RESUMO
The authors' experience in the management of postoperative vaginal hemorrhage from 1975 to 1980 was reviewed. Recently, success has been achieved using angiographic arterial embolization with the Gianturco minicoil. The results of embolization are compared with those achieved through other more conventional methods. The authors have found angiographic embolization to be safe, simple, and effective, and they recommend that the procedure be performed before laparotomy for intractable postoperative vaginal bleeding.
Assuntos
Embolização Terapêutica , Hemorragia Uterina/terapia , Adulto , Angioplastia com Balão , Feminino , Artéria Femoral , Humanos , Histerectomia/efeitos adversos , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Hemorragia Uterina/etiologia , Vasopressinas/uso terapêuticoAssuntos
Amenorreia/etiologia , Vagina/anormalidades , Adolescente , Adulto , Amenorreia/diagnóstico , Feminino , Humanos , Métodos , Vagina/cirurgiaRESUMO
Previous studies on the synthesis and function of the protein synthetic machinery through the growth cycle of normal cultured hamster embryo fibroblasts (HA) were extended here to a series of four different clonal lines of polyoma virus-transformed HA cells. Under our culture conditions, these transformed cells could enter a stationary phase characterized by no mitotic cells, very low rates of DNA synthesis, and arrest in a post-mitotic pre-DNA synthetic state. Cellular viability was initially high in stationary phase but, unlike normal cells, transformed cells slowly lost viability. The rate of protein synthesis in the stationary phase of the transformed cells fell to 25-30% of the exponential rate. Though this reduction was similar to that seen in normal cells, it was accomplished by different means. The specific reduction in the ribosome complement per cell to values below that of any cycling cell seen in normal cells, was not seen in any of the transformed lines. This observation, which implies a loss of normal control of ribisome synthesis through the growth cycle after transformation, was confirmed in normal Chinese hamster embryo fibroblasts and transformed CHO cell lines. Normal control of ribosome synthesis was restored in L-73 and LR-73, growth control revertants of one of the transformed CHO lines. The transformed lines reduced their protein synthetic rates in stationary phase either by a greater reduction in the proportion of functioning ribosomes than that seen in normal cells or by a decrease in the elongation rate of functioning ribosomes; the latter effect was not seen in the normal cells. A model for growth control of normal cells and its derangement in transformed cells is presented.
Assuntos
Transformação Celular Viral , Fibroblastos/metabolismo , Ribossomos/ultraestrutura , Animais , Células Cultivadas , Cricetinae , Cricetulus , DNA/metabolismo , Embrião de Mamíferos , Fibroblastos/citologia , Mesocricetus , Biossíntese Peptídica , RNA Mensageiro/metabolismo , RNA Ribossômico/metabolismo , Proteínas Ribossômicas/biossíntese , Ribossomos/metabolismo , Fatores de TempoRESUMO
When CHO cells are incubated under conditions of extreme amino acid starvation, effected by withdrawal of an amino acid from the medium together with genetic or chemical interference with the activity of the corresponding aminoacyl-tRNA synthetase, there is a rapid and profound decline in the functional capacity of the protein synthetic machinery. The effect was observed for all amino acids tested including leucine, asparagine, histidine, methionine and glutamine. This decline in protein synthetic potential appears to be due to a progressive permanent inactivation of the specific aminoacyl-tRNA synthetase concerned, as shown by a decline in the amount of cellular, specific aminoacyl-tRNA and a decline in the cell-free enzyme activity, measured after reversal of the starvation conditions. When cells are left for more than several hours under these starvation conditions, they shrink in size, lose viability and eventually disintegrate, with anomalous rapidity. We suggest that the progressive loss of protein synthetic capacity of the cells is the prime cause of these subsequent events. If the starvation conditions are reversed before cell death, regeneration of the protein synthetic potential occurs rapidly but requires protein synthesis itself, implying the existence of strong control mechanisms for cellular aminoacyl-tRNA synthetase activities.
Assuntos
Aminoácidos/deficiência , Aminoacil-tRNA Sintetases/metabolismo , Biossíntese de Proteínas , Animais , Linhagem Celular , Sobrevivência Celular , Cricetinae , Cicloeximida/farmacologia , Feminino , Ovário , Puromicina/farmacologia , Aminoacil-RNA de Transferência/metabolismo , Fatores de TempoAssuntos
Líquido Amniótico/análise , Análise Química do Sangue , Fosfatase Ácida/sangue , Fosfatase Alcalina/sangue , Líquido Amniótico/enzimologia , Bilirrubina/sangue , Glicemia/análise , Proteínas Sanguíneas/análise , Coleta de Amostras Sanguíneas , Nitrogênio da Ureia Sanguínea , Dióxido de Carbono/sangue , Cloretos/sangue , Creatina Quinase/sangue , Feminino , Humanos , Hidroxibutirato Desidrogenase/sangue , L-Lactato Desidrogenase/sangue , Concentração Osmolar , Potássio/sangue , Gravidez , Sódio/sangue , Ácido Úrico/sangueAssuntos
Líquido Amniótico/análise , Creatinina/análise , Desenvolvimento Embrionário e Fetal , Idade Gestacional , Lipídeos/análise , Fosfatidilcolinas/análise , Esfingomielinas/análise , Líquido Amniótico/citologia , Bilirrubina/análise , Centrifugação , Cloretos/análise , Feminino , Humanos , Hipertensão , Troca Materno-Fetal , Concentração Osmolar , Potássio/análise , Gravidez , Complicações Cardiovasculares na Gravidez , Gravidez em Diabéticas , Sistema do Grupo Sanguíneo Rh-Hr , Sódio/análise , Ácido Úrico/análiseAssuntos
Injúria Renal Aguda/epidemiologia , Complicações na Gravidez/epidemiologia , Aborto Induzido , Aborto Séptico/terapia , Descolamento Prematuro da Placenta/complicações , Injúria Renal Aguda/complicações , Injúria Renal Aguda/etiologia , Injúria Renal Aguda/microbiologia , Injúria Renal Aguda/mortalidade , Injúria Renal Aguda/terapia , Anemia/complicações , Anuria/complicações , Anuria/terapia , Volume Sanguíneo , Clostridium perfringens/isolamento & purificação , Dietoterapia , Feminino , Humanos , Ontário , Diálise Peritoneal , Gravidez , Complicações na Gravidez/etiologia , Complicações na Gravidez/microbiologia , Complicações na Gravidez/mortalidade , Diálise Renal , Sepse/complicações , Fatores de TempoRESUMO
A cell mutant of the Chinese hamster ovary line, which is temperature sensitive for protein synthesis, is specifically defective in vivo in its ability to charge tRNA with leucine. Cytoplasmic extracts exhibited temperature-sensitive leucyl-tRNA synthetase activity. It is, therefore, highly likely that the mutant has a structural alteration in leucyl-tRNA synthetase. The low leakiness and low reversion rate of this mutant, combined with the specificity of the defect in its protein-synthesizing machinery, make it an appealing tool for investigating regulatory mechanisms in animal cells.