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  • 1
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Renal biopsy in the early puerperium was carried out on 20 patients with toxaemia and 13 abruptio placentae without preceding toxaemia. The tissue obtained was studied by light and electron microscopy. All patients had a very similar glomerular lesion with (1) swelling and slight proliferation of the endotheliat cells, (2) increase in the number of mesangial cells and the amount of the mesangial matrix, and (3) granular deposits derived from fibrinogen within the endothelial cells and the mesangial matrix.It is suggested that in both toxaemia and abruptio placentae there is release of thromboplastin from the placental site into the circulation which causes disseminated intravascular coagulation; this process is complicated by the fact than in pregnancy the fibrinolytic mechanism is in any case impaired. The glomerular lesion in both groups is the result of the response of the endothelial cells and mesangium to deposited fibrin or its derivatives.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0428
    Keywords: Glucose ; 6-aminonicotinamide ; leucine ; arginine ; insulin release ; hexosemonophosphate pathway
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary 6-aminonicotinamide (6-AN), which decreases the activity of the hexosemonophosphate pathway of pancreatic islets as well as the insulin releasing effect of glucose, was used to determine whether the potentiating effect of leucine and arginine on glucose induced insulin release is dependent upon normal function of the hexosemonophosphate pathway in pancreatic islets. In control islets, at low glucose concentrations (1 mg/ml), or in the absence of glucose, insulin release induced by these amino acids was negligible. At high glucose concentrations (3 mg/ml), which markedly stimulated insulin release (584 μU/5 islets/90 min), 1 and 10 mM leucine and 10 mM arginine increased insulin release by another 250 to 300 μU. Islets from animals treated with 6-AN released significantly less insulin in response to glucose alone or glucose plus leucine or arginine than control islets. However, the potentiating effect of these amino acids on insulin release from islets of animals treated with 6-AN was still similar to that observed in control islets and the total insulin released in the presence of 1 or 10 mM leucine or 10 mM arginine plus 3 mg/ml glucose was about the same as that observed in control islets in the presence of 3 mg/ml glucose alone. The data are consistent with the hypothesis that glucose exerts a permissive effect upon the insulinogenic actions of leucine and arginine, but that glucose oxidation through the hexosemonophosphate pathway is not important for the potentiation of glucose-induced insulin release by these amino acids.
    Type of Medium: Electronic Resource
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