Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 32
Filtrar
Más filtros












Base de datos
Intervalo de año de publicación
1.
Epidemiol Psychiatr Sci ; 32: e1, 2023 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-36624694

RESUMEN

AIMS: Childhood adversities (CAs) predict heightened risks of posttraumatic stress disorder (PTSD) and major depressive episode (MDE) among people exposed to adult traumatic events. Identifying which CAs put individuals at greatest risk for these adverse posttraumatic neuropsychiatric sequelae (APNS) is important for targeting prevention interventions. METHODS: Data came from n = 999 patients ages 18-75 presenting to 29 U.S. emergency departments after a motor vehicle collision (MVC) and followed for 3 months, the amount of time traditionally used to define chronic PTSD, in the Advancing Understanding of Recovery After Trauma (AURORA) study. Six CA types were self-reported at baseline: physical abuse, sexual abuse, emotional abuse, physical neglect, emotional neglect and bullying. Both dichotomous measures of ever experiencing each CA type and numeric measures of exposure frequency were included in the analysis. Risk ratios (RRs) of these CA measures as well as complex interactions among these measures were examined as predictors of APNS 3 months post-MVC. APNS was defined as meeting self-reported criteria for either PTSD based on the PTSD Checklist for DSM-5 and/or MDE based on the PROMIS Depression Short-Form 8b. We controlled for pre-MVC lifetime histories of PTSD and MDE. We also examined mediating effects through peritraumatic symptoms assessed in the emergency department and PTSD and MDE assessed in 2-week and 8-week follow-up surveys. Analyses were carried out with robust Poisson regression models. RESULTS: Most participants (90.9%) reported at least rarely having experienced some CA. Ever experiencing each CA other than emotional neglect was univariably associated with 3-month APNS (RRs = 1.31-1.60). Each CA frequency was also univariably associated with 3-month APNS (RRs = 1.65-2.45). In multivariable models, joint associations of CAs with 3-month APNS were additive, with frequency of emotional abuse (RR = 2.03; 95% CI = 1.43-2.87) and bullying (RR = 1.44; 95% CI = 0.99-2.10) being the strongest predictors. Control variable analyses found that these associations were largely explained by pre-MVC histories of PTSD and MDE. CONCLUSIONS: Although individuals who experience frequent emotional abuse and bullying in childhood have a heightened risk of experiencing APNS after an adult MVC, these associations are largely mediated by prior histories of PTSD and MDE.


Asunto(s)
Trastorno Depresivo Mayor , Trastornos por Estrés Postraumático , Adulto , Humanos , Adolescente , Adulto Joven , Persona de Mediana Edad , Anciano , Trastornos por Estrés Postraumático/epidemiología , Trastornos por Estrés Postraumático/etiología , Trastornos por Estrés Postraumático/diagnóstico , Trastorno Depresivo Mayor/psicología , Depresión/psicología , Encuestas y Cuestionarios , Vehículos a Motor
2.
Psychol Med ; 53(6): 2553-2562, 2023 04.
Artículo en Inglés | MEDLINE | ID: mdl-35094717

RESUMEN

BACKGROUND: Racial and ethnic groups in the USA differ in the prevalence of posttraumatic stress disorder (PTSD). Recent research however has not observed consistent racial/ethnic differences in posttraumatic stress in the early aftermath of trauma, suggesting that such differences in chronic PTSD rates may be related to differences in recovery over time. METHODS: As part of the multisite, longitudinal AURORA study, we investigated racial/ethnic differences in PTSD and related outcomes within 3 months after trauma. Participants (n = 930) were recruited from emergency departments across the USA and provided periodic (2 weeks, 8 weeks, and 3 months after trauma) self-report assessments of PTSD, depression, dissociation, anxiety, and resilience. Linear models were completed to investigate racial/ethnic differences in posttraumatic dysfunction with subsequent follow-up models assessing potential effects of prior life stressors. RESULTS: Racial/ethnic groups did not differ in symptoms over time; however, Black participants showed reduced posttraumatic depression and anxiety symptoms overall compared to Hispanic participants and White participants. Racial/ethnic differences were not attenuated after accounting for differences in sociodemographic factors. However, racial/ethnic differences in depression and anxiety were no longer significant after accounting for greater prior trauma exposure and childhood emotional abuse in White participants. CONCLUSIONS: The present findings suggest prior differences in previous trauma exposure partially mediate the observed racial/ethnic differences in posttraumatic depression and anxiety symptoms following a recent trauma. Our findings further demonstrate that racial/ethnic groups show similar rates of symptom recovery over time. Future work utilizing longer time-scale data is needed to elucidate potential racial/ethnic differences in long-term symptom trajectories.


Asunto(s)
Depresión , Trastornos por Estrés Postraumático , Humanos , Niño , Depresión/psicología , Trastornos de Ansiedad , Ansiedad/epidemiología , Trastornos por Estrés Postraumático/epidemiología , Trastornos por Estrés Postraumático/diagnóstico , Etnicidad/psicología
3.
Hum Reprod ; 12(12): 2607-13, 1997 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-9455822

RESUMEN

We compared daily urinary concentrations of oestrogen and progesterone metabolites in paired menstrual cycles (conception and non-conception) from 32 women. Volunteers with no known fertility problems were enrolled in the study at the time they began trying to become pregnant. They collected first-morning urine specimens and kept daily records of menstrual bleeding and sexual intercourse for 6 months or until they became clinically pregnant. Intercourse in non-conception cycles was close to the time of ovulation so that failure to conceive was caused by factors other than poorly timed intercourse. Compared with non-conception cycles, conception cycles had a steeper early luteal rise in progesterone and higher mid-luteal oestrogen and progesterone concentrations. These hormonal characteristics may be markers of better quality cycles, but because all these differences were in the luteal phase, we cannot rule out the possibility that the preimplantation embryo had stimulated early increases in steroid production. We propose an analysis strategy that could help support or refute the importance of preimplantation embryonic signalling, but our small sample size limits our own conclusions about this mechanism.


Asunto(s)
Desarrollo Embrionario/fisiología , Estrona/análogos & derivados , Pregnanodiol/análogos & derivados , Adulto , Coito , Estrona/orina , Femenino , Fase Folicular , Humanos , Fase Luteínica , Ciclo Menstrual , Ovulación , Embarazo , Pregnanodiol/orina , Factores de Tiempo
4.
Epidemiology ; 6(5): 547-50, 1995 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-8562634

RESUMEN

Longitudinal epidemiologic studies of menstrual and reproductive function are more informative if one can identify day of ovulation. We previously developed a method for estimating day of ovulation that is feasible for epidemiologic studies. The method relies on the relative concentrations of estrogen and progesterone metabolites in daily first-morning urine specimens and does not require creatinine adjustment. This paper describes results of applying this method to a large study with 724 menstrual cycles from 217 women. The method estimated a credible day of ovulation in 88% of cycles. Missing data accounted for most of the failures. When we excluded anovulatory cycles (1%) and cycles with missing data, the method estimated a day of ovulation in 97% of cycles. Variance in luteal phase length was small for our sample, suggesting that this method of identifying a day of ovulation introduces no more measurement error than when day of ovulation is determined by plasma luteinizing hormone (LH), the standard clinical method.


Asunto(s)
Estrona/análogos & derivados , Detección de la Ovulación/métodos , Ovulación/orina , Pregnanodiol/análogos & derivados , Adulto , Algoritmos , Biomarcadores/orina , Estrógenos Conjugados (USP)/orina , Estrona/orina , Estudios de Evaluación como Asunto , Femenino , Fase Folicular , Humanos , Hormona Luteinizante/sangre , Ciclo Menstrual , Ovulación/sangre , Embarazo , Pregnanodiol/orina , Radioinmunoensayo
5.
Life Sci ; 57(7): 655-64, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-7637537

RESUMEN

Diphenolic compounds belonging to the classes of lignans and isoflavonoids have been identified in urine of man and animals, including the chimpanzee. Some of these compounds, formed by intestinal bacteria from plant lignans and phytoestrogens, have been shown in animal studies to exhibit biological activities that suggest they could function as cancer-protective compounds. The effect of diet on urinary excretion of these compounds in the adult male chimpanzee has been studied. It was found that the chimpanzees consuming their regular food excreted large amounts of the isoflavonoid phytoestrogens, equol (mean +/- SE) (127.5 +/- 34.0 nmol/mg cr.) and daidzein (20.7 +/- 9.0 nmol/mg cr.) and the lignan, enterolactone (14.1 + 3.5 nmol/mg cr.). Small amounts of the lignan, enterodiol, (0.4 +/- 0.2 nmol/mg cr.) were also excreted. On all other four test diets (high protein, high carbohydrate, high vegetable, and high fat), the excretion was less, particularly on a high fat diet where the excretion of all diphenolic compounds was reduced by more than 90% to a level observed in omnivorous human subjects or women with breast cancer. These results suggest that diet profoundly influences the excretion of both animal lignans and phytoestrogens in urine. Because non-human primates are particularly resistant to mammary and genital carcinoma on estrogen treatment, the present data suggest that the very high levels of phytoestrogens and lignans as found during exposure to the regular diet may partially account for why these primates are so resistant to hormonal manipulations to induce cancer.


Asunto(s)
Dieta , Estrógenos no Esteroides/metabolismo , Isoflavonas , Lignanos/metabolismo , Animales , Cromatografía de Gases , Cromatografía Líquida de Alta Presión , Estrógenos no Esteroides/orina , Lignanos/orina , Masculino , Pan troglodytes , Fitoestrógenos , Preparaciones de Plantas , Plantas/metabolismo
6.
Toxicology ; 73(2): 229-37, 1992.
Artículo en Inglés | MEDLINE | ID: mdl-1609432

RESUMEN

The effect(s) of calcium disodium ethylenediaminetetraacetate (CaNa2EDTA) on the metabolism of Zn, Cu and Mn was investigated in mongrel female dogs. Dogs received either CaNa2EDTA (0.75 mmol/kg subcutaneously) or 0.9% NaCl (controls). Urine was collected every 6 h. Tissue samples were obtained from liver, kidney, duodenum, muscle, hair, skin and bone post exsanguination. CaNa2EDTA treatment increased urinary excretion of Zn, Cu and Mn, significantly when compared to controls (P less than 0.05, n = 5). Furthermore, CaNa2EDTA either decreased Zn levels (hair, duodenum, skin) and Mn levels (hair) or increased Cu levels in kidneys (P less than 0.05). These data suggest that the sustained urinary loss of Zn, Cu and Mn was probably associated, in part, with mobilization and redistribution of these essential elements from storage tissues as well as soft tissues. It was concluded that the use of calcium disodium EDTA for the management of heavy metal poisoning in dogs could adversely affect the metabolism of essential elements, particularly Zn, Cu and Mn.


Asunto(s)
Cobre/metabolismo , Ácido Edético/toxicidad , Manganeso/metabolismo , Zinc/metabolismo , Animales , Huesos/química , Cobre/análisis , Cobre/orina , Perros , Femenino , Cabello/química , Intestino Delgado/química , Riñón/química , Hígado/química , Manganeso/análisis , Manganeso/orina , Músculos/química , Piel/química , Zinc/análisis , Zinc/orina
7.
J Clin Endocrinol Metab ; 72(4): 793-800, 1991 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-2005203

RESUMEN

Loss of a conceptus early in development can be detected by very sensitive assays specific for hCG. We examined 20 menstrual cycles ending in early loss of a conceptus in order to identify hormonal correlates of loss. Each loss cycle was compared to a successful conception cycle in the same woman, using daily concentration of urinary estrone-3-glucuronide and pregnanediol-3-glucuronide (PdG). The estrone-3-glucuronide and PdG profiles in cycles of early pregnancy loss were very similar to those in successful conception cycles until late in the luteal phase. Early pregnancy loss was not related to a midluteal deficiency in PdG. hCG tended to be detected later in cycles of early pregnancy loss than in successful conception cycles, presumably indicating later implantation. Ten of the early pregnancy losses implanted after luteal-day-10; only one of the successful pregnancies implanted that late. The corpus luteum responded to the conception in only 2 of the 10 loss cycles with late implantation. In contrast, the corpus luteum responded in 8 of 10 loss cycles with normally timed implantation. The similarity of preimplantation hormonal profiles in cycles of early pregnancy loss and in cycles with successful conceptions suggests that most early losses in reproductively normal women do not result directly from deficiencies in ovarian steroid production.


Asunto(s)
Aborto Espontáneo/orina , Hormonas/orina , Embarazo/orina , Gonadotropina Coriónica/orina , Implantación del Embrión , Estrona/análogos & derivados , Estrona/orina , Femenino , Humanos , Concentración Osmolar , Primer Trimestre del Embarazo , Pregnanodiol/análogos & derivados , Pregnanodiol/orina
8.
Stat Med ; 10(2): 255-66, 1991 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-2052803

RESUMEN

We have developed a method of estimating day of ovulation using urinary ovarian hormone data. The method identifies a day of luteal transition that occurs at the shift from production of follicular oestrogen to luteal progesterone. The algorithm for identifying this shift was evaluated and judged better than specified alternatives in that it resulted in (1) a high concordance between the day of luteal transition and peaks in urinary luteinizing hormone (LH) for cycles with well-defined peaks, (2) a low variance in the length of the luteal phase of the menstrual cycle, which presumably reflects a low measurement error in estimating day of ovulation, and (3) a high proportion of cycles for which an approximate day of ovulation could be determined. To validate the new algorithm, it was applied to an independent data set. The algorithm identified a day of luteal transition in 88 per cent of these cycles, and the identified day occurred within two days of the urinary LH peak for all the cycles with clear LH peaks. Determination of the day of luteal transition to estimate ovulation requires only first-morning urine specimens, requires no correction for day-to-day variations in urine concentration, and can be applied to a mid-cycle window of data.


Asunto(s)
Estrógenos/orina , Detección de la Ovulación/métodos , Progesterona/orina , Algoritmos , Femenino , Humanos , Hormona Luteinizante/orina
9.
Life Sci ; 45(17): 1559-65, 1989.
Artículo en Inglés | MEDLINE | ID: mdl-2586221

RESUMEN

The effect of estradiol-17 beta on the activity of glucose-6-phosphate dehydrogenase was studied in both male and female rats to further characterize the sex differences in the activity of this enzyme. Four groups of intact and castrated rats were implanted subcutaneously with graded doses (2.4, 4.8 and 7.2 micrograms/day) of pelleted estradiol in a physiologically relevant experimental system. After fourteen days the rats were sacrificed and their livers were assayed for G6PD activities. The result indicated that: (i) the enzyme activity was 3-fold higher in normal adult female than in male rats, (ii) low doses of E2 (2.4, 4.8 and 7.2 micrograms/day) increased the activity of G6PD 6-fold in castrated males and over 2-fold in female castrates as well as intact rats (iii) E2 stimulation of G6PD activity appears to be more effective in castrated males than in female rats (IV) sex difference in the activity of G6PD disappeared after treatment with E2 in castrated rats. It is concluded that the activity of G6PD in rats is markedly enhanced by low doses of E2, which appears to be largely responsible for the sex differences in the activity of this enzyme in rats.


Asunto(s)
Estradiol/farmacología , Glucosafosfato Deshidrogenasa/metabolismo , Hígado/enzimología , Animales , Femenino , Hígado/anatomía & histología , Hígado/efectos de los fármacos , Masculino , Orquiectomía , Tamaño de los Órganos/efectos de los fármacos , Ovariectomía , Ratas , Ratas Endogámicas , Valores de Referencia , Factores Sexuales
10.
Environ Health Perspect ; 75: 29-35, 1987 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-3691439

RESUMEN

Recent progress in the assay of urinary hormones has opened new opportunities for epidemiologists to study hormones and health outcomes. This is especially true for studies of female reproduction. The cyclic nature of female reproduction can be fully described only by continuous frequent measurements that, in order to be practical, require easily collected biological specimens. We describe our experience in collecting and analyzing daily urine specimens from 301 healthy women. We conclude that this approach is not only feasible but potentially of great value to epidemiologists for studying fertility, early pregnancy, the effects of toxic exposures on reproduction, and the relationships between reproduction and later risk of chronic diseases.


Asunto(s)
Gonadotropina Coriónica/orina , Estrógenos/orina , Hormona Luteinizante/orina , Progesterona/orina , Adulto , Coito , Métodos Epidemiológicos , Femenino , Fertilidad , Humanos , Menstruación , Radioinmunoensayo
11.
J Clin Endocrinol Metab ; 65(4): 792-5, 1987 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-3654920

RESUMEN

The effect of a high fat, low carbohydrate, low protein diet on the in vivo oxidation of 17 beta-estradiol was studied using radiometric methods. Five male chimpanzees were fed a normal (13%) fat diet or a high (65%) fat diet for 8 weeks. After a 4-week rest period, the animals were fed the alternative diet. The mean percent oxidation of 16 alpha-[3H]estradiol-17 beta 24 h after injection was 3.8 +/- 1.3% (+/- SD) on the normal diet vs. 18.4 +/- 4.7% on the high fat diet (P less than 0.01). In contrast, the mean percent oxidation of 2-[3H]estradiol 24 h after injection was 31.6 +/- 3.8% (+/- SD) on the normal diet vs. 20.0 +/- 3.5% on the high fat diet (P less than 0.05). These results suggest that the oxidation of 17 beta-estradiol to estriols relative to that to catechol estrogens is increased by a high fat diet.


Asunto(s)
Grasas de la Dieta/farmacología , Estradiol/metabolismo , Animales , Grasas de la Dieta/administración & dosificación , Masculino , Oxidación-Reducción , Pan troglodytes , Factores de Tiempo
12.
Am J Obstet Gynecol ; 157(2): 312-7, 1987 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-3618679

RESUMEN

Previous studies have indicated that serum levels of follicle-stimulating hormone rise with age during the female reproductive life, but the effect on other hormones is not clear. We studied the effects of age, independent of pregnancy, by comparing serum hormone levels in two groups of nulliparous, premenopausal women aged 18 to 23 and 29 to 40 years. We found that increased age during reproductive life is accompanied by a significant rise in both basal and stimulated serum follicle-stimulating hormone levels. This was accompanied by an increase in the serum level of estradiol-17 beta and the urine levels of estradiol-17 beta and 17 beta-estradiol-17-glucosiduronate. The serum level of estrone sulfate decreased with age. Serum and urine levels of other estrogens were unchanged. The basal and stimulated levels of luteinizing hormone were also unchanged. There was a significant decrease in basal and stimulated serum prolactin levels. Serum levels of dehydroepiandrosterone and dehydroepiandrosterone sulfate decreased with age, but serum testosterone was unchanged. It is concluded that significant age-related changes in the female hormonal environment occur during the reproductive years.


Asunto(s)
Envejecimiento/fisiología , Andrógenos/sangre , Estrógenos/sangre , Gonadotropinas Hipofisarias/sangre , Reproducción , Adolescente , Adulto , Estrógenos/orina , Femenino , Humanos
13.
J Clin Endocrinol Metab ; 64(1): 111-8, 1987 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-2946715

RESUMEN

An early (but not a late) first pregnancy is known to be protective for breast cancer. This effect might be mediated through a long term change in the hormonal environment caused by the early first pregnancy. To investigate the possibility of such a change we carried out a prospective longitudinal study of serum and urinary estrogens and serum androgens in four groups of women, namely early (age, 18-23 yr) first pregnancy (n = 15), early control (n = 20), late (age, 29-40 yr) first pregnancy (n = 9), and late control (n = 20). The pregnancy groups were studied before (initial visit) and 7-19 months after a first pregnancy (return visit). The control groups were similarly studied, but without an intervening pregnancy. The following were measured: serum estrone (E1), 17 beta-estradiol (E2), estriol (E3), and E1 sulfate; urinary total E1, E2, E3, and glucosiduronates of these three estrogens; and serum testosterone, dehydroepiandrosterone sulfate (DHAS), and dehydroepiandrosterone (DHA). There was no significant change between the initial and return visits in serum E1, E2, E1 sulfate, or any of the urinary estrogens in either pregnancy group or in the corresponding control groups. There was, however, a significant increase in serum E3 between initial and return visits for both pregnancy groups compared with the control values. There was no significant change in serum testosterone. There was a marked significant decrease in both serum DHAS and DHA between initial and return visits in both pregnancy groups compared with the corresponding control group values. There was also a significant increase in the serum E3 to DHA ratio in both pregnancy groups. A cross-sectional study (measuring serum DHAS and DHA only) was then carried out in a series of parous and nulliparous women. The serum DHAS and DHA levels were markedly and significantly lower in parous than in nulliparous women, as expected. There was no significant relationship between serum DHAS or DHA levels and months elapsed (up to 150) since last delivery, indicating that the changes last at least for this period of time. There was no significant relationship between serum DHAS or DHA levels and parity (one to three previous pregnancies), indicating that the changes occur only after a first pregnancy.(ABSTRACT TRUNCATED AT 400 WORDS)


Asunto(s)
Andrógenos/sangre , Estrógenos/metabolismo , Embarazo/sangre , Adolescente , Adulto , Neoplasias de la Mama/sangre , Neoplasias de la Mama/prevención & control , Estudios Transversales , Deshidroepiandrosterona/análogos & derivados , Deshidroepiandrosterona/sangre , Sulfato de Deshidroepiandrosterona , Estrógenos/sangre , Estrógenos/orina , Femenino , Humanos , Estudios Longitudinales , Estudios Prospectivos , Testosterona/sangre
14.
N Engl J Med ; 316(5): 229-34, 1987 Jan 29.
Artículo en Inglés | MEDLINE | ID: mdl-3099198

RESUMEN

An early first pregnancy is known to protect against subsequent breast cancer. We speculated that this effect may be mediated by a long-term depression of prolactin secretion after pregnancy. We therefore measured basal and post-stimulation serum levels of prolactin, luteinizing hormone (LH), and follicle-stimulating hormone (FSH) in two groups--15 women 18 to 23 years of age and 9 women 29 to 40--before and after a first full-term pregnancy, and in 40 appropriate nulliparous controls. We observed no significant change in basal levels of serum LH or FSH or in the levels stimulated by gonadotropin-releasing hormone in any group. A significant decrease was seen, however, in basal and perphenazine-stimulated levels of prolactin after pregnancy in both the younger and older first-pregnancy groups but not in the controls. In a separate cross-sectional study, we compared basal serum prolactin levels in 29 parous and 19 nulliparous women of similar age. The serum prolactin levels were significantly lower in the parous group but were not related to the number of pregnancies (one to three) or the time elapsed (12 to 150 months) since the last delivery. We conclude that a first pregnancy leads to a long-term decrease in serum prolactin secretion, lasting at least 12 to 13 years.


PIP: On the theory that early pregnancy may protect women against breast cancer by a long-term depression of prolactin secretion, basal and perphenazine-stimulated release of prolactin, as well as basal and GnRH- stimulated release of LH and FSH were assayed in women before and after their 1st full term pregnancy, and in groups of parous and nulliparous women. The study groups were 15 women aged 18-23 and 9 women aged 29- 40. All hormone samples were taken at 0800 in the early follicular phase on women who had never taken oral contraceptives, or in the cross section survey, women who had not been exposed for at least 6 months. There were no significant differences in LH or FSH basal or stimulated levels for 100 minutes after GnRH. In contrast after term pregnancy both basal and stimulated prolactin levels were significantly lower than comparable levels in nulliparous controls. Parous women returned for their second prolactin assay from 5-11 months after delivery. The cross-section basal prolactin levels were done from 12-150 months after delivery, with no evidence of an effect of age, parity or elapsed time. These results are appropriate for a protective factor against breast cancer, and prolactin is known to stimulate breast neoplasm in rodents.


Asunto(s)
Edad Materna , Paridad , Prolactina/metabolismo , Adolescente , Adulto , Estudios Transversales , Femenino , Hormona Folículo Estimulante/sangre , Humanos , Estudios Longitudinales , Hormona Luteinizante/sangre , Hormonas Liberadoras de Hormona Hipofisaria , Embarazo
15.
Clin Chim Acta ; 158(2): 147-54, 1986 Jul 30.
Artículo en Inglés | MEDLINE | ID: mdl-3017606

RESUMEN

It was recently observed that the urinary excretion of animal lignans is low in postmenopausal breast cancer patients compared to normal omnivorous and vegetarian women. In addition, the mean excretion of the isoflavonic phytoestrogen equol tended to be lower. Because nonhuman primates appear to be remarkably resistant to the carcinogenic effect of estrogens, we investigated the possible occurrence of lignans and phytoestrogens in the urine of chimpanzees on their regular diet. Five major diphenols were isolated and identified by capillary gas chromatography and mass spectrometry by comparison with synthesized authentic reference compounds. Three of these compounds, the phytoestrogen equol and its precursor daidzein, the lignan enterolactone, were according to preliminary assays excreted in very large amounts. In addition, the lignan enterodiol and the daidzein metabolite O-desmethylangolensin were identified. It is concluded that the chimpanzee excretes both isoflavonic phytoestrogens and lignans in urine, apparently in high concentrations. It is suggested that these compounds may play a role in the maintenance of the resistance against carcinogenic effects of estrogens, which nonhuman primates possess, because both equol and enterolactone have been shown to have antiestrogenic properties in animals. However, much further work is necessary before the possible biological role of these compounds may be established.


Asunto(s)
Estrógenos no Esteroides , Estrógenos/orina , Pan troglodytes/orina , Extractos Vegetales/orina , 4-Butirolactona/análogos & derivados , 4-Butirolactona/orina , Animales , Butileno Glicoles/orina , Cromanos/orina , Dieta , Equol , Isoflavonas/orina , Lignanos , Masculino , Fitoestrógenos , Preparaciones de Plantas
16.
Am J Med Sci ; 291(6): 380-5, 1986 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-3717195

RESUMEN

Although several phenothiazines are known to stimulate prolactin (PRL) secretion, only chlorpromazine is in general use for this purpose in humans. However, chlorpromazine has severe sedative and hypotensive effects. Therefore, the effects of perphenazine on human PRL release and on blood pressure were evaluated. Perphenazine was administered orally (8mg) and intramuscularly (5mg and 2mg) to determine the optimal route and dose for evaluating PRL release. The postural hypotensive effect of perphenazine was evaluated with the 2mg intramuscular (IM) dose. The mean time of peak PRL response (hr +/- SD) was significantly shorter (p less than 0.05) for the 5mg IM (1.7 +/- 0.4) than the oral (4.5 +/- 0.6) route. Also, the mean ratio of peak/baseline PRL was significantly greater for the 5mg IM (8.87 +/- 5.69) than the oral (5.12 +/- 2.90) route. The major side-effect produced by perphenazine was drowsiness, which was moderate to severe with the 5mg IM dose. A lower IM dose (2 mg) retained PRL releasing activity, reduced drowsiness, and did not produce hypotension. For clinical testing, intramuscular perphenazine is preferred over oral perphenazine because of the shorter latency period and the higher PRL levels. Intramuscular perphenazine (2 mg) is preferred to chlorpromazine since it did not produce a clinically significant hypotensive effect. This is the first report on the dynamic responses of PRL and blood pressure to intramuscular perphenazine in humans.


Asunto(s)
Presión Sanguínea/efectos de los fármacos , Perfenazina/administración & dosificación , Prolactina/sangre , Administración Oral , Adolescente , Adulto , Femenino , Humanos , Inyecciones Intramusculares , Masculino , Perfenazina/efectos adversos , Perfenazina/farmacología
17.
J Endocrinol Invest ; 9(2): 171-5, 1986 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-3011886

RESUMEN

Primates are believed to have a low level of ovarian steroidogenic activity during prepubertal development. In order to study the rate limiting factors associated with the low level of steroidogenesis, ovaries from prepubertal rhesus monkeys were quartered and incubated for 48 h at 37 C in minimum essential medium. These ovaries secreted 687 +/- 347 pg estradiol/mg ovary and 299 +/- 35 pg progesterone/mg ovary during 48 h of incubation. The addition of 100 ng luteinizing hormone (LH) or 1 mM dibutyryl (Bu)2 cAMP failed to increase significantly estradiol or progesterone secretion. Furthermore, the addition of either progesterone or androstenedione failed to augment estradiol secretion. The presence of either LH or (Bu)2 cAMP with the steroidal substrates also failed to augment estradiol secretion. In contrast, the addition of (Bu)2 cAMP with lipoprotein-derived cholesterol significantly stimulated a two-fold increase in progesterone secretion. The presence of LH in the lipoprotein-supplemented medium failed to augment progesterone secretion. These results suggest that prepubertal monkey ovaries lack the ability to respond to LH, probably due to a lack of gonadotropin receptors or failure of the receptor to stimulate cAMP synthesis. Furthermore, the failure of progesterone and androstenedione to augment estradiol secretion suggests that some cellular components needed to induce aromatase activity are not functional in the prepubertal primate ovary.


Asunto(s)
Estradiol/biosíntesis , Ovario/metabolismo , Progesterona/biosíntesis , Androstenodiona/farmacología , Animales , Bucladesina/farmacología , Colesterol/aislamiento & purificación , Colesterol/farmacología , Femenino , Lipoproteínas/análisis , Hormona Luteinizante/farmacología , Macaca mulatta , Maduración Sexual
18.
Fertil Steril ; 42(5): 690-5, 1984 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-6092153

RESUMEN

Competitive swimmers were followed over a 2-year period when they trained at different levels of exercise which coincided with distinct changes in their menstrual history. Oligomenorrhea was identified in 5 of 13 of these athletes when they swam approximately 100,000 yards per week. Weight and percentage of body fat were not significantly different between the period of oligomenorrhea and regular menstrual function (P = 0.24). Mean and median levels of luteinizing hormone, follicle-stimulating hormone, prolactin, and 17beta-estradiol were decreased and catechol estrogens and beta-endorphins were increased in serum during the strenuous, when compared with the moderate, training period. The serum levels of the steroid and protein hormones were similar to those of normal cycling, nonexercising control subjects during moderate exercise (60,000 yards per week). The significant differences between beta-endorphins and catechol estrogens during periods of strenuous exercise suggest an explanation for oligomenorrhea in female athletes. These hormonal changes result in hypothalamic anovulation, which appears to be reversible, because the hormone levels and menstrual cycles return to normal when the exercise is reduced.


Asunto(s)
Endorfinas/fisiología , Estrógenos de Catecol/fisiología , Sistema Hipotálamo-Hipofisario/fisiología , Trastornos de la Menstruación/etiología , Oligomenorrea/etiología , Esfuerzo Físico , Medicina Deportiva , Adolescente , Adulto , Composición Corporal , Peso Corporal , Endorfinas/sangre , Estradiol/sangre , Estrógenos de Catecol/sangre , Femenino , Hormona Folículo Estimulante/sangre , Humanos , Hormona Luteinizante/sangre , Prolactina/sangre , Natación , betaendorfina
19.
Obstet Gynecol ; 63(4): 452-6, 1984 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-6322078

RESUMEN

The objective of this study was to examine the mechanisms by which physical activity affects the menstrual cycle. Women with high, medium, and low levels of physical activity were compared for menstrual function, physical characteristics, and urinary and serum levels of luteinizing hormone, follicle-stimulating hormone, prolactin, estradiol-17 beta, and 2-hydroxyestrone. None of the physical characteristics other than age and muscle area were significantly different in the three groups. The percentage of body fat did not appear to be a factor in the amenorrhea induced by strenuous exercise, as the percent of body fat in all three groups was less than 22%. The group of athletes under strenuous exercise which correlated with oligomenorrhea had decreased serum levels of luteinizing hormone, prolactin, and estradiol-17 beta but elevated levels of 2-hydroxyestrone. These data suggest that anovulatory cycles are correlated with the amount of exercise and increased levels of catechol estrogens. Catecholamines and beta-endorphin elevated by exercise may interact to suppress luteinizing hormone release at the hypothalamic pituitary axis.


Asunto(s)
Anovulación/fisiopatología , Catecolaminas/fisiología , Endorfinas/fisiología , Esfuerzo Físico , Medicina Deportiva , Adolescente , Adulto , Estradiol/metabolismo , Femenino , Hormona Folículo Estimulante/metabolismo , Humanos , Hidroxiestronas/metabolismo , Hormona Luteinizante/metabolismo , Prolactina/metabolismo , betaendorfina
20.
Am J Phys Anthropol ; 63(3): 323-9, 1984 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-6731604

RESUMEN

Measurement of height (crown-rump length), body weight, and abdominal subcutaneous fat depth, based on skinfold thickness taken from 13 female rhesus monkeys comprising two age groups were correlated with body fat values derived from tritiated water determinations of total body water. The manner with which each measure was related to percent body fat differed as a function of age of the animal. In the young, nulliparous females, crown-rump length was the single best predictor of body fat, whereas in the older, multiparous females, skinfold thickness correlated most highly with body fat. When all measurements, including the Quetelet index [(wt/ht)2 x 1,000], were combined statistically and regressed against percent body fat, a significant increase in predictive ability was obtained. When each age group was considered separately, the resulting equations again reflected the age-group biases. In addition, as an internal check on the validity of the regression equations, an additional regression analysis was performed using morphometric data from selected animals in each age group. These equations yielded accurate estimates of body fat when compared to determinations made from total body water. These analyses indicate that the predictive accuracy of morphometric data is greatly enhanced by using these measurements in concert. Furthermore, the utility of such predictions is influenced by the specific physical characteristics of the subject population.


Asunto(s)
Tejido Adiposo/anatomía & histología , Macaca mulatta/anatomía & histología , Macaca/anatomía & histología , Animales , Biometría/métodos , Agua Corporal , Peso Corporal , Femenino , Grosor de los Pliegues Cutáneos
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...