and 8 control subjects. Peritoneal fluid was aspirated and a plasma sample obtained concurrently. Estradiol (E2) and progesterone (P) concentrations were determined. A review of the literature suggested that the following hormonal criteria correlated with follicular rupture: fluid E2 greater than or equal to 500 pg/ml, E2 fluid/plasma ratio greater than or equal to 3.1, fluid P greater than or equal to 3,000 ng/dl and P fluid/plasma ratio greater than or equal to 5:1. All control subjects met at least one E2 and one P criterion: 75% met all. In contrast, less than one-third with mild endometriosis met all, and three (19%) met none. Five met only E2 criteria. These findings suggest that LUF occurs occasionally in association with mild endometriosis. Additionally, ovarian steroidogenesis, particularly P secretion, was impaired frequently in the absence of LUF in women with endometriosis.

Ascitic Fluid↗
PubMed1983

Effects of vasoactive intestinal polypeptide upon ovarian steroids, ovum transport and fertility in the rabbit.

The purpose of this study was to determine the effects of infused vasoactive intestinal polypeptide (VIP) upon reproductive function in the female rabbit. Intravenous infusions of VIP (37.5, 75, and 150 pmol/kg per min) induced acute dose-dependent increases in plasma progesterone (P) but not estradiol (E2) or testosterone (T) in estrous rabbits. This P effect was not associated with an increase in plasma prolactin (Prl) and was not altered by pretreatment with a Prl-inhibiting regimen of bromocriptine. In rabbits stimulated to ovulate with 75 IU human chorionic gonadotropin (hCG) and coitus, plasma P and E2 increased, reaching a peak at 180 min following stimulation. VIP (75 pmol/kg per min) infused from 120 to 180 min following the ovulatory stimuli increased this P peak but did not effect E2 levels. This VIP infusion had no effect upon fertility or upon the number of corpora lutea, uterine implants, or viable conceptuses. Infusions of VIP for 60 min at the P peak, and for 240 min at the time of ovulation, had no significant effect upon ovum pickup or the rate of ovum transport. These observations suggest that 1) VIP infusions in rabbits can increase plasma P from both the basal levels of estrus and from the peak levels preceding ovluation. 2) Infusions of VIP at the time of the preovulatory steroid surge or during ovulation have little effect upon fertility or gamete transport in the rabbit. 3) Endogenous VIP may play a role in the regulation of P secretion in the rabbit.

Animals↗
PubMed1983

Langerhans cell and leprosy.

Langerhans cell population was counted in 44 patients of different types of leprosy and compared with 12 normal volunteers. Significant reduction in LC count was observed in cases of LL (253.44 +/- 136.83/mm2) and BL (349.36 +/- 121.67/mm2). Whereas in TT (854.60 +/- 332.01/mm2) and BT (715.76 +/- 235.33/mm2) there was no significant difference, as compared to Normal (927.43 +/- 103.87/mm2). Treatment had no influence on LC population in both the polar types of leprosy. Role of these immunocompetent dendritic cells in the pathogenesis of leprosy is discussed.

Adolescent↗
PubMed1982

Hirsutism and menstrual patterns in women exposed to diethylstilbestrol in utero.

Hirsutism and menstrual patterns were evaluated in 32 female patients with documented diethylstilbestrol (DES) exposure in utero. Nine nonhirsute regularly menstruating and nine consecutive hirsute oligomenorrheic women with no known DES exposure served as controls. Hormone measurements included follicle-stimulating hormone, luteinizing hormone, prolactin, cortisol, testosterone, androstenedione, dehydroepiandrosterone, sex hormone-binding globulin, and estradiol. Hirsutism was present in 72% and irregular menses occurred in 50% of DES-exposed patients. The mean age of the DES-exposed group was 26.8 +/- 0.7 years (mean +/- SEM). The mean age of mildly hirsute DES-exposed patients (24.7 +/- 1.4 years) was significantly lower (p less than 0.05) than that of severely hirsute DES-exposed patients (28.8 +/- 1.1 years). Mean testosterone, androstenedione, sex hormone-binding globulin, testosterone/sex hormone-binding severely hirsute DES-exposed group but higher than in nonhirsute control subjects. Mean testosterone, androstenedione, sex hormone-binding globulin, testosterone/sex hormone-binding globulin, and luteinizing hormone levels in hirsute DES-exposed patients were similar to those in hirsute control subjects but significantly higher than those in nonhirsute control subjects. Mean DHA levels as well as the clitoral indices were comparable in all groups. Our data suggest that DES exposure in utero may result in hypothalamic-pituitary-ovarian dysfunction.

Androstenedione↗
PubMed1982

Plasma gonadotropins, prolactin, and steroid hormone concentrations in female runners immediately after a long-distance run.

Six normally menstruating women who regularly run participated in a 10-mile race. Blood samples were collected within 20 minutes after the completion of the race (group 1). Samples were analyzed, and the results were compared with plasma hormonal concentrations in the same runners in samples collected between 12 and 24 hours after a previous practice run (group 2) and with our nonathletic female controls. Plasma concentrations of the following hormones in group 1 were significantly elevated when compared with group 2: dehydroepiandrosterone (DHA), androstenedione (delta 4A), testosterone (T), cortisol (F), luteinizing hormone (LH), and prolactin (PRL). Levels of 17 beta-estradiol (E2), 17-hydroxyprogesterone (17-OHP), dehydroepiandrosterone sulfate (DHAS), and follicle-stimulating hormone (FSH) were comparable in groups 1 and 2. However, DHAS in group 1 was elevated when compared with controls, as were HDA, delta 4A,T,F,LH, and PRL. In group 1, but not in group 2, a significant correlation (P less than 0.05) was observed between plasma LH and PRL concentrations but not between FSH an PRL. We conclude that the immediate effect of running is reflected in increased levels of the adrenal androgens, F, LH, and PRL. However, concentrations of these hormones revert back to baseline within 12 to 24 hours after the race.

Adolescent↗
PubMed1982

Sex-hormone-binding globulin in clinically hyperandrogenic women: association of plasma concentrations with body weight.

The relationship of sex-hormone-binding globulin (SHBG) with actual body weight (ABW), ideal body weight (IBW), ABW as percentage of the IBW (% IBW), Quetelet index (weight/height2) and plasma concentrations of various androgens and 17 beta-estradiol (E2) were studied in 9 normal and 57 hirsute patients (group 1). In hirsute patients, plasma levels (ng/dl, mean +/- standard error of the mean [SEM]) of testosterone (T; 77 +/- 4), dihydrotestosterone (DHT; 26 +/- 2), androstenedione (delta 4A; 184 +/- 16), and SHBG (0.91 +/- 0.05 micrograms DHT/dl) but not of dehydroepiandrosterone (DHA; 608 +/- 55) and E2 (6.1 +/- 0.1) were significantly different from those in controls. A negative correlation was observed between SHBG and ABW, both in controls (P less than 0.05) and hirsute patients (P less than 0.01). The hirsute patient population was subdivided into two groups: nonobese (group 2; 60 +/- 1 kg; n = 35) and obese (group 3; 96 +/- 2 kg; n = 22). Plasma androgens, T/SHBG (an index of free T) and E2 in groups 2 and 3 (T: 75 +/- 4, 81 +/- 7; DHT: 24 +/- 2, 28 +/- 3; T/SHBG: 85 +/- 7, 105 +/- 11; delta 4A: 203 +/- 13, 155 +/- 16; DHA: 663 +/- 83, 521 +/- 49; E2: 6.1 +/- 1.0, 5.8 +/- 0.9) were similar; yet SHBG in group 3 (0.75 +/- 0.04) was significantly lower than in group 2 (1.0 +/- 0.01). Inverse correlations between SHBG and ABW, % IBW, and ABW/H2 were observed in group 2 but not in group 3. We conclude that a negative relationship exists between SHBG and the body size in nonobese women and that in hirsute patients, obesity leads to a further lowering of SHBG through mechanism(s) probably independent of androgens.

Adolescent↗
PubMed1982

Patterns of periovulatory oviductal motility and progesterone in the unanesthetized rabbit.

Pairs of miniature extraluminal force transducers were chronically implanted on the isthmus of 26 rabbits without disturbing reproductive function. No alterations were noted in the transducer-bearing animals in the numbers of corpora lutea, uterine implants, or viable conceptuses, or in fertility, pregnancy rates, rates of ovum transport, or peripheral plasma levels of progesterone (P) or estradiol (E2). Using these devices, isthmic motility was recorded in 14 unanesthetized rabbits throughout the 72 h following human chorionic gonadotropin injection (hCG) (75 IU) and coitus. This activity was comprised of distinct bursts (B) of intense contractile activity, interspersed with periods (IB) of relative quiescence. Although the basic pattern of B and IB periods persisted throughout this interval, significant changes were noted in the duration of its components. During this period, B durations increased, with all values greater (P less than 0.01) than estrus from 24 h following the ovulatory stimuli. IB durations diminished somewhat at 24 h, but were markedly prolonged at 60 and 72 h. The proportion of time spent in bursting activity was maximal and significantly greater than estrus (P less than 0.01) at 24 h, a time at which ova were retained at the ampullary-isthmic junction. This proportion was minimal, on the other hand, at 60 and 72 h, when ova were moving rapidly through the isthmus and uterotubal junction. Plasma P surged from estrus to a peak at 6 h, fell until 24 h, and gradually increased through 72 h. All post-stimulus P values were greater (P less than 0.01) than at estrus. The B and IB durations at 72 h were both positively correlated with the P levels at 6 h. These findings suggest the importance of specific patterns of isthmic motility in ovum transport and of P in its regulation.

Animals↗
PubMed1982

Quantitative evaluation of the interrelationship of certain endocrine glands of Hemiechinus auritus collaris (Gray) during the reproductive cycle.

The paper deals with the alterations in the size and functions of the endocrine glands in relation to the reproductive and the seasonal sexual activity of the male hedgehog. Results show that the seasonal variations in body weight, testis, adrenal and the thyroid follow the general pattern of most of the hibernating mammals. Histometric measurements of the seminiferous tubule, Leydig's cells, thyroid follicles and the thyroid follicular epithelial cells also present an interrelationship in the seasonal cyclical activity with each other. This indicates that in Hemiechinus hormones fluctuate during the summer and winter months of the year or one can say that they are regulated seasonally thereby affecting the seasonal pattern of breeding. It has also been proposed that the cyclic activity of the endocrine glands is partly correlated with the hibernation of the animal and partly with the increased metabolic activity of the body incidental to the events of the annual cycle.

Adrenal Glands↗
PubMed1981

Plasma androgens and sex hormone-binding globulin in the evaluation of hirsute females.

Hirsutism is usually associated with increased testosterone (T) production and metabolic clearance rates. Considerable overlap of plasma T occurs between hirsute and normal groups. Plasma levels of sex hormone-binding globulin (SHBG) and the factor T/SHBG might separate hirsute patients from normal subjects better than plasma T. A group of 39 hirsute females and 22 normal ovulatory control subjects were studied. Plasma T, androstenedione, and dehydroepiandrosterone were measured by radioimmunoassay; apparent free T (AFT) by equilibrium dialysis; and SHGBG by a method based on saturating the binding sites by labeled dihydrotestosterone. Mean levels of androgens and SHBG of the hirsute patients were significantly different from those of the normal subjects (P less than 0.01). Positive linear correlations were observed between T and AFT, T/SHBG and AFT, and T/SHBG and T; a negative correlation was observed between T/SHBG and SHBG, but no correlation was observed between SHBG and T or AFT. Thirty (77%) of the patients had elevated T/SHBG factors and 28 (72%) had suppressed SHBG levels. Only two patients (5%) had hirsutism associated with normal levels of androgens, SHBG, and T/SHBG. We conclude that SHBG and the factor T/SHBG separate the hirsute population better than any of the androgens studied.

Androgens↗
PubMed1981

Plasma androgens, 17 beta-estradiol, and sex hormone-binding globulin in patients with hirsutism and/or clitoromegaly.

Plasma androgen, 17 beta-estradiol, and sex hormone-binding globulin (SHBG) levels were measured in 11 normal subjects (group 1), 18 hirsute patients with no clitoromegaly (group 2), 13 hirsute patients with clitoromegaly (group 3), and 8 patients with clitoromegaly but no hirsutism (group 4). Significantly elevated levels of testosterone (T) and dihydrotestosterone (DHT) were found in groups 2 and 3 but not in group 4 when compared with group 1. In contrast, levels of dehydroepiandrosterone (DHEA) in groups 1 and 2 were comparable but significantly lower than those in group 3 and 4; the levels in the latter two groups were not significantly different from each other. In groups 2, 3, and 4, levels of androstenedione (delta 4A) and the factor T/SHBG were significantly elevated whereas SHBG levels were significantly suppressed when compared with those of group 1. The clitoral index correlated (P less than 0.01) with DHEA levels in group 3. It is concluded that clitoromegaly without hirsutism is associated with increased plasma levels of DHEA and delta 4A. In contrast, hirsutism without clitoromegaly is associated with elevated levels of T, DHT, and delta 4A but normal DHEA levels.

Adolescent↗
PubMed1981

Female runners and secondary amenorrhea: correlation with age, parity, mileage, and plasma hormonal and sex-hormone-binding globulin concentrations.

Twenty-three white women, ages 18 to 42, with normal menses prior to running were studied. Miles per week varied from 10 to 70 for a period of 1 to more than 10 years. Of these, 6 were amenorrheic (AM), 14 had regular cycles (REG), and 3 with regular cycles became amenorrheic during the course of this study. The incidence of amenorrhea was higher in those less than 30 years of age (66.6%) than in the older group (9.0%); in those who ran 40 miles/week or less (37.5%) than in those who ran more (26.6%); and in the nulliparous (46.6%) than in the parous runners (25.0%). The age of menarche was significantly higher in the AM (13.8 +/- 0.5 years) than in the REG (12.2 +/- 0.3 years). Blood samples were collected between 12 and 24 hours after the last run for hormonal and sex-hormone-binding globulin (SHBG) measurements. Plasma estradiol (E2), SHBG, and LH were significantly lower in the AM than in the REG group. Furthermore, E2, LH, and prolactin were significantly lower in the AM group than in the control group. These results suggest that the incidence of secondary amenorrhea is higher in younger, nulliparous female runners and may be related to delayed onset of menarche.

Adipose Tissue↗
PubMed1980

XY gonadal dysgenesis in three siblings.

Three tall, phenotypic female siblings with XY gonadal dysgenesis were found to have short fourth metacarpal bones (bilateral in two and unilateral in the other). Clitoromegaly was observed in the two older siblings, without hirsutism. Bilateral streak gonads were found in all three. A gonadoblastoma was present in the left streak gonad of the youngest, and an adenomatoid tumor in the left streak gonad of the oldest, who was diabetic. Determination of androgens from peripheral and gonadal venous plasma revealed androgen secretion by the streak gonads. On the basis of clinical findings, familial tendency, and androgen secretion from the streak gonads in these patients, it is proposed that the XY gonadal dysgenesis represents a severe form of male pseudohermaphroditism.

Adenoma↗