ABSTRACT
A questionnaire survey found that women suffering from abnormal bowel movements have many skin problems such as a high frequency of dry skin. Although there are similarities between the structure and barrier function mechanism of the gut and skin, experimental data are insufficient to show an association between the intestinal environment and skin conditions. Phenols, for example phenol and p-cresol, as metabolites of aromatic amino acids produced by gut bacteria, are regarded as bioactive toxins and serum biomarkers of a disturbed gut environment. Recent studies have demonstrated that phenols disturb the differentiation of monolayer-cultured keratinocytes in vitro, and that phenols produced by gut bacteria accumulate in the skin via the circulation and disrupt keratinocyte differentiation in hairless mice. Human studies have demonstrated that restriction of probiotics elevated serum free p-cresol levels and harmed skin conditions (reduced skin hydration, disrupted keratinisation). In contrast, daily intake of the prebiotic galacto-oligosaccharides (GOS) restored serum free p-cresol levels and skin conditions in adult women. Moreover, a double-blind placebo-controlled trial demonstrated that the daily intake of fermented milk containing the probiotic Bifidobacterium breve strain Yakult and prebiotic GOS reduced serum total phenol levels and prevented skin dryness and disruption of keratinisation in healthy adult women. It is concluded that phenols produced by gut bacteria are one of the causes of skin problems. Probiotics and/or prebiotics, such as B. breve strain Yakult and/or GOS, are expected to help maintain a healthy skin by decreasing phenols production by gut microbiota. These findings support the hypothesis that probiotics and prebiotics provide health benefits to the skin as well as the gut.
Subject(s)
Bifidobacterium/metabolism , Gastrointestinal Tract/microbiology , Microbiota , Milk, Human/microbiology , Phenols/metabolism , Phenols/toxicity , Skin/drug effects , Animals , Humans , MiceABSTRACT
Changes in the hardness, dissolution, and the disintegration time of brand name and generic preparations (6 preparations) of famotidine orally disintegrating tablets were investigated. Tablets had been stored in a thermo-hygrostat-controlled environment set to simulate the home conditions of patients up to 8 weeks after unit-dose packaging. Among the tablets in unit-dose packaging prepared immediately after blister packs (BP) were opened, one generic had decreased hardness to less than 2.0 kg after 1 week, 55.1% of its initial hardness value, and a shorter disintegration time of about 1/5 of its initial disintegration time. Generics met the standard for dissolution 8 weeks after unit-dose packaging. The decrease in hardness after unit-dose packaging is presumed to be associated with additives, and particularly the types and amounts of binding agents, but evidence of this association was lacking. The hardness noted in drug interview forms (IFs) and the state of sales of bulk tablet packages must be determined to facilitate the selection of generics that remain hard even after unit-dose packaging.
Subject(s)
Anti-Ulcer Agents/chemistry , Drug Packaging , Drugs, Generic/chemistry , Famotidine/chemistry , Histamine H2 Antagonists/chemistry , Administration, Oral , Anti-Ulcer Agents/administration & dosage , Chemistry, Pharmaceutical , Drug Storage , Drugs, Generic/administration & dosage , Excipients/chemistry , Famotidine/administration & dosage , Hardness , Hardness Tests , Histamine H2 Antagonists/administration & dosage , Humidity , Solubility , Tablets , Technology, Pharmaceutical/methods , Temperature , Time FactorsABSTRACT
We designed a new cell assembly of diamond anvil cells for single crystal x-ray diffraction under pressure and demonstrate the application of the cell to the crystallographic studies for ice VI and ethanol high-pressure (HP) phase at 0.95(5) GPa and 1.95(2) GPa, respectively. The features of the assembly are: (1) the platy anvil and unique-shaped backing seat (called as "Wing seat") allowing the extremely wide opening angle up to ±65°, (2) the PFA-bulk metallic glass composite gasket allowing the easy attenuation correction and less background. Thanks to the designed assembly, the R(int) values after attenuation corrections are fairly good (0.0125 and 0.0460 for ice VI and ethanol HP phase, respectively), and the errors of the refined parameters are satisfactory small even for hydrogen positions, those are comparable to the results which obtained at ambient conditions. The result for ice VI is in excellent agreement with the previous study, and that for ethanol HP phase has remarkable contributions to the revision to its structure; the H12 site, which makes gauche molecules with O1, C2, and C3 sites, may not exist so that only trans conformers are present at least at 1.95(2) GPa. The accurate intensities using the cell assembly allow us to extract the electron density for ethanol HP phase by the maximum entropy method.
ABSTRACT
We examined the effects of Bifidobasterium-fermented (BE) and nonfermented (SME) soy milk extracts on the production of hyaluronic acid (HA) in vitro and in vivo. BE, but not SME, significantly enhanced the production of HA in monolayer and organotypic cultures of human keratinocytes, in cultures of human skin fibroblasts, and in hairless mouse skin following topical application for 2 weeks. In the organotypic cultures formed by a similar structure to human epidermis, BE also extended the distribution of HA. Genistein and daidzein, known to stimulate HA production, were detected in BE at a concentration of 0.18 and 0.07 mM, respectively, but not in SME. Therefore, BE has the potential to enhance HA production in the epidermis and dermis, mainly due to genistein released from its glycoside during fermentation. BE is expected to prevent the age-dependent loss of cutaneous HA.
Subject(s)
Bifidobacterium , Glycine max/chemistry , Hyaluronic Acid/biosynthesis , Skin/drug effects , Administration, Cutaneous , Animals , Culture Techniques , Fermentation , Fibroblasts/drug effects , Fibroblasts/metabolism , Humans , Keratinocytes/drug effects , Keratinocytes/metabolism , Male , Mice , Mice, Hairless , Plant Extracts/chemistry , Plant Extracts/pharmacology , Skin/cytology , Skin/metabolism , Species SpecificityABSTRACT
In the previous study, we have found that G65C and I125T double mutant of alpha chaperonin homo-oligomer from a hyperthermophilic archaeum, Thermococcus sp. strain KS-1, lacks ATP-dependent protein refolding activity despite showing ATPase activity and the ability to bind the denatured proteins. In this study, we have characterized several mutant Thermococcus chaperonin homo-oligomers with the amino acid substitutions of Gly-65 or Ile-125. The results showed that amino acid residue at 65th position should be a small amino acid such as glycine or alanine for the ATP-dependent refolding activity. The alpha chaperonin homo-oligomers with amino acid substitution of Gly-65 by amino acids whose side chains are larger than the methyl group did not have ATP-dependent protein refolding activity, but exhibited an increase of the binding affinity for unfolded proteins in the presence of ATP or AMP-PNP. (c)2001 Elsevier Science.
Subject(s)
Adenosine Triphosphate/metabolism , Archaeal Proteins/chemistry , Archaeal Proteins/metabolism , Chaperonins/chemistry , Chaperonins/metabolism , Adenosine Triphosphatases/chemistry , Adenosine Triphosphatases/genetics , Adenosine Triphosphatases/metabolism , Adenylyl Imidodiphosphate/metabolism , Amino Acid Substitution , Archaeal Proteins/genetics , Base Sequence , Chaperonins/genetics , Escherichia coli/genetics , Glycine/chemistry , Green Fluorescent Proteins , Kinetics , Luminescent Proteins/chemistry , Luminescent Proteins/genetics , Luminescent Proteins/metabolism , Mutagenesis, Site-Directed , Plasmids/genetics , Protein Folding , Protein Structure, Quaternary , Recombinant Fusion Proteins/chemistry , Recombinant Fusion Proteins/genetics , Recombinant Fusion Proteins/metabolism , Thermococcus/genetics , Thermococcus/metabolismABSTRACT
The present paper describes a new method for on-line determination of 5-HT in brain microdialysates from awake rats by microbore column liquid chromatography with post-column derivatization and fluorescence detection. The derivatization reagent contained 1 mM benzylamine and 0.5 mM potassium hexacyanoferrate (III), both dissolved in a mixture of acetonitrile and 25 mM borate buffer (pH 11.0) (1:1, v/v). The limit of detection (S/N=3) for 5-HT was 0.5 fmol/20 microl. The samples were injected every 20 min onto a microbore column packed with C18 silica gel. The method exhibits an excellent stability over the periods of at least 12-24 h. The basal levels of 5-HT from 25 awake rats were 7.10+/-1.06 fmol/20 microl in the dorsal hippocampus and 4.64+/-0.91 fmol/20 microl (mean+/-SD) in the striatum. The 5-HT release increased to about 1500% during the perfusion with 100 mM K(+) containing Ringer solution or it was reduced to 60 or 40% during the perfusion with 1 microM tetrodotoxin or calcium free Ringer, respectively. The new method can be used to monitor extracellular 5-HT following acute systemic drug administration.
Subject(s)
Brain Chemistry/physiology , Brain/metabolism , Microdialysis/methods , Serotonin/analysis , Animals , Brain/drug effects , Brain Chemistry/drug effects , Chromatography, High Pressure Liquid/methods , Fluorescence , Hippocampus/drug effects , Hippocampus/metabolism , Male , Microdialysis/instrumentation , Neostriatum/drug effects , Neostriatum/metabolism , Potassium/pharmacology , Rats , Rats, Sprague-Dawley , Serotonin/metabolism , Software Design , Tetrodotoxin/pharmacologyABSTRACT
Between 1998 and 2001, 82 colorectal cancers were resected in our hospital. The activities of TS and DPD were evaluated. TS activities in tumor tissues were significantly higher than in normal tissue, but the DPD activities had no significant difference between them. TS and DPD showed a correlation between normal and tumor tissues in stage III or IV patients. The TS value of patients with recurrence tended to be higher than that of patients with no recurrence. Especially in stage I or II patients with recurrence, who were administered 5-FU before recurrence, the TS value was significantly higher than in non-treated patients. In stage III or IV patients, it was considered that DPD prevention was important for 5-FU to effectively prevent TS. The TS value might be a new prospective risk factor for recurrence. Moreover, TS and DPD would be the index of biological malignancy.
Subject(s)
Colorectal Neoplasms/enzymology , Oxidoreductases/metabolism , Thymidylate Synthase/metabolism , Adult , Aged , Aged, 80 and over , Colorectal Neoplasms/pathology , Dihydrouracil Dehydrogenase (NADP) , Female , Humans , Male , Middle Aged , Neoplasm Staging , PrognosisABSTRACT
A selective and sensitive high-performance liquid chromatographic method with chemiluminescence detection for the determination of 5-hydroxyindoles is described, based on the reaction of 5-hydroxyindoles with 4-dimethylaminobenzylamine. Serotonin, 5-hydroxyindole-3-acetic acid, 5-hydroxytryptophol, 5-hydroxyindole-3-acetamide and N-acetyl-5-hydroxytryptamine were used as model compounds to optimize the derivatization and chemiluminescent reaction. The reagent reacts with 5-hydroxyindoles in slightly alkaline media in the presence of potassium hexacyanoferrate(III) to give the corresponding derivatives, which can be separated on a reversed-phase column, Wakosil-II 5C18RS, with aqueous acetonitrile as an eluent. The derivatives were detected by peroxyoxalate chemiluminescence detection. The detection limits are in the range of 0.5-1.2 fmol per 100-microl injection. The method was applied to the simultaneous determination of serotonin and 5-hydroxyindole-3-acetic acid in human platelet-poor plasma.
Subject(s)
Aniline Compounds/chemistry , Benzylamines/chemistry , Indicators and Reagents/chemistry , Indoles/blood , Blood Platelets , Chromatography, High Pressure Liquid , Humans , Hydroxyindoleacetic Acid/blood , Luminescent Measurements , Plasma/chemistry , Reproducibility of Results , Serotonin/blood , Spectrometry, FluorescenceABSTRACT
Borna disease virus (BDV) infection has been suggested to cause spontaneous neurological disease in cats referred to as staggering disease. However the evaluation of BDV infection in neurologically asymptomatic cats remained unclear. In the present study, BDV infected, asymptomatic cats in Tokyo were surveyed both by the presence of plasma antibodies against BDV-p24 and -p40 and by RNA detection in peripheral blood mononuclear cells. Seven of 32 domestic cats (21.9%) were serologically or genetically judged to be BDV-infected. Six cats were positive for anti-BDV antibody and two cats were positive for BDV RNA. Within the 2 RNA-positive cats, only one was positive for anti-BDV antibodies. Furthermore, the findings of anti-BDV-p40 and anti-BDV-p24 antibody-positive cats did not completely overlap. These results suggest that there are neurologically asymptomatic domestic cats infected with BDV present in the Tokyo area.
Subject(s)
Borna Disease/immunology , Borna disease virus/immunology , Cat Diseases/virology , Animals , Antibodies, Viral/blood , Blotting, Southern/veterinary , Blotting, Western/veterinary , Borna disease virus/chemistry , Borna disease virus/genetics , Cat Diseases/immunology , Cats , DNA Primers/chemistry , Electrophoresis, Agar Gel , Female , Male , RNA, Viral/blood , RNA, Viral/isolation & purification , Reverse Transcriptase Polymerase Chain Reaction/veterinary , Seroepidemiologic StudiesABSTRACT
Interferon-gamma (IFN-gamma), vitamin D3 (VD), and retinoic acid (RA) induce differentiation of human monoblastic leukemia U937 cells to macrophage-like cells with potential superoxide anion-generating activity upon further stimulation. Here we report that U937 cells thus differentiated show various responses to apoptotic induction with a cytotoxic anti-Fas antibody and tumor necrosis factor (TNF). VD-or RA-treated U937 cells acquired resistance against Fas- or TNF receptor (TNFR)-mediated apoptosis, whereas apoptotic cell death was accelerated in IFN-gamma-treated cells. By flow cytometric analyses, no decrease in expression of surface Fas antigen or p55 TNFR was observed in differentiated U937 cells. Cell surface expression of CD11b was seen only when differentiation was induced with VD or RA but not with IFN-gamma. The growth of VD- or RA-treated cells was retarded but IFN-gamma-treated cells were prolific. These findings suggest that the differentiation state differs with the inducer and that the cellular response to apoptotic induction is closely related to the state including the cell cycle.
Subject(s)
Apoptosis , Monocytes/cytology , Receptors, Tumor Necrosis Factor/physiology , Tumor Necrosis Factor-alpha/pharmacology , fas Receptor/physiology , Antigen-Antibody Reactions , Cell Differentiation , Cell Line , Cytochrome b Group/metabolism , Cytotoxicity, Immunologic , Humans , Macrophage-1 Antigen/physiology , NADPH Oxidases/metabolism , Superoxides/metabolismABSTRACT
A highly sensitive and selective liquid chromatographic (HPLC) method with post-column fluorescence detection has been developed for the determination of tryptophan 5-monooxygenase activity in rat brain tissue homogenate. 5-Hydroxytryptophan, formed enzymatically from tryptophan (incubation time, 20 min), is extracted with perchloric acid and determined by HPLC. Detection is performed fluorometrically after post-column derivatization by a reaction with benzylamine in the presence of potassium hexacyanoferrate (III). The lower limit of detection for 5-hydroxytryptophan formed enzymatically is 100 fmol at a signal-to-noise ratio of three.
Subject(s)
Brain/enzymology , Chromatography, High Pressure Liquid/methods , Tryptophan Hydroxylase/metabolism , 5-Hydroxytryptophan/analysis , Animals , Male , Rats , Rats, Wistar , Spectrometry, FluorescenceABSTRACT
To prevent postoperative local recurrence of rectal cancer, we treated patients using preoperative hyperthermia (5-6 times), irradiation (total 30 Gy) and 5-fluorouracil suppository (2,000-2,500 mg). The subjects were 31 patients given combined treatments and 28 patients given surgery alone. The results were as follows: 1. Histologically, therapeutic effects were recognized in 80.6% of patients receiving combined treatments. 2. The mean distance from the adventitia to the site of cancer infiltration was 6.54 mm in the combined treatments group and 3.35 mm in the surgery alone group. The difference between the two was significant (p < 0.05). 3. The rate of local recurrence in the combined treatments group was less than that in the surgery alone group. 4. No systemic side effects nor severe complications were observed during hospitalization in the combined treatments group. 5. The survival rate of the combined treatments group was higher than that of the surgery alone group. It was considered that combined preoperative treatments for rectal cancer were beneficial to survival and local control.
Subject(s)
Antimetabolites, Antineoplastic/administration & dosage , Fluorouracil/administration & dosage , Hyperthermia, Induced , Neoplasm Recurrence, Local/prevention & control , Rectal Neoplasms/therapy , Adult , Aged , Combined Modality Therapy , Humans , Middle Aged , Preoperative Care , Radiotherapy Dosage , Rectal Neoplasms/drug therapy , Rectal Neoplasms/pathology , Rectal Neoplasms/radiotherapy , SuppositoriesABSTRACT
A cDNA clone coding for an oxytocin-like substance was prepared from a human placental cDNA library using oxytocin antiserum. The cDNA size was approximately 900 bp. A mammalian expression vector containing the cDNA was constructed and transfected into Chinese hamster ovary (CHO) cells. The expression of immunoreactivity to oxytocin antiserum was observed by radioimmunoassay. The cultured medium of the transfected cells was assayed for uterine muscle contractile bioactivity using a Magnus apparatus. Bioactivity was eliminated by incubation with oxytocin antiserum. Thus, the cDNA clone, screened with oxytocin antibody, is surmised to code for an oxytocin-like activity, but the nucleotide and amino acid sequences responsible for the biological activity remain to be clarified.
Subject(s)
Oxytocin/biosynthesis , Placenta/metabolism , Uterine Contraction/drug effects , Animals , CHO Cells , Cloning, Molecular , Cricetinae , Culture Media , Dose-Response Relationship, Drug , Female , Gene Expression , Gene Library , Humans , Oxytocin/genetics , Oxytocin/pharmacology , Radioimmunoassay , Rats , Rats, Wistar , Recombinant Proteins/pharmacology , TransfectionABSTRACT
We found an amber mutation in the open reading frame of the prion protein (PrP) gene. The codon 145 mutation (tyrosine to stop) was recognized on a PrP allele of a patient with Alzheimer-type clinical course. Pathologic examination revealed many amyloid plaques and neurofibrillary changes. However, the amyloid plaques in this patient were not composed of beta/A4 protein, but of PrP. Both wild and mutant PrP alleles were detected in the cerebral mRNA; however, only C-terminal truncated PrP was detected in the kuru plaques. We herein present evidence that only mutant PrP aggregates to make kuru plaques in the central nervous system.
Subject(s)
Gerstmann-Straussler-Scheinker Disease/genetics , Mutation , Nerve Tissue Proteins/genetics , Prions/genetics , Adult , Amino Acid Sequence , Base Sequence , Codon , DNA , DNA Mutational Analysis , Female , Gerstmann-Straussler-Scheinker Disease/pathology , Humans , Immunohistochemistry , Molecular Sequence Data , Open Reading Frames , PrPSc Proteins , Prions/metabolism , RNA, Messenger/metabolismABSTRACT
PROBLEM: The mechanism of the beneficial effect of immunotherapy for human reproductive wastage remains to be elucidated. Because some women with unexplained recurrent spontaneous abortion are immunized with their partner's lymphocytes, it is important to determine whether such immunization results in elevation or enhancement of immunity to spermatozoa, because antigenic cross-reactivity between lymphocytes and spermatozoa has been reported. METHOD: The present study was initiated to evaluate the changes in antisperm antibody titer and lymphocyte subsets after immunotherapy as compared to before immunotherapy. Antisperm antibody detection was performed by SpermCheck Assay, which is based on a modification of the immunobead test. Maternal lymphocyte subsets were analyzed in two-color flow-cytometric experiments. RESULTS: The percentage of antibody-positive sperm decreased significantly (P = 0.0008) after immunotherapy. The percentage of B(CD19+) cells (P = 0.0003), cytotoxic T(CD8+ and CD11b-) cells (P = 0.02) and the Th/Ts ratio (P = 0.005) decreased significantly, while suppressor T(CD8+ and CD11b+) cells increased significantly (P = 0.0002) after the immunotherapy. This suggests that cell-mediated immunosuppression was induced by immunotherapy. CONCLUSION: The data of the present study suggest that antisperm antibodies have potential for use as a marker for a deficiency in maternal genital tract immunosuppressor mechanisms and that immunotherapy could be an effective treatment for women with antisperm antibodies who have unexplained recurrent abortions.
Subject(s)
Abortion, Habitual/therapy , Immunization , Immunotherapy , Isoantibodies/blood , Lymphocytes/immunology , Spermatozoa/immunology , Abortion, Habitual/blood , Abortion, Habitual/immunology , Cross Reactions , Fathers , Female , Humans , Isoantibodies/immunology , Lymphocyte Subsets , Lymphocyte Transfusion , Male , Organ Specificity , PregnancyABSTRACT
A selective and sensitive high-performance liquid chromatographic method with post-column fluorescence detection has been developed for the determination of 5-hydroxyindoles. Five biogenic 5-hydroxyindoles (5-hydroxytryptophan, 5-hydroxytryptamine, 5-hydroxyindol-3-ylacetic acid, 5-hydroxytryptophol and N-acetyl-5-hydroxytryptamine) were separated by isocratic elution on a reversed-phase column, TSKgel ODS-80Tm, and then converted into fluorescent derivatives by post-column reaction with benzylamine and potassium hexacyanoferrate(III) reagents. The detection limits (signal-to-noise ratio = 3) for the indoles were in the range 140-470 fmol per injection volume (100 microliters). The method was applied to the determination of 5-hydroxyindol-3-ylacetic acid in human urine, with direct sample injection.
Subject(s)
Chromatography, High Pressure Liquid/methods , Indoles/analysis , Adult , Benzylamines , Female , Fluorescence , Humans , Hydroxyindoleacetic Acid/urine , Indicators and Reagents , Indoles/urine , Male , Reference ValuesABSTRACT
Kindling stimulation was applied to the basolateral amygdala of adult rats, and the density of dendritic synapses was examined under the electron microscope in the medial amygdaloid nucleus (MAN) contralateral to the site of stimulation, and an unfolding correction of biasedness was made. When generalized motor seizures had been induced for 5 days consecutively, the kindling was considered to be complete. The number of dendritic synapses, but not the number of somatic synapses, was markedly decreased in the MAN of the kindled rats. Reductions in numbers were marked in the case of both dendritic shaft and spine synapses. The reductions in numbers of shaft and spine synapses were similarly evident in the MAN of kindled rats 100 days after stimulation was discontinued. The numbers of dendritic synapses were similarly decreased in the rats that received additional bouts of stimulation subsequent to the completion of kindling. Thus, once the kindling was completed, the newly acquired synaptic connectivity was preserved in the MAN. These findings indicate that the remodeling of synaptic connectivity was a morphological correlate of the kindling in the MAN.
Subject(s)
Amygdala/ultrastructure , Kindling, Neurologic/pathology , Synapses/ultrastructure , Animals , Electric Stimulation , Kindling, Neurologic/physiology , Male , Microscopy, Electron , Neuronal Plasticity/physiology , Rats , Rats, Sprague-Dawley , Seizures/pathology , Seizures/physiopathologyABSTRACT
To discover the exact incidence of congenital uterine anomalies among infertile patients, hysterosalpingography was performed on 1,200 married women with a history of repeated reproductive wastage. Out of 1,200 hysterosalpingographies, 188 revealed congenital uterine anomaly (15.7%). The degree of uterine cavity deformity in the anomalies was evaluated during hysterosalpingography using the X/M ratio. This indicated that the incidence of repeated spontaneous abortion in cases with low-grade anomalies is as high as the incidence among cases with more severe anomalies. A significant improvement in maintaining pregnancy was observed after metroplasty; more than 84% of postoperative pregnancies were successfully maintained, whereas none of the 233 presurgical pregnancies had lasted full term. As a control group, 47 other women with anomalies were randomly chosen, and their subsequent pregnancies were monitored, without metroplasty. Of their pregnancies, 94.4% terminated spontaneously before 12 weeks of gestation.
Subject(s)
Abortion, Habitual/etiology , Uterus/abnormalities , Female , Humans , Hysterosalpingography , Pregnancy , Pregnancy Outcome , Prognosis , Uterus/surgeryABSTRACT
Our recent 7-year clinical survey showed that among the 1120 women with repeated spontaneous abortions registered in this clinic, 2898 out of a total of 3216 pregnancies (90.1%) had terminated in spontaneous abortion. Among these wastages, 84.2% occurred before 12 weeks of gestation, and 11.1 percent occurred between 12 and 15 weeks. Through routine examination of reproductive wastage, 82 (9.9%) of the 825 Japanese couples examined were shown to have either a chromosomal abnormality or normal variants in the wife and/or husband, thus demonstrating no racial difference in the incidence of chromosomal abnormalities in infertile patients in comparison with studies performed in other countries. One hundred and forty-seven congenital uterine anomalies (14.7%) were found in 1000 hysterosalpingographies, and 12 of 148 examined females were positive for anti-cardiolipin antibody. 393 other females with no major abnormalities likely to induce spontaneous abortions were indicated for immunotherapy. Ample time spent on genetic counseling prevented further reproductive wastage, and ideal metroplasty resulted in a successful post-operative pregnancy course in more than 85% of cases. Immunosuppressant and anticoagulant therapy decreased the serum titer of anti-cardiolipin antibody, enabling pregnancies to be maintained to term. Immunotherapy utilizing the husband's lymphocytes also brought more than 80% of pregnancies to successful completion, with 200 deliveries achieved with this therapy. In contrast, 64.1% of pregnancies again terminated spontaneously in patients who were indicated for immunotherapy but did not receive treatment. The findings of the present study suggest that the causes of reproductive wastage, especially the etiology of early recurrent spontaneous abortion, are complex.(ABSTRACT TRUNCATED AT 250 WORDS)