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1.
BMC Microbiol ; 21(1): 113, 2021 04 15.
Article in English | MEDLINE | ID: mdl-33858327

ABSTRACT

BACKGROUND: Emerging evidence implicates the gut microbiome in liver inflammation and hepatocellular carcinoma (HCC) development. We aimed to characterize the temporal evolution of gut dysbiosis, in relation to the phenotype of systemic and hepatic inflammatory responses leading to HCC development. In the present study, Mdr2 -/- mice were used as a model of inflammation-based HCC. Gut microbiome composition and function, in addition to serum LPS, serum cytokines/chemokines and intrahepatic inflammatory genes were measured throughout the course of liver injury until HCC development. RESULTS: Early stages of liver injury, inflammation and cirrhosis, were characterized by dysbiosis. Microbiome functional pathways pertaining to gut barrier dysfunction were enriched during the initial phase of liver inflammation and cirrhosis, whilst those supporting lipopolysaccharide (LPS) biosynthesis increased as cirrhosis and HCC ensued. In parallel, serum LPS progressively increased during the course of liver injury, corresponding to a shift towards a systemic Th1/Th17 proinflammatory phenotype. Alongside, the intrahepatic inflammatory gene profile transitioned from a proinflammatory phenotype in the initial phases of liver injury to an immunosuppressed one in HCC. In established HCC, a switch in microbiome function from carbohydrate to amino acid metabolism occurred. CONCLUSION: In Mdr2 -/- mice, dysbiosis precedes HCC development, with temporal evolution of microbiome function to support gut barrier dysfunction, LPS biosynthesis, and redirection of energy source utilization. A corresponding shift in systemic and intrahepatic inflammatory responses occurred supporting HCC development. These findings support the notion that gut based therapeutic interventions could be beneficial early in the course of liver disease to halt HCC development.


Subject(s)
Carcinoma, Hepatocellular/complications , Carcinoma, Hepatocellular/microbiology , Dysbiosis/complications , Dysbiosis/immunology , Liver Neoplasms/complications , Liver Neoplasms/microbiology , ATP Binding Cassette Transporter, Subfamily B/genetics , Animals , Carcinoma, Hepatocellular/immunology , Disease Models, Animal , Dysbiosis/microbiology , Gastrointestinal Microbiome/physiology , Inflammation/complications , Inflammation/microbiology , Liver Neoplasms/immunology , Mice , Time , ATP-Binding Cassette Sub-Family B Member 4
2.
Bone ; 59: 151-61, 2014 Feb.
Article in English | MEDLINE | ID: mdl-24269278

ABSTRACT

MEK inhibitors (MEKi) PD0325901 and AZD6244 (Selumetinib) are drugs currently under clinical investigation for cancer treatment, however the Ras-MAPK pathway is also an important mediator of normal bone cell differentiation and function. In this study we examined the effects of these compounds on endochondral processes using both in vitro and in vivo models. Treatment with PD0325901 or AZD6244 significantly increased Runx2 and Alkaline phosphate gene expression in calvarial osteoblasts and decreased TRAP+ cells in induced osteoclast cultures. To test the effects of these drugs on bone healing, C57/Bl6 mice underwent a closed tibial fracture and were treated with PD0325901 or AZD6244 at 10mg/kg/day. Animals were culled at day 10 and at day 21 post-fracture for analysis of the fracture callus and the femoral growth plate in the contralateral leg. MEKi treatment markedly increased cartilage volume in the soft callus at day 10 post-fracture (+60% PD0325901, +20% AZD6244) and continued treatment led to a delay in cartilage remodeling. At the growth plate, we observed an increase in the height of the hypertrophic zone relative to the proliferative zone of +78% in PD0325901 treated mice. Osteoclast surface was significantly decreased both at the terminal end of the growth plate and within the fracture calluses of MEKi treated animals. The mechanistic effects of MEKi on genes encoding cartilage matrix proteins and catabolic enzymes were examined in articular chondrocyte cultures. PD0325901 or AZD6244 led to increased matrix protein expression (Col2a1 and Acan) and decreased expression of catabolic factors (Mmp13 and Adamts-5). Taken together, these data support the hypothesis that MEKi treatment can impact chondrocyte hypertrophy, matrix resorption, and fracture healing. These compounds can also affect bone architecture by expanding the hypertrophic zone of the growth plate and reducing osteoclast surface systemically.


Subject(s)
Benzamides/pharmacology , Benzimidazoles/pharmacology , Diphenylamine/analogs & derivatives , Mitogen-Activated Protein Kinase Kinases/antagonists & inhibitors , Osteogenesis/drug effects , Animals , Bone Marrow Cells/cytology , Bone Marrow Cells/drug effects , Bone Marrow Cells/metabolism , Bony Callus/drug effects , Bony Callus/pathology , Cartilage/drug effects , Cartilage/growth & development , Cell Differentiation/drug effects , Chondrocytes/drug effects , Chondrocytes/metabolism , Chondrocytes/pathology , Diphenylamine/pharmacology , Fracture Healing/drug effects , MAP Kinase Signaling System/drug effects , Mice , Mice, Inbred C57BL , Mitogen-Activated Protein Kinase Kinases/metabolism , Osteoblasts/cytology , Osteoblasts/drug effects , Osteoblasts/enzymology , Osteoclasts/drug effects , Osteoclasts/enzymology , Osteoprotegerin/blood , Protein Kinase Inhibitors/pharmacology , RANK Ligand/blood , Sheep , Skull/cytology , X-Ray Microtomography
3.
Osteoarthritis Cartilage ; 19(7): 874-85, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21619935

ABSTRACT

OBJECTIVES: To investigate the regulation of sclerostin (SOST) in osteoarthritis (OA) and its potential effects on articular cartilage degradation. METHODS: SOST and other Wnt-ß-catenin components were immuno-localised in osteochondral sections of surgically-induced OA in knees of sheep and mice, and human OA samples obtained at arthroplasty. Regulation of SOST mRNA and protein expression by ovine chondrocytes in response to interleukin-1α (IL-1α) or tumour necrosis factor-α (TNFα) was examined in explant cultures. The effect of 25 or 250 ng/ml recombinant SOST alone or in combination with IL-1α, on ovine articular cartilage explant aggrecan degradation, and chondrocyte gene expression of Wnt-ß-catenin pathway proteins, metalloproteinases and their inhibitors, and cartilage matrix proteins was quantified. RESULTS: Contrary to being an osteocyte-specific protein, SOST was expressed by articular chondrocytes, and mRNA levels were upregulated in vitro by IL-1α but not TNFα. Chondrocyte SOST staining was significantly increased only in the focal area of cartilage damage in surgically-induced OA in sheep and mice, as well as end-stage human OA. In contrast, osteocyte SOST was focally decreased in the subchondral bone in sheep OA in association with bone sclerosis. SOST was biologically active in chondrocytes, inhibiting Wnt-ß-catenin signalling and catabolic metalloproteinase [matrix metalloproteinases (MMP) and distintegrin and metalloproteinase with thrombospndin repeats (ADAMTS)] expression, but also decreasing mRNA levels of aggrecan, collagen II and tissue inhibitors of metalloproteinaes (TIMPs). Despite this mixed effect, SOST dose-dependently inhibited IL-1α-stimulated cartilage aggrecanolysis in vitro. CONCLUSIONS: These results implicate SOST in regulating the OA disease processes, but suggest opposing effects by promoting disease-associated subchondral bone sclerosis while inhibiting degradation of cartilage.


Subject(s)
Bone Morphogenetic Proteins/metabolism , Cartilage, Articular/metabolism , Chondrocytes/metabolism , Osteoarthritis, Knee/metabolism , Animals , Cartilage, Articular/drug effects , Cartilage, Articular/pathology , Chondrocytes/drug effects , Humans , Interleukin-1alpha/pharmacology , Intracellular Signaling Peptides and Proteins/metabolism , Mice , Osteoarthritis, Knee/pathology , RNA, Messenger/metabolism , Sheep , Tumor Necrosis Factor-alpha/pharmacology
4.
Sci Total Environ ; 408(6): 1276-85, 2010 Feb 15.
Article in English | MEDLINE | ID: mdl-19878972

ABSTRACT

Platinum-group element (PGE) concentrations in sewage sludge and incinerator ash compared with average PGE concentrations in road dust show a common pattern, characterized by a negative Rh anomaly. This similarity, found at 9 UK incinerators, suggests that there is a universal characteristic PGE pattern produced by common processes of dispersal of Pt, Pd and Rh derived from automobile catalytic converters. Ninety-one sewage sludge and incinerator ash samples from the sewage treatment facilities in Sheffield, Birmingham and 7 other UK cities were analyzed for PGE. The highest concentrations are 602ppb Pt and 710ppb Pd with lower maximum concentrations of 65ppb Rh, 100ppb Ru, 33ppb Ir and 12ppb Os. Ash from incinerated sewage was found to have higher PGE concentrations compared to the original sludge and the PGE ratios are preserved during incineration. Rh is more mobilized and dispersed than the other PGE as it is transported from roads into the drainage system and into sewage. Pt/Pd ratios of 1.0 in road dust and 0.9 in sewage and incinerator ash suggest that Pd is more mobile than Pt during dispersal. PGE abundances in stored incinerator ash of varying ages appear to have been affected by the variation in use of Pt, Pd and Rh in catalytic converters due to variation in their market prices. Concentrations of Os, Ir and Ru in ashes are greater in Sheffield and London than all the other city sites and may be derived from point industrial sources.


Subject(s)
Dust/analysis , Platinum Compounds/analysis , Sewage/chemistry , Drainage, Sanitary , Environmental Monitoring , Incineration , Iridium/analysis , Kinetics , Osmium/analysis , Palladium/analysis , Rhodium/analysis , Ruthenium/analysis , United Kingdom
5.
Sci Total Environ ; 401(1-3): 90-9, 2008 Aug 15.
Article in English | MEDLINE | ID: mdl-18486195

ABSTRACT

The Coisley Hill roundabout, a typical urban source for PGE in stream sediments, has anomalously high values of up to 408 ppb Pt, 444 ppb Pd and 113 ppb Rh in road dust, up to 416 ppb Pt and 278 ppb Pd in gulley sediment and up to 606 ppb Pt and 1050 ppb Pd in verge soil. For samples collected at the same time, the road dust values are much higher than in sediments in the Shire Brook stream, that drains the roundabout, with values of 3-64 ppb Pt, 4-57 ppb Pd and up to 7 ppb Rh. Downstream sediments from rivers Rother and Don have lower values of 2-35 ppb Pt, 2-14 ppb Pd and up to 3 ppb Rh. The Humber estuary values are low with 6-8 ppb Pt, 5-8 ppb Pd and 1-2 ppb Rh. Pt/Pd increases down catchment with Coisley Hill 0.8, Shire Brook 1.0, Trent and Don 1.5 and the Humber estuary 2.0. Pt/Rh and Pd/Rh also increase downstream. Precious metals are generally dispersed away from their vehicle catalytic source and Pd is dispersed more than Pt and Rh but Pt and Pd are re-concentrated in acid mine drainage in the Shire Brook, with concentrations varying with stream flow. Pt and Pd values are slightly elevated at the tidal limit and in mud deposited when the river is in spate. On Coisley Hill, values of 133 ppb Pt and 230 ppb Pd occur in dust from a new road surface (two weeks old when sampled). These are similar to those on much older road surfaces suggesting that Pt and Pd collect and disperse rapidly from roads. Au is low in road dust and higher values in conurbations suggest the presence of more Au sources in urban rather than in rural areas. Au values are not diluted downstream as much as PGE suggesting different processes of dispersion and sedimentation.


Subject(s)
Environmental Monitoring , Environmental Pollutants/analysis , Palladium/analysis , Platinum/analysis , Rhodium/analysis , Rivers/chemistry , Seawater/chemistry , Cities , Ecosystem , Geography , Geologic Sediments/chemistry , Hydrogen-Ion Concentration , Mining , Risk Assessment , Solubility , Time Factors , United Kingdom , Urban Health
6.
Sci Total Environ ; 385(1-3): 117-31, 2007 Oct 15.
Article in English | MEDLINE | ID: mdl-17673280

ABSTRACT

Platinum (Pt) and Palladium (Pd) concentrations have been analysed in 194 samples from within the city of Sheffield in the UK. The samples were taken from road dust, gully pots (also known as drains), soils, a motorway drainage pipe, rivers, lakes, sewage sludge, incinerator ash, incinerator ash in landfill, street cleansers and gully cleansers. The introduction of Pt- and Pd-bearing automobile catalysts, has been cited as the cause of a rise in the concentration of urban Pt and Pd accumulations. Geochemical analyses for the different sample types are used here to show how the Pt and Pd accumulate in different urban environments as they are transported from their catalytic source. Initially Pt and Pd collect in road dust and gully pots at values of up to 450 ppb although most analyses for both elements are around 100 ppb. The four roadside soils analysed, have a great range in values, the highest with a value of over 600 ppb Pt and 1000 ppb Pd. Then the fate of the Pt and Pd is either to be removed by gully flushers and road sweepers (which contain around half the concentration of that in road dust) or to be washed from the roads, through the gully pots, into either the river or urban drainage systems. Due to the addition of terrestrial sediments, river samples contain much reduced values of Pt and Pd, at approximately an order of magnitude lower than in road dust. Similarly, sewage sludge contains Pt and Pd values which are lower than road dust. However, the Pt and Pd analyses are much higher in incinerated sewage (with many samples over 150 ppb for both metals), probably due to the loss of the mass of other material during the incineration process. Weathered incinerator ash in landfill has lower values of Pt and Pd than fresh ash from the incinerator. Although the range in values of Pt and Pd is similar for road dust and gully pot sediments their modal values tell a different story. The mode for Pt is very similar for both road dust and gully pot sediments, at around 100 ppb, whereas there is a drop of 50 ppb in the mode for Pd in the gully pots (from 80 ppb to around 40 ppb). Given that gully pot sediment is derived from road dust, it is suggested that in gully pots, Pd is preferentially mobilized over Pt. Furthermore, a comparison of the modal values of Pt and Pd in river sediments suggests that this process continues into the natural drainage system of the city.


Subject(s)
Environmental Monitoring/methods , Environmental Pollutants/analysis , Palladium/analysis , Platinum/analysis , Urban Health , Sample Size , United Kingdom
7.
Anaesthesia ; 61(2): 190-1; author reply 191, 2006 Feb.
Article in English | MEDLINE | ID: mdl-16430573
8.
J Acoust Soc Am ; 109(6): 2983-7, 2001 Jun.
Article in English | MEDLINE | ID: mdl-11425140

ABSTRACT

In this article an implementation of a vocal tract model and its validation are described. The model uses a transmission line model to calculate pole and zero frequencies for a vocal tract with a closed side-branch such as a sublingual cavity. In the validation study calculated pole and zero frequencies from the model are compared with frequencies estimated using elementary acoustic formulas for a variety of vocal tract configurations.


Subject(s)
Larynx/physiology , Models, Anatomic , Acoustics , Phonetics , Speech/physiology
9.
Heredity (Edinb) ; 87(Pt 5): 530-6, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11869343

ABSTRACT

One hundred and twenty-two AFLP markers were mapped using an IR64 x Azucena rice doubled-haploid (DH) population. The distribution of these mapped markers was monitored across a set of 48 diverse landraces of rice. Strong statistical associations were observed between 960 of the 7381 possible pairs of markers across the diverse material. These 960 strongly associated pairs of markers mapped to the same chromosomes in only 111 cases. The remaining 849 pairs were the result of association between markers found on different chromosomes. More than 21% of these genetically unlinked but strongly associated markers are not randomly distributed across the genome but instead occupy blocks of DNA on different rice chromosomes. Amongst associated blocks, there has clearly been maintenance of combinations of marker alleles across very diverse germplasm. Analyses have also revealed that markers are found in association with performance for each of four quantitative traits in both the diverse landrace material and a DH mapping population. It is proposed that the present data provide strong evidence for the co-adaptation of geographically distinct landraces and that this has resulted over time in the maintenance of 'adaptive gene complexes' involving agronomically important quantitative traits.


Subject(s)
Biological Evolution , Oryza/genetics , Adaptation, Biological/genetics , Genetic Markers , Genome, Plant , Quantitative Trait, Heritable , Synteny
11.
Plant Mol Biol ; 35(1-2): 61-7, 1997 Sep.
Article in English | MEDLINE | ID: mdl-9291960

ABSTRACT

Rice genetic resources, comprising landrace varieties, modern and obsolete varieties, genetic stocks, breeding lines, and the wild rices, are the basis of world food security. The International Rice Genebank at the International Rice Research Institute in the Philippines conserves the largest and most diverse collection of rice germplasm. The facilities of the genebank ensure the long-term preservation of this important diversity. In field research, factors that affect long-term viability of rice seeds have been identified, leading to the introduction of modified practices for germplasm multiplication and regeneration. The value of conserved germplasm can be assessed in terms of useful traits for rice breeding and the economic impact that germplasm utilization has on rice production and productivity. The application of molecular markers is changing perspectives on germplasm management. International policies affecting access to and use of rice germplasm are discussed.


Subject(s)
Conservation of Natural Resources , Databases, Factual , Oryza/genetics , Genetic Variation , International Cooperation , Philippines
12.
SAFE J ; 26(2): 54-61, 1996 Jul.
Article in English | MEDLINE | ID: mdl-11543405

ABSTRACT

Electronic control of the G-valve and pressure breathing regulator is being implemented in some advanced life support systems used in aircrew protection. This technological improvement, however, has not reached its full potential in the research environment. A computer-controlled life support system interface providing programmable schedules for G-suit inflation and positive pressure breathing during +Gz (PBG) was developed. Output pressures from a G-valve and pressure breathing regulator (Carleton Technologies) were controlled by a Macintosh computer running LabVIEW software. Required pressures were determined as functions of single or multiple control inputs (i.e. +Gz level, a pressure signal, time, etc.). Subject safety was ensured via hardware limitations and status checks incorporated into the software. Experiments conducted at +1 Gz and at various +Gz levels evaluated the computer software-life support hardware interface. Open-loop algorithms allowed independent control of multiple regulators using simple (single input) and complex (multiple input with adaptive loop) control structures. The system provided accurate and reproducible G-suit and mask pressures. Time of inflation, peak pressure attained, and deflation rate were effectively controlled at all +Gz levels. The ability to alter the pressure schedules independent of +Gz or time allowed comprehensive control over all parameters necessary to conduct acceleration research involving advanced life support systems.


Subject(s)
Computer Systems , Gravity Suits , Life Support Systems/instrumentation , Positive-Pressure Respiration , Aerospace Medicine , Automation , Aviation , Gravitation , Humans , Hypergravity , Man-Machine Systems , Pressure , Safety , Software , Systems Integration , User-Computer Interface
13.
Am J Obstet Gynecol ; 173(3 Pt 1): 964-5, 1995 Sep.
Article in English | MEDLINE | ID: mdl-7573282

ABSTRACT

Edwardsiella tarda infections are uncommon and have often been reported in association with pet reptiles. The majority of these infections occur as gastrointestinal disorders in immunocompromised hosts. We believe this to be the first reported American case of tuboovarian abscess caused by this organism in an otherwise healthy woman whose only known exposure was to raw seafood. This patient had fever and lower abdominal pain caused by a severe Edwardsiella tarda pelvic abscess that required surgical drainage and intravenous antibiotics for complete recovery.


Subject(s)
Abscess/diagnosis , Enterobacteriaceae Infections , Fallopian Tube Diseases/diagnosis , Ovarian Diseases/diagnosis , Abdominal Pain , Abscess/microbiology , Abscess/surgery , Adult , Anti-Bacterial Agents/therapeutic use , Drainage , Fallopian Tube Diseases/microbiology , Fallopian Tube Diseases/surgery , Female , Humans , Hysterectomy , Ovarian Diseases/microbiology , Ovarian Diseases/surgery , Seafood/microbiology
14.
Heredity (Edinb) ; 74 ( Pt 2): 170-9, 1995 Feb.
Article in English | MEDLINE | ID: mdl-7706109

ABSTRACT

As part of the development of a molecular toolkit for the study of diversity within large plant germplasm collections, RAPD technology has been applied to accessions of rice (Oryza sativa) obtained from the major world collection held at IRRI (the International Rice Research Institute) which supplies germplasm to breeders. Methods for the speedy extraction of DNA representative of a rice accession, its amplification by PCR to reveal reproducible products, and the analysis of the banding data using numerical techniques have been established. The biological meaningfulness of RAPD data has also been demonstrated by reference to previous work on classification and crossability.


Subject(s)
Genetic Variation , Oryza/genetics , Polymerase Chain Reaction/methods , Base Sequence , DNA Primers , Molecular Sequence Data
15.
Theor Appl Genet ; 90(7-8): 1049-55, 1995 Jun.
Article in English | MEDLINE | ID: mdl-24173061

ABSTRACT

A set of accessions of Oryza sativa from the International Rice Research Institute (Philippines) that included known and suspected duplicates as well as closely related germplasm has been subjected to RAPD analysis. The number of primers, the number of polymorphic bands and the total number of bands were determined that will allow the accurate discrimination of these categories of accessions, including the identification of true and suspected duplicates. Two procedures have been described that could be employed on a more general basis for identifying duplicates in genetic resources collections, and further discussion on the values of such activities is presented.

16.
J Acoust Soc Am ; 92(6): 3078-96, 1992 Dec.
Article in English | MEDLINE | ID: mdl-1474223

ABSTRACT

This paper describes two electromagnetic midsagittal articulometer (EMMA) systems that were developed for transducing articulatory movements during speech production. Alternating magnetic fields are generated by transmitter coils that are mounted in an assembly that fits on the head of a speaker. The fields induce alternating voltages in a number of small transducer coils that are attached to articulators in the midline plane, inside and outside the vocal tract. The transducers are connected by fine lead wires to receiver electronics whose output voltages are processed to yield measures of transducer locations as a function of time. Measurement error can arise with this method, because as the articulators move and change shape, the transducers can undergo a varying amount of rotational misalignment with respect to the transmitter axes; both systems are designed to correct for transducer misalignment. For this purpose, one system uses two transmitters and biaxial transducers; the other uses three transmitters and single-axis transducers. The systems have been compared with one another in terms of their performance, human subjects compatibility, and ease of use. Both systems can produce useful midsagittal-plane data on articular movement, and each one has a specific set of advantages and limitations. (Two commercially available systems are also described briefly for comparison purposes). If appropriate experimental controls are used, the three-transmitter system is preferable for practical reasons.


Subject(s)
Electromagnetic Phenomena/instrumentation , Mouth/physiology , Speech/physiology , Biomechanical Phenomena , Equipment Design , Female , Humans , Male , Movement , Transducers
17.
Theor Appl Genet ; 84(1-2): 180-5, 1992 Jun.
Article in English | MEDLINE | ID: mdl-24203045

ABSTRACT

The Endosperm Balance Number (EBN) hypothesis can explain to a considerable degree the crossability between tuber-bearing Solanum species. It has been shown to be genetically controlled and is dosage dependent. There is a good correlation between EBN and the postulated evolution and present taxonomy of potatoes. The primitive white stellate-flowered species from Mexico are 1EBN, and this condition is also found in species from South America with flowers of the same colour and shape. The evolution of a rotate corolla seems to be correlated with 2EBN. It is postulated that the 2EBN state arose as a reproductive isolating mechanism in South America. The taxonomic and evolutionary implications of the EBN hypothesis are discussed.

18.
J Biotechnol ; 17(3): 195-7, 1991 Mar.
Article in English | MEDLINE | ID: mdl-1367096
19.
J Acoust Soc Am ; 84(1): 124-43, 1988 Jul.
Article in English | MEDLINE | ID: mdl-3411040

ABSTRACT

A factor-analytic model, PARAFAC, has been shown to yield highly significant and interpretable results when applied to the analysis of tongue shapes in particular languages. However, the forms of the solutions differ from language to language. A conceptual model that provides an account for cross-language variability in terms of coordinative structures that may vary in a language-specific manner is developed. This model rationalizes both the success of the PARAFAC procedure within languages and the poor cross-language replicability of PARAFAC solutions. We consider methods for quantitatively comparing the results of PARAFAC analyses of data from different languages using data from Icelandic and English as a test case. A cross-language factor solution that accounts for 90% of the variance in tongue position measurements is presented and interpreted in terms of the conceptual model.


Subject(s)
Models, Biological , Speech/physiology , Tongue/physiology , Humans , Mathematics , Phonetics
20.
Obstet Gynecol ; 65(3 Suppl): 7S-10S, 1985 Mar.
Article in English | MEDLINE | ID: mdl-3919350

ABSTRACT

The authors describe a pregnancy complicated by rhesus sensitization and the May-Hegglin anomaly. The principal objective in caring for the patient was prevention of maternal and fetal hemorrhage. Transfusion of type-specific platelets corrected the patient's abnormal bleeding time. Cesarean section resulted in delivery of a healthy, but thrombocytopenic, infant who subsequently was shown to have the May-Hegglin defect.


Subject(s)
Hematologic Diseases/genetics , Pregnancy Complications, Hematologic/therapy , Rh Isoimmunization/therapy , Adult , Amniocentesis , Amniotic Fluid/analysis , Blood Platelets/pathology , Cesarean Section , Female , Humans , Leukocytes/pathology , Pregnancy , Rh Isoimmunization/complications , Thrombocytopenia/genetics , Thrombocytopenia/therapy
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