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1.
J Phys Condens Matter ; 32(8): 085601, 2020 Feb 20.
Article in English | MEDLINE | ID: mdl-31689696

ABSTRACT

We have investigated the superconducting state of HfIrSi using magnetization, specific heat, muon spin rotation and relaxation ([Formula: see text]SR) measurements. Superconductivity was observed at [Formula: see text] K in both specific heat and magnetization measurements. From an analysis of the transverse-field [Formula: see text]SR data, it is clear that the temperature variation of superfluid density is well fitted by an isotropic Bardeen-Cooper-Schrieffer (BCS) type s-wave gap structure. The superconducting carrier density [Formula: see text] m-3, the magnetic penetration depth, [Formula: see text] nm, and the effective mass, [Formula: see text], were calculated from the TF-[Formula: see text]SR data. Zero-field [Formula: see text]SR data for HfIrSi reveal the absence of any spontaneous magnetic moments below [Formula: see text], indicating that time-reversal symmetry (TRS) is preserved in the superconducting state of HfIrSi. Theoretical investigations suggest that the Hf and Ir atoms hybridize strongly along the c-axis, and that this is responsible for the strong three-dimensionality of this system which screens the Coulomb interaction. As a result, despite the presence of d-electrons in HfIrSi, these correlation effects are weakened, making the electron-phonon coupling more important.

2.
Oncogene ; 36(46): 6462-6471, 2017 11 16.
Article in English | MEDLINE | ID: mdl-28759039

ABSTRACT

Obesity is associated with an increase in cancer-specific mortality in women with breast cancer. Elevated cholesterol, particularly low-density lipoprotein cholesterol (LDL-C), is frequently seen in obese women. Here, we aimed to determine the importance of elevated circulating LDL, and LDL receptor (LDLR) expression in tumor cells, on the growth of breast cancer using mouse models of hyperlipidemia. We describe two novel immunodeficient mouse models of hyperlipidemia (Rag1-/-/LDLR-/- and Rag1-/-/ApoE (apolipoprotein E)-/- mice) in addition to established immunocompetent LDLR-/- and ApoE-/- mice. The mice were used to study the effects of elevated LDL-C in human triple-negative (MDA-MB-231) and mouse Her2/Neu-overexpressing (MCNeuA) breast cancers. Tumors derived from MCNeuA and MDA-MB-231 cells had high LDLR expression and formed larger tumors in mice with high circulating LDL-C concentrations than in mice with lower LDL-C. Silencing the LDLR in the tumor cells led to decreased growth of Her2/Neu-overexpressing tumors in LDLR-/- and ApoE-/- mice, with increased Caspase 3 cleavage. Additionally, in vitro, silencing the LDLR led to decreased cell survival in serum-starved conditions, associated with Caspase 3 cleavage. Examining publically available human data sets, we found that high LDLR expression in human breast cancers was associated with decreased recurrence-free survival, particularly in patients treated with systemic therapies. Overall, our results highlight the importance of the LDLR in the growth of triple-negative and HER2-overexpressing breast cancers in the setting of elevated circulating LDL-C, which may be important contributing factors to the increased recurrence and mortality in obese women with breast cancer.


Subject(s)
Cholesterol, LDL/metabolism , Hyperlipidemias/metabolism , Mammary Neoplasms, Experimental/metabolism , Receptors, LDL/metabolism , Triple Negative Breast Neoplasms/metabolism , Animals , Apolipoproteins E/genetics , Apolipoproteins E/metabolism , Blotting, Western , Cell Line, Tumor , Cell Survival/genetics , Cholesterol, LDL/blood , Disease Models, Animal , Disease Progression , Female , Humans , Hyperlipidemias/blood , Hyperlipidemias/genetics , Kaplan-Meier Estimate , MCF-7 Cells , Mammary Neoplasms, Experimental/genetics , Mammary Neoplasms, Experimental/pathology , Mice, Knockout , Receptor, ErbB-2/genetics , Receptor, ErbB-2/metabolism , Receptors, LDL/genetics , Triple Negative Breast Neoplasms/genetics , Triple Negative Breast Neoplasms/pathology
3.
Phys Rev Lett ; 110(15): 157205, 2013 Apr 12.
Article in English | MEDLINE | ID: mdl-25167306

ABSTRACT

We have succeeded in synthesizing single crystals of a new organic radical 3-Cl-4-F-V [3-(3-chloro-4-fluorophenyl)-1,5-diphenylverdazyl]. Through the ab initio molecular orbital calculation and the analysis of the magnetic properties, this compound was confirmed to be the first experimental realization of an S=1/2 spin-ladder system with ferromagnetic leg interactions. The field-temperature phase diagram indicated that the ground state is situated very close to the quantum critical point. Furthermore, we found an unexpected field-induced successive phase transition, which possibly originates from the interplay of low dimensionality and frustration.

4.
Int J Food Microbiol ; 71(1): 75-86, 2001 Dec 04.
Article in English | MEDLINE | ID: mdl-11764895

ABSTRACT

The partial sequences of the mitochondrial (mt) cytochrome b gene (402 bp) were determined for species of Aspergillus section Flavi. On the basis of identities of DNA sequences, 77 strains were divided into seven DNA types, from D-1 to D-7. The type strains of A. sojae, A. parasiticus, A. flavus and A. oryzae together, A. tamarii, and A. nomius were placed in DNA types D-1. D-2, D-4, D-5 and D-7, respectively. These species could be differentiated from each other. Furthermore, two other DNA types, D-3 and D-6 were found. DNA type D-3 was closely related to A. parasiticus (D-2) and included one strain that deposited as A. flatus var. flavus and produced aflatoxins B and G. DNA types D-6 included one strain named A. flavus and closely related to A. tamarii. The observations of conidial wall texture by SEM (Scanning Electron Microscopy) supported the relationships derived from the cytochrome b gene. The production of aflatoxins was also examined. Using the DNA sequence of cytochrome b gene, several strains were reidentified. The derived amino acids sequences were all the same in the studied strains. The mt cytochrome b gene is useful and reliable in distinguishing and identifying the species in Aspergillus section Flavi.


Subject(s)
Aspergillus/classification , Aspergillus/genetics , Cytochrome b Group/genetics , Amino Acid Sequence , Aspergillus/ultrastructure , Base Sequence , DNA, Fungal/genetics , Microscopy, Electron, Scanning , Mitochondria , Molecular Sequence Data , Phylogeny , Polymerase Chain Reaction/methods
5.
Gerontology ; 46(1): 17-21, 2000.
Article in English | MEDLINE | ID: mdl-11111224

ABSTRACT

BACKGROUND: Information on steroid receptor content in endometrial tissue of aging women is limited and somewhat controversial. The high incidence of endometrial cancer (EC) and the implication of hormone replacement therapy (HRT) in this group prompted the investigation of steroid receptors and endometrial cancer histology in the elderly. OBJECTIVE: Review of histologic characteristics correlated with estrogen and progesterone receptors (ER and PR) status in EC in women over 75 years of age in order to determine the prevalence of a more aggressive endometrial neoplasm arising in late postmenopausal atrophic endometrium of elderly patients. METHODS: Histologic slides and deeper sections stained immunohistologically for ER/PR from 54 cases of EC in women aged 75-95 years were reviewed. The histologic characteristics and degree of differentiation were correlated with the steroid receptor status, evaluated on a scale of 0-3. Benign endometrial tissue from women of the same group was used as controls. RESULTS: The 57.4% endometrioid adenocarcinomas were mostly moderately and poorly differentiated. The nonendometrioid carcinomas were anaplastic, papillary, clear cell, squamous cell, mixed müllerian and nongestational choriocarcinoma. The staining intensity for ER/PR decreased with the degree of dedifferentiation being weak or absent in nonendometrioid tumors. CONCLUSION: Elderly patients have less differentiated EC displaying histologically nonendometrioid patterns ('alienation') with no differential loss of receptors in cancer. ER/PR are partly preserved in endometrioid tumors and controls. We conclude that differential loss of receptor capacity is not a factor in pathogenesis of this age-related cancer.


Subject(s)
Endometrial Neoplasms/metabolism , Endometrial Neoplasms/pathology , Receptors, Estrogen/metabolism , Receptors, Progesterone/metabolism , Aged , Aged, 80 and over , Endometrial Neoplasms/epidemiology , Endometrium/metabolism , Endometrium/pathology , Female , Humans , Reference Values
7.
Am J Reprod Immunol ; 41(5): 337-42, 1999 May.
Article in English | MEDLINE | ID: mdl-10378029

ABSTRACT

PROBLEM: The maternal local immune responses in unexplained recurrent spontaneous abortion (RSA) are not yet well known. Maternal peripheral and decidual natural killer (NK) cells were evaluated in RSA with normal chromosomal content. METHOD OF STUDY: Maternal peripheral blood, villous trophoblast, and decidua were taken from 15 normal pregnancies and 9 RSA patients with normal chromosomes. The NK cells in decidual lymphocytes were evaluated by flow cytometry using monoclonal antibodies for CD56, CD16, and CD3. RESULTS: The percentages of CD56+ CD16- CD3- cells in decidual lymphocytes in RSA were lower than in normal pregnancies (P < 0.002). The CD56+CD16+/CD56+CD16- cells ratio in RSA was higher than in normal pregnancies (P < 0.02). CONCLUSION: The lower percentages of CD56+CD16-CD3- cells in RSA cases may show an inappropriate accumulation of NK cells in the decidua, and this finding may be a factor involved in RSA.


Subject(s)
Abortion, Habitual/immunology , Abortion, Spontaneous/immunology , Decidua/immunology , Killer Cells, Natural/immunology , Adult , CD3 Complex/analysis , CD56 Antigen/analysis , Female , Humans , Pregnancy , Receptors, IgG/analysis
8.
Menopause ; 6(2): 129-33, 1999.
Article in English | MEDLINE | ID: mdl-10374219

ABSTRACT

OBJECTIVE: The alveolar processes of the maxilla and mandible provide the bony framework for tooth support. Osteoporotic changes of these bones may directly affect tooth stability and retention. This report reviews studies that have evaluated the relationship between systemic osteoporosis and oral alveolar bone mass as well as the effect of estrogen use on oral alveolar bone and tooth retention. DESIGN: Ten years (1989-1998) literature review. RESULTS: Studies reviewed demonstrate a positive correlation between systemic bone mass and systemic osteoporosis to oral bone resorption. Estrogen replacement therapy affects oral bone in a manner similar to the way it affects other sites. CONCLUSIONS: It is evident that postmenopausal estrogen users may retain more teeth after menopause. Sustained oral health and better tooth retention are potentially additional benefits for hormone replacement therapy users after menopause.


Subject(s)
Alveolar Bone Loss/etiology , Estrogen Replacement Therapy/methods , Estrogens/deficiency , Osteoporosis, Postmenopausal/complications , Aged , Alveolar Bone Loss/drug therapy , Female , Humans , Mandibular Diseases/drug therapy , Mandibular Diseases/etiology , Maxillary Diseases/drug therapy , Maxillary Diseases/etiology , Menopause , Middle Aged , Osteoporosis, Postmenopausal/drug therapy , Prognosis
9.
Clin Exp Immunol ; 116(3): 449-52, 1999 Jun.
Article in English | MEDLINE | ID: mdl-10361233

ABSTRACT

In order to study the mechanism of abortion, the proportions of NK cells in the peripheral blood and decidual lymphocytes were evaluated in both chromosomally normal and abnormal missed abortions. In normal pregnancy, CD56+16-3- NK cells are a major element of decidual lymphocytes. The percentages of CD56+16-3-NK cells of peripheral lymphocytes in normal pregnancies were not statistically significantly different from those of chromosomally normal and abnormal abortions. In the decidua, the percentages of CD56+16-3- NK cells of decidual lymphocytes showed no statistically significant differences between normal pregnancies and chromosomally abnormal abortions. However, the percentages of CD56+16-3-NK cells of chromosomally normal abortions were lower than those of chromosomally abnormal (P = 0.0025). Moreover, the percentages of CD56+16- NK cells in abortions with normal chromosomes were lower than those in normal pregnancies or abortions with abnormal chromosomes (P = 0.0037, P = 0.0025). However, when the proportion of CD56+ NK cells expressing CD16 was evaluated, there were no statistically significant differences in the percentages of CD56+16+ NK cells in normal pregnancies and missed abortions with normal chromosomes and abnormal chromosomes. We conclude that the expression of decidual CD56+16-3- NK cells in missed abortions with normal chromosomes is different from abortions with abnormal chromosomes and that this phenomenon may depend on an abnormal immune response of the maternal side.


Subject(s)
Abortion, Missed/genetics , Abortion, Missed/immunology , Chromosome Aberrations , Decidua/immunology , Killer Cells, Natural/immunology , Abortion, Missed/pathology , Adolescent , Adult , CD56 Antigen/metabolism , Decidua/pathology , Female , Flow Cytometry , Humans , Killer Cells, Natural/pathology , Pregnancy
10.
Am J Reprod Immunol ; 42(6): 355-60, 1999 Dec.
Article in English | MEDLINE | ID: mdl-10622465

ABSTRACT

PROBLEM: The present study investigated the proportion of CD56+3+ T cells in maternal peripheral and decidual lymphocytes in normal pregnancy and spontaneous abortion with and without history of recurrent spontaneous abortion (RSA). METHOD OF STUDY: Maternal peripheral blood and decidua were taken from normal pregnancies and missed abortions with and without RSA. Decidual lymphocytes were prepared from decidual tissue and analyzed by flow cytometry. RESULTS: In normal pregnancy, the percentages of CD56+3+ T cells in decidual lymphocytes did not differ from those in the peripheral blood. However, the proportion of CD56+3+ T cells in decidual CD3+ T cells increased higher than that in the peripheral CD3+ T cells. The percentages of decidual CD56+3+ T cells in missed abortions with and without RSA were lower than those in normal pregnancies. CONCLUSION: CD56+3+ T cells may play a role in the maintenance of pregnancy. The phenomenon, where the proportion of CD56+3+ T cells in decidual lymphocytes decreases, may be due to an immunologic event leading to missed abortion.


Subject(s)
Abortion, Habitual/immunology , Abortion, Spontaneous/immunology , CD3 Complex , CD56 Antigen , Decidua/cytology , T-Lymphocytes/cytology , Abortion, Habitual/blood , Abortion, Spontaneous/blood , Female , Humans , Leukocytes, Mononuclear/cytology , Lymphocyte Count , Pregnancy , T-Lymphocytes/immunology
11.
Nihon Rinsho Meneki Gakkai Kaishi ; 21(5): 191-7, 1998 Dec.
Article in English | MEDLINE | ID: mdl-11155591

ABSTRACT

BACKGROUND: The role of anti-endothelial cell antibody (AECA) in systemic vasculitis has been reported. One candidate which may disrupt vascular function is AECA. In order to investigate the role of AECA in preeclampsia, the incidence of AECA positive patients, the characteristics of the clinical findings of AECA positive patients and also the cytotoxicity of AECA positive serum for cultured endothelial cells was studied. METHODS: Serum samples were taken from 57 preeclampsia (including 37 severe cases) and 46 normal pregnant women. The AECA were measured by ELISA using human umbilical vein endothelial cells. The cytotoxicity for cultured endothelial cells by test serum was measured by using 51Cr release assay. RESULTS: The incidence of IgG and IgM AECA were revealed in 26.3% and 10.5% of preeclampsia respectively. AECA was detected more frequently in severe (29.7%) than in mild preeclampsia (20.0%). In cases with severe proteinuria of greater than 200 mg/dl we detected a significantly higher incidence of AECA than in mild cases (p < 0.04). The incidence of AECA was not significantly increased in cases with severe hypertension or IUGR. The AECA positive sera had greater cytotoxic activity on endothelial cells than AECA negative sera (p < 0.03). CONCLUSIONS: The appearance of AECA is related to the severity of proteinuria and the cytotoxicity to endothelial cells by AECA positive sera may play a role in causing the endothelial damage in preeclampsia.


Subject(s)
Autoantibodies/immunology , Cytotoxicity, Immunologic/immunology , Endothelium, Vascular/immunology , Immunoglobulin G/immunology , Immunoglobulin M/immunology , Pre-Eclampsia/immunology , Adult , Autoantibodies/blood , Cells, Cultured , Endothelium, Vascular/cytology , Endothelium, Vascular/pathology , Female , Humans , Immunoglobulin G/blood , Immunoglobulin M/blood , Pre-Eclampsia/pathology , Pregnancy , Proteinuria , Severity of Illness Index
12.
Jpn J Pharmacol ; 72(3): 223-9, 1996 Nov.
Article in English | MEDLINE | ID: mdl-8957683

ABSTRACT

The peripheral capsaicin-sensitive afferent nerve has been reported to play an important role in gastroprotection and to release a calcitonin gene-related peptide (CGRP). We developed a new chemiluminescent enzyme immunoassay (CLEIA) for CGRP and measured capsaicin-induced CGRP release from the isolated and inverted rat stomach. The basal CGRP release from the stomach was 0.40 +/- 0.02 pg/mg wet weight in a 30-min incubation. Capsaicin (1 x 10(-8)-1 x 10(-5) M) stimulated CGRP release in a concentration-dependent manner. In the stomach from rats with defunctionalization of afferent neurons, the levels of the basal and capsaicin-induced CGRP release were below the limit of detection. On the other hand, the capsaicin-induced CGRP release was not blocked by tetrodotoxin treatment. The gangliosym-pathectomy abolished the increase in the CGRP levels. However, the capsaicin-induced CGRP release was not affected by pretreatment with 6-hydroxydopamine, a neurotoxin that causes a complete degeneration of adrenergic nerve terminals. In conclusion, the CLEIA system may be useful for detecting the released CGRP and studying the activity of capsaicin-sensitive nerves, particularly the CGRP-containing nerves. Our results also confirmed that although the CGRP-containing nerve runs in the sympathetic nerve trunk, the activity of the nerve is not affected by adrenergic nerves, and the capsaicin-induced CGRP release may be attributable to the tetrodotoxin-resistant component.


Subject(s)
Calcitonin Gene-Related Peptide/biosynthesis , Capsaicin/pharmacology , Neurons, Afferent/drug effects , Stomach/drug effects , Adrenergic Agents/pharmacology , Analysis of Variance , Animals , Dose-Response Relationship, Drug , Gastric Mucosa/drug effects , Gastric Mucosa/innervation , Gastric Mucosa/metabolism , Immunoenzyme Techniques , Male , Neurons, Afferent/physiology , Oxidopamine/pharmacology , Rabbits , Rats , Rats, Sprague-Dawley , Stomach/innervation , Sympathetic Nervous System/drug effects , Tetrodotoxin/pharmacology
13.
Jpn J Pharmacol ; 69(1): 53-60, 1995 Sep.
Article in English | MEDLINE | ID: mdl-8847832

ABSTRACT

In the present study, we investigated the hypocholesterolemic effect of F-1394 ((1s,2s)-2-[3-(2,2-dimethylpropyl)-3-nonylureido]aminocycloh exane-1-yl 3-[N-(2,2,5,5-tetramethyl-1,3-dioxane-4-carbonyl)amino] propionate), a potent and selective inhibitor of acyl-CoA:cholesterol acyltransferase (ACAT), and the effect on cholesterol absorption via the gut in rats fed a 1% cholesterol diet. Single administration of F-1394 to the cholesterol diet-fed rats at the doses of 3-30 mg/kg, p.o. decreased the serum cholesterol levels by 16-54% 3 hr after the administration. The ACAT activity in the small intestinal mucosa of the rats given orally F-1394 (30 mg/kg) was significantly inhibited 3 hr after the administration. The hypocholesterolemic action of F-1394 had a faster onset than that of DL-melinamide or CL-277,083. The study by the dual isotope ratio method showed that F-1394 (30 mg/kg, p.o.) significantly suppressed the dietary cholesterol absorption. Furthermore, in the determination of cholesterol absorption by using 14C-cholesterol as the oral tracer, the administration of F-1394 (30 mg/kg, p.o.) 1 or 2 hr before or immediately after the application of the oral tracer significantly prevented the appearance of the radioactivity in the circulation by around 90%. These results indicate that oral administration of F-1394 inhibits the ACAT activity in the small intestinal mucosa and subsequently contributes much to the prevention of cholesterol absorption via the gut, resulting in the decrease in serum cholesterol levels in the cholesterol diet-fed rats. Furthermore, the effect of F-1394 appears immediately after its administration in contrast to that of DL-melinamide or CL-277,082.


Subject(s)
Cholesterol/blood , Cyclohexanes/pharmacology , Dioxanes/pharmacology , Enzyme Inhibitors/pharmacology , Administration, Oral , Animals , Diet , Male , Rats , Rats, Sprague-Dawley , Time Factors
16.
Yakugaku Zasshi ; 115(1): 52-61, 1995 Jan.
Article in Japanese | MEDLINE | ID: mdl-7699581

ABSTRACT

F-0401 is a newly synthesized dihydropyridine derivative with both antagonistic activity on platelet-activating factor (PAF) and inhibitory action on thromboxane A2(TXA2) synthetase activity. In the present study, we examined the effects of F-0401 on platelet aggregations in vitro and ex vivo in rabbits. F-0401 prevented PAF-, arachidonic acid (AA)- and collagen-induced platelet aggregations in vitro, but did not prevent the aggregation by ADP. The inhibitory effect of F-0401 on the aggregation by PAF (IC50 value: 3.4 x 10(-6) M) or by the threshold amount of AA (IC50 value: 4.3 x 10(-6) M) had the same potency as that of CV-3988 (a PAF antagonist) and ozagrel a (TXA2 synthetase inhibitor). Ex vivo studies also revealed that the anti-aggregatory effect occurred 1 h after the treatment of F-0401 (> 10 mg/kg, p.o.) and this effect had a tendency to last for 6 h. Nicardipine prevented the platelet aggregation only by PAF (IC50 value: 6.6 x 10(-5) M) in vitro. However, the preventive effect was not seen ex vivo. On the other hand, neither nifedipine nor flunarizine showed any effect on the stimulant-induced platelet aggregation in rabbits. These results suggest that F-0401 has anti-aggregatory action, which is attributable to both PAF antagonistic action and TXA2 synthetase inhibition in vitro and ex vivo.


Subject(s)
Dihydropyridines/pharmacology , Platelet Aggregation Inhibitors/pharmacology , Animals , Cells, Cultured , Male , Platelet Activating Factor/antagonists & inhibitors , Rabbits , Thromboxane A2/antagonists & inhibitors
17.
Obstet Gynecol Clin North Am ; 21(3): 433-44, 1994 Sep.
Article in English | MEDLINE | ID: mdl-7816404

ABSTRACT

As mammals, we define our biologic class by the function of the breast in nourishing our young. As obstetricians, we seek to enhance or diminish function; as gynecologists, the appearance of inappropriate lactation (galactorrhea) may signify serious disease. In this article, development, differentiation, and functional anatomy of the breast is discussed. The hormonal interactions responsible for these events and the physiologic function of this vital reproductive organ during the life cycle of the woman is emphasized.


Subject(s)
Breast/anatomy & histology , Breast/physiology , Female , Humans , Lactation/physiology , Menopause/physiology , Menstrual Cycle/physiology , Pregnancy/physiology
19.
Am J Reprod Immunol ; 31(2-3): 65-8, 1994.
Article in English | MEDLINE | ID: mdl-8049026

ABSTRACT

PROBLEM: The presence of antiphospholipid antibodies lupus anticoagulant (LAC), anticardiolipin antibody (ACA) as well as antinuclear antibody (ANA) has been associated with early spontaneous pregnancy loss and adverse pregnancy outcome. The purpose of this study was to investigate the possible role of autoimmune antibodies (LAC, ACA, and ANA) as a cause of implantation failure following embryo transfer (ET) after in vitro fertilization (IVF). METHOD: Three groups were studied: Group I, 56 patients who failed to conceive following ET; group II, 14 patients who have conceived following IVF-ET and delivered or are carrying an uncomplicated ongoing pregnancy; and group III, 69 patients who were new candidates for IVF-ET. RESULTS: Eighteen out of 56 (32.1%) of patients who failed to conceive following previous IVF-ET cycle (group I) tested positive for one or more of the autoimmune antibodies. None of the 14 patients of group II tested positive for autoimmune antibodies (P < .02). Seven out of the 69 patients (10%) of group III were found positive to one or more of the autoimmune factor. This rate is significantly lower than the rate of positive autoimmune antibodies detected in group I (P < .003). Fifteen patients of the 18 who tested positive for autoimmune antibodies and who had previously failed to conceive following ET underwent a subsequent IVF-ET cycle while being treated with prednisone and aspirin. Seven out of the 15 (46.6%) conceived and were able to sustain a clinical ongoing pregnancy. CONCLUSIONS: Patients receiving ET are carrying viable embryos within the intrauterine environment. Therefore, in this unique group of patients, failure to demonstrate a positive pregnancy test represents an implantation failure or a very early postimplantation loss. The results of this study suggest that periimplantation events may be affected by autoimmune antibodies. Very early miscarriage or implantation failure may be related to the same pathophysiological mechanism that causes recurrent miscarriages and is diagnosed incorrectly as infertility.


Subject(s)
Autoantibodies/immunology , Embryo Transfer , Adult , Antibodies, Antinuclear/immunology , Female , Fertilization in Vitro , Humans , Lupus Coagulation Inhibitor/immunology
20.
Am J Obstet Gynecol ; 170(3): 835-7, 1994 Mar.
Article in English | MEDLINE | ID: mdl-8141212

ABSTRACT

OBJECTIVE: Sjögren's syndrome is a chronic, inflammatory autoimmune disease in which the salivary and lacrimal glands are progressively destroyed by lymphocytes and plasma cells. Because women are affected 10 times more often than men, we studied gynecologic manifestations of Sjögren's syndrome. STUDY DESIGN: One thousand questionnaires were sent to women with Sjögren's syndrome in New York, New Jersey, Connecticut, and Pennsylvania. Five hundred thirty-nine women responded. RESULTS: Women with Sjögren's syndrome reported significant vaginal dryness. There was no relationship of Sjögren's syndrome to either the incidence of infertility or miscarriage, although the 4% incidence of congenital anomalies in offspring was relatively high. Of the congenital anomalies, nine of 19 (47%) were cardiac. A long menstrual cycle (> 35 days) was associated with infertility and neuropathy. CONCLUSIONS: The vaginal dryness in women with Sjögren's syndrome is not surprising, because the nasal and esophageal mucosae are also dry in this disorder. The relationship of infertility to a long menstrual cycle may simply indicate the presence of ovulatory dysfunction or inadequate luteal phase unrelated to Sjögren's syndrome. The relationship of neuropathy to a long menstrual cycle may be related to repeated, prolonged estrogen or progesterone exposure during the long cycles or to involvement of hypothalamic-pituitary-ovarian function.


Subject(s)
Infertility, Female/etiology , Menstrual Cycle , Nervous System Diseases/etiology , Sjogren's Syndrome/complications , Female , Humans , Middle Aged , Sjogren's Syndrome/physiopathology , Vagina/physiopathology
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