The role that amniotic fluid (AF) may play in HIV vertical infection is unresolved. We used the FIV-infected cat model to study this question. We hypothesized that AF may be a source of fetal infection if the virus is present in the fluids. However, virus neutralizing (VN) antibodies in AF may limit vertical transfer. Fetuses were delivered from FIV-infected queens by cesarean section at early and late gestation. AFs were aspirated from intact fetal membranes and tested for viral antigen and RNA and for FIV-specific antibody. Randomlyselected samples were tested for VN activity using a syncytium reduction assay. Neither FIV antigen nor RNA was detected in any AFs. AFs and parallel serum samples from early and late pregnancy were positive for FIV-specific antibody. VN activity was detected in three early-term AFs and a parallel serum, but not late-term AFs. AF appears to play no appreciable role in FIV vertical transmission.

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AIM & HYPOTHESIS: Resolvins, derived from omega-3 fatty acids, may actively resolve inflammation. Resolvin E1 (RvE1) binds to Chem-R23 as an endogenous anti-inflammatory and pro-resolving lipid mediator. We hypothesized that RvE1 may also activate osteoblasts to restore critical size bone defects in a calvarial model. MATERIALS & METHODS: An in-vitro calvarial culture system was used to evaluate the stimulative effects of RvE1 compared to Amniotic Growth Factor (AGF) (a known stimulant in this system) on critical size defects under static conditions. Calvaria harvested from 10 mice and separated into 20 calvaria halves were cultured under conditions favoring bone formation. The test groups were defect only, defect plus a collagen membrane, defect plus a collagen membrane plus RvE1, and defect plus a collagen membrane plus AGF. The effect of RvE1 and AGF on healing of a critical size bone defect was assessed with both histological evaluation and alkaline phosphatase assays. RESULTS: RvE1 binds in a receptor-ligand interaction with Chem-R23 in the periosteum to stimulate cellular proliferation and migration into a critical size bone defect of neonatal mouse calvaria. CONCLUSION: These results suggest that RvE1 has a direct effect on osteoblast activity at and around the edge of a critical size 2 mm defect without an inflammatory reaction.

No description available.

No description available.

The purpose of this integrative literature review was to provide a compilation and review of literature related to perinatal outcomes of clients with antepartum or intrapartum oligohydramnios and management decisions applied to these clients. This paper is intended to synthesize and summarize the most current knowledge retrieved in these topics between the years of 1990- 2000. A general search using key terms was conducted, and yielded 63 prospective articles comprised of full articles, abstracts, and literature reviews. Seventeen articles on oligohydramnios, amniotic fluid volume measurements, and perinatal outcomes were retained out of the 35 that were found. The search for the literature discussing management of oligohydramnios produced 9 articles, of which 3 were found to be pertinent to this project. Twelve of the total 39 articles retained were literature reviews and were used for citation and identification of additional information material to this topic. Seven of the 39 articles were retained for the sole purpose of enabling the author to provide a descriptive, thorough review on the relevant concepts of this review. Studies reviewing amniotic fluid volume/oligohydramnios and perinatal outcomes suggest great variance among likelihood of adverse perinatal outcomes. Studies reviewing management of oligohydramnios suggest amnioinfusion may have obstetrical and perinatal benefits for the client with oligohydramnios. Aggressive management including indication for cesarean section related to fetal distress and labor induction were implied with minimal discussion on conservative management for these clients.

Preterm labor with intact membranes (PTL) is responsible for approximately 40% of all preterm deliveries. PTL is frequently complicated by intra-amniotic inflammation (IAI), characterized by the elevation of inflammatory mediators in the amniotic fluid. Based on the presence or absence of microbial invasion of the amniotic cavity (MIAC), two different clinical phenotypes of IAI are distinguished: i) intra-amniotic infection, when microorganisms are present in the amniotic fluid, and ii) sterile IAI, when there are no microorganisms in the amniotic fluid. The clinical severity of both phenotypes of IAI is underlined by their association with adverse neonatal outcomes. In addition to the presence or absence of MIAC, there are also differences between the phenotypes of IAI in terms of their intra-amniotic inflammatory status characteristics. The clinical part of this thesis has addressed these differences in women with PTL. The first specific aim of this clinical study was to determine the concentration of interleukin (IL)-6 in the cervical fluid of women with PTL complicated by intra-amniotic infection and sterile IAI. The second specific aim was to determine the concentration of IgGFc-binding protein (FcgammaBP) in the amniotic and cervical fluids of women with PTL complicated by intra-amniotic...

Introduction: Heart failure remains a major public health problem, with recent estimates indicating that end-stage heart failure with two-year mortality rates of 70-80% affects over 60,000 patients in the US each year. Medical management can be used but success declines for patients with end stage heart failure. Although cardiac transplantation is optimal, less than 2500 cardiac transplants are performed annually due to the severely limited supply of donor organs. Mechanical circulatory support (MCS) devices are now routinely used to bridge patients with end-stage heart failure who become critically ill until a donor heart is available. The use of stem cell therapy to treat heart failure has been gaining significant ground in recent years, specifically due to its regenerative properties, and both animal and human models have shown significant improvements in ventricular mass, ejection fraction, vascularization, wall thickness, and infarct size reduction. Using the patients' HeartWare HVAD device diagnostics, we were able to acquire our response variable; pulsatility. Pulsatility is a variable measure of the differential between minimum and maximum flow and is dependent on device motor speed, power, current, and fluid viscosity. This measurement is important as it relates to the contractility of the heart and could potentially be used as an end point in determining when a patient is healthy enough to have their HVAD explanted. We set out to develop a low cost and effective predictive model to determine amniotic mesenchymal stem cell's ability to repair compromised cardiac tissue of patients using the Total Artificial Heart (TAH) and Donovan Mock Circulation Tank (DMC). Methods: Predictive modelling was performed using the TAH and DMC. The system was set to a range from critical heart failure to a normal operating conditions through the variation of preload, afterload, and ventricular drive pressures with the intent of comparing the results to our patient population. Patients (n=7, 3 dilated, 4 ischemic) received intravenous and intra-myocardial injections of a heterogeneous amniotic mesenchymal stem cells mixture and liquid matrix (MSCs+LM) at HVAD implant. Groups were analyzed based on treatment; control (HVAD only, n=7) versus stem cells (HVAD + MSCs+LM). HeartWare log files were acquired from patients' devices and analyzed in SAS and Matlab. Results from the patient study were compared to the predictive model to determine levels of stem cell response. Results: Pulsatility was found to increase with left drive pressure and afterload. Lower drive pressures resulted in a drop off in pulsatility at higher afterloads while higher drive pressures were able to compensate for any afterload. Pulsatility also increased with preload but lower drive pressures were unable to fully eject at the highest preloads, resulting in a reduced pulsatility. We observed the effects of the stem cell injections on pulsatility and found that patients receiving therapy demonstrated statistically significant increases in pulsatility at 15-20 (p=.0487), 25-30 (p=.0131), 35-40 (p=.0333), and 75-80 (p=0.0476) days post implant. At minimum, when comparing the patient results to the in vitro model, the therapy resulted in a progression from end stage HF conditions to medium cardiac function conditions. At maximum, the therapy resulted in a progression from end stage HF to normal healthy operating cardiac function. Conclusions: Stem cells demonstrated a significantly increased rate of change in pulsatility within the first 40 days and at 80 days post implant when compared to control. They also demonstrated progression from end stage HF to normal healthy cardiac function at two time periods (Days 40, 90). These results justify expansion of the study to encompass a larger patient population to verify the results of the in vitro model to predict cardiac regeneration with multiple functional status indicators.

O objetivo do presente estudo foi o de determinar os efeitos da exposição prolongada ao KCN e ao KSCN em ratos, no período perinatal. Inicialmente, realizou-se o estudo toxicocinético do tiocianato em ratas, em três estados fisiológicos diferentes: fase estrogênica, gestacional e de lactação. Para tal, estes animais receberam, por via oral, na água de bebida ou gavage, a dose única de 3 mg/kg de KCN. Os resultados obtidos mostraram aumento significante nos níveis séricos, lácteos e no líquido amniótico, de tiocianato, após a administração do KCN. A partir destes dados, foram calculados os parâmetros toxicocinéticos. Na segunda etapa, foram utilizadas ratas, as quais foram divididas em 3 grupos controles e 18 experimentais, que receberam as diferentes doses de KCN (1; 3 e 30 mg/kg) ou KSCN (0,8; 2,4 e 24 mg/kg), na água de bebida, do 6º ao 20º dia de gestação e submetidas à eutanásia no 20º dia da gestação ou no 22º dia pós-parto; e do 1º ao 19º dia da lactação, e submetidas à eutanásia no 19º dia deste período. Ao final de cada experimento, os animais foram submetidos à eutanásia, no período apropriado, bem como os fetos e filhotes, coletando-se soro para análise dos níveis de tiocianato, glicose, colesterol, uréia, creatinina, alanina aminotransferase, aspartato aminotransferase, fosfatase alcalina, bem como foram retirados fragmentos do sistema nervoso central, do rim, do pâncreas, da tireóide, do fígado, do pulmão e do baço para estudo histopatológico. Ainda, realizou-se a dosagem de tiocianato no líquido amniótico e no leite, bem como a análise óssea e visceral dos fetos. Dos parâmetros bioquímicos analisados, em relação às mães, verificou-se que os níveis séricos de tiocianato estiveram aumentados, significantemente, em diversos grupos experimentais, no entanto, poucas foram as alterações nas enzimas e outras substâncias avaliadas. O estudo histológico revelou, tanto naquelas gestantes quanto nas lactantes, nefrose, hemorragia e hemossiderose renal; congestão, neuronofagia e gliose no SNC; congestão, vacuolização e proliferação dos ductos biliares e aumento no número de vacúolos de reabsorção no colóide dos folículos tireoidianos, de forma dose-dependente, nos diferentes grupos experimentais. Ratas gestantes, submetidas à eutanásia no 20º dia da gestação apresentaram, ainda, depleção de células das ilhotas de Langerhans. Em relação aos filhotes, tanto aqueles provenientes de fêmeas tratadas durante a gestação quanto da lactação, verificou-se que, embora a avaliação bioquímica tenha revelado alteração apenas no tiocianato sérico de filhotes de mães provenientes dos grupos experimentais, o estudo histológico, nestas proles, mostrou várias lesões, a saber: congestão, neuronofagia e gliose no SNC, congestão renal e hepática, vacuolização e proliferação dos ductos biliares. Por outro lado, não foram detectadas alterações na performance reprodutiva bem como na análise visceral e óssea dos fetos. Portanto, pode-se sugerir que o cianeto e/ou seu metabólito promovam efeito tóxico diretamente sobre o feto, no entanto estas alterações são passíveis de detecção apenas na fase pós-natal. Além disto, verificou-se, que o cianeto e/ou o tiocianato são carreados para o leite, podendo comprometer, também, a saúde do neonato. / The aim of the present study was to determinate the toxic effects of long-term exposure to KCN and KSCN in rats, during perinatal period. Initially, it was achieved the toxicokinetics study of the thiocyanate in female rats, in three different physiological states: estrogenic, gestation and lactation. These animals received, per os, in the drinking water or by gavage, the unique dose of 3.0 mg KCN/kg. The results showed significantly increased in the thiocyanate levels in the serum, milk and amniotic fluid, after the administration of the KCN. The toxicokinetics parameters were calculated based on these data. In a second part, female rats were distributed in 18 experimental and 3 control groups. The experimental groups were dosed with 1, 3 and 30 mg KCN/kg or 0.8; 2.4 and 24 mg KSCN/kg, daily, in the drinking water, from days 6 to 20 of gestation and euthanized on day 20 of gestation or on day 22 postpartum; or received from days 1 to 19 of lactation and euthanized on day 19 of lactation. At the end of each experiment, the animals were euthanized, in the appropriated period, as well as the fetuses and pups. The serum samples were obtained in order to determine the thiocyanate, glucose, cholesterol, urea, creatinine, alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase levels as well as samples of the following organs for the histopathological study: central nervous system, kidney, pancreas, thyroid, liver, lung and spleen. Yet, the levels of thiocyanate were evaluated in the amniotic fluid and milk, from the mothers, as well as the skeletal and visceral analysis of the fetuses. From the biochemical parameters, in relation to the dams, it was verified that the thiocyanate levels were significantly increased, in several experimental groups; otherwise, too few alterations were observed in the enzymes and others substances analyzed. The histopathological study revealed, in the pregnant and lactating rats, nephrosis, hemorrhage and hemosiderosis in the kidneys; congestion, neuronophagia and gliosis in the CNS; vacuolization and proliferation of the biliar ducts in the liver and increase in the number of reabsorption vacuoles in follicular colloid, in a dose-dependent manner, in some experimental groups. At the pregnant rats that were euthanized on day 20 of gestation, it was verified depletion of cells from the islets of Langerhans. In relation to the pups, from mothers exposed during the gestation and lactation, it was verified alteration in the thiocyanate levels from experimental groups and the histopathological study revealed: congestion, neuronophagia and gliosis in the CNS, renal and hepatic congestion, vacuolization and proliferation of biliar ducts. On the other hand, it was verified no alterations in the reproductive performance nor skeletal and visceral analysis of the fetuses. Thus, it was suggested that the cyanide and/or its metabolite promoted toxic effect straight to the fetuses; however, these alterations are susceptible of detection only at postnatal phase. Furthermore, the cyanide and/or thiocyanate are transferred to the breast milk of rats and can also compromise the health of the offspring.