WorldWideScience

Sample records for amniotic fluid prior

  1. Matrix metalloproteinase-2 is elevated in midtrimester amniotic fluid prior to the development of preeclampsia

    Directory of Open Access Journals (Sweden)

    Daniel-Spiegel Etty

    2009-08-01

    Full Text Available Abstract Objective To evaluate levels of matrix metalloproteinases (MMP and their inhibitors (TIMP in second trimester amniotic fluid of women with hypertensive disorders compared to normotensive women. Study Design Amniotic fluid was obtained from 133 women undergoing genetic second trimester amniocentesis. Zymography was performed for MMP characterization and an MMP-2 ELISA kit was used to determine MMP-2 levels. TIMP-2 expression was evaluated using western blot. Results Mean amniotic fluid MMP-2 and TIMP-2 levels were significantly higher in women who developed a hypertensive disorder compared to normotensive women (P Conclusion Higher amniotic fluid MMP-2 and TIMP-2 levels are found in women who eventually develop preeclampsia.

  2. Amniotic fluid (image)

    Science.gov (United States)

    Amniotic fluid surrounds the growing fetus in the womb and protects the fetus from injury and temperature changes. ... of fetal movement and permits musculoskeletal development. The amniotic fluid can be withdrawn in a procedure called amniocentsis ...

  3. Amniotic fluid inflammatory cytokines

    DEFF Research Database (Denmark)

    Abdallah, Morsi; Larsen, Nanna; Grove, Jakob;

    2013-01-01

    The aim of the study was to analyze cytokine profiles in amniotic fluid (AF) samples of children developing autism spectrum disorders (ASD) and controls, adjusting for maternal autoimmune disorders and maternal infections during pregnancy.......The aim of the study was to analyze cytokine profiles in amniotic fluid (AF) samples of children developing autism spectrum disorders (ASD) and controls, adjusting for maternal autoimmune disorders and maternal infections during pregnancy....

  4. Amniotic fluid embolism.

    Science.gov (United States)

    Kaur, Kiranpreet; Bhardwaj, Mamta; Kumar, Prashant; Singhal, Suresh; Singh, Tarandeep; Hooda, Sarla

    2016-01-01

    Amniotic fluid embolism (AFE) is one of the catastrophic complications of pregnancy in which amniotic fluid, fetal cells, hair, or other debris enters into the maternal pulmonary circulation, causing cardiovascular collapse. Etiology largely remains unknown, but may occur in healthy women during labour, during cesarean section, after abnormal vaginal delivery, or during the second trimester of pregnancy. It may also occur up to 48 hours post-delivery. It can also occur during abortion, after abdominal trauma, and during amnio-infusion. The pathophysiology of AFE is not completely understood. Possible historical cause is that any breach of the barrier between maternal blood and amniotic fluid forces the entry of amniotic fluid into the systemic circulation and results in a physical obstruction of the pulmonary circulation. The presenting signs and symptoms of AFE involve many organ systems. Clinical signs and symptoms are acute dyspnea, cough, hypotension, cyanosis, fetal bradycardia, encephalopathy, acute pulmonary hypertension, coagulopathy etc. Besides basic investigations lung scan, serum tryptase levels, serum levels of C3 and C4 complements, zinc coproporphyrin, serum sialyl Tn etc are helpful in establishing the diagnosis. Treatment is mainly supportive, but exchange transfusion, extracorporeal membrane oxygenation, and uterine artery embolization have been tried from time to time. The maternal prognosis after amniotic fluid embolism is very poor though infant survival rate is around 70%. PMID:27275041

  5. Amniotic fluid embolism

    Directory of Open Access Journals (Sweden)

    Rudra A

    2009-01-01

    Full Text Available The disastrous entry of amniotic fluid into the maternal circulation leads to dramatic sequelae of clinical events, characteristically referred to as Amniotic fluid embolism (AFE. The underlying mechanism for AFE is still poorly understood. Unfortunately, this situation has very grave maternal and fetal consequences. AFE can occur during labor, caesarean section, dilatation and evacuation or in the immediate postpartum period. The pathophysiology is believed to be immune mediated which affects the respiratory, cardiovascular, neurological and hematological systems. Undetected and untreated it culminates into fulminant pulmonary edema, intractable convulsions, disseminated intravascular coagulation (DIC, malignant arrhythmias and cardiac arrest. Definite diagnosis can be confirmed by identification of lanugo, fetal hair and fetal squamous cells (squames in blood aspirated from the right ventricle. Usually the diagnosis is made clinically and by exclusion of other causes. The cornerstone of management is a multidisciplinary approach with supportive treatment of failing organs systems. Despite improved modalities for diagnosing AFE, and better intensive care support facilities, the mortality is still high.

  6. Amniotic fluid index: correlation with amniotic fluid volume.

    Science.gov (United States)

    Hoskins, I A; McGovern, P G; Ordorica, S A; Frieden, F J; Young, B K

    1992-01-01

    We calculated the amniotic fluid indexes (AFIs) of 310 women on 459 occasions. Normative data were analyzed and compared with data in several high-risk groups. In the normal gestations there was a progressive increase in AFI with advancing gestation until 32 weeks, after which there was a decline. The mean AFIs in abnormal gestations varied with the clinical diagnoses. These values were compared to those obtained by assessing amniotic fluid volume (AFV), that is a pocket more than 2 cm. There were 51 patients with abnormal AFVs. Forty-two had decreased fluid, six also had decreased AFIs; nine had increased AFVs and five (all with diabetes) also had increased AFIs. Thus, AFIs in normal pregnancies showed an orderly pattern of change with gestational age, and there was no accurate correlation between AFI and AFV. Thus, using AFV alone may lead to false interpretations of amniotic fluid status. PMID:1418123

  7. Human papillomavirus in amniotic fluid

    Directory of Open Access Journals (Sweden)

    Swan David C

    2006-09-01

    Full Text Available Abstract Background There is evidence to suggest that human papillomavirus (HPV can cross the placenta resulting in in-utero transmission. The goal of this study was to determine if HPV can be detected in amniotic fluid from women with intact amniotic membranes. Methods Residual amniotic fluid and cultured cell pellets from amniocentesis performed for prenatal diagnosis were used. PGMY09/11 L1 consensus primers and GP5+/GP6+ primers were used in a nested polymerase chain reaction assay for HPV. Results There were 146 paired samples from 142 women representing 139 singleton pregnancies, 2 twin pregnancies, and 1 triplet pregnancy. The women were 78% Caucasian, 5% African American, 14% Asian, and 2% Hispanic. The average age was 35.2 years with a range of 23–55 years. All samples were β-globin positive. HPV was not detected in any of the paired samples. Conclusion Given the age range, race, and ethnicity of the study population, one would anticipate some evidence of HPV if it could easily cross the placenta, but there was none.

  8. Spectral luminescence analysis of amniotic fluid

    Science.gov (United States)

    Slobozhanina, Ekaterina I.; Kozlova, Nataly M.; Kasko, Leonid P.; Mamontova, Marina V.; Chernitsky, Eugene A.

    1997-12-01

    It is shown that the amniotic fluid has intensive ultra-violet luminescence caused by proteins. Along with it amniotic fluid radiated in the field of 380 - 650 nm with maxima at 430 - 450 nm and 520 - 560 nm. The first peak of luminescence ((lambda) exc equals 350 nm; (lambda) em equals 430 - 440 nm) is caused (most probably) by the presence in amniotic fluid of some hormones, NADH2 and NADPH2. A more long-wave component ((lambda) exc equals 460 nm; (lambda) em equals 520 - 560 nm) is most likely connected with the presence in amniotic fluid pigments (bilirubin connected with protein and other). It is shown that intensity and maximum of ultra-violet luminescence spectra of amniotic fluid in normality and at pathology are identical. However both emission spectra and excitation spectra of long-wave ((lambda) greater than 450 nm) luminescence of amniotic fluid from pregnant women with such prenatal abnormal developments of a fetus as anencephaly and spina bifida are too long-wave region in comparison with the norm. Results of research testify that spectral luminescent analysis of amniotic fluid can be used for screening of malformations of the neural tube. It is very difficult for a practical obstetrician to reveal pregnant women with a high risk of congenital malformations of the fetus. Apart from ultrasonic examination, cytogenetic examination of amniotic fluid and defumination of concentrations of alpha-fetoprotein and acetylcholin-esterases in the amniotic fluid and blood plasma are the most widely used diagnostic approaches. However, biochemical and cytogenetic diagnostic methods are time-consuming. In the present work spectral luminescence properties of the amniotic fluid are investigated to determine spectral parameters that can be used to reveal pregnant women with a high risk of congenital malformations of their offsprings.

  9. 21 CFR 884.1550 - Amniotic fluid sampler (amniocentesis tray).

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Amniotic fluid sampler (amniocentesis tray). 884... Diagnostic Devices § 884.1550 Amniotic fluid sampler (amniocentesis tray). (a) Identification. The amniotic fluid sampler (amniocentesis tray) is a collection of devices used to aspirate amniotic fluid from...

  10. Therapeutic potential of amniotic fluid stem cells.

    Science.gov (United States)

    Abdulrazzak, Hassan; De Coppi, Paolo; Guillot, Pascale V

    2013-03-01

    Human amniotic fluid cells have been used traditionally as a diagnostic tool for genetic anomalies. More recently it has been recognized that amniotic fluid contains populations of stem cells. Mesenchymal stem cells (AFMSC) were first to be described. These cells are able to differentiate towards mesodermal lineages. More recently cells with broader potential, defined as amniotic fluid stem cells (AFSC), were also isolated. They have intermediate characteristics between embryonic and adult stem cells and are able to differentiate into lineages representative of all three germ layers but unlike ES cells they do not form tumours in vivo. Furthermore, AFSC have been reverted to functional pluripotency in a transgene-free approach using an epigenetics modifier. These characteristics, together with absence of ethical issues concerning their employment, have made stem cells from amniotic fluid a promising candidate for cell therapy and tissue engineering.

  11. Critical assessment of phospholipid measurement in amniotic fluid.

    Science.gov (United States)

    Badham, L P; Worth, H G

    1975-09-01

    We assessed several methods of inorganic phosphate assay for their suitability in estimating phospholipids in digested extracts of amniotic fluids. The extraction and digestion procedures used for phospholipids from amniotic fluid were also examined critically. The effect of contamination by blood or obstetric cream has been examined. Accordingly, we suggest a method for measuring total phospholipids in amniotic fluids, and results of it are compared with the lecithin/sphingomyelin ratio measurement in some clinical situations. PMID:1157310

  12. Inhibitor of intramembranous absorption in ovine amniotic fluid.

    Science.gov (United States)

    Brace, Robert A; Cheung, Cecilia Y; Anderson, Debra F

    2014-02-01

    Intramembranous absorption increases during intra-amniotic infusion of physiological saline solutions. The increase may be due partly to the concomitant elevation in fetal urine production as fetal urine contains a stimulator of intramembranous absorption. In this study, we hypothesized that the increase in intramembranous absorption during intra-amniotic infusion is due, in part, to dilution of a nonrenal inhibitor of intramembranous absorption that is present in amniotic fluid. In late-gestation fetal sheep, amniotic fluid volume and the four primary amniotic inflows and outflows were determined over 2-day intervals under three conditions: 1) control conditions when fetal urine entered the amniotic sac, 2) during intra-amniotic infusion of 2 l/day of lactated Ringer solution when urine entered the amniotic sac, and 3) during the same intra-amniotic infusion when fetal urine was continuously replaced with lactated Ringer solution. Amniotic fluid volume, fetal urine production, swallowed volume, and intramembranous absorption rate increased during the infusions independent of fetal urine entry into the amniotic sac or its replacement. Lung liquid secretion rate was unchanged during infusion. Because fetal membrane stretch has been shown not to be involved and because urine replacement did not alter the response, we conclude that the increase in intramembranous absorption that occurs during intra-amniotic infusions is due primarily to dilution of a nonrenal inhibitor of intramembranous absorption that is normally present in amniotic fluid. This result combined with our previous study suggests that a nonrenal inhibitor(s) together with a renal stimulator(s) interact to regulate intramembranous absorption rate and, hence, amniotic fluid volume.

  13. Detection of Bacteroides fragilis endotoxin in amniotic fluid by counterimmunoelectrophoresis

    NARCIS (Netherlands)

    I. Beckmann (Ilse); K. de Graaff (K.); F. Meisel-Mikolajczyk; H.C.S. Wallenburg (Henk)

    1994-01-01

    textabstractThe ability of counter immunoelectrophoresis (CIE) to detectBacteroides fragilis endotoxin in amniotic fluid in small concentrations was evaluated. A method was developed which, in combination with ultrafiltration, permits detection ofB. fragilis endotoxin in amniotic fluid in a concentr

  14. Phthalates and perfluorooctanesulfonic acid in human amniotic fluid

    DEFF Research Database (Denmark)

    Jensen, Morten Søndergaard; Nørgaard-Pedersen, Bent; Toft, Gunnar;

    2012-01-01

    Measures of prenatal environmental exposures are important, and amniotic fluid levels may directly reflect fetal exposures during hypothesized windows of vulnerability.......Measures of prenatal environmental exposures are important, and amniotic fluid levels may directly reflect fetal exposures during hypothesized windows of vulnerability....

  15. Neurogenic differentiation of amniotic fluid stem cells.

    Science.gov (United States)

    Rosner, M; Mikula, M; Preitschopf, A; Feichtinger, M; Schipany, K; Hengstschläger, M

    2012-05-01

    In 2003, human amniotic fluid has been shown to contain stem cells expressing Oct-4, a marker for pluripotency. This finding initiated a rapidly growing and very promising new stem cell research field. Since then, amniotic fluid stem (AFS) cells have been demonstrated to harbour the potential to differentiate into any of the three germ layers and to form three-dimensional aggregates, so-called embryoid bodies, known as the principal step in the differentiation of pluripotent stem cells. Marker selection and minimal dilution approaches allow the establishment of monoclonal AFS cell lineages with high proliferation potential. AFS cells have a lower risk for tumour development and do not raise the ethical issues of embryonic stem cells. Compared to induced pluripotent stem cells, AFS cells do not need exogenic treatment to induce pluripotency, are chromosomal stable and do not harbour the epigenetic memory and accumulated somatic mutations of specific differentiated source cells. Compared to adult stem cells, AFS can be grown in larger quantities and show higher differentiation potential. Accordingly, in the recent past, AFS became increasingly accepted as an optimal tool for basic research and probably also for specific cell-based therapies. Here, we review the current knowledge on the neurogenic differentiation potential of AFS cells.

  16. Amniotic fluid embolism and isolated coagulopathy: atypical presentation of amniotic fluid embolism.

    LENUS (Irish Health Repository)

    Awad, I T

    2012-02-03

    A 41-year-old multigravida presented at 32 weeks of gestation with polyhydramnios and an anencephalic fetus. Abnormal bleeding as a result of disseminated intravascular coagulation complicated an emergency Caesarean section for severe abdominal pain thought to be due to uterine rupture. Massive transfusion with blood products was necessary and the abdomen packed to control bleeding. The patient was transferred to the intensive care unit where she made a slow but complete recovery. Amniotic fluid embolism with atypical presentation of isolated coagulopathy is the likely diagnosis in this case. The case serves to demonstrate that amniotic fluid embolism may present with symptoms and signs other than the classical pattern of dyspnoea, cyanosis and hypotension.

  17. Does reduction of amniotic fluid affect fetal movements?

    NARCIS (Netherlands)

    Sival, D A; Visser, G H; Prechtl, H F

    1990-01-01

    The effect of the amount of amniotic fluid on the form of fetal general movements was studied longitudinally in 19 pregnancies complicated by premature rupture of the amniotic membranes (PROM). Before birth, general movements were studied weekly by means of 1-h ultrasound observations, performed und

  18. Amniotic fluid embolism: a comprehensive review

    Directory of Open Access Journals (Sweden)

    Manjusha Viswanathan

    2014-04-01

    Full Text Available Amniotic Fluid Embolism (AFE is an obstetric catastrophe which occurs in 1 in 8000-80000 deliveries.1 It presents with shortness of breath, hypotension, hypoxemia, uterine atony, post-partum hemorrhage, disseminated intravascular coagulation, convulsions, coma and death. Pathophysiology is not clearly understood. It may be due to anaphylactoid like reaction to fetal cells that enter maternal circulation. There are no proven risk factors though a few have been postulated. Treatment is mainly supportive. The corner stone of management is a multi-disciplinary approach with support given to the failing organ systems. The mortality and morbidity due to AFE is very high. Hence prompt diagnosis and effective supportive measures is the key in the management. [Int J Reprod Contracept Obstet Gynecol 2014; 3(2.000: 304-309

  19. Prognostic potential of amniotic fluid analysis at birth on canine neonatal outcomes.

    Science.gov (United States)

    Groppetti, D; Martino, P A; Ravasio, G; Bronzo, V; Pecile, A

    2015-12-01

    Glucose, lactate and cortisol concentrations in amniotic fluid were measured at birth in 95 pups and related to neonatal viability based on Apgar scoring and to neonatal mortality. Neither amniotic parameters nor neonatal mortality were associated with the Apgar score. Stillborn pups showed high lactate (P amniotic concentrations (P amniotic fluid differences were observed between normal and malformed pups. Amniotic glucose (P amniotic fluid collected at birth could be a valuable predictor of neonatal outcomes in dogs.

  20. Hiccups and amniotic fluid regulation in early pregnancy.

    Science.gov (United States)

    Murchison, Andrew G

    2015-05-01

    Hiccups are an unexplained phenomenon and a subject of medical curiosity. They arise through a reflex arc with central control at the level of the medulla, and their primary physiological effect is the generation of negative intra-thoracic pressure. This paper presents the hypothesis that hiccups serve a purpose during the first half of gestation, when they are most prevalent; namely, that they promote amniotic fluid influx to the primitive gut, allowing fluid to be transferred to the foetal and then maternal vasculature. Furthermore, hiccups could be provoked by increasing amniotic fluid volume and pressure, and act in a regulatory capacity. This hypothesis could be tested by studying foetal movements in the first half of gestation, and assessing whether there is correlation with amniotic fluid flux in the developing gut. Ascertaining whether hiccups increase in frequency with increasing amniotic fluid volume would provide evidence for or against a regulatory function.

  1. Glial origin of rapidly adhering amniotic fluid cells.

    OpenAIRE

    Aula, P; von Koskull, H; Teramo, K; Karjalainen, O; Virtanen, I.; Lehto, V P; Dahl, D

    1980-01-01

    Rapidly adhering cells (RA cells) from the amniotic fluid of a pregnancy with fetal anencephaly were investigated by immunofluorescence assay with an antiserum against glial cells. After 24 hours' cultivation a high proportion of the cells showed positive glial-specific fluorescence, whereas no staining was seen in cells from samples of normal amniotic fluid. At the 24th week the mother was delivered of a stillborn infant with anencephaly. Immunofluorescence staining of RA cells with glial-sp...

  2. Testosterone determination in amniotic fluid for sec diagnosis

    International Nuclear Information System (INIS)

    This study was carried on 50 samples of amniotic fluid obtained from pregnant patients with gestation old of 38 to 40 weeks; diagnosis of the foetus sex was made by measuring the testosterone levels by radioimmunoassay technique. It was found that 94% of the cases were correctly diagnosed. The testosterone levels found in the amniotic fluid of male and female foetus were significantly different (L<0.01) these confirm the efficacy of the method. (author)

  3. Amniotic Fluid Cells Proliferation in Normal and Down Syndrome Subjects

    Directory of Open Access Journals (Sweden)

    Honcea Adina

    2016-02-01

    Full Text Available Down Syndrome/Trisomy 21 is the most common chromosomal anomaly, and it represents the most common congenital cause of infants’ intellectual disability. Subjects with this syndrome are affected by degenerative processes caused by accelerated aging or unknown ethyologies. In recent years, accumulating evidence revealed increased potential of amniotic fluid-derived stem cells to be used in regenerative therapy. Our aim was to assess differences in immunophenotype, cell morphology and proliferation of amniotic fluid cells from normal and Down Syndrome pregnancies using a quantitative cytometry approach. Results revealed the emergence of a population of small sized cells in Down Syndrome derived amniotic fluid cells that are readily visible upon microscopic inspection. Hence, the fluorescence–based quantitative image cytometry determinations showed a tendency of decrease in both cell and nuclei size in trisomy, with no significant modification in nuclei circularity, as measured following actin cytoskeleton and nuclei labeling. The propensity of Ki67 positive cells was found to be increased in Down Syndrome derived cells (48.92% as compared to normal specimens (28.68%. However, cells in S and G2/M cell cycle phases decreased from 32.91% to 4.49% in diseased cells. Further studies are devoted to understanding the molecular basis of the observed differences in the proliferation ability of Down Syndrome amniotic cells, in order to evaluate the potential therapeutic effect of amniotic fluid stem cells for tissue regeneration in subjects with trisomy and to find correlations between amniotic cells phenotype and patient prognosis.

  4. Elevated amniotic fluid amino acid levels in fetuses with gastroschisis

    Directory of Open Access Journals (Sweden)

    A. Kale

    2006-08-01

    Full Text Available Our objective was to measure maternal plasma and amniotic fluid amino acid concentrations in pregnant women diagnosed as having fetuses with gastroschisis in the second trimester of pregnancy. Twenty-one pregnant women who had fetuses with gastroschisis detected by ultrasonography (gastroschisis group in the second trimester and 32 women who had abnormal triple screenings indicating an increased risk for Down syndrome but had healthy fetuses (control group were enrolled in the study. Amniotic fluid was obtained by amniocentesis, and maternal plasma samples were taken simultaneously. The chromosomal analysis of the study and control groups was normal. Levels of free amino acids and non-essential amino acids were measured in plasma and amniotic fluid samples using EZ:fast kits (EZ:fast GC/FID free (physiological amino acid kit by gas chromatography (Focus GC AI 3000 Thermo Finnigan analyzer. The mean levels of essential amino acids (histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, and valine and non-essential amino acids (alanine, glycine, proline, and tyrosine in amniotic fluid were found to be significantly higher in fetuses with gastroschisis than in the control group (P < 0.05. A significant positive correlation between maternal plasma and amniotic fluid concentrations of essential and nonessential amino acids was found only in the gastroschisis group (P < 0.05. The detection of significantly higher amino acid concentrations in the amniotic fluid of fetuses with a gastroschisis defect than in healthy fetuses suggests the occurrence of amino acid malabsorption or of amino acid leakage from the fetus into amniotic fluid.

  5. Stem cells from amniotic fluid--Potential for regenerative medicine.

    Science.gov (United States)

    Loukogeorgakis, Stavros P; De Coppi, Paolo

    2016-02-01

    Regenerative medicine has recently been established as an emerging field focussing on repair, replacement or regeneration of cells, tissues and whole organs. The significant recent advances in the field have intensified the search for novel sources of stem cells with potential for therapy. Recently, researchers have identified the amniotic fluid as an untapped source of stem cells that are multipotent, possess immunomodulatory properties and do not have the ethical and legal limitations of embryonic stem cells. Stem cells from the amniotic fluid have been shown to differentiate into cell lineages representing all three embryonic germ layers without generating tumours, which make them an ideal candidate for tissue engineering applications. In addition, their ability to engraft in injured organs and modulate immune and repair responses of host tissues suggest that transplantation of such cells may be useful for the treatment of various degenerative and inflammatory diseases affecting major tissues/organs. This review summarises the evidence on amniotic fluid cells over the past 15 years and explores the potential therapeutic applications of amniotic fluid stem cells and amniotic fluid mesenchymal stem cells.

  6. Catecholamines in amniotic fluid as indicators of intrapartum fetal stress.

    Directory of Open Access Journals (Sweden)

    Yashiro,Yuriko

    1985-08-01

    Full Text Available Catecholamines were measured in the amniotic fluid and in the first voided newborn urine obtained from appropriate-for-date infants of term deliveries. Catecholamine values in the amniotic fluid and urine were nearly equal when expressed in terms of creatinine. Significant positive correlations were observed between the amniotic fluid and urine of norepinephrine and epinephrine. In normal cases (n = 32 that underwent uneventful vaginal delivery, the 95% confidence limits for norepinephrine and epinephrine in the amniotic fluid were 1.53 to 2.33 ng/ml and 0.16 to 0.30 ng/ml, respectively. In cases of moderate stress (n = 12, only norepinephrine showed significantly higher values than the normal cases, while in cases of severe stress (n = 12, norepinephrine became more significantly high, and epinephrine was found to be elevated significantly. A significant difference was noted in the incidence of fetal stress between the infants with more than and those with less than 2.30 ng/ml of norepinephrine, the upper limits of the normal 95% confidence limits. However, for epinephrine such a significant difference was not noted. It was concluded that amniotic fluid catecholamines are of fetal origin and reflect fetal sympathoadrenal activity directly, even during labor, and that their level may be a good indicator of fetal condition and stress.

  7. INFLUENCE OF AMNIOTIC FLUID INDEX ON FOETAL OUTCOME

    Directory of Open Access Journals (Sweden)

    Raja Lakshmi

    2015-03-01

    Full Text Available BACKGROUND AND OBJECTIVE: In these days of smaller families and the obstetrician having to share the onus of giving a healthy child capable of independent existence as well as to ensure that the population is limited for further progress of this developing country, the estimation o f foetal maturity assumes greatest practical importance. As means to achieving the end, estimates of foetal maturity have been done by various clinical and laboratory methods of which assessment of amniotic fluid index assumes importance. The objective is to study the correlation of amniotic fluid index on foetal outcome at term gestation . MATERIALS AND METHODS: The study was carried out on two hundred antenatal women who attended the institute of obstetrics and gynaecology at a Government Hospital for Wome n and Children in Visakhapatnam from Jan 2014 to Jan 2015. It is a comparative prospective study comparing 100 cases of Oligohydramnios (amniotic fluid index 5 cm as control group. RESU LTS : Perinatal outcome was inferred by noting the various parameters and Statistical Analysis was done by applying the chisquare (x2 test and the value of probability was taken . CONCLUSION: The goal of antepartum fetal surveillance is to identify the fetu s at increased risk. Amniotic fluid volume has been proved as an indirect measure of feto - placental function and hence the estimation of amniotic fluid volume assists the obstetrician in risk assessment

  8. Toward consistent terminology: assessment and reporting of amniotic fluid volume.

    Science.gov (United States)

    Moise, Kenneth J

    2013-10-01

    Amniotic fluid is typically measured by ultrasound using the amniotic fluid index (AFI) or the maximum vertical pocket (MVP). Although both parameters correlate poorly with the actual amniotic fluid volume measured with dye-dilution methods, cross-sectional studies have been used to establish gestational norms. The current acceptable definition of polyhydramnios in the late second and the third trimester in both singleton and multiple gestations is a MVP > 8 cm, while the definition of oligohydramnios is a MVP < 2 cm. The pocket to be measured should exclude the umbilical cord or fetal parts. Randomized clinical trials have indicated that defining oligohydramnios as a MVP < 2 cm will result in fewer obstetrical interventions and similar perinatal outcomes when compared to an AFI < 5 cm.

  9. Dielectric properties of human placenta, umbilical cord and amniotic fluid

    Energy Technology Data Exchange (ETDEWEB)

    Peyman, A [Physical Dosimetry Department, Health Protection Agency, Chilton, Didcot OX11 0RQ (United Kingdom); Gabriel, C [MCL-P, Newbury RG14 5PY, Berkshire (United Kingdom); Benedickter, H R; Froehlich, J, E-mail: Azadeh.peyman@hpa.org.uk [Electromagnetic Fields and Microwave Electronics Laboratory, Swiss Federal Institute of Technology, Zurich (Switzerland)

    2011-04-07

    The dielectric properties of freshly delivered human placenta, umbilical cord and amniotic fluid have been acquired at 37 deg. C and in the frequency range of 200 MHz-10 GHz. The experimental data were fitted to a Cole-Cole expression. The results show that dielectric properties of the umbilical cord are significantly higher than placenta due to the presence of high water content Wharton's jelly. The results also demonstrate large differences in the dielectric properties of amniotic and cerebrospinal fluids. The data presented can be used in numerical simulations of the exposure of pregnant women to electromagnetic fields. (note)

  10. Dielectric properties of human placenta, umbilical cord and amniotic fluid

    Science.gov (United States)

    Peyman, A.; Gabriel, C.; Benedickter, H. R.; Fröhlich, J.

    2011-04-01

    The dielectric properties of freshly delivered human placenta, umbilical cord and amniotic fluid have been acquired at 37 °C and in the frequency range of 200 MHz-10 GHz. The experimental data were fitted to a Cole-Cole expression. The results show that dielectric properties of the umbilical cord are significantly higher than placenta due to the presence of high water content Wharton's jelly. The results also demonstrate large differences in the dielectric properties of amniotic and cerebrospinal fluids. The data presented can be used in numerical simulations of the exposure of pregnant women to electromagnetic fields.

  11. Dielectric properties of human placenta, umbilical cord and amniotic fluid

    International Nuclear Information System (INIS)

    The dielectric properties of freshly delivered human placenta, umbilical cord and amniotic fluid have been acquired at 37 deg. C and in the frequency range of 200 MHz-10 GHz. The experimental data were fitted to a Cole-Cole expression. The results show that dielectric properties of the umbilical cord are significantly higher than placenta due to the presence of high water content Wharton's jelly. The results also demonstrate large differences in the dielectric properties of amniotic and cerebrospinal fluids. The data presented can be used in numerical simulations of the exposure of pregnant women to electromagnetic fields. (note)

  12. 21 CFR 862.1455 - Lecithin/sphingomyelin ratio in amniotic fluid test system.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Lecithin/sphingomyelin ratio in amniotic fluid... Clinical Chemistry Test Systems § 862.1455 Lecithin/sphingomyelin ratio in amniotic fluid test system. (a) Identification. A lecithin/sphingomyelin ratio in amniotic fluid test system is a device intended to measure...

  13. Amniotic fluid MMP-9 and neurotrophins in autism spectrum disorders

    DEFF Research Database (Denmark)

    Abdallah, Morsi; Pearce, Brad D; Larsen, Nanna;

    2012-01-01

    Evidence suggests that some developmental disorders, such as autism spectrum disorders (ASDs), are caused by errors in brain plasticity. Given the important role of matrix metalloproteinases (MMPs) and neurotrophins (NTs) in neuroplasticity, amniotic fluid samples for 331 ASD cases and 698...

  14. Lactate to creatinine ratio in amniotic fluid : a pilot study

    NARCIS (Netherlands)

    Torrance, Helen L.; Pistorius, Lourens; Voorbij, Hieronymus A. M.; Visser, Gerard H. A.

    2013-01-01

    Measurement of amniotic fluid (AF) lactate concentration in complicated pregnancies may provide information on the extent of fetal acidemia. However, normalisation for AF volume may be necessary by calculating the lactate: creatinine (L: C) ratio. We measured these AF parameters and compared them to

  15. Biochemical markers of trisomy 21 in amniotic fluid.

    Science.gov (United States)

    Spencer, K; Muller, F; Aitken, D A

    1997-01-01

    In a study of amniotic fluid from 91 Down's syndrome cases and 240 controls, we have shown that the median values of four biochemical markers (AFP, total hCG, free beta hCG, and unconjugated oestriol) in the amniotic fluid of pregnancies affected by Down's syndrome on the whole reflect those observed in the maternal serum of affected cases. The median MOM for AFP was lower than average (0.56), as was that for unconjugated oestriol (0.55), whilst those for total hCG (1.82) and free beta hCG (2.10) were increased on average. The width of the distribution of marker levels in amniotic fluid is similar to that in serum for free beta hCG and total hCG but between 1.5 and 2 times wider for unconjugated oestriol and AFP. Analysis of data by fetal sex showed a significantly higher median MOM in female control cases compared with male controls for the analytes free beta hCG, total hCG, and unconjugated oestriol, but not for AFP. Amongst the Down's syndrome cases, this trend was not statistically significant and we cannot confirm a previous study which reported that elevated levels of amniotic fluid total and free beta hCG were associated only with female fetuses. PMID:9021826

  16. Risk factors for meconium stained amniotic fluid and its implications

    Directory of Open Access Journals (Sweden)

    Ramya Sundaram

    2016-08-01

    Conclusions: Meconium stained amniotic fluid is associated with a higher incidence of operative deliveries resulting in an increased maternal morbidity. It is also associated with an increased neonatal morbidity due to birth asphyxia and respiratory depression at birth and a significant risk of neonatal mortality due to meconium aspiration syndrome. [Int J Reprod Contracept Obstet Gynecol 2016; 5(8.000: 2503-2506

  17. Amnioreduction in treatment of increased amniotic fluid volume

    Directory of Open Access Journals (Sweden)

    Stojić Siniša

    2004-01-01

    Full Text Available Introduction Increased amniotic fluid volume may significantly increase the risk for preterm delivery. Amniodrainage is a symptomatic treatment by which excess amniotic fluid is reduced to provide fetal lung maturation. The aim of this study is to estimate the efficacy and safety of this procedure, our results and give a literature review. Material and methods Sonografic criteria were used (AFI> 400 ml, or the biggest amniotic fluid pocket > 150 mm to choose patients in whom 18G needle was used to allow leaking of excessive amniotic fluid. Results 10 patients underwent 26 procedures. The procedures were performed at 28.6th week gestation, on average and 6.25 weeks average gain or 1000 g. We had two sets of monochorionic twins with twin-to-twin transfusion syndrome (TTTS, where one child survived. One procedure was followed by premature placental abruption, and premature delivery in 28th week. The rest of procedures were uneventful. Conclusion In our series of 10 women, 26 procedures were performed to prolong pregnancies, enable fetal maturation and weight gain. In majority of cases amnioreduction was done without complications, so we could repeat the intervention and prolong the pregnancy. Survival of one child in two TTTS pregnancies should not be regarded unsuccessful in our conditions.

  18. Potential antitumor therapeutic strategies of human amniotic membrane and amniotic fluid-derived stem cells.

    Science.gov (United States)

    Kang, N-H; Hwang, K-A; Kim, S U; Kim, Y-B; Hyun, S-H; Jeung, E-B; Choi, K-C

    2012-08-01

    As stem cells are capable of self-renewal and can generate differentiated progenies for organ development, they are considered as potential source for regenerative medicine and tissue replacement after injury or disease. Along with this capacity, stem cells have the therapeutic potential for treating human diseases including cancers. According to the origins, stem cells are broadly classified into two types: embryonic stem cells (ESCs) and adult stem cells. In terms of differentiation potential, ESCs are pluripotent and adult stem cells are multipotent. Amnion, which is a membranous sac that contains the fetus and amniotic fluid and functions in protecting the developing embryo during gestation, is another stem cell source. Amnion-derived stem cells are classified as human amniotic membrane-derived epithelial stem cells, human amniotic membrane-derived mesenchymal stem cells and human amniotic fluid-derived stem cells. They are in an intermediate stage between pluripotent ESCs and lineage-restricted adult stem cells, non-tumorigenic, and contribute to low immunogenicity and anti-inflammation. Furthermore, they are easily available and do not cause any controversial issues in their recovery and applications. Not only are amnion-derived stem cells applicable in regenerative medicine, they have anticancer capacity. In non-engineered stem cells transplantation strategies, amnion-derived stem cells effectively target the tumor and suppressed the tumor growth by expressing cytotoxic cytokines. Additionally, they also have a potential as novel delivery vehicles transferring therapeutic genes to the cancer formation sites in gene-directed enzyme/prodrug combination therapy. Owing to their own advantageous properties, amnion-derived stem cells are emerging as a new candidate in anticancer therapy.

  19. Rat full term amniotic fluid harbors highly potent stem cells.

    Science.gov (United States)

    Mun-Fun, Hoo; Ferdaos, Nurfarhana; Hamzah, Siti Nurusaadah; Ridzuan, Noridzzaida; Hisham, Nurul Afiqah; Abdullah, Syahril; Ramasamy, Rajesh; Cheah, Pike See; Thilakavathy, Karrupiah; Yazid, Mohd Nazri; Nordin, Norshariza

    2015-10-01

    Amniotic fluid stem cells (AFSCs) are commonly isolated from mid-term amniotic fluid (AF) of animals and human collected via an invasive technique, amniocentesis. Alternatively, AFSCs could be collected at full-term. However, it is unclear whether AFSCs are present in the AF at full term. Here, we aimed to isolate and characterize stem cells isolated from AF of full term pregnant rats. Three stem cell lines have been established following immuno-selection against the stem cell marker, c-kit. Two of the new lines expressed multiple markers of pluripotency until more than passage 90. Further, they spontaneously differentiated into derivatives of the three primary germ layers through the formation of good quality embryoid bodies (EBs), and can be directly differentiated into neural lineage. Their strong stemness and potent neurogenic properties highlight the presence of highly potent stem cells in AF of full-term pregnancies, which could serve as a potential source of stem cells for regenerative medicine.

  20. RIA of alpha-fetoprotein in serum and amniotic fluid

    International Nuclear Information System (INIS)

    An own modification of the double antibody radioimmunoassay for AFP using 125I-labelled AFP as a tracer, rabbit anti-AFP obtained from SEVAC, Prague and precipitating antibodies prepared by the authors is described. The AFP levels measured in the serum and the amniotic fluid using the method were in agreement with those obtained by the means of the AFPK RIA kit by SORIN in the Institute for the Care of Mother and Child in Prague. The AFP concentrations found in the cord serum and the amniotic fluid were confirmed also by the rocket electroimmunoassay according to Laurell. The described AFP RIA seems suitable for the clinical application in prenatal screening for congenital malformations, in difficult pregnancies, in hepatology and the diagnosis and the evaluation of therapy of some human malignancies. (author)

  1. Amniotic fluid: Source of trophic factors for the developing intestine

    OpenAIRE

    Dasgupta, Soham; Arya, Shreyas; Choudhary, Sanjeev; Jain, Sunil K.

    2016-01-01

    The gastrointestinal tract (GIT) is a complex system, which changes in response to requirements of the body. GIT represents a barrier to the external environment. To achieve this, epithelial cells must renew rapidly. This renewal of epithelial cells starts in the fetal life under the influence of many GIT peptides by swallowing amniotic fluid (AF). Development and maturation of GIT is a very complex cascade that begins long before birth and continues during infancy and childhood by breast-fee...

  2. AMNIOTIC FLUID EMBOLISM: AN EVIDENCE-BASED REVIEW

    OpenAIRE

    Conde-Agudelo, Agustin; Romero, Roberto

    2009-01-01

    We conducted an evidence-based review of information bout amniotic fluid embolism (AFE). The estimated incidence of AFE is 1:15,200 and 1:53,800 deliveries in North America and Europe, respectively. The case fatality rate and perinatal mortality associated with AFE are 13–30% and 9–44%, respectively. Risk factors associated with an increased risk of AFE include advanced maternal age, placental abnormalities, operative deliveries, eclampsia, polyhydramnios, cervical lacerations, and uterine ru...

  3. Human amniotic fluid: a source of stem cells for possible therapeutic use.

    Science.gov (United States)

    Dziadosz, Margaret; Basch, Ross S; Young, Bruce K

    2016-03-01

    Stem cells are undifferentiated cells with the capacity for differentiation. Amniotic fluid cells have emerged only recently as a possible source of stem cells for clinical purposes. There are no ethical or sampling constraints for the use of amniocentesis as a standard clinical procedure for obtaining an abundant supply of amniotic fluid cells. Amniotic fluid cells of human origin proliferate rapidly and are multipotent with the potential for expansion in vitro to multiple cell lines. Tissue engineering technologies that use amniotic fluid cells are being explored. Amniotic fluid cells may be of clinical benefit for fetal therapies, degenerative disease, and regenerative medicine applications. We present a comprehensive review of the evolution of human amniotic fluid cells as a possible modality for therapeutic use.

  4. Amniotic fluid-borne hepatocyte growth factor protects rat pups against experimental necrotizing enterocolitis.

    Science.gov (United States)

    Jain, Sunil K; Baggerman, Eric W; Mohankumar, Krishnan; Namachivayam, Kopperuncholan; Jagadeeswaran, Ramasamy; Reyes, Victor E; Maheshwari, Akhil

    2014-03-01

    Fetal swallowing of amniotic fluid, which contains numerous cytokines and growth factors, plays a key role in gut mucosal development. Preterm birth interrupts this exposure to amniotic fluid-borne growth factors, possibly contributing to the increased risk of necrotizing enterocolitis (NEC) in premature infants. We hypothesized that supplementation of formula feeds with amniotic fluid can provide amniotic fluid-borne growth factors and prevent experimental NEC in rat pups. We compared NEC-like injury in rat pups fed with infant formula vs. formula supplemented either with 30% amniotic fluid or recombinant hepatocyte growth factor (HGF). Cytokines/growth factors in amniotic fluid were measured by immunoassays. Amniotic fluid and HGF effects on enterocyte migration, proliferation, and survival were measured in cultured IEC6 intestinal epithelial cells. Finally, we used an antibody array to investigate receptor tyrosine kinase (RTK) activation and immunoblots to measure phosphoinositide 3-kinase (PI3K) signaling. Amniotic fluid supplementation in oral feeds protected rat pups against NEC-like injury. HGF was the most abundant growth factor in rat amniotic fluid in our panel of analytes. Amniotic fluid increased cell migration, proliferation, and cell survival in vitro. These effects were reproduced by HGF and blocked by anti-HGF antibody or a PI3K inhibitor. HGF transactivated several RTKs in IEC6 cells, indicating that its effects extended to multiple signaling pathways. Finally, similar to amniotic fluid, recombinant HGF also reduced the frequency and severity of NEC-like injury in rat pups. Amniotic fluid supplementation protects rat pups against experimental NEC, which is mediated, at least in part, by HGF.

  5. Multilineage Potential Research of Bovine Amniotic Fluid Mesenchymal Stem Cells

    Directory of Open Access Journals (Sweden)

    Yuhua Gao

    2014-02-01

    Full Text Available The use of amnion and amniotic fluid (AF are abundant sources of mesenchymal stem cells (MSCs that can be harvested at low cost and do not pose ethical conflicts. In human and veterinary research, stem cells derived from these tissues are promising candidates for disease treatment, specifically for their plasticity, their reduced immunogenicity, and high anti-inflammatory potential. This work aimed to obtain and characterize bovine amniotic fluid mesenchymal stem cells (AFMSC. The bovine AF from the amniotic cavity of pregnant gilts in the early stages of gestation (3- and 4-m-old bovine embryos was collected. AFMSCs exhibit a fibroblastic-like morphology only starting from the fourth passage, being heterogeneous during the primary culture. Immunofluorescence results showed that AFMSCs were positive for β-integrin, CD44, CD73 and CD166, but negative for CD34, CD45. Meanwhile, AFMSCs expressed ES cell markers, such as Oct4, and when appropriately induced, are capable of differentiating into ectodermal and mesodermal lineages. This study reinforces the emerging importance of these cells as ideal tools in veterinary medicine; future studies aimed at a deeper evaluation of their immunological properties will allow a better understanding of their role in cellular therapy.

  6. Results of six years of cytogenetic studies in amniotic fluid

    Directory of Open Access Journals (Sweden)

    Enelis Reyes Reyes

    2015-10-01

    Full Text Available Background: research into different genetic diseases is one of the preventive programs of paramount importance at public health level. The early detection of chromosomopathies and the establishment of an appropriate strategy reduce the morbidity-morality rate and improve the patients’ quality of life.Objective: to describe the behavior of the results of the cytogenetic studies in the amniotic fluid of pregnant women from Las Tunas province during six years: from 2008 to 2014.Methods: a retrospective and descriptive study was carried out to assess the results of cytogenetic studies in amniotic liquid during six years: from 2008 to 2014. The statistical records were checked and the results, the indication criteria, the behavior of the age groups in women advanced in age and the diagnosed chromosomopathies were assessed.Results: the samples with results that exceeded the non-conclusive and positive women prevailed; 2, 3 positive cases of chromosomopathies were diagnosed out of 100 studied women at risk; pregnant women of advanced gestational years prevailed as indication criterion, being the 37 to 40 years old age group the predominant one; in the positive cases, numeric chromosomopathies of the type trisomy 21 or Down’s syndrome prevailed, with a frequency of 1, 2 out of 100 pregnant women at risk.Conclusions: the program of the cytogenetic diagnosis in the amniotic fluid has been an effective tool to detect congenital prenatal defects by chromosomopathies, very useful in the process of genetic advice.

  7. Cell-free fetal DNA in amniotic fluid supernatant for prenatal diagnosis.

    Science.gov (United States)

    Soltani, M; Nemati, M; Maralani, M; Estiar, M A; Andalib, S; Fardiazar, Z; Sakhinia, E

    2016-01-01

    In widespread conviction, amniotic fluid is utilized for prenatal diagnosis. Amniotic fluid supernatant is usually discarded, notwithstanding being a good source of fetal DNA. The aim of the present study was to assess cell-free fetal DNA extracted from amniotic fluid supernatant for application in prenatal diagnosis such as gender determination and early diagnosis of β-thalassemia. Samples of amniotic fluid of 70 pregnant women were collected and went through routine tests along with tests for cell-free fetal DNA from amniotic fluid supernatant. The DNA in the amniotic fluid supernatant was extracted and analyzed for gender determination by PCR and Real-time PCR. ARMS-PCR was applied to test early diagnosis of IVS II-I mutation (common β-thalassemia mutation) and E7V mutation for sickle cell anemia using DNA extracted from the amniotic fluid supernatant. Using the cell-free fetal DNA extracted from the amniotic fluid supernatant, the sensitivity of PCR and Real-time PCR for gender detection was compared with the routine cytogenetic method. The fetus tested for sickle cell anemia and β-thalassemia was observed to be healthy but heterozygous for IVS II-I mutation. The findings indicated that cell-free fetal DNA from amniotic fluid supernatant can be a good source of fetal DNA and be used in early prenatal diagnosis since because of its fast and accurate application. Therefore, it would be suggested that the amniotic fluid supernatant's disposal is prevented because if the tests needs to be repeated, cell-free fetal DNA extracted from the amniotic fluid supernatant can be used as an alternative source for prenatal diagnosis.

  8. Cell-free fetal DNA in amniotic fluid supernatant for prenatal diagnosis.

    Science.gov (United States)

    Soltani, M; Nemati, M; Maralani, M; Estiar, M A; Andalib, S; Fardiazar, Z; Sakhinia, E

    2016-01-01

    In widespread conviction, amniotic fluid is utilized for prenatal diagnosis. Amniotic fluid supernatant is usually discarded, notwithstanding being a good source of fetal DNA. The aim of the present study was to assess cell-free fetal DNA extracted from amniotic fluid supernatant for application in prenatal diagnosis such as gender determination and early diagnosis of β-thalassemia. Samples of amniotic fluid of 70 pregnant women were collected and went through routine tests along with tests for cell-free fetal DNA from amniotic fluid supernatant. The DNA in the amniotic fluid supernatant was extracted and analyzed for gender determination by PCR and Real-time PCR. ARMS-PCR was applied to test early diagnosis of IVS II-I mutation (common β-thalassemia mutation) and E7V mutation for sickle cell anemia using DNA extracted from the amniotic fluid supernatant. Using the cell-free fetal DNA extracted from the amniotic fluid supernatant, the sensitivity of PCR and Real-time PCR for gender detection was compared with the routine cytogenetic method. The fetus tested for sickle cell anemia and β-thalassemia was observed to be healthy but heterozygous for IVS II-I mutation. The findings indicated that cell-free fetal DNA from amniotic fluid supernatant can be a good source of fetal DNA and be used in early prenatal diagnosis since because of its fast and accurate application. Therefore, it would be suggested that the amniotic fluid supernatant's disposal is prevented because if the tests needs to be repeated, cell-free fetal DNA extracted from the amniotic fluid supernatant can be used as an alternative source for prenatal diagnosis. PMID:27188728

  9. Neonatal Responsiveness to the Odor of Amniotic and Lacteal Fluids: A Test of Perinatal Chemosensory Continuity.

    Science.gov (United States)

    Marlier, Luc; Schaal, Benoist; Soussignan, Robert

    1998-01-01

    Studied head-orientation response of breast-feeding neonates in paired-choice odor tests. Found that 2-day olds detected amniotic fluid and colostrum, treating them as similar sensorily and/or hedonically. Four-day olds exhibited a preference for breast milk. Three-day olds oriented longer toward the odor of their own amniotic fluid than alien…

  10. Amniotic fluid and development of the immature intestine

    DEFF Research Database (Denmark)

    Østergaard, Mette Viberg

    in demand. Amniotic Fluid (AF) is the natural source of fetal EN throughout gestation in ammals. Fetal AF swallowing stimulates somatic and gastrointestinal growth during fetal development, and modulates the development of the intestinal mucosa. In addition, AF protects the fetus against infections......), and slow advancement of enteral feeds. Human breast milk is the gold standard of enteral nutrition (EN) of the newborn and protects against NEC in premature infants, but is often unavailable or limited after preterm birth. Innovative nutrition strategies and novel sources of the first EN are therefore...... and maintains homeostasis in the amnion sac through anti-inflammatory mechanisms. The growth promoting and protective effects of AF in utero are ascribed to bioactive proteins including growth factors, anti-inflammatory cytokines, and antimicrobial peptides, which may exert similar beneficial effects ex utero...

  11. Current Concepts of Immunology and Diagnosis in Amniotic Fluid Embolism

    Directory of Open Access Journals (Sweden)

    Michael D. Benson

    2012-01-01

    Full Text Available Amniotic fluid embolism (AFE is one of the leading causes of maternal mortality and morbidity in developed countries. Current thinking about pathophysiology has shifted away from embolism toward a maternal immune response to the fetus. Two immunologic mechanisms have been studied to date. Anaphylaxis appears to be doubtful while the available evidence supports a role for complement activation. With the mechanism remaining to be elucidated, AFE remains a clinical diagnosis. It is diagnosed based on one or more of four key signs/symptoms: cardiovascular collapse, respiratory distress, coagulopathy, and/or coma/seizures. The only laboratory test that reliably supports the diagnosis is the finding of fetal material in the maternal pulmonary circulation at autopsy. Perhaps the most compelling mystery surrounding AFE is not why one in 20,000 parturients are afflicted, but rather how the vast majority of women can tolerate the foreign antigenic presence of their fetus both within their uterus and circulation?

  12. Amniotic fluid phthalate levels and male fetal gonad function

    DEFF Research Database (Denmark)

    Jensen, Morten Søndergaard; Anand-Ivell, Ravinder; Nørgaard-Pedersen, Bent;

    2015-01-01

    BACKGROUND: Prenatal exposure to phthalates may pose a threat to human male reproduction. However, additional knowledge about the in vivo effect in humans is needed, and reported associations with genital abnormalities are inconclusive. We aimed to study prenatal di(2-ethylhexyl) phthalate (DEHP......) and diisononyl phthalate (DiNP) exposure in relation to cryptorchidism, hypospadias, and human fetal Leydig cell function. METHODS: We studied 270 cryptorchidism cases, 75 hypospadias cases, and 300 controls. Second-trimester amniotic fluid samples were available from a Danish pregnancy-screening biobank (n = 25......,105) covering 1980-1996. We assayed metabolites of DEHP and DiNP (n = 645) and steroid hormones (n = 545) by mass spectrometry. We assayed insulin-like factor 3 by immunoassay (n = 475) and analyzed data using linear or logistic regression. RESULTS: Mono(2-ethyl-5-carboxypentyl) phthalate (5cx-MEPP, DEHP...

  13. IMPACT OF MECONIUM STAINED AMNIOTIC FLUID ON EARLY NEONATAL OUTCOME

    Directory of Open Access Journals (Sweden)

    Uday

    2013-11-01

    Full Text Available ABSTRACT: OBJECTIVE: To find out the incidence, neonatal outcome and associated maternal antepartum & intrapartum risk factors of meconium stained amniotic fluid (MSAF. DESIGN: Prospective St udy. SETTINGS: Neonatal Unit of Hospital and PNC Ward. SUBJECTS & METHODS: Prospective Study was conducted including 100 babies born with meconium stained amniotic fluid who are admitted in NICU and with mother in PNC ward in a period of six months (April 2012 - October 2012 excluding those who born with congenital abnormalities. Detail history of babies and mother with MSAF noted with emphasis on antepartum and intrapartum risk factors and outcome in terms of morbidity and mortality. RESULTS: Incidence of M SAF in the study was 8. 98%. Out of 100, 24 babies were admitted to NICU with most common indications being birth asphyxia (16% and Meconium Aspiration Syndrome (MAS (6%. Majority babies were delivered through thin Meconium Stained Liquor (MSL (44% fo llowed by thick (35% and moderate (21%. Total number of deaths were 9 and all these babies had thick meconium with severe birth asphyxia. Ninety one babies were born at >37 weeks of gestation and 57 had birth weight over 2. 5 Kg. Nineteen percent were no n vigorous requiring tracheal suctioning and positive pressure ventilation at birth. Common mode of delivery was emergency Cesarean in 83% patients. Common maternal and fetal risk factors were fetal distress (30% followed by Oligohydramnios (30%, Pregnan cy induced hypertension (PIH (24%, anemia (14%, severe anemia (5%, Antepartum hemorrhage (4% and Antepartum eclampsia (4%. CONCLUSIONS: Oligohydramnios, PIH, anemia and fetal distress were common antenatal and intranatal factors associated with MSAF. Major morbidity and indication for NICU admission was Birth asphyxia and non vigorous babies. Mortality rate was 9% which is commonly associated with thick meconium and severe birth asphyxia.

  14. A Mini Overview of Isolation, Characterization and Application of Amniotic Fluid Stem Cells.

    Science.gov (United States)

    Gholizadeh-Ghalehaziz, Shiva; Farahzadi, Raheleh; Fathi, Ezzatollah; Pashaiasl, Maryam

    2015-11-01

    Amniotic fluid represents rich sources of stem cells that can be used in treatments for a wide range of diseases. Amniotic fluid- stem cells have properties intermediate between embryonic and adult mesenchymal stem cells which make them particularly attractive for cellular regeneration and tissue engineering. Furthermore, scientists are interested in these cells because they come from the amniotic fluid that is routinely discarded after birth. In this review we give a brief introduction of amniotic fluid followed by a description of the cells present within this fluid and aim to summarize the all existing isolation methods, culturing, characterization and application of these cells. Finally, we elaborate on the differentiation and potential for these cells to promote regeneration of various tissue defects, including fetal tissue, the nervous system, heart, lungs, kidneys, bones, and cartilage in the form of table.

  15. Cerebroside Sulfatase Activity in Cultivated Human Skin Fibroblasts and Amniotic Fluid Cells

    Science.gov (United States)

    Booth, Carol W.; And Others

    1975-01-01

    Prenatal monitoring for metachromatic leukodystrophy (a fatal inherited metabolic disorder) suggested that the determination of levels of cerebroside sulfatase in the amniotic fluid helped in the prenatal detection of this disorder. (DB)

  16. In Vitro Study of Amniotic Fluid Gram Stain: Effect of Centrifugation

    Directory of Open Access Journals (Sweden)

    Daniel W. Gauthier

    1994-01-01

    Full Text Available Objective: Gram stain of amniotic fluid (AF is used to detect intraamniotic infection. The purpose of this study was to determine if centrifugation improved the ability of AF Gram stain to detect bacteria.

  17. Regulation of intramembranous absorption and amniotic fluid volume by constituents in fetal sheep urine.

    Science.gov (United States)

    Anderson, Debra F; Jonker, Sonnet S; Louey, Samantha; Cheung, Cecilia Y; Brace, Robert A

    2013-09-01

    Our objective was to test the hypothesis that fetal urine contains a substance(s) that regulates amniotic fluid volume by altering the rate of intramembranous absorption of amniotic fluid. In late gestation ovine fetuses, amniotic fluid volumes, urine, and lung liquid production rates, swallowed volumes and intramembranous volume and solute absorption rates were measured over 2-day periods under control conditions and when urine was removed and continuously replaced at an equal rate with exogenous fluid. Intramembranous volume absorption rate decreased by 40% when urine was replaced with lactated Ringer solution or lactated Ringer solution diluted 50% with water. Amniotic fluid volume doubled under both conditions. Analysis of the intramembranous sodium and chloride fluxes suggests that the active but not passive component of intramembranous volume absorption was altered by urine replacement, whereas both active and passive components of solute fluxes were altered. We conclude that fetal urine contains an unidentified substance(s) that stimulates active intramembranous transport of amniotic fluid across the amnion into the underlying fetal vasculature and thereby functions as a regulator of amniotic fluid volume.

  18. Accumulation in murine amniotic fluid of halothane and its metabolites.

    Science.gov (United States)

    Danielsson, B R; Ghantous, H; Dencker, L

    1984-11-01

    The distribution of radioactivity in pregnant mice was registered at 0, 4, and 24 hrs after a 10 min. period of inhalation of 14C-halothane. Autoradiographic methods were used to allow to distinguish between the distribution of volatile (non-metabolize) halothane, water-soluble metabolites, and firmly tissue-bound metabolites. While volatile radioactivity was seen predominantly at short survival intervals, e.g. in body fat, blood, brain and liver, metabolites accumulated with time. Peak values occurred at 4 hrs in most organs (measured with liquid scintillation as well). The most remarkable findings were the high concentrations of radioactivity in amniotic fluid (and the ocular fluids of adults) with peak values at 4 hrs and rather high concentrations still prevailing at 24 hrs after inhalation. It is assumed that this activity represents only partly volaile halothane and mostly non-volatile metabolites. High activity of metabolites was seen in the neuroepithelium of the embryo in early gestation. Firmly tissue-bound metabolites, still remaining after washing the tissues with trichloroacetic acid and organic solvents, were found in the nasal mucosa, trachea and bronchial tree and in (presumably centrilobular) zones of the liver of adults after inhalation and 5-day old mice after intraperitoneal injection, indicating the formation of reactive metabolites in these organs. Firmly tissue-bound activity was not observed in the corresponding foetal organs. PMID:6528811

  19. Maternal and fetal characteristics associated with meconium-stained amniotic fluid

    DEFF Research Database (Denmark)

    Balchin, Imelda; Whittaker, John C; Lamont, Ronald F;

    2011-01-01

    To estimate the rates of meconium-stained amniotic fluid (AF) and adverse outcome in relation to gestational age and racial group, and to investigate the predictors of meconium-stained AF.......To estimate the rates of meconium-stained amniotic fluid (AF) and adverse outcome in relation to gestational age and racial group, and to investigate the predictors of meconium-stained AF....

  20. Proposed diagnostic criteria for the case definition of amniotic fluid embolism in research studies.

    Science.gov (United States)

    Clark, Steven L; Romero, Roberto; Dildy, Gary A; Callaghan, William M; Smiley, Richard M; Bracey, Arthur W; Hankins, Gary D; D'Alton, Mary E; Foley, Mike; Pacheco, Luis D; Vadhera, Rakesh B; Herlihy, J Patrick; Berkowitz, Richard L; Belfort, Michael A

    2016-10-01

    Amniotic fluid embolism is a leading cause of maternal mortality in developed countries. Our understanding of risk factors, diagnosis, treatment, and prognosis is hampered by a lack of uniform clinical case definition; neither histologic nor laboratory findings have been identified unique to this condition. Amniotic fluid embolism is often overdiagnosed in critically ill peripartum women, particularly when an element of coagulopathy is involved. Previously proposed case definitions for amniotic fluid embolism are nonspecific, and when viewed through the eyes of individuals with experience in critical care obstetrics, would include women with a number of medical conditions much more common than amniotic fluid embolism. We convened a working group under the auspices of a committee of the Society for Maternal-Fetal Medicine and the Amniotic Fluid Embolism Foundation whose task was to develop uniform diagnostic criteria for the research reporting of amniotic fluid embolism. These criteria rely on the presence of the classic triad of hemodynamic and respiratory compromise accompanied by strictly defined disseminated intravascular coagulopathy. It is anticipated that limiting research reports involving amniotic fluid embolism to women who meet these criteria will enhance the validity of published data and assist in the identification of risk factors, effective treatments, and possibly useful biomarkers for this condition. A registry has been established in conjunction with the Perinatal Research Branch of the Eunice Kennedy Shriver National Institute of Child Health and Human Development to collect both clinical information and laboratory specimens of women with suspected amniotic fluid embolism in the hopes of identifying unique biomarkers of this condition.

  1. Intrapartum Amnioinfusion in Meconium Stained Amniotic Fluid- A Randomized Control Study In a Tertiary Care Hospital

    OpenAIRE

    Ashvin D Vachhani, Jitesh M Shah, Garima S Goel, Meghana N Mehta, Archish I Desai, Malati T Dalal

    2015-01-01

    "Objectives: The study was un-dertaken to evaluate maternal and Perinatal outcomes follow-ing transcervical intrapartum amnioinfusion in women with moderate to thick meconium stained amniotic fluid. Methods: A randomized control study was conducted on 200 women with moderate to thick meconium stained amniotic flu-id during labor. Group A (study group) of 100 cases received am-nioinfusion. Group B (control group) of 100 cases received standard obstetric care. Fetal heart rate monitori...

  2. Correlation Between Down Syndrome and the Level of Placental Alkaline Phosphatase in Amniotic Fluid

    OpenAIRE

    UÇAR, Canan; Balci, Sevim; TUNÇBİLEK, Ergül; ÜNSAL, İbrahim

    2005-01-01

    The aim of this study was to investigate the correlation between Down syndrome and the level of placental alkaline phosphatase (PLAP) in amniotic fluid. A total of 279 amniotic fluid samples taken between 14 and 24 gestational weeks were investigated in this study. Karyotype analysis was made in all samples. In 10 samples trisomy 21 was determined, in one sample trisomy 18, in two samples 47,XXY, in six samples various structural chromosomal anomalies and in 260 samples normal karyotype. PLA...

  3. The Ratio of Testosteron and Follicle Stimulating Hormone in the Amniotic Fluid

    International Nuclear Information System (INIS)

    To evaluate fetal sex-hormonal status before delivery, testosterone and follicle stimulating hormone (FSH) levels were measured in 64 amniotic fluid samples at midgestation by radioimmunoassay method. The mean concentration of testosterone in amniotic fluid of 37 cases carrying male fetus was 90.7 pg/ml and 27 cases carrying female fetus was 62.3 pg/ml. The mean amniotic fluid FSH concentration of male fetus was 1.15 mIU/ml and of female fetus was 11.98 mIU/ml. The amniotic fluid testosterone and FSH' concentrations had statistical difference between male and female fetuses. The ratio of testosterone over FSH in the amniotic fluid was 231.2 in female, 9.8 in female respectively and very significant difference was noticed. The levels of testosterone/FSH greater than 25 were found over 92% of male fetus and lesser than 25 were found over 92% female fetus. Measurement of testosterone and FSH especially testosterone/FSH ratio in amniotic fluid in midgestation may be an adjunct to other method of fetal sex determination.

  4. The role of amniotic fluid in force transfer during human birth

    Science.gov (United States)

    Baumer, Alexa; Lehn, Andrea; Leftwich, Megan

    2013-11-01

    This study seeks to understand the fundamental fluid dynamic processes involved in human birth. We begin by examining the importance of amniotic fluid. This is done using two experimental techniques that approximate the laboring human uterus to different degrees of anatomical correctness. The first, in which a latex uterus is filled with fluid and a solid fetus is extracted, investigates the importance of both amniotic fluid properties and fetal position in the force required to remove a fetus. The second experiment simplifies the geometry of birth even more. In this case, a solid cylindrical rod is pulled through a highly flexible outer tube. The force to pull the inner cylinder as a function of the gap fluid properties is measured. By carefully controlling the fluid properties of the experiment, the study will provide further insight into the roles of amniotic fluid in human birth.

  5. Satellited 4q identified in amniotic fluid cells

    Energy Technology Data Exchange (ETDEWEB)

    Miller, I.; Hsieh, C.L.; Songster, G. [Stanford Univ. Medical Center, Stanford, CA (United States)] [and others

    1995-01-16

    Extra material was identified on the distal long arm of a chromosome 4 in an amniotic fluid specimen sampled at 16.6 weeks of gestational age. There was no visible loss of material from chromosome 4, and no evidence for a balanced rearrangement. The primary counseling issue in this case was advanced maternal age. Ultrasound findings were normal, and family history was unremarkable. The identical 4qs chromosome was observed in cells from a paternal peripheral blood specimen and appeared to be an unbalanced rearrangement. This extra material was NOR positive in lymphocytes from the father, but was negative in the fetal amniocytes. Father`s relatives were studied to verify the familial origin of this anomaly. In situ hybridization with both exon and intron sequences of ribosomal DNA demonstrated that ribosomal DNA is present at the terminus of the 4qs chromosome in the fetus, father, and paternal grandmother. This satellited 4q might have been derived from a translocation event that resulted in very little or no loss from the 4q and no specific phenotype. This derivative chromosome 4 has been inherited through at least 3 generations of phenotypically normal individuals. 8 refs., 3 figs.

  6. Proteomic profiling of the amniotic fluid to detect inflammation, infection, and neonatal sepsis.

    Directory of Open Access Journals (Sweden)

    Catalin S Buhimschi

    2007-01-01

    Full Text Available BACKGROUND: Proteomic analysis of amniotic fluid shows the presence of biomarkers characteristic of intrauterine inflammation. We sought to validate prospectively the clinical utility of one such proteomic profile, the Mass Restricted (MR score. METHODS AND FINDINGS: We enrolled 169 consecutive women with singleton pregnancies admitted with preterm labor or preterm premature rupture of membranes. All women had a clinically indicated amniocentesis to rule out intra-amniotic infection. A proteomic fingerprint (MR score was generated from fresh samples of amniotic fluid using surface-enhanced laser desorption ionization (SELDI mass spectrometry. Presence or absence of the biomarkers of the MR score was interpreted in relationship to the amniocentesis-to-delivery interval, placental inflammation, and early-onset neonatal sepsis for all neonates admitted to the Newborn Special Care Unit (n = 104. Women with "severe" amniotic fluid inflammation (MR score of 3 or 4 had shorter amniocentesis-to-delivery intervals than women with "no" (MR score of 0 inflammation or even "minimal" (MR score of 1 or 2 inflammation (median [range] MR 3-4: 0.4 d [0.0-49.6 d] versus MR 1-2: 3.8 d [0.0-151.2 d] versus MR 0: 17.0 d [0.1-94.3 d], p 100 cells/mm3, whereas the combination of Gram stain and MR score was best for rapid prediction of intra-amniotic infection (positive amniotic fluid culture. CONCLUSIONS: High MR scores are associated with preterm delivery, histological chorioamnionitis, and early-onset neonatal sepsis. In this study, proteomic analysis of amniotic fluid was shown to be the most accurate test for diagnosis of intra-amniotic inflammation, whereas addition of the MR score to the Gram stain provides the best combination of tests to rapidly predict infection.

  7. Amniotic fluid iodine concentrations do not vary in pregnant women with varying iodine intake.

    Science.gov (United States)

    García-Fuentes, Eduardo; Gallo, Manuel; García, Laureano; Prieto, Stephanie; Alcaide-Torres, Javier; Santiago, Piedad; Velasco, Inés; Soriguer, Federico

    2008-06-01

    Iodine deficiency is an important clinical and public health problem. Its prevention begins with an adequate intake of iodine during pregnancy. International agencies recommend at least 200 microg iodine per d for pregnant women. We assessed whether iodine concentrations in the amniotic fluid of healthy pregnant women are independent of iodine intake. This cross-sectional, non-interventional study included 365 consecutive women who underwent amniocentesis to determine the fetal karyotype. The amniocentesis was performed with abdominal antisepsis using chlorhexidine. The iodine concentration was measured in urine and amniotic fluid. The study variables were the intake of iodized salt and multivitamin supplements or the prescription of a KI supplement. The mean level of urinary iodine was 139.0 (SD 94.5) microg/l and of amniotic fluid 15.81 (SD 7.09) microg/l. The women who consumed iodized salt and those who took a KI supplement had significantly higher levels of urinary iodine than those who did not (P = 0.01 and P = 0.004, respectively). The urinary iodine levels were not significantly different in the women who took a multivitamin supplement compared with those who did not take this supplement, independently of iodine concentration or multivitamin supplement. The concentrations of iodine in the amniotic fluid were similar, independent of the dietary iodine intake. Urine and amniotic fluid iodine concentrations were weakly correlated, although the amniotic fluid values were no higher in those women taking a KI supplement. KI prescription at recommended doses increases the iodine levels in the mother without influencing the iodine levels in the amniotic fluid.

  8. Amniotic fluid 'sludge' detected in patients with subchorionic hematoma: a report of two cases.

    Science.gov (United States)

    Tskitishvili, E; Tomimatsu, T; Kanagawa, T; Sawada, K; Kinugasa, Y; Mimura, K; Kimura, T

    2009-04-01

    Amniotic fluid 'sludge' is defined as the presence of dense aggregates of particulate matter in close proximity to the internal cervical os. It is of clinical significance in asymptomatic patients at high risk for spontaneous delivery, and in patients with preterm labor and intact membranes. Subchorionic hematoma is another ultrasound finding that is associated with a higher incidence of threatened miscarriage and preterm delivery. We report two cases of occurrence of amniotic fluid sludge in patients with previously detected large subchorionic hematoma. In the first case subchorionic hematoma and amniotic fluid sludge were detected by ultrasonography at 13 + 1 and 18 + 6 weeks' gestation, respectively, followed by preterm premature rupture of membranes, placental abruption and emergency Cesarean section. In the second case subchorionic hematoma and amniotic fluid sludge were detected by ultrasound at 11 + 3 and 15 + 5 weeks' gestation, respectively, followed by miscarriage with histological chorioamnionitis. The coincidence of subchorionic hematoma and amniotic fluid sludge in these cases points to a possible connection between these two significant ultrasound findings. PMID:19308930

  9. Changes of Nerve Growth Factor in Amniotic Fluid and Correlation with Ventriculomegaly

    Institute of Scientific and Technical Information of China (English)

    Xiao-yan Xia; Xing-hua Huang; Yi-xin Xia; Wei-hua Zhang

    2011-01-01

    Objective To detect the change of nerve growth iactor (NGF) level in human amniotic fluid during gestation, and to explore the relationship between this change and fetal ventriculomegaly (VM). Methods The studied subjects (collected from 2004 to 2007) were divided into four groups, including the second-trimester pregnancy group (n=113), third-trimester pregnancy group (n= 110), fetal cerebral VM group (n= 12), and health), control group (n= 12) which matched with the VM group in gestational weeks. The amniotic fluid specimens were obtained during amniocentesis or cesarean section. The NGF levels in amniotic fluid were detected with enzyme-linked immunosorbent assay.Results A significantly negative correlation was found between gestational age and the NGF level in amniotic fluid (r=-0.6149, P<0.0001). The NGF level in patients with fetal VM was significantly lower than that in healthy controls (33.95+29.24 pg/mL vs. 64.73+ 16.21 pg/mL, P=0.024). Conclusion NGF levels in amniotic fluid may be a sensitive marker for fetal VM.

  10. Pathogenesis and management of peripartum coagulopathic calamities (disseminated intravascular coagulation and amniotic fluid embolism).

    Science.gov (United States)

    Levi, Marcel

    2013-01-01

    Acute coagulopathic peripartum calamities are relatively rare but contribute importantly to maternal morbidity and mortality in the Western world. Abruptio placenta, amniotic fluid embolism, and retained fetal or placental material may lead to fulminant intravascular activation of coagulation which results in thromboembolic complications and consumption coagulopathy causing severe hemorrhage. The central underlying pathophysiological pathway in the coagulopathy associated with these syndromes is the occurrence of tissue factor, released from the placenta and amniotic fluid, in the circulation, in combination with low levels of physiological anticoagulant factors during pregnancy. The diagnosis of DIC may be made trough conventional composite scoring systems employing routine coagulation tests, whereas for the diagnosis of amniotic fluid embolism measurement of insulin like growth factor binding protein-1 seems promising. Therapy is aimed at removing the precipitating factor combined with supportive adjunctive treatment options.

  11. Stem Cells in Amniotic Fluid - What are the Next Steps to Do?

    Directory of Open Access Journals (Sweden)

    Hengstschläger M

    2005-01-01

    Full Text Available It is the hope of patients and investigators that in future the characterisation and isolation of human stem cells will allow the establishment of new therapeutic concepts for a wide variety of diseases. Recently, we found a new source for stem cells. Human amniotic fluid contains cells, which express Oct-4, a marker for pluripotent stem cells. In addition, we described amniotic fluid cells expressing markers for neuronal stem cells. The latter harbour the potential to differentiate into neurogenic cells. This opened a new field in stem cell research. In this review I want to summarise the current knowledge about amniotic fluid cells focusing on the open questions, which need to be investigated in future.

  12. LIF analysis of cervical mucus and amniotic fluid for maturity monitoring in pregnancy

    Science.gov (United States)

    Vaitkuviene, Aurelija; Auksorius, Egidijus; Ramasauskaite, Diana; Smilgeviciute, Ale; Tamasauskas, Oldas; Vanseviciute, Rasa; Veleckas, Doras

    2004-09-01

    The aim of this study was to assess the feasibility of autoflorescence spectroscopy in the diagnosis of cervix maturity through cervical mucus florescence and foetal lung maturity through amniotic fluid fluorescence. LED and broadband Mercury light were used to induce fluorescence in cervical mucus and amniotic fluid respectively. Mature specimens compared to immature ones showed a significant decrease in cervical mucus fluorescence values measured at 420 nm (p = 0.0004) and in measured amniotic fluid fluorescence values at 410 nm (p = 0.0686). Probability-based classification algorithm was developed to identify samples 'maturity' through analysis of the fluorescence spectra. Employing fluorescence intensity at 420 nm for cervix maturity diagnosis rendered optimal sensitivity of 92.9%, specificity of 83.3% and area under the ROC curve of 91.1%.

  13. [Diagnostic significance of index alpha-amylase/glucose in amniotic fluid in prediction of fetal maturity].

    Science.gov (United States)

    Krasomski, G; Sałacińska, B; Broniarczyk, D; Swiatkowska, E

    2001-09-01

    An increase in alpha-amylase activity with parallel decrease in glucose concentration in amniotic fluid is observed during pregnancy. This interdependence is a theoretical basis for using an alpha-amylase/glucose index in fetal maturity evaluation. The aim of the study was to investigate usefulness of the alpha-amylase/glucose index in amniotic fluid in prenatal fetal maturity diagnosis. The study was carried out on 180 pregnant women, chosen by random selection, hospitalized in Polish Mother's Health Centre Hospital in the period from 15.06.1994 to 31.12.1995. 223 samples of amniotic fluid were tested for glucose concentration and alpha-amylase activity. It was found that the alpha-amylase/glucose or = 6.0 index has high diagnostic value (95.8%) in prenatal prediction of fetal lung maturity. PMID:11757480

  14. [Prenatal evaluation of fetal lung maturity by determination of phosphatidylglycerol (PG) concentration in amniotic fluid].

    Science.gov (United States)

    Krasomski, G; Sałacińska, B; Broniarczyk, D; Swiatkowska, E

    2001-09-01

    Phosphatidylglycerol (PG) is considered to be the most important phospholipid of lung surfactant, responsible for its biological activity. The aim of the study was to investigate the predictive value of phosphatidylglycerol (PG) concentration in amniotic fluid in prediction of neonatal lung maturity. The study was carried out on 180 pregnant women, chosen by random selection, hospitalized in Polish Mother's Health Centre Hospital in the period from 15.06.1994 to 31.12.1995. 223 samples of amniotic fluid were tested--phosphatidylglycerol (PG) concentration was assayed by immunological test Amnio Stat FLM. In the study value PG or = 2.0 micrograms/ml in 56 (25.1%). In our research predictive value of PG in relation to clinical lung maturity of neonates was verified. It turned out that PG concentration in amniotic fluid or = 2.0 micrograms/ml corresponds to complete clinical lung maturity of neonates with predictive value 98%. PMID:11757479

  15. False positive gel-acetylcholinesterase results in blood-stained amniotic fluids.

    Science.gov (United States)

    Barlow, R D; Cuckle, H S; Wald, N J; Rodeck, C H

    1982-10-01

    The effect of blood contamination on the gel-acetylcholinesterase (AChE) test used in the diagnosis of fetal open neural-tube defects was studied with amniotic fluid samples artificially contaminated with fetal or maternal blood in concentrations covering a range exceeding that usually found in clinical practice. Amniotic fluid samples contaminated with maternal blood gave negative gel-AChE results at all concentrations. Contamination with fetal blood yielded positive results if the erythrocyte concentration was greater than about 60 x 10(6) cells/ml. Thus contamination of amniotic fluid with blood is only likely to cause false positive gel-AChE results if this critical concentration is exceeded. Such samples will occur only rarely in clinical practice but when they do the diagnosis should be made with caution. PMID:7126503

  16. Human amniotic fluid derived cells can competently substitute dermal fibroblasts in a tissue-engineered dermo-epidermal skin analog

    NARCIS (Netherlands)

    Hartmann-Fritsch, Fabienne; Hosper, Nynke; Luginbuehl, Joachim; Biedermann, Thomas; Reichmann, Ernst; Meuli, Martin

    2013-01-01

    Human amniotic fluid comprises cells with high differentiation capacity, thus representing a potential cell source for skin tissue engineering. In this experimental study, we investigated the ability of human amniotic fluid derived cells to substitute dermal fibroblasts and support epidermis formati

  17. Amniotic fluid chemokines and autism spectrum disorders: An exploratory study utilizing a Danish Historic Birth Cohort

    DEFF Research Database (Denmark)

    Abdallah, Morsi; Larsen, Nanna Brink; Grove, Jakob;

    2012-01-01

    Elevated levels of chemokines have been reported in plasma and brain tissue of individuals with Autism Spectrum Disorders (ASD). The aim of this study was to examine chemokine levels in amniotic fluid (AF) samples of individuals diagnosed with ASD and their controls.......Elevated levels of chemokines have been reported in plasma and brain tissue of individuals with Autism Spectrum Disorders (ASD). The aim of this study was to examine chemokine levels in amniotic fluid (AF) samples of individuals diagnosed with ASD and their controls....

  18. Amniotic fluid sludge as a marker of intra-amniotic infection and histological chorioamnionitis in cervical insufficiency: a report of four cases and literature review.

    Science.gov (United States)

    Paules, Cristina; Moreno, Esther; Gonzales, Ariel; Fabre, Ernesto; González de Agüero, Rafael; Oros, Daniel

    2016-01-01

    Amniotic fluid sludge (AFS) is defined as the presence of particulate matter in the amniotic fluid in close proximity to the cervix. Although its prevalence is known to correlate with the risk of preterm delivery, initial reports describe a strong association between AFS and microbial invasion of the amniotic cavity (MIAC) and histological chorioamnionitis. However, AFS is also present in uncomplicated pregnancies, and its prevalence appears to increase with gestational age. Recent evidence debates the usefulness of AFS as a marker of early preterm delivery risk. We present four cases with AFS diagnosed by transvaginal ultrasound at admission for cervical insufficiency between 20 and 24 weeks of gestation, with confirmed lower genital tract and intra-amniotic infections by amniocentesis and histological chorioamnionitis and funisitis. Our findings reinforce the presence of AFS as a useful marker of MIAC, chorioamnionitis and funisitis that increase the likelihood of preterm delivery at an extreme gestational age.

  19. Antioxidant Vitamin Status in the Serum and Amniotic Fluid of Women with Premature Rupture of the Fetal Membranes.

    Science.gov (United States)

    Barrett, Bridget M.

    The purpose of this study was to examine the status of antioxidant vitamins in women with premature rupture of the fetal membranes. Specimens of blood and amniotic fluid were obtained from 80 pregnant subjects included both smokers and non-smokers during the third trimester. The concentrations of ascorbic acid (ASA), beta -carotene, retinol and alpha -tocopherol in serum and amniotic fluid were determined. The experimental group consisted of those subjects with PROM while the control subjects were those with normal pregnancy. No statistical differences were found between the PROM and control groups in retinol and vitamin E concentrations in amniotic fluid and serum. Serum ASA concentrations of PROM subjects were not different from controls, but the PROM subjects had significantly lower amniotic fluid ASA concentrations. However, in a study with fewer subjects a lower serum ASA concentration in the PROM subjects was observed. The ratio of amniotic fluid ASA concentration to ASA serum concentration was significantly lower in PROM patients than in controls in both studies. This suggests that low levels of ASA in the amniotic fluid, but not in serum is better associated with PROM. A low amniotic fluid concentration of ASA may reflect an inefficient transfer and/or increased fetal utilization. Alterations in ASA concentration in the amniotic fluid may affect the integrity of the chorioamnion leading to PROM. beta -Carotene was not found in the amniotic fluid. Serum beta-carotene levels were significantly lower in the PROM group compared to the control group. Low concentrations of beta-carotene in maternal serum in smokers not only associated with poor maternal outcome (PROM) but also compromised the fetal outcome (decreased birth weight). Maintenance of adequate serum beta-carotene concentration and amniotic fluid ASA in smokers may result in better maternal and fetal outcome. This study demonstrated that nutrition is an important factor in the prevention of PROM.

  20. Lamotrigine in pregnancy - therapeutic drug monitoring in maternal blood, amniotic fluid, and cord blood.

    Science.gov (United States)

    Paulzen, Michael; Lammertz, Sarah E; Veselinovic, Tanja; Goecke, Tamme W; Hiemke, Christoph; Gründer, Gerhard

    2015-09-01

    This study is the first to measure and correlate lamotrigine concentrations in maternal blood, amniotic fluid, and umbilical cord blood and account for distribution of the drug between these three compartments. Concentrations of lamotrigine were measured in six mother-infant pairs at the time of delivery. Daily doses of lamotrigine ranged between 200 and 650 mg. Daily doses were correlated with maternal serum and umbilical cord blood concentrations, and serum levels were correlated with levels in amniotic fluid. Lamotrigine levels in serum correlated strongly with the lamotrigine levels in amniotic fluid (r=+0.986, Pamniotic fluid was in a range between 0.31 and 0.75 (mean 0.58, SD 0.17); the penetration ratio into the fetal circulation, calculated on the basis of umbilical cord blood levels, was found to be in a range between 0.48 and 1.27 (mean 0.81, SD 0.28). Lamotrigine concentrations in amniotic fluid provided evidence that maternally administered lamotrigine is accessible to the fetus in a manner not previously appreciated. Furthermore, the penetration ratio into umbilical cord blood calculated here is in line with the largest study carried out so far to explore transplacental transfer.

  1. Amniotic Fluid Stem Cells and Their Application in Cell-Based Tissue Regeneration

    Directory of Open Access Journals (Sweden)

    Mohamadreza Baghaban Eslaminejad

    2012-01-01

    Full Text Available Advances in stem cell biotechnology hold great promise in the field of tissue engineering andregenerative medicine. Of interest are marrow mesenchymal stem cells (MSCs, embryonic stemcells (ESCs, and induced pluripotent stem cells (iPSCs. In addition, amniotic fluid stem cells (AFSCshave attracted attention as a viable choice following the search for an alternative stem cellsource. Investigators are interested in these cells because they come from the amniotic fluid that isroutinely discarded after birth. There have been multiple investigations conducted worldwide in anattempt to better understand AF-SCs in terms of their potential use in regenerative medicine. In thisreview we give a brief introduction of amniotic fluid followed by a description of the cells presentwithin this fluid. Their history related to stem cell discovery in the amniotic fluid as well as themain characteristics of AF-SCs are discussed. Finally, we elaborate on the potential for these cellsto promote regeneration of various tissue defects, including fetal tissue, the nervous system, heart,lungs, kidneys, bones, and cartilage.

  2. Modulation of intestinal inflammation by minimal enteral nutrition with amniotic fluid in preterm pigs

    DEFF Research Database (Denmark)

    Østergaard, Mette Viberg; Bering, Stine Brandt; Jensen, Michael Ladegaard;

    2014-01-01

    Background: Necrotizing enterocolitis (NEC) is a severe inflammatory disorder, associated with the difficult transition from parenteral to enteral feeding after preterm birth. We hypothesized that minimal enteral nutrition (MEN) with amniotic fluid (AF), prior to enteral formula feeding, would...... improve resistance to NEC in preterm pigs. Methods: Experiment 1: IEC-6 cells were incubated with porcine (pAF) and human AF (hAF) to test AF-stimulated enterocyte proliferation and migration in vitro. Experiment 2: Cesarean-delivered, preterm pigs were fed parenteral nutrition and MEN with pAF, h......AF, or control fluid (MEN-pAF, MEN-hAF, or MEN-CTRL; all n = 9) for 2 days before tissue collection. Experiment 3: Preterm pigs were fed MEN diets as in experiment 2, but followed by 2 days of enteral formula feeding, which predisposes to NEC (NEC-pAF, NEC-hAF, or NEC-CTRL; n = 10-12). Results: Both pAF and h...

  3. ALPHA-FETOPROTEIN IN FETAL SERUM, AMNIOTIC-FLUID, AND MATERNAL SERUM

    NARCIS (Netherlands)

    VANLITH, JMM; BEEKHUIS, [No Value; VANLOON, AJ; MANTINGH, A; DEWOLF, BTHM; BREED, ASPM

    1991-01-01

    In order to gain more insight into the association between alpha-fetoprotein (AFP) and fetal chromosomal disorders, especially Down's syndrome, we measured AFP in fetal serum, amniotic fluid, and maternal serum at cordocentesis. We compared the concentration and gradient of AFP in these three compar

  4. Osteogenic differentiation of amniotic fluid mesenchymal stromal cells and their bone regeneration potential.

    Science.gov (United States)

    Pipino, Caterina; Pandolfi, Assunta

    2015-05-26

    In orthopedics, tissue engineering approach using stem cells is a valid line of treatment for patients with bone defects. In this context, mesenchymal stromal cells of various origins have been extensively studied and continue to be a matter of debate. Although mesenchymal stromal cells from bone marrow are already clinically applied, recent evidence suggests that one may use mesenchymal stromal cells from extra-embryonic tissues, such as amniotic fluid, as an innovative and advantageous resource for bone regeneration. The use of cells from amniotic fluid does not raise ethical problems and provides a sufficient number of cells without invasive procedures. Furthermore, they do not develop into teratomas when transplanted, a consequence observed with pluripotent stem cells. In addition, their multipotent differentiation ability, low immunogenicity, and anti-inflammatory properties make them ideal candidates for bone regenerative medicine. We here present an overview of the features of amniotic fluid mesenchymal stromal cells and their potential in the osteogenic differentiation process. We have examined the papers actually available on this regard, with particular interest in the strategies applied to improve in vitro osteogenesis. Importantly, a detailed understanding of the behavior of amniotic fluid mesenchymal stromal cells and their osteogenic ability is desirable considering a feasible application in bone regenerative medicine.

  5. Stable isotope dilution analysis of orotic acid and uracil in amniotic fluid

    NARCIS (Netherlands)

    Jakobs, C.; Sweetman, L.; Nyhan, W.L.; Gruenke, L.; Craig, J.C.; Wadman, S.K.

    1984-01-01

    Rapid, sensitive and accurate stable isotope dilution assays were developed for the measurement of orotic acid and uracil in amniotic fluid. The method utilizes [15N2]orotic acid and [15N2]uracil as internal standards, isolation by liquid partition chromatography and quantitation by chemical ionizat

  6. Peptidomic Analysis of Amniotic Fluid for Identification of Putative Bioactive Peptides in Ventricular Septal Defect

    Directory of Open Access Journals (Sweden)

    Xing Li

    2016-05-01

    Full Text Available Background: Ventricular septal defect (VSD is one of the most common congenital heart diseases and to date the role of peptides in human amniotic fluid in the pathogenesis of VSD have been rarely investigated. Methods: To gain insight into the mechanisms of protein and peptides in cardiovascular development, we constructed a comparative peptidomic profiling of human amniotic fluid between normal and VSD fetuses using a stable isobaric labeling strategy involving tandem mass tag reagents, followed by nano liquid chromatography tandem mass spectrometry. Results: We identified and quantified 692 non-redundant peptides, 183 of which were differentially expressed in the amniotic fluid of healthy and VSD fetuses; 69 peptides were up regulated and 114 peptides were down regulated. These peptides were imported into the Ingenuity Pathway Analysis (IPA and identified putative roles in cardiovascular system morphogenesis and cardiogenesis. Conclusion: We concluded that 35 peptides located within the functional domains of their precursor proteins could be candidate bioactive peptides for VSD. The identified peptide changes in amniotic fluid of VSD fetuses may advance our current understanding of congenital heart disease and these peptides may be involved in the etiology of VSD.

  7. Amniotic fluid RNA gene expression profiling provides insights into the phenotype of Turner syndrome.

    Science.gov (United States)

    Massingham, Lauren J; Johnson, Kirby L; Scholl, Thomas M; Slonim, Donna K; Wick, Heather C; Bianchi, Diana W

    2014-09-01

    Turner syndrome is a sex chromosome aneuploidy with characteristic malformations. Amniotic fluid, a complex biological material, could contribute to the understanding of Turner syndrome pathogenesis. In this pilot study, global gene expression analysis of cell-free RNA in amniotic fluid supernatant was utilized to identify specific genes/organ systems that may play a role in Turner syndrome pathophysiology. Cell-free RNA from amniotic fluid of five mid-trimester Turner syndrome fetuses and five euploid female fetuses matched for gestational age was extracted, amplified, and hybridized onto Affymetrix(®) U133 Plus 2.0 arrays. Significantly differentially regulated genes were identified using paired t tests. Biological interpretation was performed using Ingenuity Pathway Analysis and BioGPS gene expression atlas. There were 470 statistically significantly differentially expressed genes identified. They were widely distributed across the genome. XIST was significantly down-regulated (p Turner syndrome transcriptome from other aneuploidies we previously studied. Manual curation of the differentially expressed gene list identified genes of possible pathologic significance, including NFATC3, IGFBP5, and LDLR. Transcriptomic differences in the amniotic fluid of Turner syndrome fetuses are due to genome-wide dysregulation. The hematologic/immune system differences may play a role in early-onset autoimmune dysfunction. Other genes identified with possible pathologic significance are associated with cardiac and skeletal systems, which are known to be affected in females with Turner syndrome. The discovery-driven approach described here may be useful in elucidating novel mechanisms of disease in Turner syndrome.

  8. Amniotic fluid and colostrum as potential diets in the critical care of preterm infants

    DEFF Research Database (Denmark)

    Støy, Ann Cathrine Findal; Viberg Østergaard, Mette; Torp Sangild, Per

    2015-01-01

    Amniotic fluid is the enteral “diet” of the developing fetus, while the first mammary gland secretion, colostrum, is the natural diet of the newborn mammal. Both diets contain nutrients but also growth factors, immune-modulating components, and antibacterial agents that support perinatal organ de...

  9. A new approach to the pathomechanism of amniotic fluid embolism:unknown role of amniotic cells in the induction of disseminated intravascular coagulation

    Institute of Scientific and Technical Information of China (English)

    Mieczyslaw Uszyński; Waldemar Uszyński

    2012-01-01

    There are four concepts (theories) of amniotic fluid embolism (AFE). The aim of the study was to perform their critical review and to popularize a novel integrated concept. We searched Medline (from its inception to 2011), using key words:amniotic fluid embolism, amniotic cells, tissue factor, leukotriene and microparticles. Articles most eligible for the study of etiopathomechanism of AFE were chosen by title and/or abstract contents. The analysis of the publications revealed that:(i) the integrated concept of AFE is an adequate tool to interpret the complication, being particularly useful for taking direct therapeutic decisions; (ii) disseminated intravascular coagulation (DIC) in this complication is induced not by tissue factor (TF) of amniotic origin but by spectacular procoagulant activity of apoptosis-affected amniotic cells. Descriptions of molecular processes were provided. In clonclusioin, there are two independent pathways of AFE-the DIC pathway and the leukotriene pathway. It is not the TF but the apoptosis-affected amniotic cells that are responsible for the process of DIC in AFE. 3. One of the therapeutic conclusions of the new approach to the concept of AFE indicates that attempts to use heparin in AFE are justified (at the onset of the complication).

  10. The potential of mesenchymal stem cells derived from amniotic membrane and amniotic fluid for neuronal regenerative therapy.

    Science.gov (United States)

    Kim, Eun Young; Lee, Kyung-Bon; Kim, Min Kyu

    2014-03-01

    The mesenchymal stem cells (MSCs), which are derived from the mesoderm, are considered as a readily available source for tissue engineering. They have multipotent differentiation capacity and can be differentiated into various cell types. Many studies have demonstrated that the MSCs identified from amniotic membrane (AM-MSCs) and amniotic fluid (AF-MSCs) are shows advantages for many reasons, including the possibility of noninvasive isolation, multipotency, self-renewal, low immunogenicity, anti-inflammatory and nontumorigenicity properties, and minimal ethical problem. The AF-MSCs and AM-MSCs may be appropriate sources of mesenchymal stem cells for regenerative medicine, as an alternative to embryonic stem cells (ESCs). Recently, regenerative treatments such as tissue engineering and cell transplantation have shown potential in clinical applications for degenerative diseases. Therefore, amnion and MSCs derived from amnion can be applied to cell therapy in neuro-degeneration diseases. In this review, we will describe the potential of AM-MSCs and AF-MSCs, with particular focus on cures for neuronal degenerative diseases.

  11. Lamellar body count in amniotic fluid for assessing fetal lung maturity

    Directory of Open Access Journals (Sweden)

    Višnjevac Jovana

    2010-01-01

    Full Text Available Introduction. Respiratory distress syndrome (RDS of the newborn infant caused by immaturity of fetal lung is a very serious clinical problem. Surfactant is stored in the form of lamellar bodies. They are secreted into alveolar space and passed into amniotic fluid where they can be found. The similarity of lamellar body size to platelet size permits the use of a standard automated hematologic cell counter to estimate the number of lamellar bodies in amniotic fluid. Material and Methods. We conducted a prospective clinical study from 2005 - 2006 on amniotic fluid samples. Amniotic fluid samples were collected near delivery by transvaginal amniotomy, amniotomy during Cesarean section and 72 hours before delivery by amniocentesis. A hematology analyzer (Nikon - Kohden® was used to determine the lamellar body counts. After birth of newborns we compared their complete clinical examination results particularly emphasizing the prediction of the method of RDS by lamellar body count. Maximally specific lamellar body cutoffs for maturity and immaturity were determined using ROC curves. Results and Discussion. Of 232 amniotic fluid samples which were tested, 112 samples were collected by transvaginal amniotomy, 88 were taken during Cesarean delivery and 32 samples were collected by amniocentesis. The incidence of RDS was 14.6%. ROC curves were used to identify cut points for the test. We found that LBC is a good screening test for predicting fetal lung maturity with the area under the curve of 0.751. LBC cutoff of 42x10³/μl, with sensitivity of 82.4% and specificity of 64.6%, proved best for predicting fetal lung maturity. Conclusion. LBC is a good screening test for predicting fetal lung maturity. The advantages of LBC are speed, objectivity, low price, low sample volume required and universal availability.

  12. EVALUATION OF AMNIOT IC FLUID VOLUME AND ITS RELATION TO PERINATAL OUTCOME

    Directory of Open Access Journals (Sweden)

    Urmila

    2015-05-01

    Full Text Available BACKGROUND: Amniotic fluid is an indicator of placental function on the fetal development. The AFI is the most commonly used method of measuring amniotic fluid. AIMS: We aimed to study the amniotic fluid volume in pregnancies beyond 34 weeks of gestation and to evalu ate the predictive value of amniotic fluid index (AFI 5 cm during one year from August 2013 to July 2014. The women's history, clinical examination recorded and AFI were measured using the Phelan's technique and the perinatal outcome compared between the two groups i.e. AFI 5cm. STATISTICAL ANALYSIS USED: Chi - square test was carried out at 5% (  =0.05 level of significance to analyze the collected data for final outcome. RESULTS: Labour was induced in 30% in group A as compared to 18% in group B. Induction of labour was significantly less in cases with AFI>5 cm of same gestational age group. The non - reassuring fetal heart rate were recorded more often in group A i.e. AFI < 5 cm. The incidence of meconium sta ining in caesarean section and low 5 min Apgar score was higher in patients with oligohydramnios i.e. AFI < 5 cm (p=0.015, 0.012, 0.027 respectively. There was no significant difference in NICU admissions and perinatal death between the two groups. CONCLUSIO N: Amniotic fluid index is a helpful tool in determining the high risk patients during labour and AFI < 5 cm is one of the indicators of comparatively poor perinatal outcome.

  13. Osteogenic differentiation of amniotic fluid mesenchymalstromal cells and their bone regeneration potential

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    In orthopedics, tissue engineering approach usingstem cells is a valid line of treatment for patients withbone defects. In this context, mesenchymal stromalcells of various origins have been extensively studiedand continue to be a matter of debate. Although mesenchymalstromal cells from bone marrow are alreadyclinically applied, recent evidence suggests that one mayuse mesenchymal stromal cells from extra-embryonictissues, such as amniotic fluid, as an innovative andadvantageous resource for bone regeneration. Theuse of cells from amniotic fluid does not raise ethicalproblems and provides a sufficientnumber of cellswithout invasive procedures. Furthermore, they donot develop into teratomas when transplanted, aconsequence observed with pluripotent stem cells.In addition, their multipotent differentiation ability,low immunogenicity, and anti-inflammatory propertiesmake them ideal candidates for bone regenerativemedicine. We here present an overview of the featuresof amniotic fluid mesenchymal stromal cells and theirpotential in the osteogenic differentiation process.We have examined the papers actually availableonthis regard, with particular interest in the strategiesapplied to improve in vitro osteogenesis. Importantly, adetailed understanding of the behavior of amniotic fluidmesenchymal stromal cells and their osteogenic abilityis desirable considering a feasible application in boneregenerative medicine.

  14. Levels of Pesticides and Their Metabolites in Wistar Rat Amniotic Fluids and Maternal Urine upon Gestational Exposure

    DEFF Research Database (Denmark)

    Bossi, Rossana; Vinggaard, Anne Marie; Taxvig, Camilla;

    2013-01-01

    Concentrations of pesticides and selected metabolites in rat urine and amniotic fluid were determined as biomarker upon oral administration of Wistar rats to two pesticide mixtures consisting of three to five pesticides (bitertanol, propiconazole, cypermethrin, malathion, and terbuthylazine......). The pesticides and their metabolites were found in rat amniotic fluid and urine, generally in dose-response concentrations in relation to dosage. The measurement of the substances in the amniotic fluid indicated that the fetus was exposed to the pesticides as well as their metabolites. Moreover, the pesticides...

  15. Association between fetal weight and amniotic fluid index in women of Central India

    Directory of Open Access Journals (Sweden)

    Nitin Wadnere

    2014-01-01

    Full Text Available Background : The placenta is important for fetal growth and well-being. Defective placentation and impaired placental circulation may result in anomalies in fetal growth. Placental volume in the second trimester appears to be closely related to the neonatal weight. The association of body weight with urine output has been observed in human neonates. Our goal is to assess the association of the amniotic fluid index (AFI with the estimated fetal weight (EFW. Materials and Methods : Thirteen hundred and ninety-three pregnant women were prospectively studied by means of an ultrasound over a 12-month period. The fetal weight (FW was estimated using a combination of fetal parameters - bi-parietal diameter, fetal trunk cross-sectional area, and femur length. AFI was assessed using the four quadrant method. The level of statistical significance was set at P ≤ 0.05. Result s: There was no statistically significant association between AFI and EFW (P > 0.05; r = 0.413. We also did not find a significant association between AFI and EFW for all subdivisions of gestation age, except in the 24 - 28 weeks and 29 - 32 weeks′ groups. Conclusion : The FW calculations and amniotic index show a variation in values in late pregnancy. There does not appear to be a linear association between the ultrasound estimate of FW and the amniotic index. The implication of this is that the fetal size need not be taken into cognizance when alterations in amniotic fluid values are noted.

  16. [The imbalance of metal-containing proteins and free metal ions in the amniotic fluid during fetal growth].

    Science.gov (United States)

    Pogorelova, T N; Linde, V A; Gunko, V O; Selyutina, S N

    2016-01-01

    The levels of zinc, copper, iron, and magnesium ions, and some of their binding proteins have been investigated in an amniotic fluid under the fetal growth retardation (FGR). FGR, developed under conditions of placental insufficiency, is characterized by a decrease in the content of zinc, iron, and magnesium ions and by an increase in the copper content in the amniotic fluid in the II and III trimesters of pregnancy. During these trimesters the levels of ceruloplasmin, ferritin, and Ca2+,Mg2+-ATPase were lower in FGR, while the level of zinc-a-2-glycoprotein was higher than during the same periods of normal pregnancy. Changes in the parameters studied in the amniotic fluid were associated with developmental disorders of the newborns. These changes obviously have a pathogenetic importance in the development of FGR, and the levels of metal ions and their ratio in the amniotic fluid can be used as markers of the pre- and postnatal pathology.

  17. Characterisation of non-maternal serum proteins in amniotic fluid at weeks 16 to 18 of gestation

    DEFF Research Database (Denmark)

    Drøhse, H; Christensen, H; Myrhøj, Vibeke;

    1998-01-01

    Proteins found in amniotic fluid are mainly serum proteins, probably of maternal origin. About 5% of the total protein concentration has the potential of being fetal or decidual in origin. Only a few of these proteins have been isolated and characterised. In order to describe the foetal...... and decidual components in amniotic fluid more extensively, a polyspecific antiserum to amniotic fluid at weeks 16-18 of gestation was raised. Specificities in the antiserum to serum proteins were removed by adsorption. Several proteins of non-serum protein origin reacted with the antiserum. Three...... of these proteins were chosen for isolation and further characterisation. With the use of immunological methods, SDS-PAGE and N-terminal sequencing we identified two of the proteins as C-terminal propeptides of procollagen Type I and Type III, which have not hitherto been described in amniotic fluid. The third...

  18. Higher levels of ethyl paraben and butyl paraben in rat amniotic fluid than in maternal plasma after subcutaneous administration

    DEFF Research Database (Denmark)

    Frederiksen, Hanne; Taxvig, Camilla; Hass, Ulla;

    2008-01-01

    to obtain more knowledge about the distribution of ethyl paraben and butyl paraben in pregnant rats and pups after perinatal exposure, the presented study was designed. The data show response and distribution of ethyl paraben and butyl paraben in maternal rat plasma, pools of amniotic fluids, placenta...... with >or= 100 mg/kg bw/day, while both compounds were excreted into amniotic fluid in a dose-dependent manner. Significant difference was found between the level of ethyl paraben in maternal plasma and amniotic fluid after dosing with 200 mg/kg bw/day as well as between the levels of butyl paraben...... in maternal plasma and amniotic fluid after dosing with 100, 200, and 400 mg/kg bw/day....

  19. STUDY OF BIOCHEMICAL PARAMETERS IN AMNIOTIC FLUID FOR ASSESSMENT OF FOETAL MATURITY IN CASES OF NORMAL PREGNANCY

    Directory of Open Access Journals (Sweden)

    Leela

    2015-11-01

    Full Text Available Assessment of foetal maturity had been proven of value in evaluating the foetal condition. Accurate assessment of foetal maturity is essential for the proper timing of delivery in various risk pregnancies. Amniotic Fluid analysis for foetal maturity had been of proven value. In the present study, study of biochemical parameters in amniotic fluid in respect of Creatinine, Uric Acid, Urea, Total Proteins, and Electrolytes i.e. Sodium, Potassium and Chloride has been done, along with Serum Electrolytes. Standard methodologies were adopted. The observations in the present study correlated with the works of Chadick et al and Pitkin and Zwirek. The levels of Creatinine, Uric Acid and Urea in Amniotic Fluid showed elevation, while Total Proteins and Serum Sodium showed a decline, as gestation progressed. The Serum and Amniotic Fluid Potassium and Chloride levels remain almost constant throughout the pregnancy. Thus, it is observed that the use of multiple parameters is desirable for accurate assessment of foetal maturity.

  20. A prospective study of 20 foot and ankle wounds treated with cryopreserved amniotic membrane and fluid allograft.

    Science.gov (United States)

    Werber, Bruce; Martin, Erin

    2013-01-01

    We reviewed the background information and previous clinical studies that considered the use of allogeneic amniotic tissue and fluid (granulized amniotic membrane and amniotic fluid) in the treatment of chronic diabetic foot wounds. This innovation represents a relatively new approach to wound management by delivering a unique allograft of live human cells in a nonimmunogenic structural tissue matrix. Developed to fill soft tissue defects and bone voids and to convey antimicrobial and anti-inflammatory capabilities, granulized amniotic membrane and amniotic fluid does not require fetal death, because its procurement is performed with maternal consent during birth. In the present investigation, 20 chronic wounds (20 patients) that had been treated with standard wound therapy for a mean of 36.6 ± 31.58 weeks and with a mean baseline area of 10.15 ± 19.54 cm(2) were followed up during a 12-week observation period or until they healed. A total of 18 of the wounds (90%) healed during the 12-week observation period, and none of the wounds progressed to amputation. From our experience with the patients in the present case series, we believe that granulized amniotic membrane and amniotic fluid represents a useful option for the treatment of chronic diabetic foot wounds.

  1. Multidimensional proteomics analysis of amniotic fluid to provide insight into the mechanisms of idiopathic preterm birth.

    Directory of Open Access Journals (Sweden)

    Irina A Buhimschi

    Full Text Available BACKGROUND: Though recent advancement in proteomics has provided a novel perspective on several distinct pathogenetic mechanisms leading to preterm birth (inflammation, bleeding, the etiology of most preterm births still remains elusive. We conducted a multidimensional proteomic analysis of the amniotic fluid to identify pathways related to preterm birth in the absence of inflammation or bleeding. METHODOLOGY/PRINCIPAL FINDINGS: A proteomic fingerprint was generated from fresh amniotic fluid using surface-enhanced laser desorbtion ionization time of flight (SELDI-TOF mass spectrometry in a total of 286 consecutive samples retrieved from women who presented with signs or symptoms of preterm labor or preterm premature rupture of the membranes. Inflammation and/or bleeding proteomic patterns were detected in 32% (92/286 of the SELDI tracings. In the remaining tracings, a hierarchical algorithm was applied based on descriptors quantifying similarity/dissimilarity among proteomic fingerprints. This allowed identification of a novel profile (Q-profile based on the presence of 5 SELDI peaks in the 10-12.5 kDa mass area. Women displaying the Q-profile (mean+/-SD, gestational age: 25+/-4 weeks, n = 40 were more likely to deliver preterm despite expectant management in the context of intact membranes and normal amniotic fluid clinical results. Utilizing identification-centered proteomics techniques (fluorescence two-dimensional differential gel electrophoresis, robotic tryptic digestion and mass spectrometry coupled with Protein ANalysis THrough Evolutionary Relationships (PANTHER ontological classifications, we determined that in amniotic fluids with Q-profile the differentially expressed proteins are primarily involved in non-inflammatory biological processes such as protein metabolism, signal transduction and transport. CONCLUSION/SIGNIFICANCE: Proteomic profiling of amniotic fluid coupled with non-hierarchical bioinformatics algorithms identified a

  2. The Utility of Amnioinfusion in the Prophylaxis of Meconium-Stained Amniotic Fluid Infectious Morbidity

    Directory of Open Access Journals (Sweden)

    C. D. Adair

    1997-01-01

    Full Text Available Objectives: To evaluate the utility of intrapartum amnioinfusion (AI in reducing the infectious morbidity of patients with meconium-stained fluid (MSF. Previous studies have shown increased intraamniotic infection (IAI and postpartum endometritis (PPE rates in patients with MSF. Intraamniotic infection has been reduced with the prophylactic administration of ampicillin–sulbactam in MSF. Intraamniotic infection and PPE have been reduced with the use of AI in patients with clear fluid. No investigators have specifically examined the efficacy of AI in reducing meconium-stained, amniotic-fluid-associated infectious morbidity.

  3. Use of low-frequency electrical impedance measurements to determine phospholipid content in amniotic fluid

    Science.gov (United States)

    DeLuca, F.; Cametti, C.; Zimatore, G.; Maraviglia, B.; Pachi', A.

    1996-09-01

    In this report we propose a new method for an in vitro test of the foetal lung maturity based on the measurement of the electrical conductivity of the overall amniotic fluid obtained from transabdominal amniocentesis, since this quantity can be linked to a first approximation in a very simple way to the phospholipid content. We have carried out measurements of 85 different samples of amniotic fluid as a function of gestation weeks and we have observed a pronounced change of the electrical conductivity that reflects the increase in the phospholipid concentration occurring at the end of normal pregnancies. The method could be further developed to obtain similar information on in vivo experiments by means of bioelectric impedance tomography, taking advantage of the frequency dependence of the tissue electrical impedance.

  4. Chemical analysis of succinylacetone and 4-hydroxyphenyllactate in amniotic fluid using selective ion monitoring.

    Science.gov (United States)

    Jakobs, C; Sweetman, L; Nyhan, W L

    1984-01-01

    A method for the measurement of the concentration of succinylacetone and 4-hydroxyphenyllactic acid in amniotic fluid was developed for the prenatal diagnosis of hereditary tyrosinemia. Succinylacetone was converted to 5-methyl-3-isoxazolepropionic acid and isolated with 4-hydroxyphenyllactic acid by liquid partition chromatography and the trimethylsilyl derivatives quantified by ammonia chemical ionization selected ion monitoring gas chromatography-mass spectrometry with 2-hydroxy-n-caproic acid as the internal standard. The concentration of 4-hydroxyphenyllactic acid in normal amniotic fluid was 1.97 +/- 0.75 (S.D.) mumol/l while succinylacetone was undetectable. A pregnancy at risk for tyrosinemia type II was monitored. The concentration of 4-hydroxyphenyllactic acid was within the normal range and a healthy child was born.

  5. Amniotic fluid embolism with involvement of the brain, lungs, adrenal glands, and heart.

    Science.gov (United States)

    Balazic, J; Rott, T; Jancigaj, T; Popović, M; Zajfert-Slabe, M; Svigelj, V

    2003-06-01

    The case of a healthy 31-year-old woman in the 40th week of second pregnancy is presented. During preparation for an emergency caesarean section, she developed an amniotic fluid embolism (AFE) with unusual and unique features. The acute onset of disease with cardiorespiratory failure with hypotension, tachycardia, cyanosis, respiratory disturbances and loss of consciousness, suggested at first a pulmonary thromboembolism, but the appearance of convulsions led to the diagnosis of AFE. The patient died after 5 days due to an untreatable brain edema. At autopsy, AFE with the usually associated disseminated intravascular coagulation was found in the lungs, brain, left adrenal gland, kidneys, liver and heart. Eosinophilic inflammatory infiltrates were found in the lungs, hepatic portal fields and especially in the heart, suggesting a specific hypersensitivity reaction to fetal antigens. Moreover, intravascular accumulation of macrophages in the lungs also favored a non-specific immune reaction to amniotic fluid constituents.

  6. [Alpha-amylase/glucose index in amniotic fluid as a new method in prenatal assessment of fetal maturity].

    Science.gov (United States)

    Sałacińska, B; Krasomski, G; Broniarczyk, D; Swiatkowska, E

    2001-09-01

    Prenatal diagnosis of amniotic fluid enables fetal maturity evaluation, particularly that of fetal lungs. The aim of the study is to evaluate the diagnostic value of on alpha-amylase/glucose index in amniotic fluid in comparison to routinely performed tests, used for prenatal fetal lung maturity evaluation, particularly in respect of PG concentration, whose predictive value is almost 100%. The study was carried out on 180 pregnant women, chosen by random selection, hospitalized in Polish Mother's Health Centre Hospital in the period from 15.06.1994 to 31.12.1995. 223 samples of amniotic fluid were tested- in all samples following assays and tests were performed: bubble stability test (BST), optical density, orange cells test, phosphatidylglycerol concentration (PG), glucose concentration, alpha-amylase activity urea and creatinine concentration. The alpha-amylase/glucose index in amniotic fluid is statistically significant with PG concentration. The value of the alpha-amylase/glucose index is < 6.0 when amniotic fluid assay indicates fetal immaturity, but when amniotic fluid assay indicates fetal maturity, its value is 36.0. The evaluation of fetal lung maturity on the basis of the alpha-amylase/glucose index multiply decreases the cost of examinations. Authors make a suggestion to implement this method in all hospital departments of the country. PMID:11757481

  7. Characteristics of human amniotic fluid mesenchymal stem cells and their tropism to human ovarian cancer.

    Directory of Open Access Journals (Sweden)

    Liru Li

    Full Text Available The mesenchymal stem cells (MSCs derived from amniotic fluid (AF have become an attractive stem cells source for cell-based therapy because they can be harvested at low cost and avoid ethical disputes. In human research, stem cells derived from AF gradually became a hot research direction for disease treatment, specifically for their plasticity, their reduced immunogenicity and their tumor tropism regardless of the tumor size, location and source. Our work aimed to obtain and characterize human amniotic fluid mesenchymal stem cells (AFMSCs and detect their ovarian cancer tropsim in nude mice model. Ten milliliters of twenty independent amniotic fluid samples were collected from 16-20 week pregnant women who underwent amniocentesis for fetal genetic determination in routine prenatal diagnosis in the first affiliated hospital of Harbin medical university. We successfully isolated the AFMSCs from thirteen of twenty amniotic fluid samples. AFMSCs presented a fibroblastic-like morphology during the culture. Flow cytometry analyses showed that the cells were positive for specific stem cell markers CD73,CD90, CD105, CD166 and HLA-ABC (MHC class I, but negative for CD 45,CD40, CD34, CD14 and HLA-DR (MHC class II. RT-PCR results showed that the AFMSCs expressed stem cell marker OCT4. AFMSCs could differentiate into bone cells, fat cells and chondrocytes under certain conditions. AFMSCs had the high motility to migrate to ovarian cancer site but didn't have the tumorigenicity. This study enhances the possibility of AFMSCs as drug carrier in human cell-based therapy. Meanwhile, the research emphasis in the future can also put in targeting therapy of ovarian cancer.

  8. Studies on the origin of human amniotic fluid cells by immunofluorescent staining of keratin filaments.

    OpenAIRE

    Chen, W. W.

    1982-01-01

    Cultivated cells obtained by amniocentesis for antenatal diagnosis were examined for the presence of keratin filaments by immunofluorescent staining techniques. In primary cultures, cells in fibroblast type colonies do not possess keratin filaments whereas cells in epithelial type colonies show positive staining of keratin fibres. The majority of cells in amniotic fluid type colonies also stain positively with antikeratin antibody. After the primary cells have been subcultured, most of them a...

  9. In Vitro Study of Amniotic Fluid Gram Stain: Effect of Centrifugation

    OpenAIRE

    Gauthier, Daniel W.; Wilfredo Torres; Meyer, William J.; Lewis, Barbara G.; Vernon, Michael O.; Janda, William M.

    1994-01-01

    Objective: Gram stain of amniotic fluid (AF) is used to detect intraamniotic infection. The purpose of this study was to determine if centrifugation improved the ability of AF Gram stain to detect bacteria. Methods: AF obtained by amniocentesis from patients with preterm labor (PTL) or preterm premature rupture of membranes (PPROM) was pooled. Individual AF samples as well as the pooled sample had a negative Gram stain for microorganisms or white blood cells (WBCs) and negative cultures. With...

  10. Amniotic fluid infection syndrome in private and non-private patients.

    Science.gov (United States)

    Möller, G H; Woods, D L; Malan, A F; Sinclair-Smith, C C

    1987-11-01

    The incidence of placental histological evidence of amniotic fluid infection syndrome (AFIS) was studied in two groups of patients delivered at term. One group received private medical care during pregnancy, while the other patients were delivered at a midwife obstetric unit. There was no significant difference in histological evidence of AFIS in the private patient (22%) and non-private patient (28%) groups. PMID:3686296

  11. The ways of amniotic fluid sampling and its influence on lamellar body count

    OpenAIRE

    Višnjevac Jovana; Novakov-Mikić Aleksandra; Nikolić Aleksandra

    2010-01-01

    Even though artificial surfactant is now available, respiratory distress syndrome still remains a serious problem in neonatology. Prenatal analysis of the amniotic fluid can provide data giving insight into the fetal lung maturity, which enables planning of the further outcome of high-risk pregnancies. Surfactant prevents atelectasis by forming a layer rich in phospholipids between the air and liquid phase in alveoli thus leading to increased surface tension in them, which is a precondi...

  12. Maternal Plasma and Amniotic Fluid Chemokines Screening in Fetal Down Syndrome

    Directory of Open Access Journals (Sweden)

    Piotr Laudanski

    2014-01-01

    Full Text Available Objective. Chemokines exert different inflammatory responses which can potentially be related to certain fetal chromosomal abnormalities. The aim of the study was to determine the concentration of selected chemokines in plasma and amniotic fluid of women with fetal Down syndrome. Method. Out of 171 amniocentesis, we had 7 patients with confirmed fetal Down syndrome (15th–18th weeks of gestation. For the purpose of our control, we chose 14 women without confirmed chromosomal aberration. To assess the concentration of chemokines in the blood plasma and amniotic fluid, we used a protein macroarray, which allows the simultaneous determination of 40 chemokines per sample. Results. We showed significant decrease in the concentration of 4 chemokines, HCC-4, IL-28A, IL-31, and MCP-2, and increase in the concentration of CXCL7 (NAP-2 in plasma of women with fetal Down syndrome. Furthermore, we showed decrease in concentration of 3 chemokines, ITAC, MCP-3, MIF, and increase in concentration of 4 chemokines, IP-10, MPIF-1, CXCL7, and 6Ckine, in amniotic fluid of women with fetal Down syndrome. Conclusion. On the basis of our findings, our hypothesis is that the chemokines may play role in the pathogenesis of Down syndrome. Defining their potential as biochemical markers of Down syndrome requires further investigation on larger group of patients.

  13. The ways of amniotic fluid sampling and its influence on lamellar body count.

    Science.gov (United States)

    Visnjevac, Jovana; Novakov-Mikić, Aleksandra; Nikolić, Aleksandra

    2010-01-01

    Even though artificial surfactant is now available, respiratory distress syndrome still remains a serious problem in neonatology. Prenatal analysis of the amniotic fluid can provide data giving insight into the fetal lung maturity, which enables planning of the further outcome of high-risk pregnancies. Surfactant prevents atelectasis by forming a layer rich in phospholipids between the air and liquid phase in alveoli thus leading to increased surface tension in them, which is a precondition for a good lung function after birth. Lamellar bodies are a form of stored surfactant, and their count in the amniotic fluid can be determined simply by a standard hematology analyzer. The method of determining lamellar body count has found an important place in prenatal diagnostics and is recommended as an initial method of a "cascade" procedure of testing fetal lung maturity. However, considering the importance of procedure of sample collection, storage and centrifugation, which can significantly affect the results obtained for the lung maturity, the amniotic fluid samples must be absolutely free of contamination with blood, meconium, mucus, bacteria and leucocytes. PMID:21443154

  14. Regulation of amniotic fluid volume: mathematical model based on intramembranous transport mechanisms.

    Science.gov (United States)

    Brace, Robert A; Anderson, Debra F; Cheung, Cecilia Y

    2014-11-15

    Experimentation in late-gestation fetal sheep has suggested that regulation of amniotic fluid (AF) volume occurs primarily by modulating the rate of intramembranous transport of water and solutes across the amnion into underlying fetal blood vessels. In order to gain insight into intramembranous transport mechanisms, we developed a computer model that allows simulation of experimentally measured changes in AF volume and composition over time. The model included fetal urine excretion and lung liquid secretion as inflows into the amniotic compartment plus fetal swallowing and intramembranous absorption as outflows. By using experimental flows and solute concentrations for urine, lung liquid, and swallowed fluid in combination with the passive and active transport mechanisms of the intramembranous pathway, we simulated AF responses to basal conditions, intra-amniotic fluid infusions, fetal intravascular infusions, urine replacement, and tracheoesophageal occlusion. The experimental data are consistent with four intramembranous transport mechanisms acting in concert: 1) an active unidirectional bulk transport of AF with all dissolved solutes out of AF into fetal blood presumably by vesicles; 2) passive bidirectional diffusion of solutes, such as sodium and chloride, between fetal blood and AF; 3) passive bidirectional water movement between AF and fetal blood; and 4) unidirectional transport of lactate into the AF. Further, only unidirectional bulk transport is dynamically regulated. The simulations also identified areas for future study: 1) identifying intramembranous stimulators and inhibitors, 2) determining the semipermeability characteristics of the intramembranous pathway, and 3) characterizing the vesicles that are the primary mediators of intramembranous transport.

  15. Concentrations of Mineral in Amniotic Fluid and Their Relations to Selected Maternal and Fetal Parameters.

    Science.gov (United States)

    Suliburska, J; Kocyłowski, R; Komorowicz, I; Grzesiak, M; Bogdański, P; Barałkiewicz, D

    2016-07-01

    The concentrations of various trace elements in amniotic fluid (AF) change over the course of pregnancy, with gestational age and fetus growth. The aim of the present study was to evaluate the concentrations of selected essential and toxic elements in AF and their relations to maternal and fetal parameters. The study was carried out in 39 pregnant women, aged 34.6 ± 4.7 years, between weeks 16 and 26 of gestation. Amniotic fluid samples were obtained during the standard procedure of amniocentesis in high-risk patients for chromosomal abnormalities. An inductively coupled plasma mass spectrometry (ICP-MS) technique was used to determine the levels of Al, As, Ba, Cd, Co, Cr, Cu, Mg, Mn, Ni, Sr, U, and V in AF. Body mass and blood pressure were measured in all the women. The basic parameters of fetal development were also assayed. It was found that the age of the mother, the gender of the fetus, and the week of the pregnancy may affect the concentrations of mineral in the amniotic fluid. Moreover, several significant correlations between the essential and toxic elements and maternal and fetal parameters were observed. In particular, negative and positive correlations between fetal parameters and magnesium and copper levels in AF, respectively, were seen. The present findings demonstrate the association between minerals in AF and fetal development.

  16. Amniotic fluid protein profiles of intraamniotic inflammatory response to Ureaplasma spp. and other bacteria.

    Directory of Open Access Journals (Sweden)

    Marian Kacerovsky

    Full Text Available OBJECTIVE: This study aimed to evaluate the amniotic fluid protein profiles and the intensity of intraamniotic inflammatory response to Ureaplasma spp. and other bacteria, using the multiplex xMAP technology. METHODS: A retrospective cohort study was undertaken in the Department of Obstetrics and Gynecology, University Hospital Hradec Kralove, Czech Republic. A total of 145 pregnant women with preterm prelabor rupture of membranes between gestational age 24+0 and 36+6 weeks were included in the study. Amniocenteses were performed. The presence of Ureaplasma spp. and other bacteria was evaluated using 16S rRNA gene sequencing. The levels of specific proteins were determined using multiplex xMAP technology. RESULTS: The presence of Ureaplasma spp. and other bacteria in the amniotic fluid was associated with increased levels of interleukin (IL-6, IL-8, IL-10, brain-derived neurotropic factor, granulocyte macrophage colony stimulating factor, monocyte chemotactic protein-1, macrophage inflammatory protein-1, and matrix metalloproteinasis-9. Ureaplasma spp. were also associated with increased levels of neurotropin-3 and triggering receptor expressed on myeloid cells-1. CONCLUSIONS: The presence of Ureaplasma spp. in the amniotic fluid is associated with a slightly different protein profile of inflammatory response, but the intensity of inflammatory response to Ureaplasma spp. is comparable with the inflammatory response to other bacteria.

  17. Methylmalonic Acid in Amniotic Fluid and Maternal Urine as a Marker for Neural Tube Defects

    Institute of Scientific and Technical Information of China (English)

    罗小平; 张炼; 魏虹; 刘皖君; 王慕逖; 宁琴

    2004-01-01

    To evaluate the implication of methymalonic acid (MMA) in the early diagnosis of neural tube defects (NTD), a quantitative assay for MMA was established by using gas chromatographymass spectrometry with stable isotope of MMA as an internal standard. Amniotic fluid and maternal urine MMA concentration, maternal serum folate, red blood cell folate and vitamin B12 levels were measured in the middle term of NTD-affected and normal pregnancies. Amniotic fluid and maternal urine MMA concentrations in the middle term of NTD affected pregnancies (1.4 ± 0.9 μmol/L, and 22.1 ± 12.6 nmol/μmol creatinine) were significantly higher than that of normal pregnancies (1.0±0.4μ mol/L, and 2.5± 1.1 nmol/μmol creatinine). There was no significant difference between normal and NTD pregnancies for serum folate, red blood cell folate and vitamin B12 levels.The results suggested that MMAs in amniotic fluid and maternal urine are sensitive markers for early diagnosis of NTD. Vitamin B12 is an active cofactor involved in the remethylation of homocycteine and its deficiency is an independent risk factor for NTD. MMA is a specific and sensitive marker for intracellular vitamin B12 deficiency. This study suggests that it is necessary to monitor the vitamin B12 deficiency and advocates vitamin B12 supplementation with folate prevention program.

  18. The ways of amniotic fluid sampling and its influence on lamellar body count

    Directory of Open Access Journals (Sweden)

    Višnjevac Jovana

    2010-01-01

    Full Text Available Even though artificial surfactant is now available, respiratory distress syndrome still remains a serious problem in neonatology. Prenatal analysis of the amniotic fluid can provide data giving insight into the fetal lung maturity, which enables planning of the further outcome of high-risk pregnancies. Surfactant prevents atelectasis by forming a layer rich in phospholipids between the air and liquid phase in alveoli thus leading to increased surface tension in them, which is a precondition for a good lung function after birth. Lamellar bodies are a form of stored surfactant, and their count in the amniotic fluid can be determined simply by a standard hematology analyzer. The method of determining lamellar body count has found an important place in prenatal diagnostics and is recommended as an initial method of a ”cascade” procedure of testing fetal lung maturity. However, considering the importance of procedure of sample collection, storage and centrifugation, which can significantly affect the results obtained for the lung maturity, the amniotic fluid samples must be absolutely free of contamination with blood, meconium, mucus, bacteria and leucocytes.

  19. Immunosuppressive activity of human amniotic fluid of normal and abnormal pregnancies.

    Science.gov (United States)

    Shohat, B; Faktor, J M

    1988-01-01

    Twenty specimens of amniotic fluid (AF) obtained between week 16 and 18 of gestation from normal pregnant women and six specimens from pregnant women in which trisomia of chromosome 21 was found were tested for immunosuppressive activity. Incubation of normal human donor lymphocytes with 0.2-1 mL of AF from normal pregnant women for one hour at 37 degrees C was sufficient for induction of significant inhibition of the ability of these cells to induce a local xenogeneic graft-versus-host reaction (GVHR) as well as inhibition of E and E-active rosette formation, the GVHR being the most sensitive test. On the other hand, amniotic fluid obtained from the six pregnant women in which trisomia of chromosome 21 was found showed no inhibitory activity in either the E or E-active rosette formation, nor in the local xenogeneic graft-versus-host reaction. AF from all the women tested was found to have no effect on phenotype expression of the lymphocytes, as tested by the monoclonal antibodies OKT4+ and OKT8+, nor on B-lymphocytes, as tested by surface immunoglobulins. No correlation was found between the alpha-fetoprotein levels in the sera of those women and the immunosuppressive activity. These findings indicate that genetic defects of the conceptus are not limited to the embryo but may affect the composition of immunosuppressive components present in normal amniotic fluid.

  20. Concentrations of Mineral in Amniotic Fluid and Their Relations to Selected Maternal and Fetal Parameters.

    Science.gov (United States)

    Suliburska, J; Kocyłowski, R; Komorowicz, I; Grzesiak, M; Bogdański, P; Barałkiewicz, D

    2016-07-01

    The concentrations of various trace elements in amniotic fluid (AF) change over the course of pregnancy, with gestational age and fetus growth. The aim of the present study was to evaluate the concentrations of selected essential and toxic elements in AF and their relations to maternal and fetal parameters. The study was carried out in 39 pregnant women, aged 34.6 ± 4.7 years, between weeks 16 and 26 of gestation. Amniotic fluid samples were obtained during the standard procedure of amniocentesis in high-risk patients for chromosomal abnormalities. An inductively coupled plasma mass spectrometry (ICP-MS) technique was used to determine the levels of Al, As, Ba, Cd, Co, Cr, Cu, Mg, Mn, Ni, Sr, U, and V in AF. Body mass and blood pressure were measured in all the women. The basic parameters of fetal development were also assayed. It was found that the age of the mother, the gender of the fetus, and the week of the pregnancy may affect the concentrations of mineral in the amniotic fluid. Moreover, several significant correlations between the essential and toxic elements and maternal and fetal parameters were observed. In particular, negative and positive correlations between fetal parameters and magnesium and copper levels in AF, respectively, were seen. The present findings demonstrate the association between minerals in AF and fetal development. PMID:26547910

  1. Discuss the intrapartum amniotic fluid meconium contamination by amniotic fluid%经宫颈羊水置换术治疗产时羊水胎粪污染探讨

    Institute of Scientific and Technical Information of China (English)

    刘海梅

    2013-01-01

    Objective To estimate the intrapartum amniotic fluid meconium contamination by amniotic fluid. Methods 37 cases with intrapartum amniotic fluid meconium contamination were collected ,all of them were treated by amniotic fluid. The cura-tive effect were recorded. Results The intrapartum amniotic fluid meconium contamination were got improved,29 cases of amniot-ic fluid clarification,no occurrence degree of amniotic fluid pollution;there was no MAS,only 1 case appeared neonatal asphyxia, and no complications. Conclusion It can improve the conditions for the intrapartum amniotic fluid meconium contamination by amniotic fluid,and it can reduce the occurrence rate for MAS and neonatal asphyxia rate.%目的:评价经宫颈羊水置换术治疗产时羊水胎粪污染的疗效。方法我院在2010年1月-2013年1月期间共收治了37例羊水胎粪污染的孕妇,对所有孕妇均采取了羊水置换术治疗,统计治疗后的疗效。结果37例接受羊水置换术的孕妇在分娩羊水污染程度得到了极大的改善,其中29例羊水澄清,无1例出现羊水Ⅲ°污染;所有新生儿中均未出现MAS症,仅有1例出现了新生儿窒息,且没有1例出现术后并发症。结论经宫颈羊水置换术,可有效改善胎儿宫内羊水胎粪污染的状况,降低MAS的发生率和新生儿的窒息率。

  2. Applications of Amniotic Membrane and Fluid in Stem Cell Biology and Regenerative Medicine

    Directory of Open Access Journals (Sweden)

    Kerry Rennie

    2012-01-01

    Full Text Available The amniotic membrane (AM and amniotic fluid (AF have a long history of use in surgical and prenatal diagnostic applications, respectively. In addition, the discovery of cell populations in AM and AF which are widely accessible, nontumorigenic and capable of differentiating into a variety of cell types has stimulated a flurry of research aimed at characterizing the cells and evaluating their potential utility in regenerative medicine. While a major focus of research has been the use of amniotic membrane and fluid in tissue engineering and cell replacement, AM- and AF-derived cells may also have capabilities in protecting and stimulating the repair of injured tissues via paracrine actions, and acting as vectors for biodelivery of exogenous factors to treat injury and diseases. Much progress has been made since the discovery of AM and AF cells with stem cell characteristics nearly a decade ago, but there remain a number of problematic issues stemming from the inherent heterogeneity of these cells as well as inconsistencies in isolation and culturing methods which must be addressed to advance the field towards the development of cell-based therapies. Here, we provide an overview of the recent progress and future perspectives in the use of AM- and AF-derived cells for therapeutic applications.

  3. Polyhydramnios in Lrp4 knockout mice with bilateral kidney agenesis: Defects in the pathways of amniotic fluid clearance.

    Science.gov (United States)

    Tanahashi, Hiroshi; Tian, Qing-Bao; Hara, Yoshinobu; Sakagami, Hiroyuki; Endo, Shogo; Suzuki, Tatsuo

    2016-01-01

    Amniotic fluid volume during mid-to-late gestation depends mainly on the urine excretion from the foetal kidneys and partly on the fluid secretion from the foetal lungs during foetal breathing-like movements. Urine is necessary for foetal breathing-like movements, which is critical for foetal lung development. Bilateral renal agenesis and/or obstruction of the urinary tract lead to oligohydramnios, which causes infant death within a short period after birth due to pulmonary hypoplasia. Lrp4, which functions as an agrin receptor, is essential for the formation of neuromuscular junctions. Herein, we report novel phenotypes of Lrp4 knockout (Lrp4(-/-)) mice. Most Lrp4(-/-) foetuses showed unilateral or bilateral kidney agenesis, and Lrp4 knockout resulted in polyhydramnios. The loss of Lrp4 compromised foetal swallowing and breathing-like movements and downregulated the expression of aquaporin-9 in the foetal membrane and aquaporin-1 in the placenta, which possibly affected the amniotic fluid clearance. These results suggest that amniotic fluid removal was compromised in Lrp4(-/-) foetuses, resulting in polyhydramnios despite the impairment of urine production. Our findings indicate that amniotic fluid removal plays an essential role in regulating the amniotic fluid volume.

  4. Polyhydramnios in Lrp4 knockout mice with bilateral kidney agenesis: Defects in the pathways of amniotic fluid clearance.

    Science.gov (United States)

    Tanahashi, Hiroshi; Tian, Qing-Bao; Hara, Yoshinobu; Sakagami, Hiroyuki; Endo, Shogo; Suzuki, Tatsuo

    2016-01-01

    Amniotic fluid volume during mid-to-late gestation depends mainly on the urine excretion from the foetal kidneys and partly on the fluid secretion from the foetal lungs during foetal breathing-like movements. Urine is necessary for foetal breathing-like movements, which is critical for foetal lung development. Bilateral renal agenesis and/or obstruction of the urinary tract lead to oligohydramnios, which causes infant death within a short period after birth due to pulmonary hypoplasia. Lrp4, which functions as an agrin receptor, is essential for the formation of neuromuscular junctions. Herein, we report novel phenotypes of Lrp4 knockout (Lrp4(-/-)) mice. Most Lrp4(-/-) foetuses showed unilateral or bilateral kidney agenesis, and Lrp4 knockout resulted in polyhydramnios. The loss of Lrp4 compromised foetal swallowing and breathing-like movements and downregulated the expression of aquaporin-9 in the foetal membrane and aquaporin-1 in the placenta, which possibly affected the amniotic fluid clearance. These results suggest that amniotic fluid removal was compromised in Lrp4(-/-) foetuses, resulting in polyhydramnios despite the impairment of urine production. Our findings indicate that amniotic fluid removal plays an essential role in regulating the amniotic fluid volume. PMID:26847765

  5. Utilization of a single antiserum for the direct radioimmunoassay of prostaglandins E and F in semen and prostaglandin F in amniotic fluid

    International Nuclear Information System (INIS)

    Antibodies to both prostaglandin F (PGF) and prostaglandin E (PGE) were raised in rabbits after they were immunized with prostaglandin F/sub 2a/ conjugated to bovine serum albumin (PGF/sub 2a/--BSA). The antisera were group specific although the antibodies to the F group of prostaglandins showed greater specificity than those to the E group. The antisera were sufficiently specific however to allow the direct radioimmunoassay of PGF and PGE in human semen and PGF in amniotic fluid during induced abortion. Specificity of the direct radioimmunoassay was checked by chromatographic separation of the prostaglandins prior to analysis. Estimation of the prostaglandins in the semen of 30 men attending the infertility clinic showed that 19 of the men had normal semen levels of PGE and PGF of 68 +- 7 (SE) and 6.0 +- 0.6 μg/ml respectively, as compared with data on normal fertile males, whilst the other 11 men had lower levels of 16 +- 2 (SE) and 0.8 +- 0.1 μg/ml respectively. Application of the method to amniotic fluid showed that the PGF concentration in amniotic fluid during the induction of abortion with extra-ovular saline increased from less than 0.6 ng/ml to 6.4 ng/ml when the induction-abortion intervals ranged from 6 to 48 hours. (U.S.)

  6. Soluble leukocyte-Associated Ig-like Receptor-1 in amniotic fluid is of fetal origin and positively associates with lung compliance.

    Directory of Open Access Journals (Sweden)

    Michiel L Houben

    Full Text Available The soluble form of the inhibitory immune receptor leukocyte-Associated Ig-like Receptor-1 (sLAIR-1 is present in plasma, urine and synovial fluid and correlates to inflammation. We and others previously showed inflammatory protein expression in normal amniotic fluid at term. We hypothesized that sLAIR-1 is present in amniotic fluid during term parturition and is related to fetal lung function development. sLAIR-1 was detectable in all amniotic fluid samples (n=355 collected during term spontaneous deliveries. First, potential intra-uterine origins of amniotic fluid sLAIR-1 were explored. Although LAIR-1 was expressed on the surface of amniotic fluid neutrophils, LAIR-1 was not secreted upon ex vivo neutrophil stimulation with LPS, or PMA/ionomycin. Cord blood concentrations of sLAIR-1 were fourfold lower than and not related to amniotic fluid concentrations and placentas showed no or only sporadic LAIR-1 positive cells. Similarly, in post-mortem lung tissue of term neonates that died of non-pulmonary disorders LAIR-1 positive cells were absent or only sporadically present. In fetal urine samples, however, sLAIR-1 levels were even higher than in amniotic fluid and correlated with amniotic fluid sLAIR-1 concentrations. Second, the potential relevance of amniotic fluid sLAIR-1 was studied. sLAIR-1 concentrations had low correlation to amniotic fluid cytokines. We measured neonatal lung function in a convenient subset of 152 infants, using the single occlusion technique, at a median age of 34 days (IQR 30-39. The amniotic fluid concentration of sLAIR-1 was independently correlated to airway compliance (ρ=0.29, P=.001. Taken together, we show the consistent presence of sLAIR-1 in amniotic fluid, which originates from fetal urine. Concentrations of sLAIR-1 in amniotic fluid during term deliveries are independent from levels of other soluble immune mediators. The positive association between concentrations of amniotic fluid sLAIR-1 and neonatal lung

  7. Transcriptome adaptation of group B Streptococcus to growth in human amniotic fluid.

    Directory of Open Access Journals (Sweden)

    Izabela Sitkiewicz

    Full Text Available BACKGROUND: Streptococcus agalactiae (group B Streptococcus is a bacterial pathogen that causes severe intrauterine infections leading to fetal morbidity and mortality. The pathogenesis of GBS infection in this environment is poorly understood, in part because we lack a detailed understanding of the adaptation of this pathogen to growth in amniotic fluid. To address this knowledge deficit, we characterized the transcriptome of GBS grown in human amniotic fluid (AF and compared it with the transcriptome in rich laboratory medium. METHODS: GBS was grown in Todd Hewitt-yeast extract medium and human AF. Bacteria were collected at mid-logarithmic, late-logarithmic and stationary growth phase. We performed global expression microarray analysis using a custom-made Affymetrix GeneChip. The normalized hybridization values derived from three biological replicates at each growth point were obtained. AF/THY transcript ratios representing greater than a 2-fold change and P-value exceeding 0.05 were considered to be statistically significant. PRINCIPAL FINDINGS: We have discovered that GBS significantly remodels its transcriptome in response to exposure to human amniotic fluid. GBS grew rapidly in human AF and did not exhibit a global stress response. The majority of changes in GBS transcripts in AF compared to THY medium were related to genes mediating metabolism of amino acids, carbohydrates, and nucleotides. The majority of the observed changes in transcripts affects genes involved in basic bacterial metabolism and is connected to AF composition and nutritional requirements of the bacterium. Importantly, the response to growth in human AF included significant changes in transcripts of multiple virulence genes such as adhesins, capsule, and hemolysin and IL-8 proteinase what might have consequences for the outcome of host-pathogen interactions. CONCLUSIONS/SIGNIFICANCE: Our work provides extensive new information about how the transcriptome of GBS responds

  8. Metabolomics of Human Amniotic Fluid and Maternal Plasma during Normal Pregnancy.

    Science.gov (United States)

    Orczyk-Pawilowicz, Magdalena; Jawien, Ewa; Deja, Stanislaw; Hirnle, Lidia; Zabek, Adam; Mlynarz, Piotr

    2016-01-01

    Metabolic profiles of amniotic fluid and maternal blood are sources of valuable information about fetus development and can be potentially useful in diagnosis of pregnancy disorders. In this study, we applied 1H NMR-based metabolic profiling to track metabolic changes occurring in amniotic fluid (AF) and plasma (PL) of healthy mothers over the course of pregnancy. AF and PL samples were collected in the 2nd (T2) and 3rd (T3) trimester, prolonged pregnancy (PP) until time of delivery (TD). A multivariate data analysis of both biofluids reviled a metabolic switch-like transition between 2nd and 3rd trimester, which was followed by metabolic stabilization throughout the rest of pregnancy probably reflecting the stabilization of fetal maturation and development. The differences were further tested using univariate statistics at α = 0.001. In plasma the progression from T2 to T3 was related to increasing levels of glycerol, choline and ketone bodies (3-hydroxybutyrate and acetoacetate) while pyruvate concentration was significantly decreased. In amniotic fluid, T2 to T3 transition was associated with decreasing levels of glucose, carnitine, amino acids (valine, leucine, isoleucine, alanine, methionine, tyrosine, and phenylalanine) and increasing levels of creatinine, succinate, pyruvate, choline, N,N-dimethylglycine and urocanate. Lactate to pyruvate ratio was decreased in AF and conversely increased in PL. The results of our study, show that metabolomics profiling can be used to better understand physiological changes of the complex interdependencies of the mother, the placenta and the fetus during pregnancy. In the future, these results might be a useful reference point for analysis of complicated pregnancies.

  9. Autologous transplantation of amniotic fluid-derived mesenchymal stem cells into sheep fetuses.

    Science.gov (United States)

    Shaw, S W Steven; Bollini, Sveva; Nader, Khalil Abi; Gastaldello, Annalisa; Gastadello, Annalisa; Mehta, Vedanta; Filppi, Elisa; Cananzi, Mara; Gaspar, H Bobby; Qasim, Waseem; De Coppi, Paolo; David, Anna L

    2011-01-01

    Long-term engraftment and phenotype correction has been difficult to achieve in humans after in utero stem cell transplantation mainly because of allogeneic rejection. Autologous cells could be obtained during gestation from the amniotic fluid with minimal risk for the fetus and the mother. Using a sheep model, we explored the possibility of using amniotic fluid mesenchymal stem cells (AFMSCs) for autologous in utero stem cell/gene therapy. We collected amniotic fluid (AF) under ultrasound-guided amniocentesis in early gestation pregnant sheep (n = 9, 58 days of gestation, term = 145 days). AFMSCs were isolated and expanded in all sampled fetal sheep. Those cells were transduced using an HIV vector encoding enhanced green fluorescent protein (GFP) with 63.2% (range 38.3-96.2%) transduction efficiency rate. After expansion, transduced AFMSCs were injected into the peritoneal cavity of each donor fetal sheep at 76 days under ultrasound guidance. One ewe miscarried twin fetuses after amniocentesis. Intraperitoneal injection was successful in the remaining 7 fetal sheep giving a 78% survival for the full procedure. Tissues were sampled at postmortem examination 2 weeks later. PCR analysis detected GFP-positive cells in fetal tissues including liver, heart, placenta, membrane, umbilical cord, adrenal gland, and muscle. GFP protein was detected in these tissues by Western blotting and further confirmed by cytofluorimetric and immunofluorescence analyses. This is the first demonstration of autologous stem cell transplantation in the fetus using AFMSCs. Autologous cells derived from AF showed widespread organ migration and could offer an alternative way to ameliorate prenatal congenital disease.

  10. Using PRP and human amniotic fluid combination for osteogenesis in rabbit socket preservation

    Directory of Open Access Journals (Sweden)

    Amir Hossein Moradi

    2015-01-01

    Full Text Available Introduction: Platelet-rich plasma (PRP is used as an adjunct treatment during periodontal grafting surgery because of its capability of enhancing healing process. Amniotic fluid is a rich source of growth factors and hyaluronic acid (HA and a good point to study its properties of wound healing and bone formation. The aim of this study was to evaluate the osteogenic properties of a combination of amniotic fluid and PRP in rabbit′s dental socket preservation. Materials and Methods: The study population consisted of 24 healthy male laboratory rabbits (average weight 3,125 ± 185 gr that were randomly allocated into four groups. PRP for the first group, human amniotic fluid (HAF for the second group, a combination of PRP and HAF (PRHA for the third group was used. In the fourth (control group, no biomaterial was used. In each group, half of the rabbits were sacrificed at 4 weeks following surgery and the rest were sacrificed after 8 weeks. Histological analysis of biopsies of the sockets was performed using hematoxylin and eosin (H&E staining. Data were analyzed using Statistical Package for the Social Sciences (SPSS software (version 16 and P-value <0.05 was considered significance. Results: All three experimental groups showed positive effect on bone formation in terms of area of trabecular bone and number of osteocytes and also vessel formation. Socket preservation using HAF and PRHA showed the highest impact on bone formation. Socket preservation using HAF also had the highest impact on vessel formation. Conclusion: PRHA and HAF appear to be useful for enhancing bone formation. Since there was no difference between HAF and PRHA, it seems beneficial to use HAF due to its simplicity of application.

  11. Proteomic Analysis of Early Mid-Trimester Amniotic Fluid Does Not Predict Spontaneous Preterm Delivery

    Science.gov (United States)

    Lenco, Juraj; Vajrychova, Marie; Link, Marek; Tambor, Vojtech; Liman, Victor; Bullarbo, Maria; Nilsson, Staffan; Tsiartas, Panagiotis; Cobo, Teresa; Kacerovsky, Marian; Jacobsson, Bo

    2016-01-01

    Objective The aim of this study was to identify early proteomic biomarkers of spontaneous preterm delivery (PTD) in mid-trimester amniotic fluid from asymptomatic women. Methods This is a case-cohort study. Amniotic fluid from mid-trimester genetic amniocentesis (14–19 weeks of gestation) was collected from 2008 to 2011. The analysis was conducted in 24 healthy women with subsequent spontaneous PTD (cases) and 40 randomly selected healthy women delivering at term (controls). An exploratory phase with proteomics analysis of pooled samples was followed by a verification phase with ELISA of individual case and control samples. Results The median (interquartile range (IQR: 25th; 75th percentiles) gestational age at delivery was 35+5 (33+6–36+6) weeks in women with spontaneous PTD and 40+0 (39+1–40+5) weeks in women who delivered at term. In the exploratory phase, the most pronounced differences were found in C-reactive protein (CRP) levels, that were approximately two-fold higher in the pooled case samples than in the pooled control samples. However, we could not verify these differences with ELISA. The median (25th; 75th IQR) CRP level was 95.2 ng/mL (64.3; 163.5) in women with spontaneous PTD and 86.0 ng/mL (51.2; 145.8) in women delivering at term (p = 0.37; t-test). Conclusions Proteomic analysis with mass spectrometry of mid-trimester amniotic fluid suggests CRP as a potential marker of spontaneous preterm delivery, but this prognostic potential was not verified with ELISA. PMID:27214132

  12. Quantitative analysis of lamellar bodies in amniotic fluid as fetal pulmonary maturity indicator

    Directory of Open Access Journals (Sweden)

    Ljubić Vesna

    2009-01-01

    Full Text Available Background/Aim. Although lamellar bodies have been the center of interest over the last years, the published results of fetal pulmonary maturity determination according to their concentration in amniotic fluid are controversial. The aim of this study was to determine the significance of lamellar bodies, as well as the ratio lecithin/sphingomyelin (L/S in amniotic fluid for the assessment of fetal pulmonary maturity. Methods. This prospective 2-year study included 102 female examinees, ranging from 17 to 44 years of age, in whom lamellar bodies concentrations in amniotic fluid were determined to check the efficacy of the applied therapy for obtaining arteficial fetal pulmonary maturity. The shake test was applied as a comparative test for determining a quantitative L/S ratio. To determine a fetus maturity and development stage we followed up biparietal diameter, abdominal circumference, femure length, ponderal index at birth and body mass. Results. Out of a total of 102 amniocenteses within a period from 26th to 40th gestation week only 70 results were considered due to 32 unknown neonatal outcomes. Biparietal diameter was 224-362 mm, femur length 56 - 78 mm, ponderal index 1.22-2.84, fetus body mass 1300- 4 350 g. There was found a significant relation between gestation age and lamellar bodies concentration (R = 0.396398, p < 0.01, as well as between gestation age and the ratio L/S (R = 0.691297, p < 0.01. Also, there was a significant correlation of lamellar bodies concentration to the ratio L/S determined (R = 0.493609, p < 0.01. Conclusion. Determination of lamellar bodies concentration values is a reliable method to confirm fetal pulmonary maturity.

  13. Isolation of c-Kit+ human amniotic fluid stem cells from second trimester.

    Science.gov (United States)

    Pozzobon, Michela; Piccoli, Martina; Schiavo, Andrea Alex; Atala, Anthony; De Coppi, Paolo

    2013-01-01

    Amniotic fluid-derived stem (AFS) cells have been described as an appealing source of stem cells because of their (1) fetal, non-embryonic origin, (2) easy access during pregnancy overcoming the ethical issues related both to the use of human embryonic cells and to the postnatal tissue biopsy with donor site morbidity, and (3) their undemanding ability to be expanded. We and others have demonstrated the broad differentiation potential and here we describe the established protocol we developed to obtain c-Kit+ human AFS cells, starting from second trimester amniocentesis samples.

  14. Prenatal diagnosis of methylmalonic aciduria by analysis of organic acids and total homocysteine in amniotic fluid

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Background Methylmalonic aciduria (MMA )is the most frequent disease of organic aciduria in China.Various biochemical strategies are followed for the prenatal diagnosis of MMA.However,since fetuses affected by MMA have decreased excretion of methylmalonic acid,the difficulties of prenatal biochemical diagnosis are obvious.Gas chromatography mass spectrometry (GC/MS) and tandem mass spectrometry (ESI/MS/MS) have allowed us to identify the disease in affected fetuses.The aim of this study was to determine the value of analysis of organic acids and total homocysteine in amniotic fluid in prenatal diagnosis of MMA.Methods The clinical diagnoses and outcomes of nine probands with MMA and the prenatal diagnoses based on biochemical analysis of nine fetuses at risk for MMA were investigated.Amniotic fluid samples from pregnancies at risk for MMA and metabolically normal pregnancies were obtained at 16-24 weeks of gestation.Methylmalonic acid and methylcitric acid were measured by GC/MS,propionylcarnitine was analyzed by ESI/MS/MS,and total homocysteine was determined by fluorescence polarization immunoassay.Results In two pregnancies,high levels of methylmalonic acid,methylcitric acid,propionylcarnitine,and total homocysteine indicated combined MMA and homocysteinemia in the fetuses.One of the mothers continued pregnancy and received cobalamin supplement as prenatal treatment,and the other terminated her pregnancy.In one pregnancy,significantly elevated levels of methylmalonic acid,methylcitric acid,and propionylcarnitine,and normal level of total homocysteine was found indicating isolated MMA in the fetus;abortion was performed on this case.In the other six pregnancies,all the levels of the above mentioned metabolites were normal suggesting that the fetuses were not affected by MMA. The diagnoses were confirmed after delivery by testing urinary organic acids and plasma total homocysteine.Conclusions The metabolic abnormalities of MMA occur early in gestation.The level of

  15. Does amniotic fluid volume affect fetofetal transfusion in monochorionic twin pregnancies? Modelling two possible mechanisms

    Science.gov (United States)

    Umur, Asli; van Gemert, Martin J. C.; Ross, Michael G.

    2002-06-01

    Clinical evidence suggests that increased amniotic fluid volume due to polyhydramnios increases placental vascular resistance. We have sought to model the possible effects of an increased amniotic fluid volume on the net fetofetal transfusion in monochorionic twin pregnancies. We wanted to compare these effects with the results of previous simulations, which aimed to explain why the twin-twin transfusion syndrome (TTTS) placentas more often include bidirectional arteriovenous (AV) rather than AV plus arterioarterial (AA) anastomoses. We extended our mathematical model of TTTS by simulating two different mechanisms that increase the placental vascular resistance as a consequence of polyhydramnios. First, there is an increase in the placental capillary resistance and hence in deep AV and opposite AV (denoted as VA) resistances due to polyhydramnios. Second, there is an increase in the resistance of chorionic veins due to polyhydramnios, assuming that these veins act as Starling resistors. We then simulated the effects of polyhydramnios on different placental anastomotic patterns. The results were as follows. In the first mechanism (polyhydramnios affects AV-VA resistances), an increased amniotic fluid volume hardly affected bidirectional AV, but slightly decreased fetofetal transfusion in AV plus AA anastomoses. However, for these effects to change the natural development of the pregnancy, polyhydramnios needed to persist for approximately 4 weeks, and by comparing the effects of polyhydramnios with the effects of amnioreduction, amnioreduction was more beneficial for normalizing the donor amniotic fluid volume. Therefore, these beneficial effects due to polyhydramnios have no practical clinical significance. In the second mechanism (Starling resistor for chorionic veins), polyhydramnios slightly increased fetofetal transfusion and hence slightly increased TTTS severity in bidirectional AV and AV plus VV, but did not affect AV plus AA anastomoses. In conclusion, we

  16. Comparison between two computer codes for PIXE studies applied to trace element analysis in amniotic fluid

    Science.gov (United States)

    Gertner, I.; Heber, O.; Zajfman, J.; Zajfman, D.; Rosner, B.

    1989-01-01

    Two different methods of analysis applicable for PIXE data are introduced and compared. In the first method Gaussian shaped peaks are fitted to the X-ray spectrum, and the complete analysis can be done on a microcomputer. The second is based on the Bayesian deconvolution method for simultaneous peak fitting and has to be carried out on a larger IBM computer. The advantage of the second method becomes evident for regions of poor statistics or where many overlapping peaks occur in the spectrum. The comparisons between the methods made on PIXE measurements obtained from 55 amniotic fluid samples gave satisfactory agreement.

  17. Follow-up of infants with amniotic fluid trisomy 20 mosaicism.

    Science.gov (United States)

    Abuelo, D N; Barsel-Bowers, G; Zartler, A S

    1986-07-01

    The finding of trisomy 20 mosaicism in amniotic fluid is a cause of considerable anxiety for both physicians and parents. Although the significance of this finding is still not clear, some reassurance can be given to prospective parents, since the outcome has been normal in all reported pregnancies carried to term. Follow-up information on psychomotor development of these infants is needed in order to provide better genetic counseling to these families. We have followed three infants who have had normal growth and psychomotor development up to approximately 2 years.

  18. Isolation of a somatomedin binding protein from human preterm amniotic fluid: development of a radioimmunoassay

    International Nuclear Information System (INIS)

    This thesis investigates the nature and biological behaviour of a somatomedin binding protein, identified in preterm amniotic fluid (AF). For that purpose a double antibody radioimmunoassay was developed. Purified AF binding protein (AFBP) was iodinated by the chloramine-T method, and dilutions of partially purified AFBP were designated as the standard, with the results expressed in μg equivalent protein/ml. The sensitivity of the assay was improved by adoption of the nonequilibrium procedure. AFBP values were twice as high in preterm AF as in term AF. (Auth.)

  19. Reprogramming of mouse amniotic fluid cells using a PiggyBac transposon system

    Directory of Open Access Journals (Sweden)

    E. Bertin

    2015-11-01

    Full Text Available Induced pluripotent stem (iPS cells are generated from mouse and human somatic cells by forced expression of defined transcription factors using different methods. Amniotic fluid (AF cells are easy to obtain from routinely scheduled procedures for prenatal diagnosis and iPS cells have been generated from human AF. Here, we generated iPS cells from mouse AF cells, using a non-viral-based approach constituted by the PiggyBac (PB transposon system. All iPS cell lines obtained exhibited characteristics of pluripotent cells, including the ability to differentiate toward derivatives of all three germ layers in vitro and in vivo.

  20. The Effects of Intravenous Hydration on Amniotic Fluid Volume and Pregnancy Outcomes in Women with Term Pregnancy and Oligohydramnios: A Randomized Clinical Trial

    Directory of Open Access Journals (Sweden)

    Mahnaz Shahnazi

    2012-08-01

    Full Text Available Introduction: Amniotic fluid is an important factor in the prediction of fetal survival. The aim of this research was to evaluate the effects of intravenous hydration of mothers on amniotic fluid volume and in turn on pregnancy outcomes. Methods: The current single blind controlled clinical trial was conducted on 20 pregnant mothers with amniot-ic fluid index of lower or equal to 5 cm and gestational age of 37-41 weeks. The subjects were divided into two groups of case and control through simple random sampling. Am-niotic fluid index was measured in all participants. The case group received one liter of isotonic saline during 30 minutes by the bolus method. Reevaluations of amniotic fluid index in both groups were made 90 minutes after baseline measurement. Independent t-test and paired t-test were used to compare the two groups and mean amniotic fluid in-dex before and after treatment, respectively. Results: Hydration of mothers significantly increased the amniotic fluid index in the case group (mean change: 1.5 cm; 95%CI: 0.46 - 2.64; P = 0.01. The mean change of amniotic fluid index in the control group did not significantly increase (P = 0.06. The elevation of amniotic fluid index in the hydra-tion group (32% was significantly higher than the control group (1% (P = 0.03. Conclusion: In this study intravenous hydration increased amniotic fluid index of mothers with term pregnancy and oligohydramnios. Since it caused no complications for the moth-er and the fetus, it can be used as an effective method in management of oligohydramnios.

  1. 羊水预处理在羊水细胞培养瓶法中应用效果研究%Application effect research with amniotic fluid pretreatment in amniotic fluid cell culture bottle

    Institute of Scientific and Technical Information of China (English)

    向文秀

    2013-01-01

    目的 研究羊水预处理在羊水细胞培养瓶法中的应用效果.方法 采用羊水预处理培养瓶法(实验组)和未经处理羊水细胞培养瓶法(对照组)对100例18-24周的孕中期孕妇和152例25-32周的孕晚期孕妇进行羊水细胞培养.结果 100例孕18-24周羊水细胞培养实验组培养成功率高于对照组(P<0.05),实验组羊水细胞培养时间比对照组短(P<0.001),实验组有效核分裂数比对照组多(P <0.001);152例孕25-32周羊水细胞培养实验组培养成功率高于对照组(P<0.01),实验组羊水细胞培养时间比对照组短(P <0.001),实验组有效核分裂数比对照组多(P <0.001).结论 羊水预处理羊水细胞培养瓶法羊水细胞培养成功率高,细胞培养时间短,有效核分裂数多,可进行羊水产前诊断孕妇孕周范围增宽.%Objective:Research with amniotic fluid pretreatment in amniotic fluid cell culture bottle of application effect.Methods:100 samples of amniotic fluid from pregnant women during 18-24th-week gestation and 152 samples of amniotic fluid from pregnant women during 25-32th-week gestation were cultured in fluid pretreatment amniotic fluid cell culture bottle and untreated amniotic fluid cell culture bottle.Results:In 100 samples of pregnant women during 18-24th-week gestation.Culture success rate of the experimental group than the control group (P < 0.05).Amniotic fluid cell culture time of the experimental group than the control group short (P < 0.001).Effective mitotic count of the experimental group than the control group (P < 0.001).In 152 samples of pregnant women during 25-32th-week gestation,Culture success rate of the experimental group than the control group (P <0.01),Amniotic fluid cell culture time of the experimental group than the control group short (P < 0.001).Effective mitotic count of the experimental group than the control group (P < 0.001).Conclusion:Amniotic fluid pretreatment in amniotic fluid cell

  2. ROLE OF ECHOGENIC AMNIOTIC FLUID PARTICLES AND OPTICAL DENSITY IN PREDICTION OF RESPIRATORY DISTRESS SYNDROME AND LABOR

    Directory of Open Access Journals (Sweden)

    Dr. Shankar H S Ram

    2010-01-01

    Full Text Available This study was aimed to correlate echogenic amniotic fluid particle size (AFPS in late third trimester to fetal lung maturity and amniotic fluid optical density (AFOD at labor. AFPS were measured with specified criteria by real time transabdominal USG (3.5MHz while Amniotic Fluid Index (AFI was measured during routine antenatal visits. The criteria for AFPS score which are taken into account are the amniotic fluid particle size, number and distribution. Serial AFPS measurements were done till onset of labor. AFPS was correlated to AFOD value at spontaneous labor in 123 women. Uncentrifuged fresh amniotic fluid samples were obtained during ARM/amniotomy and used for AFOD estimation at 650 nm. The mean AFPS and AFOD at onset of labor was found to be 5.14 ± 0.69 mm (3.67 – 6.7 CI 95% and 1.03 ± 0.31 (0.35 -1.69 CI 95% respectively in 116 women who delivered normal babies devoid of respiratory distress syndrome (RDS. Serial AFPS measurements showed a definite AFOD surge after a value in the region of 3.8 mm which is obtained culminating in onset of Labor. 28 women (24.1% had dense clusters of free floating particles across the vertical pool in amniotic fluid with mean AFPS and AFOD of 5.6 ± 0.68 mm and 1.12 ± 0.21 respectively. In 123 women, AFPS < 3.8 mm had sensitivity of 85.74% and positive predictive value of 66.67% in predicting RDS. AFPS serves as a sonological marker for fetal lung maturity and labor. The range of AFOD values can be measured in terms of AFPS (r =0.6, F = 69.8, β= + 0.23, p < 0.001. Serial AFPS estimation predicts fetal maturity and onset of labor.

  3. Isolation and characterization of porcine amniotic fluid-derived multipotent stem cells.

    Directory of Open Access Journals (Sweden)

    Jiahuan Chen

    Full Text Available The aim of this study was to isolate and characterize porcine amniotic fluid-derived multipotent stem cells (pAF-MSC. The porcine amniotic fluid (AF from the amniotic cavity of pregnant gilts in the early stages of gestation (at E35 was collected and centrifuged for 5-10 min at 400 g to pellet cells. The primary culture of AF showed the multiple cell types, including the epithelial-like cells and fibroblast-like cells. By culturing in AMM medium for 6 to 8 days, the epithelial-like cells disappeared and the remaining cells presented the fibroblastoid morphology. The doubling time of pAF-MSCs was about 34.6 h, and the cells had been continually cultured over 60 passages in vitro. The flow cytometry results showed that pAF-MSCs were positive for CD44, CD117 and CD166, but negative for CD34, CD45 and CD54. Meanwhile, pAF-MSCs expressed ES cell markers, such as Oct4, Nanog, SSEA4, Tra-1-60 and Tra-1-81. The ratio of CD117(+ CD44(+ cells accounted for 98% of pAF-MSCs population. Three germ layer markers, including FGF5 (ectodermal marker, AFP (endodermal marker and Bra (mesodermal marker, were detected in embryoid bodies derived from pAF-MSCs. Under the different induction conditions, the pAF-MSCs were capable of differentiating into neurocytes, adipocytes and beating cardiomyocytes. Furthermore, the pAF-MSCs didn't form teratoma when injected into immunodeficiency mice. These optimal features of pAF-MSCs provide an excellent alternative stem cell resource for potential cell therapy in regenerative medicine and transgenic animals.

  4. A new set of primers for the detection of Toxoplasma gondii in amniotic fluid using polymerase chain reaction.

    Science.gov (United States)

    Pelloux, H; Weiss, J; Simon, J; Muet, F; Fricker-Hidalgo, H; Goullier-Fleuret, A; Ambroise-Thomas, P

    1996-04-15

    A new PCR system including a pair of primers, a probe and an internal control were designed from the B1 gene of Toxoplasma gondii. The system described allowed the detection of less than 10 tachyzoites of the RH strain of T. gondii. Among 21 amniotic fluid samples, this system diagnosed the cases of congenital toxoplasmosis which were simultaneously diagnosed using mice inoculation, in vitro culture, and serology from both amniotic fluid and fetal blood. These results show that these new primers allow for a highly sensitive detection of T. gondii DNA.

  5. Amniotic Fluid Stem Cells: A Novel Source for Modeling of Human Genetic Diseases

    Directory of Open Access Journals (Sweden)

    Ivana Antonucci

    2016-04-01

    Full Text Available In recent years, great interest has been devoted to the use of Induced Pluripotent Stem cells (iPS for modeling of human genetic diseases, due to the possibility of reprogramming somatic cells of affected patients into pluripotent cells, enabling differentiation into several cell types, and allowing investigations into the molecular mechanisms of the disease. However, the protocol of iPS generation still suffers from technical limitations, showing low efficiency, being expensive and time consuming. Amniotic Fluid Stem cells (AFS represent a potential alternative novel source of stem cells for modeling of human genetic diseases. In fact, by means of prenatal diagnosis, a number of fetuses affected by chromosomal or Mendelian diseases can be identified, and the amniotic fluid collected for genetic testing can be used, after diagnosis, for the isolation, culture and differentiation of AFS cells. This can provide a useful stem cell model for the investigation of the molecular basis of the diagnosed disease without the necessity of producing iPS, since AFS cells show some features of pluripotency and are able to differentiate in cells derived from all three germ layers “in vitro”. In this article, we describe the potential benefits provided by using AFS cells in the modeling of human genetic diseases.

  6. Treatment of toxoplasmosis in pregnancy: concentrations of spiramycin and neospiramycin in maternal serum and amniotic fluid.

    Science.gov (United States)

    Gratzl, R; Sodeck, G; Platzer, P; Jäger, W; Graf, J; Pollak, A; Thalhammer, T

    2002-01-01

    Toxoplasma infection during pregnancy is widely treated with oral spiramycin to reduce the risk of congenital toxoplasmosis in the infant. Failures of therapy have been observed, however. In this study, a sensitive high-performance liquid chromatography technique was used to measure concentrations of spiramycin and neospiramycin, one of the major metabolites of spiramycin, in maternal serum and amniotic fluid. Samples were obtained from 18 women who underwent amniocentesis for polymerase chain reaction (PCR) diagnosis of fetal infection 5-109 days following the prescription of spiramycin therapy (3 g/day). Concentrations of spiramycin and neospiramycin in both serum and amniotic fluid were highly variable, ranging from nondetectable values to 1 microg/ml. None of the concentrations measured were within the range reported to inhibit growth of the parasite in vitro. Consistent with previous reports, part of the observed variability in maternal and fetal drug concentrations could be explained by individual differences in several pharmacokinetic parameters: intestinal absorption, tissue distribution, cellular uptake, metabolism, transfer across the placenta, drug accumulation in fetal tissue, and maternal and fetal drug elimination. The heterogeneity of the data could also be related to differences in patient compliance with the medication prescribed. By addressing factors that could impair adequate treatment of toxoplasmosis during pregnancy, the data presented call for a larger-scale controlled study to determine individual and diurnal variations in maternal drug levels, patient compliance, and outcomes of the offspring. The activity of neospiramycin against Toxoplasma gondii should be assessed.

  7. Radioimmunoassay of thyroxine and 3,3',5'-triiodothyronine (reverse T3) in human amniotic fluid

    International Nuclear Information System (INIS)

    Measurements of amniotic fluid iodothyronine concentrations may enable antenatal detection of fetal thyroid abnormalities; however, the delineation of normal ranges is complicated by methodological problems associated with strong and highly variable protein-binding, and specificity of antisera. Improved radioimmunoassays of thyroxine (T4) and 3,3',5'-triiodothyronine (reverse T3, rT3) have been developed to overcome these problems. In normal pregnancy, mean rT3 concentrations at <17 weeks, 17-22 weeks and 35-42 weeks gestation were 3.6 nmol/l (n=21), 6.1 nmol/l (n=14) and 0.66 nmol/l (n=39) respectively; corresponding mean T4 concentrations were 2.4 nmol/l, 6.5 nmol/l and 3.6 nmol/l. rT3 concentrations showed a strong positive correlation with T4 concentration in each age range; however, the molar ratio of rT3 : T4 decreased progressively with gestational age, from 1.69 at <17 weeks to 0.19 at 35-42 weeks. In both mid- and late gestation, rT3 and T4 concentrations were strongly correlated with total amniotic fluid protein concentrations. (Auth.)

  8. Biochemical profile of amniotic fluid for the assessment of fetal and renal development

    Directory of Open Access Journals (Sweden)

    F.R. Oliveira

    2002-02-01

    Full Text Available Creatinine plays a key role in the function and maturation of fetal kidneys throughout pregnancy. It is important to identify other markers that may help in the diagnosis of renal dysfunction. Our aim was to determine the profile of and the correlation between biochemical markers to be used to assess renal function and maturation of the fetus in the amniotic fluid during pregnancy and to determine the distribution of normal values for creatinine, N-acetyl-ß-D-glucosaminidase (NAG, ß2-microglobulin, glucose, urea, sodium, potassium, phosphorus, calcium, uric acid, albumin, and osmolality in three gestational age groups. This was a cross-section study that assessed 115 samples of amniotic fluid during three different periods of pregnancy, i.e., 13 to 20, 27 to 34, and 36 to 42 weeks. Concentrations of creatinine, NAG, urea, potassium and uric acid increased during pregnancy (P0.6, P0.5, P<0.05. NAG, sodium, albumin and osmolality did not show significant correlations (r<0.5, P<0.05. These tests confirmed the important role of creatinine in terms of correlation with gestational age. ß2-Microglobulin, glucose and uric acid were significant as markers of function and maturation of fetal kidneys, whereas NAG did not demonstrate a useful role for the assessment of renal maturation.

  9. (15S)-15 methyl prostaglandin F2α levels in amniotic fluid and blood in second trimester abortions

    International Nuclear Information System (INIS)

    A single intra-amniotic injection of (15S)-15 methyl prostaglandin F2α (THAM) was used to induce second trimester abortion in five patients. Serial levels of (15S)-15 methyl prostaglandin F2α were subsequently measured in amniotic fluid and plasma by radioimmunoassay. The slow removal of this drug from the amniotic fluid was documented. Plasma levels of (15S)-15 methyl prostaglandin F2α increased fourfold to sevenfold after clinical rupture of the membranes in three patients, supporting the fact that prostaglandins are well absorbed from the vagina. Because this analogue of prostaglandin can cause marked peripheral bronchoconstriction when administered systemically, it is best to avoid its use in patients with a history of asthma

  10. Amniotic fluid

    Science.gov (United States)

    ... Leveno KL, Bloom SL, et al, eds. Williams Obstetrics . 24th ed. New York, NY: McGraw-Hill; 2040: ... SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Normal and Problem Pregnancies . 6th ed. Philadelphia, PA: ...

  11. The IgG avidity value for the prediction of Toxoplasma gondii infection in the amniotic fluid.

    Science.gov (United States)

    Tanimura, Kenji; Nishikawa, Akira; Tairaku, Shinya; Shinozaki, Nanae; Deguchi, Masashi; Morizane, Mayumi; Ebina, Yasuhiko; Morioka, Ichiro; Yamada, Hideto

    2015-09-01

    Primary Toxoplasma gondii (T. gondii) infection during pregnancy may lead to congenital toxoplasmosis. Maternal screening using T. gondii IgG avidity measurement and multiplex nested PCR was performed. The aim of this prospective cohort study was to determine a cut-off value of IgG avidity index (AI) for the prediction of the presence of T. gondii DNA in the amniotic fluid. One hundred thirty-nine women with positive or equivocal tests for IgM underwent both serum IgG avidity measurement and PCR analysis for the amniotic fluid. Nine had positive PCR results, and three of them were diagnosed as having congenital infection. A cut-off value of IgG AI was determined using receiver operating characteristic analysis. IgG AI (mean 13%) in women with positive PCR results was significantly lower than that (39%) in women with negative results. A cut-off value of amniotic fluid. None of women with IgG AI of ≥30% had a positive PCR result or congenital infection. This study firstly demonstrated that a cut-off value of 25-30% IgG AI might be useful for the prediction of the presence of T. gondii DNA in the amniotic fluid and congenital infection.

  12. Human gut colonisation may be initiated in utero by distinct microbial communities in the placenta and amniotic fluid.

    Science.gov (United States)

    Collado, Maria Carmen; Rautava, Samuli; Aakko, Juhani; Isolauri, Erika; Salminen, Seppo

    2016-03-22

    Interaction with intestinal microbes in infancy has a profound impact on health and disease in later life through programming of immune and metabolic pathways. We collected maternal faeces, placenta, amniotic fluid, colostrum, meconium and infant faeces samples from 15 mother-infant pairs in an effort to rigorously investigate prenatal and neonatal microbial transfer and gut colonisation. To ensure sterile sampling, only deliveries at full term by elective caesarean section were studied. Microbiota composition and activity assessment by conventional bacterial culture, 16S rRNA gene pyrosequencing, quantitative PCR, and denaturing gradient gel electrophoresis revealed that the placenta and amniotic fluid harbour a distinct microbiota characterised by low richness, low diversity and the predominance of Proteobacteria. Shared features between the microbiota detected in the placenta and amniotic fluid and in infant meconium suggest microbial transfer at the foeto-maternal interface. At the age of 3-4 days, the infant gut microbiota composition begins to resemble that detected in colostrum. Based on these data, we propose that the stepwise microbial gut colonisation process may be initiated already prenatally by a distinct microbiota in the placenta and amniotic fluid. The link between the mother and the offspring is continued after birth by microbes present in breast milk.

  13. Chest computed tomography of a patient revealing severe hypoxia due to amniotic fluid embolism: a case report

    Directory of Open Access Journals (Sweden)

    Inui Daisuke

    2010-02-01

    Full Text Available Abstract Introduction Amniotic fluid embolism is one of the most severe complications in the peripartum period. Because its onset is abrupt and fulminant, it is unlikely that there will be time to examine the condition using thoracic computed tomography (CT. We report a case of life-threatening amniotic fluid embolism, where chest CT in the acute phase was obtained. Case presentation A 22-year-old Asian Japanese primiparous woman was suspected of having an amniotic fluid embolism. After a Cesarean section for cephalopelvic disproportion, her respiratory condition deteriorated. Her chest CT images were examined. CT findings revealed diffuse homogeneous ground-glass shadow in her bilateral peripheral lung fields. She was therefore transferred to our hospital. On admission to our hospital's intensive care unit, she was found to have severe hypoxemia, with SpO2 of 50% with a reservoir mask of 15 L/min oxygen. She was intubated with the support of noninvasive positive pressure ventilation. She was successfully extubated on the sixth day, and discharged from the hospital on the twentieth day. Conclusion This is the first case report describing amniotic fluid embolism in which CT revealed an acute respiratory distress syndrome-like shadow.

  14. The origin of fetal sterols in second-trimester amniotic fluid : endogenous synthesis or maternal-fetal transport?

    NARCIS (Netherlands)

    Baardman, Maria E.; Erwich, Jan Jaap H. M.; Berger, Rolf M. F.; Hofstra, Robert M. W.; Kerstjens-Frederikse, Wilhelmina S.; Luetjohann, Dieter; Plosch, Torsten; Lutjohann, D.

    2012-01-01

    OBJECTIVE: Cholesterol is crucial for fetal development. To gain more insight into the origin of the fetal cholesterol pool in early human pregnancy, we determined cholesterol and its precursors in the amniotic fluid of uncomplicated, singleton human pregnancies. STUDY DESIGN: Total sterols were cha

  15. Prenatal diagnosis of congenital toxoplasmosis: comparative value of fetal blood and amniotic fluid using serological techniques and cultures.

    Science.gov (United States)

    Fricker-Hidalgo, H; Pelloux, H; Muet, F; Racinet, C; Bost, M; Goullier-Fleuret, A; Ambroise-Thomas, P

    1997-09-01

    The prenatal diagnosis of congenital toxoplasmosis is mainly based on biological tests performed on fetal blood and amniotic fluid. We studied the performance of neonatal diagnosis procedures and the results of fetal blood and amniotic fluid analysis. Of 127 women who contracted toxoplasmosis and underwent prenatal diagnosis, the postnatal serological follow-up was long enough to definitively diagnose congenital toxoplasmosis in 19 cases and to exclude it in 27 cases. Prenatal diagnosis allowed the detection of 94.7 per cent (18/19) of the infected fetuses. The sensitivities of tests in amniotic fluid and fetal blood were equivalent, 88.2 per cent (15/17) and 87.5 per cent (14/16), respectively. In fetal blood, biological techniques were positive in 12/16 cases and in 2/16 cases, serological tests were the only positive sign. The specificities of tests in amniotic fluid and fetal blood were respectively 100 per cent (23/23) and 86.3 per cent (19/22) (three false-positive serological results). These results, added to the lower morbidity of amniocentesis compared with cordocentesis, might lead to cordocentesis being abandoned in the prenatal diagnosis of congenital toxoplasmosis.

  16. Characterisation of non-maternal serum proteins in amniotic fluid at weeks 16 to 18 of gestation

    DEFF Research Database (Denmark)

    Drøhse, H; Christensen, H; Myrhøj, Vibeke;

    1998-01-01

    Proteins found in amniotic fluid are mainly serum proteins, probably of maternal origin. About 5% of the total protein concentration has the potential of being fetal or decidual in origin. Only a few of these proteins have been isolated and characterised. In order to describe the foetal and decid...

  17. The Salivary Scavenger and Agglutinin in Early Life: Diverse Roles in Amniotic Fluid and in the Infant Intestine

    NARCIS (Netherlands)

    Reichhardt, M.P.; Jarva, H.; Been, de M.; Rodriguez, J.M.; Quintana, E.J.; Loimaranta, V.; Vos, de W.M.; Meri, S.

    2014-01-01

    The salivary scavenger and agglutinin (SALSA), also known as gp340 and dmbt1, is an antimicrobial and inflammation-regulating molecule located at the mucosal surfaces. The present study revealed that SALSA was present in the amniotic fluid (AF) and exceptionally enriched in both meconium and feces o

  18. Aquaporins in ovine amnion: responses to altered amniotic fluid volumes and intramembranous absorption rates.

    Science.gov (United States)

    Cheung, Cecilia Y; Anderson, Debra F; Brace, Robert A

    2016-07-01

    Aquaporins (AQPs) are transmembrane channel proteins that facilitate rapid water movement across cell membranes. In amniotic membrane, the AQP-facilitated transfer of water across amnion cells has been proposed as a mechanism for amniotic fluid volume (AFV) regulation. To investigate whether AQPs modulate AFV by altering intramembranous absorption (IMA) rate, we tested the hypothesis that AQP gene expression in the amnion is positively correlated with IMA rate during experimental conditions when IMA rate and AFV are modified over a wide range. The relative abundances of AQP1, AQP3, AQP8, AQP9, and AQP11 mRNA and protein were determined in the amnion of 16 late-gestation ovine fetuses subjected to 2 days of control conditions, urine drainage, urine replacement, or intraamniotic fluid infusion. AQP mRNA levels were determined by RT-qPCR and proteins by western immunoblot. Under control conditions, mRNA levels among the five AQPs differed more than 20-fold. During experimental treatments, mean IMA rate in the experimental groups ranged from 100 ± 120 mL/day to 1370 ± 270 mL/day. The mRNA levels of the five AQPs did not change from control and were not correlated with IMA rates. The protein levels of AQP1 were positively correlated with IMA rates (r(2) = 38%, P = 0.01) while the remaining four AQPs were not. These findings demonstrate that five AQPs are differentially expressed in ovine amnion. Our study supports the hypothesis that AQP1 may play a positive role in regulating the rate of fluid transfer across the amnion, thereby participating in the dynamic regulation of AFV.

  19. The development of a radioimmunoassay for reverse triiodothyronine sulfate in human serum and amniotic fluid

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Sing-Yung (Veterans Administration Medical Center, Long Beach, CA (United States)); Huang, Wen-Sheng; Chen, Wei-Lian (Tri-Service General Hospital, Taipei (Taiwan, Province of China)); Polk, D.; Reviczky, A.; Williams, J. III; Chopra, I.J.; Fisher, D.A. (Univ. of California, Los Angeles (United States))

    1993-06-01

    Sulfated iodothyronines including T[sub 4]-sulfate (T[sub 4]S) and T[sub 3]-sulfate (T[sub 3]S) have been identified in human serum and amniotic fluid. Little is know, however, about the existence of sulfate conjugation of reverse T[sub 3] (rT[sub 3]S) in man. In this report, the authors employed a novel, sensitive, and specific rT[sub 3]S RIA to address this question. The rabbit antiserum to rT[sub 3]S was highly specific; T[sub 4], T[sub 3], rT[sub 3], and 3,3'-T[sub 2] showed less than 0.002% cross-reaction with the antiserum. Only T[sub 4]S and T[sub 3]S cross-reacted significantly (0.3% and 0.01%, respectively); other analogs cross-reacted less than 0.0001%. The detection threshold of the RIA was 14 pmol/L (1.0 ng/dL). The mean serum rT[sub 3]S concentration (pmol/L) was 40 in euthyroid subjects. Values were similar in hypothyroid patients (38) and pregnant women (52) but significantly (P < 0.01) elevated to 176 in hyperthyroid patient, 74 in patients with nonthyroid illnesses, and 684 in cord sera of newborns. Serum rT[sub 3]S increased significantly in hyperthyroid patients 1 day after administration of 1 g sodium ipodate orally. Reverse T[sub 3]S was detected consistently in amniotic fluid at 14 to 22 weeks of gestation and showed a marked rise 1-3 weeks after intraamniotic administration of 500-1000 [mu]g T[sub 4]. The various data suggest that : (1) rT[sub 3]S is a normal component of human serum and amniotic fluid; (2) it is derived from metabolism of T[sub 4] or rT[sub 3]; (3) circulating rT[sub 3]S increases in hyperthyroidism and in circumstances where type I 5'-monodeiodinating activity is low, e.g. nonthyroid illnesses, fetal life, and after administration of ipodate. 20 refs., 4 figs.

  20. [Amniotic fluid cortisol, tetrahydrocortisone, estriol and estetrol in normal and high risk pregnancy (author's transl)].

    Science.gov (United States)

    Izumi, M

    1981-08-01

    In order to determine the possibility of assessing intrauterine fetal well being by measuring amniotic fluid steroid levels, a number of selected glucocorticoids and estrogens were assayed. Estriol (E3) and estetrol (E4) levels at 36-40 weeks of pregnancy, especially that of total E3 (T-E3 and unconjugated E4 (U-E4) rose significantly (p less than 0.01), and were at a ratio of T-E3/U-E3 8; T-E4/U-E4 2, respectively. A definite correlation was found between T-E3 and U-E3 (r = 0.97) which was not detected in the case of E4, and there was a high correlation with umbilical arterial levels of both unconjugated and total E3 and E4. Amniotic fluid cortisol (F) levels in both unconjugated (U-F) and sulfate conjugated (S-F) rose preferentially at 36-40 weeks and exceeded the levels of both umbilical arterial and maternal peripheral plasma (p less than 0.01). Both tetrahydro-cortisone (THE) and -cortisol (THF) levels increased at 29-35 weeks which in the select cases were comparable with the increases seen at 36-40 weeks. The THE level showed a definite correlation with that of umbilical artery (r = 0.73) whereas this was not the case for S-F. In pregnancies complicated with toxemia and/or diabetes mellitus, T-E3 and S-F levels are less than the lower limits for normal pregnancies. This tendency was not observed with T-E4 and THE. In pregnancies with severe RH isoimmunization, the levels of T-E3, T-E4 and S-F are markedly lower than those seen in normal pregnancies, and do not display the increase with gestational advances. On the other hand, THE and THF levels were shown to be at levels higher than in normal pregnancies. Thus, in the latter half of pregnancy, amniotic fluid steroid assays, especially T-E3, S-F and THE may be of use in the assessment of fetal well being. PMID:7276651

  1. Amniotic fluid deficiency and congenital abnormalities both influence fluctuating asymmetry in developing limbs of human deceased fetuses.

    Directory of Open Access Journals (Sweden)

    Clara Mariquita Antoinette ten Broek

    Full Text Available Fluctuating asymmetry (FA, as an indirect measure of developmental instability (DI, has been intensively studied for associations with stress and fitness. Patterns, however, appear heterogeneous and the underlying causes remain largely unknown. One aspect that has received relatively little attention in the literature is the consequence of direct mechanical effects on asymmetries. The crucial prerequisite for FA to reflect DI is that environmental conditions on both sides should be identical. This condition may be violated during early human development if amniotic fluid volume is deficient, as the resulting mechanical pressures may increase asymmetries. Indeed, we showed that limb bones of deceased human fetuses exhibited increased asymmetry, when there was not sufficient amniotic fluid (and, thus, space in the uterine cavity. As amniotic fluid deficiency is known to cause substantial asymmetries and abnormal limb development, these subtle asymmetries are probably at least in part caused by the mechanical pressures. On the other hand, deficiencies in amniotic fluid volume are known to be associated with other congenital abnormalities that may disturb DI. More specifically, urogenital abnormalities can directly affect/reduce amniotic fluid volume. We disentangled the direct mechanical effects on FA from the indirect effects of urogenital abnormalities, the latter presumably representing DI. We discovered that both factors contributed significantly to the increase in FA. However, the direct mechanical effect of uterine pressure, albeit statistically significant, appeared less important than the effects of urogenital abnormalities, with an effect size only two-third as large. We, thus, conclude that correcting for the relevant direct factors allowed for a representative test of the association between DI and stress, and confirmed that fetuses form a suitable model system to increase our understanding in patterns of FA and symmetry development.

  2. 羊水栓塞临床救治分析%Amniotic fluid embolism analysis to clinical treatment

    Institute of Scientific and Technical Information of China (English)

    危卫萍

    2014-01-01

    目的:探讨预防羊水栓塞的诱发因素及其临床诊断和救治方法。方法:回顾近3年来我院发生4例孕产妇羊水栓塞诊断、抢救、治疗过程。结果:在我国,羊水栓塞死亡已经成为分娩孕产妇死亡的第二大原因;羊水栓塞发病诱因主要有宫缩过强、急产、胎膜早破、羊水浑浊、高龄初产、多产、前置胎盘、胎盘早剥、剖宫产等。结论:及早诊断、尽早治疗,抢救治疗正确,是成功的关键。%Objective to study the prevention of amniotic fluid embolism induced factors and clinical diagnosis and treatment methods.Methods to review the recent 3 years in our 4 cases of maternal amniotic fluid embolism diagnosis, rescue and treatment process.Results in our country, amniotic fluid embolism death has become the second leading cause of maternal death childbirth;Amniotic fluid embolism the triggers are too strong, the emergency birth contractions, premature rupture of membranes, amniotic fluid turbidity, older first-timer, productive, placenta previa, placental abruption, cesarean section, etc.Conclusion early diagnosis, early treatment, rescue treatment, the right is the key to success.

  3. Clinical analysis of atypical amniotic fluid embolism%不典型羊水栓塞的临床分析

    Institute of Scientific and Technical Information of China (English)

    殷思珍; 杨龙慧

    2015-01-01

    目的:探讨不典型羊水栓塞的症状、诱发因素、治疗效果及转归。方法:收治羊水栓塞患者14例,11例初期症状不典型,分析其病因、临床表现、诊断、治疗及预后。结果:14例中有3例典型羊水栓塞,其中2例死亡,另外11例不典型病例均抢救成功。结论:注意羊水栓塞的前驱症状,早发现,早诊断,早治疗,寻找支持诊断的依据,是羊水栓塞患者抢救成功的关键。%Objective:To explore the symptoms,inducing factors,treatment effect and outcome of atypical amniotic fluid embolism. Methods:14 patients with amniotic fluid embolism were selected.The early stage symptoms of 11 cases were not typical.The causes,clinical manifestations,diagnosis,treatment and prognosis were analyzed.Results:3 cases were typical amniotic fluid embolism in 14 cases,including 2 cases of died,other 11 cases of atypical cases were rescued successfully.Conclusion:Paying attention to the premonitory symptoms of amniotic fluid embolism,early detection,early diagnosis,early treatment and looking for the basis of support for diagnosis are the keys to the successful rescue of patients with amniotic fluid embolism.

  4. Trace element determination in amniotic fluid by total reflection X-ray fluorescence

    Energy Technology Data Exchange (ETDEWEB)

    Greaves, E.D.; Sajo-Bohus, L.; Castelli, C.; Borgerg, C. [Universidad Simon Bolivar, Caracas (Venezuela); Meitin, J.; Liendo, J.

    1995-03-01

    A new method is reported for the determination of Fe, Cu, Zn, and Br in amniotic fluid (AF) by Total Reflection X-Ray Fluorescence. The irradiation of AF samples with monochromatic X-Rays reduces the scattering background from the organic matrix and avoids the need for sample digestion. Sample manipulation is reduced to centrifuging and adding cobalt as internal standard. Lower detection limits obtained are 109, 53, 44 and 37 ppb for Fe, Cu, Zn and Br respectively. Measurement precision depends on element concentrations and can be as low as 1.5% SD. Results of the analysis of 34 AF samples from Venezuelan pregnant patients agree with previously reported ranges of Fe, Cu and Zn. Other elements observed but not quantified are Cl, K, Ca in all spectra and Pb and Sr in some of them. (author).

  5. Therapeutic outcomes of transplantation of amniotic fluid-derived stem cells in experimental ischemic stroke

    Directory of Open Access Journals (Sweden)

    Naoki eTajiri

    2014-08-01

    Full Text Available Accumulating preclinical evidence suggests the use of amnion as a source of stem cells for investigations of basic science concepts related to developmental cell biology, but also for stem cells’ therapeutic applications in treating human disorders. We previously reported isolation of viable rat amniotic fluid-derived stem (AFS cells. Subsequently, we recently reported the therapeutic benefits of intravenous transplantation of AFS cells in a rodent model of ischemic stroke. Parallel lines of investiagtions have provided safety and efficacy of stem cell therapy for treating stroke and other neurological disorders. This review article highlights characterization of AFS cells’ phenotype and their transplant-mediated functional effects, the need for investigations of mechanisms underlying AFS cells’ therapeutic benefits and discusses lab-to-clinic translational gating items in an effort to optimize the clinical application of cell transplantation for stroke.

  6. STUDY OF AMNIOTIC FLUID INDEX AT THE ONSET OF LABOUR ON PERINATAL OUTCOME

    Directory of Open Access Journals (Sweden)

    Supriya

    2015-01-01

    Full Text Available Aim of the present study is to determine amniotic fluid index in labour and to assess the course of labour, mode of delivery and perinatal outcome in relation to AFI. Objective of the study is the early detection of fetal distress and prevention of neonatal morbidity and mortality. This study was conducted in Department of Obstetrics and Gynecology, Rangaraya Medical College, Kakinada from October, 2011 to October 2013, to evaluate perinatal outcome in relation to AFI with a gestational age between 37 - 42 weeks. AFI was measured and the perinatal o utcome compared between three groups. The cesarean section rate for fetal distress and low birth weight babies, <2.5 kgs was higher in patients with oligohydroamnios. There was a significant difference in meconium staining, APGAR at 1 & 5 mins <7 at the time of birth between three groups. Oligohydroamnios has a significant correlation with cesarean section for fetal distress and low birth weight babies.

  7. Polyhydramnios in Lrp4 knockout mice with bilateral kidney agenesis: Defects in the pathways of amniotic fluid clearance

    OpenAIRE

    Hiroshi Tanahashi; Qing-Bao Tian; Yoshinobu Hara; Hiroyuki Sakagami; Shogo Endo; Tatsuo Suzuki

    2016-01-01

    Amniotic fluid volume during mid-to-late gestation depends mainly on the urine excretion from the foetal kidneys and partly on the fluid secretion from the foetal lungs during foetal breathing-like movements. Urine is necessary for foetal breathing-like movements, which is critical for foetal lung development. Bilateral renal agenesis and/or obstruction of the urinary tract lead to oligohydramnios, which causes infant death within a short period after birth due to pulmonary hypoplasia. Lrp4, ...

  8. Identification of Symptomatic Fetuses Infected with Cytomegalovirus Using Amniotic Fluid Peptide Biomarkers

    Science.gov (United States)

    Leruez-Ville, Marianne; Ramirez-Torres, Adela; Lacroix, Chrystelle; Breuil, Benjamin; Froment, Carine; Bascands, Jean-Loup; Schanstra, Joost P.; Ville, Yves

    2016-01-01

    Cytomegalovirus (CMV) is the most common cause of congenital infection, and is a major cause of sensorineural hearing loss and neurological disabilities. Evaluating the risk for a CMV infected fetus to develop severe clinical symptoms after birth is crucial to provide appropriate guidance to pregnant women who might have to consider termination of pregnancy or experimental prenatal medical therapies. However, establishing the prognosis before birth remains a challenge. This evaluation is currently based upon fetal imaging and fetal biological parameters, but the positive and negative predictive values of these parameters are not optimal, leaving room for the development of new prognostic factors. Here, we compared the amniotic fluid peptidome between asymptomatic fetuses who were born as asymptomatic neonates and symptomatic fetuses who were either terminated in view of severe cerebral lesions or born as severely symptomatic neonates. This comparison allowed us to identify a 34-peptide classifier in a discovery cohort of 13 symptomatic and 13 asymptomatic neonates. This classifier further yielded 89% sensitivity, 75% specificity and an area under the curve of 0.90 to segregate 9 severely symptomatic from 12 asymptomatic neonates in a validation cohort, showing an overall better performance than that of classical fetal laboratory parameters. Pathway analysis of the 34 peptides underlined the role of viral entry in fetuses with severe brain disease as well as the potential importance of both beta-2-microglobulin and adiponectin to protect the injured fetal brain infected with CMV. The results also suggested the mechanistic implication of the T calcium channel alpha-1G (CACNA1G) protein in the development of seizures in severely CMV infected children. These results open a new field for potential therapeutic options. In conclusion, this study demonstrates that amniotic fluid peptidome analysis can effectively predict the severity of congenital CMV infection. This

  9. Identification of Symptomatic Fetuses Infected with Cytomegalovirus Using Amniotic Fluid Peptide Biomarkers.

    Directory of Open Access Journals (Sweden)

    Cyrille Desveaux

    2016-01-01

    Full Text Available Cytomegalovirus (CMV is the most common cause of congenital infection, and is a major cause of sensorineural hearing loss and neurological disabilities. Evaluating the risk for a CMV infected fetus to develop severe clinical symptoms after birth is crucial to provide appropriate guidance to pregnant women who might have to consider termination of pregnancy or experimental prenatal medical therapies. However, establishing the prognosis before birth remains a challenge. This evaluation is currently based upon fetal imaging and fetal biological parameters, but the positive and negative predictive values of these parameters are not optimal, leaving room for the development of new prognostic factors. Here, we compared the amniotic fluid peptidome between asymptomatic fetuses who were born as asymptomatic neonates and symptomatic fetuses who were either terminated in view of severe cerebral lesions or born as severely symptomatic neonates. This comparison allowed us to identify a 34-peptide classifier in a discovery cohort of 13 symptomatic and 13 asymptomatic neonates. This classifier further yielded 89% sensitivity, 75% specificity and an area under the curve of 0.90 to segregate 9 severely symptomatic from 12 asymptomatic neonates in a validation cohort, showing an overall better performance than that of classical fetal laboratory parameters. Pathway analysis of the 34 peptides underlined the role of viral entry in fetuses with severe brain disease as well as the potential importance of both beta-2-microglobulin and adiponectin to protect the injured fetal brain infected with CMV. The results also suggested the mechanistic implication of the T calcium channel alpha-1G (CACNA1G protein in the development of seizures in severely CMV infected children. These results open a new field for potential therapeutic options. In conclusion, this study demonstrates that amniotic fluid peptidome analysis can effectively predict the severity of congenital CMV

  10. Fetoplacental Discrepancy with Normal Karyotype in Amniotic Fluid and Two Different Cell Lines in Placenta

    Directory of Open Access Journals (Sweden)

    Veronica Ortega

    2013-01-01

    Full Text Available We present a case of fetoplacental discrepancy in a second-trimester fetus with normal karyotype in amniotic fluid and two different Robertsonian translocations in placenta. A 41-year-old woman of Middle-Eastern origin, gravida 2, para 1, underwent amniocentesis at 16-week gestation because of advanced maternal age. Amniotic fluid karyotype showed a normal 46,XX karyotype with a homozygous inv(9. Parental chromosome analysis showed both parents to be carriers of inv(9 and the parents are not consanguineous. Fetal ultrasound was normal. The mother presented to the clinic 4 weeks later with intrauterine fetal demise. Chromosome analysis from the placenta showed two different cell lines: a balanced (15;21 Roberstonian translocation in 11 cells and an unbalanced (21;21 Robertsonian translocation in 9 cells. The karyotype was interpreted as mos 45,XX,inv(9(p11q13x2,der(15;21(q10;q10[11]/46,XX,inv(9(p11q13x2,+21,der(21;21(q10;q10. Mother was a carrier for the Cystic Fibrosis (delta F508, Factor V Leiden mutations, HbD-Los Angeles and HbQ-India variants. She also had a sibling with term stillbirth. Her husband’s history was unremarkable. Our case appears to be another example of confined placental mosaicism (CPM with normal fetal karyotype. However, we could not confirm the possibility that CPM contributed to the IUFD in our case given the complex medical history of the mother.

  11. Lactate in Amniotic Fluid: Predictor of Labor Outcome in Oxytocin-Augmented Primiparas’ Deliveries

    Science.gov (United States)

    Pembe, Andrea B.; Järnbert-Pettersson, Hans; Norman, Margareta; Wihlbäck, Anna-Carin; Hoesli, Irene; Todesco Bernasconi, Monya; Azria, Elie; Åkerud, Helena; Darj, Elisabet

    2016-01-01

    Background One of the major complications related to delivery is labor dystocia, or an arrested labor progress. Many dystocic deliveries end vaginally after administration of oxytocin, but a large numbers of women with labor dystocia will undergo a long and unsafe parturition. As a result of the exertion required in labor, the uterus produces lactate. The uterine production of lactate is mirrored by the level of lactate in amniotic fluid (AFL). Objectives To evaluate whether the level of AFL, analysed in a sample of amniotic fluid collected vaginally at arrested labor when oxytocin was needed, could predict labor outcome in nulliparous deliveries. Methods A prospective multicentre study including 3000 healthy primiparous women all with a singleton pregnancy, gestational age 37 to 42 weeks and no maternal /fetal chronic and/or pregnancy-related conditions. A spontaneous onset of labor, regular contractions and cervical dilation ≥ 3 cm were required before the women were invited to take part in the study. Results AFL, analysed within 30 minutes before augmentation, provides information about delivery outcome. Sensitivity for an acute cesarean section according to high (≥10.1mmol/l) or low (12h (p = 0.04), post-partum fever (>38°C, p = 0.01) and post-partum haemorrhage >1.5L (p = 0.04). Conclusion The AFL is a good predictor of delivery outcome in arrested nulliparous deliveries. Low levels of AFL may support the decision to continue a prolonged vaginal labor by augmentation with oxytocin. A high level of AFL correlates with operative interventions and post-partum complications. PMID:27783611

  12. Elemental analysis of human amniotic fluid and placenta by TXRF and EDXRF: child weight and aging mother dependences

    International Nuclear Information System (INIS)

    This work is an attempt to evaluate the possible influence of the age's mother in trace elemental concentration in human amniotic fluid and placenta and whether these concentrations are correlated to the weight of the newborn infants. Total reflection x-ray fluorescence (TXRF) was used to analyze 16 amniotic fluid samples, and the placenta samples were analyzed by energy dispersive x-ray fluorescence (EDXRF). The whole samples were collected during the delivery, from healthy mothers and healthy infants. According to the age of the mother three different groups were considered: from 20-25, 25-30 and 30-40. Only two mothers were aged more than 35. The weight of the infants ranged from 2.56 to 4.05 kg. The organic matrices of the amniotic fluid samples were removed by wet ashing with HNO3 in oxygen plasma. Yttrium was used as internal standard, for TXRF analysis. For EDXRF placenta samples were lyophilized and analyzed without any chemical treatment. Very low levels of Ni, and Sr were found in the amniotic fluid samples, independently of age of the mother and child weight. Cr, Mn, Se and Pb were at the level of the detection limit. Zn, considered one of the key elements in the newborn health, was not significantly different in the analyzed samples, however, was related, though weakly, to birth weigh. The obtained concentrations ranged from 0.11 to 0.92 mg/L and 30 to 65 μg/g in amniotic fluid and placenta respectively. The only two elements seemed to be significantly affected with age mother and newborn weight were Ca and Fe for both kind of samples: Ca levels were increased in heavier children and elder mothers, however Fe increased with the increase of the age mother but decreased for heavier babies. The same conclusions were obtained for placenta and amniotic fluid samples. Cu is closely associated in its function in the organism with Fe and has a similar behavior with this element, however not so pronounced. (author)

  13. Clinical analysis on 117 cases of amniotic fluid%羊水过少117例临床分析

    Institute of Scientific and Technical Information of China (English)

    万美霞

    2016-01-01

    目的:探讨羊水过少现象出现的原因以及相关因素。方法:对117例羊水过少患者临床资料进行分析。结果:40周以后是羊水过少现象的高发阶段;B超检查准确率高达95%,妊高征和胎儿宫内生长迟缓是出现频率最高的妊娠并发症;相比于对照组,羊水过少脐带缠绕、脐带过短情况发生概率以及新生儿窒息率要稍高一些(P<0.01)。随着羊水量的逐渐减少,羊水粪染率、胎儿窘迫情况发生的概率会越来越高。结论:在明确了羊水量之后,应采用剖宫产的方式结束分娩。%Objective:To investigate the causes and related factors on the phenomenon of amniotic fluid.Methods:117 cases with amniotic fluid were selected,then their clinical data was analyzed.Results:The high incidence of amniotic fluid was at the stage of 40 weeks after pregnancy;ultrasonography accuracy rate was as high as 95% ;pregnancy induced hypertension(PIH) and fetal intrauterine growth retardation were the highest frequency of pregnancy complications;compared with the control group, oligohydramnios umbilical cord entanglement,umbilical cord too short occurrence probability and neonatal asphyxia rate is slightly higher(P<0.01).With the gradual decrease of amniotic fluid volume,the probability occurrence of stained amniotic fluid and fetal distress would be more and more high.Conclusion:After the amniotic fluid volume clarify a diagnosis,cesarean section should be taken to terminate the pregnancy.

  14. Perfluorooctane Sulfonate Concentrations in Amniotic Fluid, Biomarkers of Fetal Leydig Cell Function, and Cryptorchidism and Hypospadias in Danish Boys (1980-1996)

    DEFF Research Database (Denmark)

    Toft, Gunnar; Jönsson, Bo A; Bonde, Jens P;

    2016-01-01

    was not associated with cryptorchidism or hypospadias. CONCLUSIONS: Environmental PFOS exposure was associated with steroid hormone and INSL3 concentrations in amniotic fluid, but was not associated with cryptorchidism or hypospadias in our study population. Additional studies are needed to determine whether......BACKGROUND: Exposure to perfluorooctane sulfonate (PFOS) may potentially disturb fetal Leydig cell hormone production and male genital development. OBJECTIVES: We aimed to study the associations between levels of amniotic fluid PFOS, fetal steroid hormone, and insulin-like factor 3 (INSL3...... to measure PFOS in amniotic fluid from 645 persons and steroid hormones in samples from 545 persons. INSL3 was measured by immunoassay from 475 persons. Associations between PFOS concentration in amniotic fluid, hormone levels, and genital malformations were assessed by confounder-adjusted linear...

  15. 羊水栓塞的诊治%Progress in diagnosis and treatment of amniotic fluid embolism

    Institute of Scientific and Technical Information of China (English)

    张洋洋; 袁雅冬

    2016-01-01

    羊水栓塞是一种罕见、但极为凶险的产科并发症,由羊水物质进入母体循环引起,起病急骤,病死率高。熟悉羊水栓塞的发病机制、临床表现,并进行早期诊断及治疗对降低其病死率有极其重要的价值。%Amniotic fluid embolism is a rare but dreadful obstetric complications with a high maternal mortality,which caused by the transfer of amniotic fluid substances into the maternal circulation.In order to reduce the mortality,it is necessary to be familiar with the pathogenesis and clinical manifestations,and then make early diagnosis and choose the effective treatment.

  16. Analysis of perchlorate, thiocyanate, nitrate and iodide in human amniotic fluid using ion chromatography and electrospray tandem mass spectrometry

    Energy Technology Data Exchange (ETDEWEB)

    Blount, Benjamin C. [Division of Laboratory Sciences, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA 30341 (United States)]. E-mail: bblount@cdc.gov; Valentin-Blasini, Liza [Division of Laboratory Sciences, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA 30341 (United States)

    2006-05-10

    Because of health concerns surrounding in utero exposure to perchlorate, we developed a sensitive and selective method for quantifying iodide, as well as perchlorate and other sodium-iodide symporter (NIS) inhibitors in human amniotic fluid using ion chromatography coupled with electrospray ionization tandem mass spectrometry. Iodide and NIS inhibitors were quantified using a stable isotope-labeled internal standards (Cl{sup 18}O{sub 4} {sup -}, S{sup 13}CN{sup -} and {sup 15}NO{sub 3} {sup -} with excellent assay accuracy of 100%, 98%, 99%, 95% for perchlorate, thiocyanate, nitrate and iodide, respectively, in triplicate analysis of spiked amniotic fluid sample). Excellent analytical precision (<5.2% RSD for all analytes) was found when amniotic fluid quality control pools were repetitively analyzed for iodide and NIS-inhibitors. Selective chromatography and tandem mass spectrometry reduced the need for sample cleanup, resulting in a rugged and rapid method capable of routinely analyzing 75 samples/day. Analytical response was linear across the physiologically relevant concentration range for the analytes. Analysis of a set of 48 amniotic fluid samples identified the range and median levels for perchlorate (0.057-0.71, 0.18 {mu}g/L), thiocyanate (<10-5860, 89 {mu}g/L), nitrate (650-8900, 1620 {mu}g/L) and iodide (1.7-170, 8.1 {mu}g/L). This selective, sensitive, and rapid method will help assess exposure of the developing fetus to low levels of NIS-inhibitors and their potential to inhibit thyroid function.

  17. Meconium-Stained Amniotic Fluid as an Independent Risk Factor for Fever and Postpartum Infection in Term Pregnancy

    Directory of Open Access Journals (Sweden)

    M Valadan

    2008-06-01

    Full Text Available Background: The aim of this study was to statistically evaluate the hypothesis that the presence of meconium-stained amniotic fluid is associated with postpartum maternal infection.Methods: This prospective cohort study included 573 term pregnant women in labor, with no other medical problems, that underwent cesarean section for pregnancy termination. Women with prolonged active-phase labor, prolonged rupture of membranes, complicated cesarean section and pre-operative infections were excluded from this study.The subjects were divided into two groups: 280 women with meconium-stained amniotic fluid (M group, and 293 women with clear amniotic fluid (C group. A comparison was done regarding postpartum fever, endometritis and wound infection between the two groups. Students t-test and chi square test were used for data analysis, along with linear regression, with p<0.05 indicating significance.Results: Among the 573 women, a total of 82 women (14% had fever after cesarean; 42 women from the M group, and 40 women from the C group (p= 0.3. Among the 82 women who had fever, 33 women had continuous fever, 6.5% in group M and 2.7% in group C (p<0.05, RR: 1.98, 95% CI 1.3-3.1. Among the 573 women, 4% developed endometritis 5% in group M and 2% in group C (p<0.05, RR: 2.3, 95%, CI 1.3-3.4. Similarly, among the 573 women, a total of 5 women (1% developed wound infection, 1.7% in group M and 0.68% in group C (p=0.7.Conclusion: Meconium-stained amniotic fluid is associated with increased postpartum infection independent of other risk factors for infection.

  18. Exosomal miR-10a derived from amniotic fluid stem cells preserves ovarian follicles after chemotherapy

    OpenAIRE

    Guan-Yu Xiao; Chun-Chun Cheng; Yih-Shien Chiang; Winston Teng-Kuei Cheng; I-Hsuan Liu; Shinn-Chih Wu

    2016-01-01

    Chemotherapy (CTx)-induced premature ovarian failure (POF) in woman remains clinically irreversible. Amniotic fluid stem cells (AFSCs) have shown the potential to treat CTx-induced POF; however, the underlying mechanism is unclear. Here we demonstrate that AFSC-derived exosomes recapitulate the anti-apoptotic effect of AFSCs on CTx-damaged granulosa cells (GCs), which are vital for the growth of ovarian follicles. AFSC-derived exosomes prevent ovarian follicular atresia in CTx-treated mice vi...

  19. Genotoxic effects of cadmium chloride on human amniotic fluid cells cultured in vitro

    Energy Technology Data Exchange (ETDEWEB)

    Fogu, G. [Sassari Univ., Sassari (Italy). Dept. of Physiological, Biochemical and Cellular sciences; Sassari Univ., Sassari (Italy). Centre of Clinical Genetics; Congiu, A. M.; Sini, M. C.; Ladu, R. [Sassari Univ., Sassari (Italy). Dept. of Physiological, Biochemical and Cellular sciences; Campus, P. M.; Sanna, R.; Soro, G. [Sassari Univ., Sassari (Italy). Centre of Clinical Genetics

    2000-12-01

    In this study it has been reported the results of cytogenetic tests, namely a search for chromosome aberrations (CA) and sister chromatid exchanges (SCEs), performed on human amniotic fluid cells cultured and treated with Cadmium chloride. The cells from primary cultures were exposed to CdCl{sub 2} at 1 {mu}M and 10 {mu}M for 24 h. At the higher dose, no metaphases were scored and at the lower dose (1 {mu}M) no effects were evident on cell proliferation, and no chromosome aberrations were found. In the subsequent experiments were used cells from subcultures exposed to 1 {mu}M and 5 {mu}M CdCl{sub 2}. At the 5 {mu}M dose was evident the induction of chromatid breaks, while the frequency of sister chromatid exchanges shows a small increase, not statistically significant at the dose of 1 {mu}M. In this study it was positively demonstrated that amniotic fluid cells grown in vitro are reliable for testing various mutagenic or teratogenic substances. With regard to cadmium treatment results, it is evident a clastogenic effect of cadmium chloride but not a significant induction of SCEs. [Italian] In questo studio abbiamo riportato i risultati dei tests citogenici di valutazione degli scambi fra cromatidi fratelli (SCEs) e di induzione di aberrazioni cromosomiche (CA) condotti su colture cellulari di liquido amniotico umano, trattate con cloruro di cadmio. Le cellule delle colture primarie venivano esposte al CdCl{sub 2} a concentrazioni di 1 {mu}M 10 {mu}M per 24 h. Alla dose piu' alta (10 {mu}M) non sono state osservate metafasi, mentre alla dose piu' bassa (1 {mu}M) non sono stati evidenziati ne' effetti sulla proliferazione cellulare ne' CA. Nei successivi esperimenti il CdC{sub 2} e' stato testato su subcolture cellulari alle dosi di 1 {mu}M e 5 {mu}M. Alla dose di 5 {mu}M sono state evidenziate rotture cromatidiche, mentre la frequenza di SCE alla dose di 1 {mu}M ha mostrato un piccolo incremento, statisticamente non significativo. In questo

  20. 浅析羊水栓塞的诊断与治疗%Diagnosis and Treatment of Amniotic Fluid Embolism

    Institute of Scientific and Technical Information of China (English)

    阿斯叶·阿布拉

    2014-01-01

    The amniotic fluid embolism is a serious complication in obstetrics, the onset is sudden, high mortality, serious impact on pregnant women and fetal safety. Based on years of clinical experience, analysis of the pathogenesis and clinical manifestations of amniotic fluid embolism, strengthen the understanding of this disease, in order to improve the quality of clinical diagnosis and treatment of amniotic fluid embolism to reduce the mortality rate has a very important value.%羊水栓塞是产科严重并发症,该病起病急,死亡率高,严重影响孕妇及胎儿的生命安全。根据多年的临床经验,分析羊水栓塞的发病机制及临床表现,加强对该病的认识,以期提高羊水栓塞的临床诊断及治疗质量对降低该病死率有着极重要的价值。

  1. Nuclear Nox4 Role in Stemness Power of Human Amniotic Fluid Stem Cells

    Directory of Open Access Journals (Sweden)

    Tullia Maraldi

    2015-01-01

    Full Text Available Human amniotic fluid stem cells (AFSC are an attractive source for cell therapy due to their multilineage differentiation potential and accessibility advantages. However the clinical application of human stem cells largely depends on their capacity to expand in vitro, since there is an extensive donor-to-donor heterogeneity. Reactive oxygen species (ROS and cellular oxidative stress are involved in many physiological and pathophysiological processes of stem cells, including pluripotency, proliferation, differentiation, and stress resistance. The mode of action of ROS is also dependent on the localization of their target molecules. Thus, the modifications induced by ROS can be separated depending on the cellular compartments they affect. NAD(PH oxidase family, particularly Nox4, has been known to produce ROS in the nucleus. In the present study we show that Nox4 nuclear expression (nNox4 depends on the donor and it correlates with the expression of transcription factors involved in stemness regulation, such as Oct4, SSEA-4, and Sox2. Moreover nNox4 is linked with the nuclear localization of redox sensitive transcription factors, as Nrf2 and NF-κB, and with the differentiation potential. Taken together, these results suggest that nNox4 regulation may have important effects in stem cell capability through modulation of transcription factors and DNA damage.

  2. Amniotic fluid as a source of multipotent cells for clinical use.

    Science.gov (United States)

    Young, Bruce K; Chan, Michael K; Liu, Li; Basch, Ross S

    2016-04-01

    Amniotic fluid cells (AFC) from 2nd trimester amniocentesis have been found to be a source of multipotent stem cells which might overcome the limitations of expansion, histocompatibility, tumorigenesis, and ethical issues associated with using human embryonic cells, umbilical cord, cord blood, bone marrow, and induced pluripotent cells. Previous work by our group and others demonstrated multipotency and the ability to grow well in culture. However, all these studies were done in media containing fetal calf serum. We sought to observe the properties of AFC grown in serum-free media as that would be required for clinical transplantation in humans. Fresh samples were obtained from three patients, and each sample divided into a culture whose cells were not exposed to fetal calf serum, and the other half into a standard culture medium containing fetal calf serum. Doubling time and stem cell marker expression by flow cytometry were assessed. Differentiation to neural, osteoid, and chondrogenic lineages was induced using appropriate media and confirmed by fluorescent microscopy, histology, and immunohistochemistry. There were no statistically significant differences between cells grown serum-free and in standard media in any of these parameters. The data supports the possibility of clinical use of AFC in stem cell transplantation. PMID:26115489

  3. Amniotic fluid as a source of multipotent cells for clinical use.

    Science.gov (United States)

    Young, Bruce K; Chan, Michael K; Liu, Li; Basch, Ross S

    2016-04-01

    Amniotic fluid cells (AFC) from 2nd trimester amniocentesis have been found to be a source of multipotent stem cells which might overcome the limitations of expansion, histocompatibility, tumorigenesis, and ethical issues associated with using human embryonic cells, umbilical cord, cord blood, bone marrow, and induced pluripotent cells. Previous work by our group and others demonstrated multipotency and the ability to grow well in culture. However, all these studies were done in media containing fetal calf serum. We sought to observe the properties of AFC grown in serum-free media as that would be required for clinical transplantation in humans. Fresh samples were obtained from three patients, and each sample divided into a culture whose cells were not exposed to fetal calf serum, and the other half into a standard culture medium containing fetal calf serum. Doubling time and stem cell marker expression by flow cytometry were assessed. Differentiation to neural, osteoid, and chondrogenic lineages was induced using appropriate media and confirmed by fluorescent microscopy, histology, and immunohistochemistry. There were no statistically significant differences between cells grown serum-free and in standard media in any of these parameters. The data supports the possibility of clinical use of AFC in stem cell transplantation.

  4. Adenovirus E1A/E1B Transformed Amniotic Fluid Cells Support Human Cytomegalovirus Replication

    Directory of Open Access Journals (Sweden)

    Natascha Krömmelbein

    2016-02-01

    Full Text Available The human cytomegalovirus (HCMV replicates to high titers in primary human fibroblast cell cultures. A variety of primary human cells and some tumor-derived cell lines do also support permissive HCMV replication, yet at low levels. Cell lines established by transfection of the transforming functions of adenoviruses have been notoriously resistant to HCMV replication and progeny production. Here, we provide first-time evidence that a permanent cell line immortalized by adenovirus type 5 E1A and E1B (CAP is supporting the full HCMV replication cycle and is releasing infectious progeny. The CAP cell line had previously been established from amniotic fluid cells which were likely derived from membranes of the developing fetus. These cells can be grown under serum-free conditions. HCMV efficiently penetrated CAP cells, expressed its immediate-early proteins and dispersed restrictive PML-bodies. Viral DNA replication was initiated and viral progeny became detectable by electron microscopy in CAP cells. Furthermore, infectious virus was released from CAP cells, yet to lower levels compared to fibroblasts. Subviral dense bodies were also secreted from CAP cells. The results show that E1A/E1B expression in transformed cells is not generally repressive to HCMV replication and that CAP cells may be a good substrate for dense body based vaccine production.

  5. Proteomic profile determination of autosomal aneuploidies by mass spectrometry on amniotic fluids

    Directory of Open Access Journals (Sweden)

    Desmetz Caroline

    2008-01-01

    Full Text Available Abstract Background Prenatal diagnosis of chromosomal abnormalities by cytogenetic analysis is time-consuming, expensive, and requires highly qualified technicians. Rapid diagnosis of aneuploidies followed by reassurance of women with normal results can be performed by molecular analysis of uncultured foetal cells. In the present study, we developed a proteomic fingerprinting approach coupled with a statistical classification method to improve diagnosis of aneuploidies, including trisomies 13, 18, and 21, in amniotic fluid samples. Results The proteomic spectra obtained from 52 pregnant women were compiled, normalized, and mass peaks with mass-to-charge ratios between 2.5 and 50 kDa identified. Peak information was combined together and analysed using univariate statistics. Among the 208 expressed protein peaks, 40 differed significantly between aneuploid and non aneuploid samples, with AUC diagnostic values ranging from 0.71 to 0.91. Hierarchical clustering, principal component analysis and support vector machine (SVM analysis were performed. Two class predictor models were defined from the training set, which resulted in a prediction accuracy of 92.3% and 96.43%, respectively. Using an external and independent validation set, diagnostic accuracies were maintained at 87.5% and 91.67%, respectively. Conclusion This pilot study demonstrates the potential interest of protein expression signature in the identification of new potential biological markers that might be helpful for the rapid clinical management of high-risk pregnancies.

  6. Calcitonin-Induced Effects on Amniotic Fluid-Derived Mesenchymal Stem Cells

    Directory of Open Access Journals (Sweden)

    Caterina Morabito

    2015-05-01

    Full Text Available Background/Aims: Mesenchymal stem cells from human amniotic fluid (huAFMSCs can differentiate into multiple lineages and are not tumorigenic after transplantation, making them good candidates for therapeutic purposes. The aim was to determine the effects of calcitonin on these huAFMSCs during osteogenic differentiation, in terms of the physiological role of calcitonin in bone homeostasis. Methods: For huAFMSCs cultured under different conditions, we assayed: expression of the calcitonin receptor, using immunolabelling techniques; proliferation and osteogenesis, using colorimetric and enzymatic assays; intracellular Ca2+ and cAMP levels, using videomicroscopy and spectrophotometry. Results: The calcitonin receptor was expressed in proliferating and osteo-differentiated huAFMSCs. Calcitonin triggered intracellular Ca2+ increases and cAMP production. Its presence in cell medium also induced dose-dependent inhibitory effects on proliferation and increased osteogenic differentiation of huAFMSCs, as also indicated by enhancement of specific markers and alkaline phosphatase activity. Conclusions: These data show that huAFMSCs represent a potential osteogenic model to study in-vitro cell responses to calcitonin (and other members of the calcitonin family. This leads the way to the opening of new lines of research that will add new insight both in cell therapies and in the pharmacological use of these molecules.

  7. BDNF Val66Met polymorphism and protein levels in Amniotic Fluid

    Directory of Open Access Journals (Sweden)

    Calabrese Francesca

    2010-02-01

    Full Text Available Abstract Background Brain-Derived Neurotrophic Factor (BDNF is a neurotrophin which plays survival- and growth-promoting activity in neuronal cells and it is involved in cellular plasticity mechanisms as it controls activity dependent synaptic transmission. A functional polymorphism (Val66Met in the pro-region of BDNF, which affects the intracellular trafficking of proBDNF has been associated with memory and cognitive deficits as well as to an increased susceptibility for several psychiatric disorders especially those with a neurodevelopmental origin. To date, no study has evaluated the influence of the Val66Met polymorphism on BDNF levels in a peripheral system that may reflect fetal neurodevelopment. Therefore we investigated in amniotic fluids (AF obtained from 139 healthy women during 15-17 week of pregnancy, BDNF protein levels in correlation with the Val66Met polymorphism. Results Interestingly we found a significant BDNF protein levels reduction in 55 Met carriers (Val/Met and Met/Met (p = 0.002 as compared to 84 non carriers (Val/Val, and no effect of fetus gender, maternal age or gestation week on BDNF levels has been observed. Conclusion These results, although explorative, indicate that during fetal life the Val66Met genotype might influences BDNF protein levels in AF supporting the involvement of this polymorphism in behavioral and functional brain individual differences in the adulthood.

  8. Accuracy Assessment of Interphase Fluorescence In-Situ Hybridization on Uncultured Amniotic Fluid Cells

    Directory of Open Access Journals (Sweden)

    Hamideh Karimi

    2007-01-01

    Full Text Available Background: Parental anxiety while waiting for the results of amniocentesis has been investigatedby many authors. It seems that the implementation of faster techniques such as fluorescence in-situhybridization (FISH will have some benefits in reducing this anxiety. Besides the patients' attitudesto choosing this method, gynecologists who are the persons responsible for treatment, must feelcomfortable about prescribing FISH techniques.Materials and Methods: This study, using a simple methodology, was undertaken to evaluate theresults of FISH tests on the amniotic fluid from 40 pregnant women undergoing cesarean surgery.Two sets of probes including X/Y cocktail and 13, 21 and 18 were applied on different slides.Results: The results of FISH tests were compared with the reports of the pediatrician about thehealth condition of the newborn. Complete conformity between the two sets of findings, haveconvinced our gynecologists of the benefit of prescribing this method to reduce the anxiety ofpatients at risk of having abnormal offspring due to chromosomal anuploidies.Conclusion: As has been documented by many authors, conventional chromosome analysis hasgreat advantages over fluorescence in situ hybridization of interphase amniocytes, but reducing theanxiety of parents is a good reason for employing the FISH technique.

  9. Effect of maternal hydration on the increase of amniotic fluid index

    Directory of Open Access Journals (Sweden)

    V.T.M. Borges

    2011-03-01

    Full Text Available The objective of this study was to determine the effect of maternal hydration with oral isotonic solution and water on the amniotic fluid (AF index of women with normohydramnios. Women with a normal AF index and gestational age between 33 and 36 weeks without maternal complications were randomized into three groups [isotonic solution (Gatorade®, water, control]. The isotonic solution and water groups were instructed to drink 1.5 L of the respective solution and the control group was instructed to drink 200 mL water over a period of 2 to 4 h. AF index was measured before and after hydration by Doppler ultrasonography. The investigator performing the AF index measurement was blind to the subject’s group. Ninety-nine women completed the study without any adverse maternal effects. The median increase in AF index after hydration was significantly greater for the isotonic solution and water groups than for the control group. There was no significant difference between the isotonic solution and water groups. Hydration with isotonic solution and water caused a 10-fold (95%CI: 2.09-49.89 and 6-fold (95%CI: 1.16-30.95 increase in the chance of a 20% increase of AF index, respectively. Maternal hydration with isotonic solution or water increased the AF index in women with normohydramnios.

  10. New miRNAs network in human mesenchymal stem cells derived from skin and amniotic fluid.

    Science.gov (United States)

    Lazzarini, R; Sorgentoni, G; Caffarini, M; Sayeed, M A; Olivieri, F; Di Primio, R; Orciani, M

    2016-09-01

    Mesenchymal stem cells (MSCs), isolated from different adult sources, have great appeal for therapeutic applications due to their simple isolation, extensive expansion potential, and high differentiative potential.In our previous studies we isolated MSCs form amniotic fluid (AF-MSCs) and skin (S-MSCs) and characterized them according to their phenotype, pluripotency, and mRNA/microRNAs (miRNAs) profiling using Card A from Life Technologies.Here, we enlarge the profiling of AF-MCSs and S-MSCs to the more recently discovered miRNAs (Card B by Life Technologies) to identify the miRNAs putative target genes and the relative signaling pathways. Card B, in fact, contains miRNAs whose role and target are not yet elucidated.The expression of the analyzed miRNAs is changing between S-MSCs and AF-MSCs, indicating that these two types of MSCs show differences potentially related to their source. Interestingly, the pathways targeted by the miRNAS deriving from Card B are the same found during the analysis of miRNAs from Card A.This result confirms the key role played by WNT and TGF-β pathways in stem cell fate, underlining as other miRNAs partially ignored up to now deserve to be reconsidered. In addition, this analysis allows including Adherens junction pathways among the mechanisms finely regulated in stem cell behavior. PMID:26684628

  11. Low amniotic fluid index in high risk pregnancy and poor apgar score at birth

    International Nuclear Information System (INIS)

    To determine the accuracy of antepartum Amniotic Fluid Index (AFI) of 5 cm was labeled as predictor of good outcome at birth. The subjects in both the groups were demographically matched and fulfilled the inclusion and exclusion criteria. The Apgar score was calculated at 5 minutes of birth. The newborns, with Apgar score 6 were labeled as healthy. AFI was compared with Apgar score, using Chi-square and a p-value was calculated to determine the statistical significance. Sensitivity, specificity, efficiency and the predictive values of AFI at a cut off point of < 5 cm as a predictor of adverse outcome at birth (Apgar score of < 6 at 5 minutes of birth) in high-risk pregnancy were calculated. Only 8 neonates of 50 women with low AFI had low Apgar score. Similarly, 6 neonates of 50 women with normal AFI had poor Apgar score. The diagnostic sensitivity, specificity, positive predictive value, negative predictive value and efficiency of AFI as test were 57.1%, 51.3%, 16%, 88% and 52% respectively. Low AFI is a poor predictor of adverse outcome for high-risk term patients. AFI is not a good screening test for high-risk pregnant women at term for birth of an infant with low Apgar score. (author)

  12. Intrapartum Amnioinfusion in Meconium Stained Amniotic Fluid- A Randomized Control Study In a Tertiary Care Hospital

    Directory of Open Access Journals (Sweden)

    Ashvin D Vachhani, Jitesh M Shah, Garima S Goel, Meghana N Mehta, Archish I Desai, Malati T Dalal

    2015-01-01

    Results: 66% of women were in the age group of 21-25 years. Av-erage cervical dilatation at detec-tion of meconium and detection of meconium to delivery interval was similar in both groups. In the study group, 68% women had normal vaginal delivery as compared to 49% in the control group (p<0.01. Operative deliv-ery was required in 32% and 51% cases in groups A and B respectively. Meconium aspira-tion syndrome was developed in 5% cases in group A and 15% cases in group B, which was significant (p=0.02, Odds ratio 0.29 (0.1-0.85. There were no significant differences in Apgar scores, NICU admissions and Perinatal mortality between two groups. No any maternal com-plications were noted due to amnioinfusion. Conclusion: Intrapartum amnio-infusion in meconium stained amniotic fluid is simple, safe and inexpensive intervention to reduce the rates of meconium aspiration syndrome and its complications."

  13. Pharmacokinetics of antiretroviral drugs in anatomical sanctuary sites: the fetal compartment (placenta and amniotic fluid).

    Science.gov (United States)

    Else, Laura J; Taylor, Stephen; Back, David J; Khoo, Saye H

    2011-01-01

    HIV resides within anatomical 'sanctuary sites' where local drug exposure and viral dynamics may differ significantly from the systemic compartment. Widespread implementation of antiretroviral therapy has seen a significant decline in the incidence of mother-to-child transmission (MTCT) of HIV. In addition to suppression of maternal plasma/genital viral loads, antiretroviral agents that cross the placenta and achieve adequate concentrations in the fetal compartment may exert a greater prophylactic effect. Penetration of antiretrovirals in the fetal compartment is expressed by accumulation ratios derived from the measurement of drug concentrations in paired maternal plasma and umbilical cord samples. The nucleoside analogues and nevirapine accumulate extensively in cord blood and in the surrounding amniotic fluid, whereas the protease inhibitors (PIs) exhibit low-to-moderate placental accumulation. Early data suggest that high placental/neonatal concentrations are achieved with raltegravir, but to a lesser extent with etravirine and maraviroc (rank order of accumulation: raltegravir/nucleoside reverse transcriptase inhibitor [tenofovir > zidovudine/lamivudine/emtricitabine/stavudine/abacavir] > non-nucleoside reverse transcriptase inhibitor [nevirapine > etravirine] > PI > maraviroc/enfuvirtide). More comprehensive in vivo pharmacokinetic data are required to justify the potential use of these agents as safe and effective options during pregnancy. PMID:22155898

  14. Comparative analysis of amniotic fluid lamellar body count and foam stability test as indices of fetal lung maturity

    Directory of Open Access Journals (Sweden)

    Višnjevac Nemanja

    2010-01-01

    Full Text Available Introduction. Respiratory distress syndrome of the newborn caused by the fetal lung immaturity is a very serious clinical problem. Different tests of prenatal analysis of amniotic fluid, such as lamellar body count and Clements’ test, are available for predicting the fetal lung maturity. Material and methods. A prospective clinical study was conducted on amniotic fluid samples from 2005 to 2006. The amniotic fluid samples were obtained at the gestational age of 30 to 42 weeks and collected by vaginal amniotomy, amniotomy during Caesarean section and 72 hours before the delivery by amniocentesis. A haematology analyzer (Nikon-Kohden® was used to determine the lamellar body counts. Clements’ test involved adding an equal volume of 96% ethanol to the multiple amniotic fluid volume (1:2, 1:4, 1:16, 1:32, followed by shaking and noting the presence of ring of bubbles. After the delivery, we compared the lamellar body count results and Clements’ test and the outcome of pregnancies, primarily the development of respiratory distress syndrome. The most specific lamellar body cutoffs for maturity and immaturity were determined according to receiver operating characteristic curves. Results and Discussion. Out of 232 amniotic fluid samples which were tested, 112 samples were collected after vaginal amniotomy, 88 during the Caesarean delivery and 32 samples by amniocentesis. The overall incidence of respiratory distress syndrome was 14.6%. Receiver operating characteristic curves were used to identify cutoff points for the test. We found that both tests are good screening tests for predicting the fetal lung maturity with the area under the curve of 0.782 in Clements’ test and 0.751 in the lamellar body count. Clements’ cutoff 2 with sensitivity of 67.6% and specificity of 72.2%, proved best in the prediction of the fetal lung maturity. The lamellar body count cutoff of 42x10³/μl had the sensitivity of 82.4% and specificity of 64.6% in predicting

  15. Enhanced generation of retinal progenitor cells from human retinal pigment epithelial cells induced by amniotic fluid

    Directory of Open Access Journals (Sweden)

    Sanie-Jahromi Fatemeh

    2012-04-01

    Full Text Available Abstract Background Retinal progenitor cells are a convenient source of cell replacement therapy in retinal degenerative disorders. The purpose of this study was to evaluate the expression patterns of the homeobox genes PAX6 and CHX10 (retinal progenitor markers during treatment of human retinal pigment epithelium (RPE cells with amniotic fluid (AF, RPE cells harvested from neonatal cadaver globes were cultured in a mixture of DMEM and Ham's F12 supplemented with 10% FBS. At different passages, cells were trypsinized and co-cultured with 30% AF obtained from normal fetuses of 1416 weeks gestational age. Results Compared to FBS-treated controls, AF-treated cultures exhibited special morphological changes in culture, including appearance of spheroid colonies, improved initial cell adhesion and ordered cell alignment. Cell proliferation assays indicated a remarkable increase in the proliferation rate of RPE cells cultivated in 30% AF-supplemented medium, compared with those grown in the absence of AF. Immunocytochemical analyses exhibited nuclear localization of retinal progenitor markers at a ratio of 33% and 27% for CHX10 and PAX6, respectively. This indicated a 3-fold increase in retinal progenitor markers in AF-treated cultures compared to FBS-treated controls. Real-time PCR data of retinal progenitor genes (PAX6, CHX10 and VSX-1 confirmed these results and demonstrated AF's capacity for promoting retinal progenitor cell generation. Conclusion Taken together, the results suggest that AF significantly promotes the rate of retinal progenitor cell generation, indicating that AF can be used as an enriched supplement for serum-free media used for the in vitro propagation of human progenitor cells.

  16. Mesenchymal stem cells from amnion and amniotic fluid in the bovine.

    Science.gov (United States)

    Corradetti, B; Meucci, A; Bizzaro, D; Cremonesi, F; Lange Consiglio, A

    2013-04-01

    Amnion and amniotic fluid (AF) are noncontroversial and inexhaustible sources of mesenchymal stem cells (MSCs) that can be harvested noninvasively at low cost. As in humans, also in veterinary field, presumptive stem cells derived from these tissues reveal as promising candidates for disease treatment, specifically for their plasticity, their reduced immunogenicity, and high anti-inflammatory potential. The aim of this work is to obtain and characterize, for the first time in bovine species, presumptive MSCs from the epithelial portion of the amnion (AECs) and from the AF (AF-MSCs) to be used for clinical applications. AECs display a polygonal morphology, whereas AF-MSCs exhibit a fibroblastic-like morphology only starting from the second passage, being heterogeneous during the primary culture. For both lines, the proliferative ability has been found constant over the ten passages studied and AECs show a statistically lower (P<0.05) doubling time with respect to AF-MSCs. AECs express MSC-specific markers (ITGB1 (CD29), CD44, ALCAM (CD166), ENG (CD105), and NT5E (CD73)) from P1 to P3; in AF-MSCs, only ITGB1, CD44, and ALCAM mRNAs are detected; NT5E is expressed from P2 and ENG has not been found at any passage. AF-MSCs and AECs are positive for the pluripotent markers (POU5F1 (OCT4) and MYC (c-Myc)) and lack of the hematopoietic markers. When appropriately induced, both cell lines are capable of differentiating into ectodermal and mesodermal lineages. This study contributes to reinforce the emerging importance of these cells as ideal tools in veterinary medicine. A deeper evaluation of the immunological properties needs to be performed in order to better understand their role in cellular therapy.

  17. Amniotic fluid inhibin-A in chromosomally normal and Down's syndrome pregnancies.

    Science.gov (United States)

    Wallace, E M; Crossley, J A; Groome, N P; Aitken, D A

    1997-01-01

    Recently, inhibin-A has been shown to be a useful new prenatal marker of Down's syndrome, significantly increasing detection rates. While the placenta is believed to be the major source of inhibin in pregnancy, there are actually very limited data available on specific inhibin dimers in pregnancy. Using a sensitive and specific ELISA we have measured the inhibin-A content of amniotic fluid (AF) to investigate further the biology of inhibin-A in chromosomally normal and abnormal pregnancies. AF from 51 Down's syndrome and 161 chromosomally normal pregnancies between 16 and 19 weeks of gestation were analysed, blinded as to whether the sample was from a Down's syndrome or normal pregnancy. There were no sex differences in inhibin-A content in either the control or Down's syndrome pregnancies. The median (10-90th percentiles) inhibin-A level in the control pregnancies increased from 339.6 (175.2-649.1) pg/ml at 16 weeks to 592.9 (256.4-1027.3) pg/ml at 19 weeks of gestation. The median (95% confidence interval) inhibin-A in the Down's syndrome pregnancies, expressed as multiples of the median (MoM) to correct for gestation, was 0.77 (0.68-0.89) MoM, significantly lower than the controls (P < 0.001, Mann-Whitney U test). We believe that these data are compatible with more than one source of inhibin-A in pregnancy and suggest that the fetal membranes may be contributing significantly to AF inhibin-A content. Further, our data would suggest that the endocrine function of the placenta and the other inhibin source(s) are differentially regulated. PMID:9014845

  18. The human amniotic fluid stem cell secretome effectively counteracts doxorubicin-induced cardiotoxicity

    Science.gov (United States)

    Lazzarini, Edoardo; Balbi, Carolina; Altieri, Paola; Pfeffer, Ulrich; Gambini, Elisa; Canepa, Marco; Varesio, Luigi; Bosco, Maria Carla; Coviello, Domenico; Pompilio, Giulio; Brunelli, Claudio; Cancedda, Ranieri; Ameri, Pietro; Bollini, Sveva

    2016-01-01

    The anthracycline doxorubicin (Dox) is widely used in oncology, but it may cause a cardiomyopathy with bleak prognosis that cannot be effectively prevented. The secretome of human amniotic fluid-derived stem cells (hAFS) has previously been demonstrated to significantly reduce ischemic cardiac damage. Here it is shown that, following hypoxic preconditioning, hAFS conditioned medium (hAFS-CM) antagonizes senescence and apoptosis of cardiomyocytes and cardiac progenitor cells, two major features of Dox cardiotoxicity. Mechanistic studies with mouse neonatal ventricular cardiomyocytes (mNVCM) reveal that hAFS-CM inhibition of Dox-elicited senescence and apoptosis is associated with decreased DNA damage, nuclear translocation of NF-kB, and upregulation of the NF-kB controlled genes, Il6 and Cxcl1, promoting mNVCM survival. Furthermore, hAFS-CM induces expression of the efflux transporter, Abcb1b, and Dox extrusion from mNVCM. The PI3K/Akt signaling cascade, upstream of NF-kB, is potently activated by hAFS-CM and pre-treatment with a PI3K inhibitor abrogates NF-kB accumulation into the nucleus, modulation of Il6, Cxcl1 and Abcb1b, and prevention of Dox-initiated senescence and apoptosis in response to hAFS-CM. These results support the concept that hAFS are a valuable source of cardioprotective factors and lay the foundations for the development of a stem cell-based paracrine treatment of chemotherapy-related cardiotoxicity. PMID:27444332

  19. Soluble Leukocyte-Associated Ig-Like Receptor-1 in Amniotic Fluid Is of Fetal Origin and Positively Associates with Lung Compliance

    NARCIS (Netherlands)

    Houben, M.L.; Olde Nordkamp, M.J.M.; Nikkels, P.G.J.; van der Ent, C.K.; Meyaard, L.; Bont, L.J.

    2013-01-01

    The soluble form of the inhibitory immune receptor leukocyte-Associated Ig-like Receptor-1 (sLAIR-1) is present in plasma, urine and synovial fluid and correlates to inflammation. We and others previously showed inflammatory protein expression in normal amniotic fluid at term. We hypothesized that s

  20. Relationship between leptin levels in maternal blood,amniotic fluid,arterial and venous cord blood and fetal growth

    Institute of Scientific and Technical Information of China (English)

    林丽莎; 薛昭卿; 宋岩峰; 何晓宇

    2003-01-01

    Objective:To study the relationship between leptin concentration and fetal growth.Methods: Levels of leptin in maternal serum, amniotic fluid, arterial and venouscord blood of 65 normal parturients (gestational age 37-42weeks) were measured by ra-dioimmunoassay (RIA) method. At the same time, maternal blood lipids were detected.Neonates were divided into three groups: small for gestational age (SGA) group (n=10), appropriate for gestational age (AGA) group (n=45), large for gestational age(LGA) group (n= 10). Statistical analysis was performed by t test, variance analysisand correlation analysis.Results: (1) There was no obvious correlation between leptin concentrations in ma-ternal serum and arterial/ venous cord blood, amniotic fluid, and also no correlationwith birth weight and placental weight (P>0.05). Maternal body mass index signifi-cantly correlated with birth weight and neonatal length and leptin levels in arterial andvenous cord blood (P<0.01). Leptin levels in arterial and venous cord blood positivelycorrelated significantly with placental and neonatal weight and body length (P<0.01)and negatively correlated with high density lipoprotein (P<0. 01). There was no obvi-ous correlation between fetal gender and leptin concentrations in maternal serum, arteri-al and venous cord blood and amniotic fluid; (2) Leptin levels in arterial and venouscord blood , placental weight in LGA group were significantly higher than those in SGAand AGA group (P<0.05). Among three groups, leptin concentrations in maternalblood were significantly higher than those in arterial and venous cord blood (P<0.05).Conclusions: (1)Fetal leptin is synthesized in uterus, born of itself and placenta.Leptin levels in arterial and venous cord blood are related to the intrauterine growthpattern. It might positively regulate birth weight and body fat content. (2)Either mater-nal or fetal leptin was not correlated with fetal gender. There is no gender difference infetal leptin

  1. 羊水栓塞8例临床分析%CLINICAL ANALYSIS ON 8 CASES AMNIOTIC FLUID EMBOLISM

    Institute of Scientific and Technical Information of China (English)

    郑秀金

    2009-01-01

    Objective To probe into the treating method for 8 patients with amniotic fluid embolism and summarize the cognition and experience.Methods A retrospective analysis was made on the treatment of 8 patients with amniotic fluid embolism and the prognosis clinical material of mother and baby.Results All of them had the drop of blood pressure and shock.7 cases had premonitory symptom.7 cases had survived and 1 case had been dead.Conclusion It is very important for the successful rescuing that the symptom is found out in early period, diagnosis is correctly made, adrenocortical hormones and heparin are used in time, amount of blood and fibrinogen level were supplied quickly, pathogenic factors are removed and subtotal hysterectomy can be carried out early, which has absolutely clinical value for the successful rescuing patients with amniotic fluid embolism.%目的 探讨8例羊水栓塞的治疗方法 ,总结认识与体会.方法 回顾性分析8例羊水栓塞的治疗及母儿预后的临床资料.结果 8例均出现血压下降、休克,7例发生前驱症状的临床表现.其中存活7例,死亡1例.结论 抢救成功的关键为早期识别症状,正确地做出诊断,及时应用肾上腺皮质激素、肝素,快速补充血容量及纤维蛋白原,去除致病因子,及早行全子宫切除术.对提高羊水栓塞患者抢救成功率有很大临床价值.

  2. Maternal uniparental disomy of chromosome 2 in a baby with trisomy 2 mosaicism in amniotic fluid culture

    Energy Technology Data Exchange (ETDEWEB)

    Harrison, K. [Morristown Memorial Hospital, NJ (United States); Eisenger, K.; Brown, S. [Columbia Univ., New York, NY (United States)] [and others

    1995-08-28

    We describe the first case of a baby with maternal uniparental disomy of chromosome 2. Growth failure, hypothyroidism, and hyaline membrane disease were present at birth, and the first year of life was complicated by bronchopulmonary dysplasia. At age 14 months, motor and intellectual development were normal, but growth remained below the 10th centile. The baby was investigated for uniparental disomy because trisomy 2 mosaicism had been detected in a second trimester amniocentesis. This is the first reported case in which amniotic fluid chromosome mosaicism has been associated with uniparental disomy. Implications for prenatal diagnosis are considered. 26 refs., 4 figs.

  3. Aortic Compression and Cross Clamping in a Case of Placenta Percreta and Amniotic Fluid Embolism: A Case Report

    Directory of Open Access Journals (Sweden)

    Michael A. Belfort

    2011-09-01

    Full Text Available Amniotic fluid embolism (AFE, also known as anaphylactoid syndrome of pregnancy at the time of surgery for placenta percreta has been previously reported. We report here a case in which AFE and associated cardiac arrest occurred following a hysterectomy for placenta percreta. In this case, subhepatic manual aortic compression during the cardiac arrest and chest compressions followed by infrarenal aortic cross-clamping during volume infusion and reversal of the coagulopathy were associated with a successful resuscitation and good maternal outcome.

  4. Maternal uniparental disomy of chromosome 2 in a baby with trisomy 2 mosaicism in amniotic fluid culture

    Energy Technology Data Exchange (ETDEWEB)

    Harrison, K.B. [Morristown Memorial Hospital, NJ (United States); Eisenger, K.; Brown, S. [Columbia Univ., NY (United States)] [and others

    1994-09-01

    We describe the first case of a baby with maternal uniparental disomy for chromosome 2. Growth failure, hypothyroidism and hyaline membrane disease were present at birth, and the first year of life was complicated by bronchopulmonary dysplasia. At 14 months, motor and intellectual development appear to be normal, but growth remains below the 10th percentile. The baby was investigated for uniparental disomy because trisomy 2 mosaicism had been detected in a second trimester amniocentesis. This is the first reported case in which amniotic fluid chromosome mosaicism has been associated with uniparental disomy. Implications for prenatal diagnosis are considered.

  5. Data on clinical significance of second trimester inflammatory biomarkers in the amniotic fluid in predicting preterm delivery.

    Science.gov (United States)

    Kesrouani, Assaad; Chalhoub, Elie; El Rassy, Elie; Germanos, Mirna; Khazzaka, Aline; Rizkallah, Jamale; Attieh, Elie; Aouad, Norma

    2016-12-01

    In this article second trimester amniotic fluid biomarkers are measured for correlation with preterm delivery. One additional milliliter of amniotic fluid is collected during amniocentesis for dosages of IL-6, MMP-9, CRP and glucose levels, along with maternal serum CRP and glucose. MMP-9 and Il-6 levels were measured with the corresponding Human Quantikine(R) ELISA Kit (R&D systems) according to the instructions provided by the manufacturer. Cut-off values for AF MMP-9 and IL-6 were fixed by the kit sensitivity thresholds. Data includes ROC curves for glucose (Fig. 1), IL-6 (Fig. 2) and MMP-9 (Fig. 3), aiming to search for sensitivity and specificity in the prediction of premature delivery. Statistical analyses are performed with SPSS v20.0 software. Statistical significance is determined using the Mann-Whitney and one way ANOVA test. The association with preterm delivery is performed using a two proportions test. Correlations are measured using the Pearson׳'s coefficient. A p valueamniotic fluid" (A. Kesrouani, E. Chalhoub, E. El Rassy, M. Germanos, A. Khazzaka, J. Rizkallah, E. Attieh, N. Aouad, 2016) [1].

  6. Amniotic fluid cathelicidin in PPROM pregnancies: from proteomic discovery to assessing its potential in inflammatory complications diagnosis.

    Directory of Open Access Journals (Sweden)

    Vojtech Tambor

    Full Text Available BACKGROUND: Preterm prelabor rupture of membranes (PPROM complicated by microbial invasion of the amniotic cavity (MIAC leading to histological chorioamnionitis (HCA significantly impacts perinatal morbidity. Unfortunately, no well-established tool for identifying PPROM patients threatened by these disorders is available. METHODOLOGY/PRINCIPAL FINDINGS: We performed an unbiased exploratory analysis of amniotic fluid proteome changes due to MIAC and HCA. From among the top five proteins that showed the most profound and significant change, we sought to confirm results concerning cathelicidin (P49913, CAMP_HUMAN, since an ELISA kit was readily available for this protein. In our exploratory proteomic study, cathelicidin showed a ∼6-fold higher concentration in PPROM patients with confirmed MIAC and HCA. We verified significantly higher levels of cathelicidin in exploratory samples (women without both MIAC and HCA: median 1.4 ng/ml; women with both conditions confirmed: median 3.6 ng/ml; p = 0.0003. A prospective replication cohort was used for independent validation and for assessment of cathelicidin potential to stratify women with MIAC leading to HCA from women in whom at least one of these conditions was ruled out. We confirmed the association of higher amniotic fluid cathelicidin levels with MIAC leading to HCA (the presence of both MIAC and HCA: median 3.1 ng/ml; other women: median 1.4 ng/ml; p<0.0001. A cathelicidin concentration of 4.0 ng/ml was found to be the best cut-off point for identifying PPROM women with both MIAC and HCA. When tested on the validation cohort, a sensitivity of 48%, a specificity of 90%, a likelihood ratio of 5.0, and an area under receiver-operating characteristic curve of 71% were achieved for identification of women with MIAC leading to HCA. CONCLUSIONS: Our multi-stage study suggests cathelicidin as a candidate marker that should be considered for a panel of amniotic fluid proteins permitting identification

  7. Amniotic fluid embolism incidence, risk factors and outcomes: a review and recommendations

    Directory of Open Access Journals (Sweden)

    Knight Marian

    2012-02-01

    Full Text Available Abstract Background Amniotic fluid embolism (AFE is a rare but severe complication of pregnancy. A recent systematic review highlighted apparent differences in the incidence, with studies estimating the incidence of AFE to be more than three times higher in North America than Europe. The aim of this study was to examine population-based regional or national data from five high-resource countries in order to investigate incidence, risk factors and outcomes of AFE and to investigate whether any variation identified could be ascribed to methodological differences between the studies. Methods We reviewed available data sources on the incidence of AFE in Australia, Canada, the Netherlands, the United Kingdom and the USA. Where information was available, the risk factors and outcomes of AFE were examined. Results The reported incidence of AFE ranged from 1.9 cases per 100 000 maternities (UK to 6.1 per 100 000 maternities (Australia. There was a clear distinction between rates estimated using different methodologies. The lowest estimated incidence rates were obtained through validated case identification (range 1.9-2.5 cases per 100 000 maternities; rates obtained from retrospective analysis of population discharge databases were significantly higher (range 5.5-6.1 per 100 000 admissions with delivery diagnosis. Older maternal age and induction of labour were consistently associated with AFE. Conclusions Recommendation 1: Comparisons of AFE incidence estimates should be restricted to studies using similar methodology. The recommended approaches would be either population-based database studies using additional criteria to exclude false positive cases, or tailored data collection using existing specific population-based systems. Recommendation 2: Comparisons of AFE incidence between and within countries would be facilitated by development of an agreed case definition and an agreed set of criteria to minimise inclusion of false positive cases for

  8. 羊水粪染对妊娠结局影响的临床分析%Clinical Analysis of Meconium Stained Amniotic Fluid Effects on Pregnancy Outcome

    Institute of Scientific and Technical Information of China (English)

    李萍

    2015-01-01

    目的:探讨羊水粪染对母儿妊娠结局的影响。方法选取我院在2010~2014年期间收治的832例羊水粪染患者为研究对象,通过研究患者羊水污染程度、胎心监护结果、孕周与胎粪吸入综合征诊断的相关性,分析羊水粪染对妊娠结局的影响,进行统计学处理。结果羊水粪染的发生率为21.9%,其中过期妊娠或早产儿的羊水粪染发生率显著高于足月产,对比差异显著(P<0.05)有统计学意义;在电子监护异常和新生儿不良结局方面,III度羊水粪染者显著高于I度和II度羊水粪染者(P<0.05),有统计学意义。结论临床上对于I度和II度羊水粪染胎儿要加强监护措施,无需过早干预,对于III度羊水粪染胎儿应尽快娩出,避免造成新生儿不良结局。%Objective To explore the effect of meconium stained amniotic fluid on maternal and perinatal outcome of pregnancy.MethodsIn our hospital 832 cases of meconium stained amniotic fluid of patients as the research object,analysis of meconium stained amniotic fluid influence on pregnancy outcomes,statistical processing.ResultsThe incidence of meconium stained amniotic fluid was 21.9%,which expired pregnancy or preterm meconium staining incidence was significantly higher than that of ful-term,III degree of meconium stained amniotic fluid were significantly higher than that of I and II degrees of meconium stained amniotic fluid. Conclusion For I degrees and II degrees of fetal meconium stained amniotic fluid to strengthen monitoring measures,without the need for early intervention,for the III degree of meconium stained amniotic fluid should be delivered fetus as soon as possible,avoid adverse neonatal outcomes.

  9. Radioimmunoassay of thyroxine and 3,3',5'-triiodothyronine (reverse T3) in human amniotic fluid

    Energy Technology Data Exchange (ETDEWEB)

    Cooper, E.; Anderson, A.; Bennett, M.J.; MacLennan, A.H.; Stirrat, G.M.; Burke, C.W. (Radcliffe Infirmary, Oxford (UK))

    1982-01-05

    Measurements of amniotic fluid iodothyronine concentrations may enable antenatal detection of fetal thyroid abnormalities; however, the delineation of normal ranges is complicated by methodological problems associated with strong and highly variable protein-binding, and specificity of antisera. Improved radioimmunoassays of thyroxine (T4) and 3,3',5'-triiodothyronine (reverse T3, rT3) have been developed to overcome these problems. In normal pregnancy, mean rT3 concentrations at <17 weeks, 17-22 weeks and 35-42 weeks gestation were 3.6 nmol/l (n=21), 6.1 nmol/l (n=14) and 0.66 nmol/l (n=39) respectively; corresponding mean T4 concentrations were 2.4 nmol/l, 6.5 nmol/l and 3.6 nmol/l. rT3 concentrations showed a strong positive correlation with T4 concentration in each age range; however, the molar ratio of rT3 : T4 decreased progressively with gestational age, from 1.69 at <17 weeks to 0.19 at 35-42 weeks. In both mid- and late gestation, rT3 and T4 concentrations were strongly correlated with total amniotic fluid protein concentrations.

  10. Windowed direct exponential curve resolution quantification of nuclear magnetic resonance spectroscopy with applications to amniotic fluid metabonomics

    Energy Technology Data Exchange (ETDEWEB)

    Botros, L.L

    2007-07-01

    This thesis presents a quantitative protocol of proton nuclear magnetic resonance ({sup 1}H NMR) that allows the determination of human amniotic fluid metabolite concentrations, which are then used in a metabonomic study to establish patient health during gestation. {sup 1}H NMR free inductive decays (FIDs) of 258 human amniotic fluid samples from a 500MHz spectrometer are acquired. Quantitative analyses methods in both the frequency- and time-domain are carried out and compared. Frequency-domain analysis is accomplished by integration of the metabolite peaks before and after the inclusion of a known standard addition of alanine. Time-domain analysis is accomplished by the direct exponential curve resolution algorithm (DECRA). Both techniques are assessed by applications to calibration biological solutions and a simulated data set. The DECRA method proves to be a more accurate and precise route for quantitative analysis, and is included in the developed protocol. Well-defined peaks of various components are visible in the frequency-domain {sup 1}H NMR spectra, including lactate, alanine, acetate, citrate, choline, glycine, and glucose. All are quantified with the proposed protocol. Statistical t-test and notched box and whisker plots are used to compare means of metabolite concentrations for diabetic and normal patients. Glucose, glycine, and choline are all found to correlate with gestational diabetes mellitus early in gestation. With further development, time-domain quantitative {sup 1}H NMR has potential to become a robust diagnostic tool for gestational health. (author)

  11. The Clinical study of the Diagnosis of Amniotic Fluid Infection with theAmniotic Lens%羊水镜检查诊断羊水粪染的临床研究

    Institute of Scientific and Technical Information of China (English)

    戴芙蓉; 邵玉兰; 刘光亚

    2001-01-01

    Objective:By observing the characteristics of the amniotic fluid and choosing adaptable delivering ways to reduce the rate of neonatal mortality and asphyxia. Methods: Using the amniotie fluid lens to diagnose whether the amniotic fluid was infected or not. Results: It showed that the diagnostic rate could reach more than 90%. Conclusion:Using amniotic fluid lens has important and practical significance in treating the parturients.%目的:观察羊水性状,选择恰当的分娩方式,降低新生儿窒息、死亡率。方法:我院1998年1至12月采用沈阳市光学仪器厂生产的YSJ-Ⅰ型羊水镜检查,监测有无羊水粪染,并与B超进行比较。结果:发现羊水镜诊断率高达90%,同时可了解胎先露及胎膜早破情况。结论:对临产时医护人员的监护及处理有重要临床实用价值。

  12. [The phenol turbidity test for measurement of pulmonary surfactants in amniotic fluid--rapid test for fetal lung maturity (author's transl)].

    Science.gov (United States)

    Tatsumi, H; Shimada, N; Kuramoto, R; Mochizuki, Y; Nishizima, M; Arai, M; Osanai, K; Ishihara, K; Goso, K; Hotta, K

    1981-05-01

    A simple and sensitive procedure for the quantitative estimation of pulmonary surfactants in the amniotic fluid is described. The method is based on the formation of turbidity from the amniotic fluid surfactants with phenol. Amniotic fluid drawn through an intrauterine catheter was centrifuged at 2000 rpm for 5 min. One ml of 5% aqueous phenol solution was added to 1.0 ml of the diluted supernatant. Control solution was prepared by addition of 1.0 ml of distilled water to the supernatant, instead of phenol solution. The turbidity was measured spectrophotometrically against control at 340 nm 5 to 10 min after agitation on a Vortex mixer for 5 sec. The turbidity obtained from amniotic fluid with phenol was proportional to the increase in total phospholipids in the fluid measured enzymatically. Moreover, only lecithin in the phospholipids was related to the turbidity formation. Sphyngomyelin, lysolecithin, phosphatidylethanolamin did not produce any turbidity with phenol. The spectrophotometric reading of 87 cases (31-41 weeks) was ranged at 0.18-3.52. Four cases with lower value (0.40) showed neonatal respiratory problem. The phenol turbidity test is more useful for the detection of fetal lung maturity comparing with the generally used shake test.

  13. In vitro fabrication of autologous living tissue-engineered vascular grafts based on prenatally harvested ovine amniotic fluid-derived stem cells.

    Science.gov (United States)

    Weber, Benedikt; Kehl, Debora; Bleul, Ulrich; Behr, Luc; Sammut, Sébastien; Frese, Laura; Ksiazek, Agnieszka; Achermann, Josef; Stranzinger, Gerald; Robert, Jérôme; Sanders, Bart; Sidler, Michele; Brokopp, Chad E; Proulx, Steven T; Frauenfelder, Thomas; Schoenauer, Roman; Emmert, Maximilian Y; Falk, Volkmar; Hoerstrup, Simon P

    2016-01-01

    Amniotic fluid cells (AFCs) have been proposed as a valuable source for tissue engineering and regenerative medicine. However, before clinical implementation, rigorous evaluation of this cell source in clinically relevant animal models accepted by regulatory authorities is indispensable. Today, the ovine model represents one of the most accepted preclinical animal models, in particular for cardiovascular applications. Here, we investigate the isolation and use of autologous ovine AFCs as cell source for cardiovascular tissue engineering applications. Fetal fluids were aspirated in vivo from pregnant ewes (n = 9) and from explanted uteri post mortem at different gestational ages (n = 91). Amniotic non-allantoic fluid nature was evaluated biochemically and in vivo samples were compared with post mortem reference samples. Isolated cells revealed an immunohistochemical phenotype similar to ovine bone marrow-derived mesenchymal stem cells (MSCs) and showed expression of stem cell factors described for embryonic stem cells, such as NANOG and STAT-3. Isolated ovine amniotic fluid-derived MSCs were screened for numeric chromosomal aberrations and successfully differentiated into several mesodermal phenotypes. Myofibroblastic ovine AFC lineages were then successfully used for the in vitro fabrication of small- and large-diameter tissue-engineered vascular grafts (n = 10) and cardiovascular patches (n = 34), laying the foundation for the use of this relevant pre-clinical in vivo assessment model for future amniotic fluid cell-based therapeutic applications.

  14. [Cytological-energetic principle of the amniotic fluid examination on female patients with diagnosis of preterm premature rupture of membranes - up to now experiences and perspectives].

    Science.gov (United States)

    Müllerová, K; Kelbich, P; Švecová, M

    2015-12-01

    In our study we have dealt with the amniotic fluid examination on female patients with diagnosis of preterm premature rupture of membranes (PPROM). For one of the most important task in the feto-maternal medicine we consider the discovered method of amniotic fluid examination which is capable of the earliest possible detection in an intraamniotic inflammatory response. Unnoticed could harm or in the most serious cases threat the life of fetus or its mother. This was also the main reason why we chose this topic for our study. We have not been interested only in already known interleu-kin-6 (IL-6), but we have approached the examination comprehensively. We used the cytological-energetic principle supplemented by the examination of aspartate-amino-transferase (AST), in which already are long-term experiences in investigating other extracellular fluids. We have monitored values of C-reactive protein (CRP) and leucocytes in maternal serum, IL-6, AST and energetic score ratio (KEB) in amniotic fluid. Further we have investigated which imunocompetent cells have been dominant in amniotic fluid at different types of inflamantory reaction. According to the results of the examination of the control groups, it was necessary to correct the KEB limit in comparison to KEB limits of other extracellular fluids. Although our study includes untill now only 44 patients - 21 controls and 23 investigated persons, we have been already able to find out some trends of changes in observed parametres. As a very impotant discovery we consider the fact, that KEB, AST and cytological examination of amniotic fluid seem to be the methods for prediction of chorioamnionitis as reliable as the examination of IL-6. These methods are besides less expensive and therefore more suitable for the use in the small hospitals and developing countries. We continue in our study to confirm the previously found trends on the larger numbers of patients.

  15. Diagnóstico laboratorial do líquido amniótico Laboratory diagnosis of amniotic fluid

    Directory of Open Access Journals (Sweden)

    Sabrina Gonçalves Campana

    2003-09-01

    Full Text Available O presente trabalho tem como objetivos a definição e a fisiologia do líquido amniótico, ressaltando aspectos citológicos e principais técnicas para diagnóstico laboratorial das patologias mais freqüentes. A metodologia utilizada foi a revisão bibliográfica atualizada relacionando os aspectos citológicos com a idade gestacional e técnicas laboratoriais para diagnóstico das principais patologias em que são observadas alterações do líquido amniótico, concluindo-se que este é um importante componente do ambiente intra-uterino. Sua produção e absorção dependem de uma série de mecanismos interdependentes entre o feto, a placenta, as membranas e o organismo materno. Atualmente este fluido pode fornecer inúmeras informações sobre a saúde fetal, realizando-se diversas técnicas, entre elas a amniocentese e a dosagem de alfafetoproteína, que pode detectar defeitos do tubo neural e trissomia do cromossomo 21. A análise do líquido amniótico reforça a importância da realização adequada de um pré-natal, sendo importante relacionar os resultados laboratoriais com a clínica.This present paper aims the definition of the amniotic fluid and its physiology standing out cytological aspects and main techniques for laboratorial diagnosis of the most frequent pathologies. The methodology was based on updated bibliographical research relating the cytological aspects with the pregnancy age and laboratorial techniques for diagnosis of the main pathologies in which alterations of the amniotic fluid are observed, concluding that this is an important component of the intrauterine environment. Its production and absorption depend on a series of interdependent mechanisms among the fetus, the placenta, the membranes and the maternal organism. Currently this fluid can supply innumerable information on the fetal health by the use of diverse techniques, among which, amniocentesis and dosage of alpha-fetoprotein, which can detect defects of the

  16. URINARY AND AMNIOTIC FLUID LEVELS OF PHTHALATE MONOESTERS IN RATS AFTER THE ORAL ADMINISTRATION OF DI(2-ETHYLHEXYL) PHTHALATE AND DI-N-BUTYL PHTHALATE

    Science.gov (United States)

    Two studies were designed to examine amniotic fluid and maternal urine concentrations of the di(2-ethylhexyl) phthalate (DEHP) metabolite mono(2-ethylhexyl) phthalate (MEHP) and the di-n-butyl phthalate (DBP) metabolite monobutyl phthalate (MBP) after administration of DEHP and D...

  17. [Reference ranges of matrix metalloproteinase-1, -2, -9 and tissue inhibitor of matrix metalloproteinases-1 concentrations in amniotic fluid in physiological pregnancy].

    Science.gov (United States)

    Korenovsky, Yu V; Remneva, O V

    2016-01-01

    The aim of this study was to determine reference values of matrix metalloproteinase-1 (MMP-1), MMP-2, MMP-9 and tissue inhibitor of matrix metalloproteinases-1 (TIMP-1) in the amniotic fluid at the first stage of labor in physiological pregnancy. 89 women at the first stage of term labor have been examined. Samples of amniotic fluid were taken at the first period of labor by vaginal amniotomy. Concentrations ofMMP-1, MMP-2, MMP-9, and TIMP-1 were investigated in amniotic fluid by ELISA kits. We have determined normal concentration ranges for MMP-1, MMP-2, MMP-9, TIMP-1, and ratios of concentrations of MMPs and TIMP-1 (MMP-1/TIMP-1, MMP-2/TIMP-1, MMP-9/TIMP-1) in the amniotic fluid at the first period of labor in physiological pregnancy. These included: MMP-1--5.1-16.8 pg/mg of protein, MMP-2--238.3-374.1 pg/mg of protein, MMP-9--66.1-113.3 pg/mg of protein, TIMP-1--4.7-13.6 pg/mg of protein, ratio of MMP-1/TIMP-1--0.1-2.2, ratio of MMP-2/TIMP-1--19.9-55.7, ratio of MMP-9/TIMP-1--4.2-17.2.

  18. 羊水过少经阴道分娩的临床观察%Clinical observation of amniotic fluid had less vaginal delivery

    Institute of Scientific and Technical Information of China (English)

    李丽华; 王金兰

    2012-01-01

      目的:探讨妊娠晚期羊水过少的监测、终止妊娠时机、提高阴道分娩率,有效降低剖宫产率.方法:对216例羊水过少孕妇阴道试产的临床资料进行回顾性分析.结果:羊水过少阴道分娩率为58.33%,其中羊水量150~299 ml阴道分娩率为73.58%,羊水量100~149 ml阴道分娩率为48.84%,羊水量小于100 ml阴道分娩率为25%.结论:动态监测妊娠晚期孕妇羊水量,对羊水过少选择适当时机终止妊娠,提高阴道分娩率,有效降低剖宫产率.%  Objective To investigate trimester amniotic fluid too little monitoring,termination of pregnancy timing,increase vaginal delivery rate,effectively reducing the rate of cesarean section.Methods Clinical data on 216 cases of amniotic fluid too few pregnant women vaginal trial of labor were analyzed retrospectively.Results The amniotic fluid had less vaginal birth rate was 58.33%,73.58%of the vaginal delivery rate of 150~299 ml of amniotic fluid volume,amniotic fluid volume of 100~149 ml of vaginal delivery rate of 48.84%,amniotic fluid volume is less than 100 ml of vaginal delivery was 25%.Conclusion Dynamic monitoring of pregnant women in late pregnancy amniotic fluid volume,oligohydramnios an appropriate time to termination of pregnancy,vaginal delivery rate,effectively reducing the rate of cesarean section.

  19. Relationship between neonatal asphyxia and meconium-stained amniotic fluid%新生儿窒息与羊水粪染的临床研究

    Institute of Scientific and Technical Information of China (English)

    郑日华; 谢晓丹; 方妙君

    2013-01-01

    Objective To investigate the relationship between neonatal asphyxia and meconiumstained amniotic fluid.Methods Seventy-seven cases of neonatal asphyxia from January 2010 to December 2011 were selected to annlyze the feature of amniotic fluid.All the newborn were single fetus and mature.Results The rate of meconium-stained was 76.6%,and meconium-stained amniotic fluid Ⅲ played a main role in severe asphyxia of newborn.Conclusions There is a certain relationship between neonatorum asphyxia and meconium-stained amniotic fluid,and the therapy to the meconium-stained amniotic fluid is important.%目的 探讨新生儿窒息和羊水粪染的相关性.方法 选取2010年1月至2011年12月汕头大学医学院第二附属医院分娩的单胎、头位孕37~42周的77例窒息新生儿,对其羊水性状进行分析.结果 新生儿窒息组羊水粪染率为76.6%,新生儿重度窒息组中羊水Ⅲ度粪染比例高.结论 羊水粪染与新生儿窒息有一定的相关性,应重视羊水粪染的母儿处理.

  20. 正常足月产妇羊水组织因子水平与妊娠高凝状态、羊水栓塞的关系研究%To study the relation between normal full-term parturient amniotic fluid TF level detection and hypercoagulable state, amniotic fluid embolism

    Institute of Scientific and Technical Information of China (English)

    张华; 张红英; 袁宁霞; 朱丽红; 车虹彩

    2016-01-01

    目的:探讨正常足月产妇羊水中的组织因子(T F )水平与妊娠高凝状态及羊水栓塞的关系。方法选取2013年1月至2014年12月该院待产的正常足月妊娠产妇158例,检测产妇血浆、羊水、羊水上清液及羊水沉渣中的 TF 和组织因子途径抑制物(TFPI)水平。结果羊水沉渣 TF 水平为(1409.36±120.34)ng/L ,明显高于血浆、羊水及羊水上清液水平,差异有统计学意义(P<0.05);血浆 TF 水平为(30.17±6.49)ng /L ,明显低于羊水各标本水平,差异有统计学意义(P<0.05);羊水沉渣 TFPI 水平为(9.46±1.77)g/L ,明显低于血浆、羊水及羊水上清液水平,差异有统计学意义(P<0.05);血浆 TFPI 水平为(22.19±5.16)g /L ,明显高于羊水各标本(P<0.05);羊水及羊水上清液 TF 和 TFPI 水平差异无统计学意义(P >0.05);羊水、羊水上清液、羊水沉渣中 TF 与 TFPI 呈负相关关系(P<0.05),其中羊水沉渣相关性最强(r =-0.903,P <0.05),血浆标本 TF 与 TFPI 无相关性(P >0.05)。结论正常足月产妇羊水 TF 含量较高,而 TFPI 较低,可能在羊水栓塞的发生机制中起一定的临床作用。%Objective To investigate in normal full term parturient amniotic fluid and its relationship with hy‐percoagulability and amniotic fluid embolism .Methods 158 cases of normal full‐term pregnant was choosed in our hospital from 2013 January to 2014 December ,detected their maternal plasma ,amniotic fluid ,amniotic fluid superna‐tant ,amniotic fluid sediment TF and tissue factor pathway inhibitor (TFPI) levels .Results Normal full‐term partu‐rient amniotic fluid sediment TF level (1 409 .36 ± 120 .34) ng /L ,was higher than that in plasma ,amniotic fluid ,am‐niotic fluid supernatant samples (P 0 .05) ;TF levels and TFPI level had a negative correlation in amniotic fluid

  1. Automated direct high-performance liquid chromatographic assay for estetrol, estriol, cortisone and cortisol in serum and amniotic fluid.

    Science.gov (United States)

    Noma, J; Hayashi, N; Sekiba, K

    1991-07-17

    An automated direct assay for the simultaneous determination of unconjugated estetrol, estriol, cortisone and cortisol in serum and amniotic fluid, using high-performance liquid chromatography with electrochemical detection and ultraviolet detection, has been developed. The analysis time is ca. 1 h. This system offers good reproducibility with low coefficients of variation (estetrol, 2.3%; estriol, 2.3%; cortisone, 2.6%; cortisol, 1.9%). Detection limits are low enough for routine determinations (estetrol and estriol, 150 pg; cortisone and cortisol, 5 ng). Comparison of the values measured by the present method and by radioimmunoassay revealed significant correlations for estetrol (r = 0.787, p less than 0.01), estriol (r = 0.957, p less than 0.01), cortisone (r = 0.956, p less than 0.01) and cortisol (r = 0.865, p less than 0.01). This system proved to be valuable in monitoring feto-placental function. PMID:1770108

  2. Prenatal detection of the cholesterol biosynthetic defect in the Smith-Lemli-Opitz syndrome by the analysis of amniotic fluid sterols.

    Science.gov (United States)

    Abuelo, D N; Tint, G S; Kelley, R; Batta, A K; Shefer, S; Salen, G

    1995-04-10

    The Smith-Lemli-Opitz (SLO or RSH) syndrome is an autosomal recessive disorder characterized by a recognizable pattern of minor facial anomalies, congenital anomalies of many organs, failure to thrive, and mental retardation. Its cause is a defect in cholesterol biosynthesis characterized by abnormally low plasma cholesterol levels and concentrations of the cholesterol precursor 7-dehydrocholesterol (7DHC) elevated up to several thousand-fold above normal. We used capillary column gas-chromatography to quantify sterols in amniotic fluid, amniotic cells, plasma, placenta, and breast milk from a heterozygous mother who had previously given birth to an affected son and in cord blood and plasma from her affected newborn daughter. The cholesterol concentration in amniotic fluid at 16 weeks gestation was normal, but 7DHC, normally undetectable, was greatly elevated. In cultured amniocytes, the level of 7DHC was 11% of total cholesterol, similar to cultured fibroblasts from patients with SLO syndrome. At 38 weeks, a girl with phenotype consistent with the syndrome was born. Cholesterol concentrations were abnormally low in cord blood and in the baby's plasma at 12 weeks, while levels of 7DHC were grossly elevated, confirming the prenatal diagnosis. The mother's plasma cholesterol increased steadily during gestation but remained below the lower 95% limit reported for normal control women. We conclude that it is now possible to detect the SLO syndrome at 16 weeks gestation by analyzing amniotic fluid sterols.

  3. Levels of Adipokines in Amniotic Fluid and Cord Blood Collected from Dichorionic-Diamniotic Twins Discordant for Fetal Growth.

    Directory of Open Access Journals (Sweden)

    Seung Mi Lee

    Full Text Available To compare the concentrations of adipokines in amniotic fluid (AF and cord blood collected from discordant dichorionic-diamniotic (DCDA twin fetuses.The study population included DCDA twins discordant for fetal growth (birth weight difference >10% who either underwent mid-trimester amniocentesis for routine clinical indication (Cohort 1 or whose amniotic fluid was collected at the time of delivery (Cohort 2. In both cohorts, cord blood was collected at delivery.A total of 92 twin pairs were enrolled (n = 49 in Cohort 1; n = 43 in Cohort 2. In Cohort 1, the concentrations of adiponectin (median, 68.5 ng/mL vs 61.4 ng/mL; p<0.05 and leptin (median, 13.9 ng/mL vs 11.2 ng/mL; p<0.1 in mid-trimester AF were significantly higher in smaller compared with larger twins. In Cohort 2, the concentration of serpin E1 (median, 246.0 ng/mL vs 182.8 ng/mL; p<0.01 in AF at delivery was significantly higher in smaller twins, but no difference was noted in adiponectin and leptin concentrations. Levels of adiponectin (median, 10425.5 ng/mL vs 11552.0 ng/mL; p<0.005 and leptin (median, 2.1 ng/mL vs 2.6 ng/mL; p<0.005 were significantly lower in the cord blood of smaller twins whereas cord blood concentrations of serpin E1 (median, 15.5 ng/mL vs 13.3 ng/mL; p<0.05 was higher in the smaller twins.In discordant DCDA twin pairs, concentrations of adiponectin, leptin, and serpin E1 in mid-trimester AF, AF at delivery, and cord blood at birth vary significantly but predictably between the smaller and larger twins.

  4. Relationship of amniotic fluid index (AFI) in third trimester with fetal weight and gender in a southeast Nigerian population

    Science.gov (United States)

    Ugwu, Anthony C; Shem, Samuel L; Abba, Muhammed

    2016-01-01

    Background Amniotic fluid (AF) is one of the major determinants of fetal biophysical profile and can predict pregnancy outcome. Abnormal value of amniotic fluid index (AFI) may indicate fetal and maternal disorders. Purpose To establish reference standards for AFI for this population after 28 weeks of pregnancy and evaluate the relationship between AFI, the estimated fetal weight (EFWT), and fetal gender. Material and Methods A prospective cross-sectional estimation of AFI and FWT was done in 385 apparently healthy pregnant women in the gestational age range of 28–42 weeks. General scanning in longitudinal, transverse, and oblique directions of the abdomen was done to assess the fetal wellbeing and determine the fetal gender for each participant. AF was measured in each of the quadrants of the abdomen. The four values of the AF were summed to get the AFI. Measurement of the head circumference, biparietal diameter, abdominal circumference, and femoral length of the fetus were obtained. The EFWT was calculated using Hadlock’s formula. The data were divided into five groups: 28–30 weeks 6 days; 31–33 weeks 6 days; 34–36 weeks 6 days; 37–39 weeks 6 days; and 40–42 weeks. AFI for the different gestational age group studied and their percentiles were obtained. Results AFI normogram for the local population was established. Positive and significant correlations of AF and EFWT were seen in all the gestational age groups of the women. No significant correlations between AF and EFWT was seen in male fetuses. Regression equations of EFWT and AFI were obtained for female fetuses. Conclusion The normal range for AFI values for the third trimester was established and could be used to evaluate AFI in the studied population. Established fetal weight should be taken into account when interpreting AFI for female fetuses but this need not be applied for male fetuses. PMID:27570636

  5. Diagnostic value of ultrasonography for amniotic fluid belt-shaped echo%超声对羊水内带状回声的诊断价值

    Institute of Scientific and Technical Information of China (English)

    马芬; 田荣华; 李燕

    2014-01-01

    Objective To explore the clinical value of ultrasonography in the diagnosis of amniotic fluid belt-shaped echo. Methods Fifty four mid and late pregnant women with belt-shaped echo in amniotic fluid underwent ultrasonography. Ultrasonographic characteristic of belt-shaped echo in amniotic fluid, the condition of fetuses and placenta appendages were observed. Medical history was inquired and the patients were followed up. Results Among 54 cases with belt-shaped echo in amniotic fluid, 18 of them showed septum for twin pregnancy, 16 of them presented amniotic sheets. The rest included 9 cases of incomplete mediastinum uterus, 7 cases of infused amnion and chorion, 2 cases of lumbar placenta and amniotic band syndrome. Conclusion There are many kinds of reasons for the formation of amniotic fluid belt-shaped echo, some are the normal physiological phenomenon or the benign process, some are the serious pathology phenomena affecting fetal prognosis directly. Correct diagnosis has important value for clinical treatment.%目的:探讨超声诊断羊水内带状回声的临床价值。方法54例伴有羊水内带状回声的中晚期妊娠的孕妇,超声观察带状回声的超声特点及胎儿、附属物情况,询问病史并追踪随访。结果54例羊水内带状回声中,双胎间隔膜18例,羊膜片16例,不全纵隔子宫9例,羊膜、绒毛膜未融合7例,轮状胎盘2例,羊膜带综合征2例。结论羊水内带状回声的形成有多种原因,有的为正常生理现象或良性过程,有的为严重病理现象,直接影响胎儿预后,做出正确诊断对指导临床有重要的价值。

  6. 晚期妊娠羊水过少181例护理%Nursing care of 181 cases of late pregnancy with amniotic fluid

    Institute of Scientific and Technical Information of China (English)

    朱秀珍

    2016-01-01

    Objective:To investigate the effect of amniotic fluid in patients with late pregnancy on maternal and infant.Methods:181 cases of pregnant women with amniotic fluid in term pregnancy were selected.In the same period,181 cases of normal amniotic fluid volume of normal term pregnancy were selected as the control group.We observed the mode of delivery and perinatal infant of the two groups.Results:The amniotic fluid,fetal distress,neonatal asphyxia,aspiration pneumonia,maternal cesarean section rate of the observation group were significantly higher than those of the control group(P<0.05).The observation group neonatal death in 15 cases(8.29%),the control group had no deaths.Conclusion:Amniotic fluid is the most sensitive and specific index of fetal intrauterine chronic hypoxia, which has a serious impact on the prognosis of perinatal infants.Cesarean section is an important measure to deal with amniotic fluid and reduce the mortality of perinatal infants.%目的:探讨晚期妊娠羊水过少对母婴的影响。方法:选择足月妊娠羊水过少孕妇181例,同期随机选取羊水量正常足月妊娠孕妇181例作为对照,观察两组分娩方式及围生儿情况。结果:观察组羊水粪染、胎儿窘迫、新生儿窒息、吸入性肺炎、产妇剖宫产率均明显高于对照组(P<0.05)。观察组新生儿死亡15例(8.29%),对照组无死亡病例。结论:晚期妊娠羊水过少是胎儿宫内慢性缺氧的最敏感的特异性指标,对围生儿预后有严重影响,剖宫产是处理羊水过少及降低围生儿死亡率的重要措施。

  7. Nursing experience of 16 cases of amniotic fluid embolism%羊水栓塞16例护理体会

    Institute of Scientific and Technical Information of China (English)

    陈春林

    2013-01-01

    Objective:To investigate the clinical nursing methods of amniotic fluid embolism. Methods:From 2009 January to 2012 February, 16 patients with amniotic fluid embolism nursing methods were analyzed. Results: 16 cases of patients after treatment of 12 cases of successful treatment, including 4 cases of death. Conclusion:On basis of amniotic fluid embolism in patients with treatment and nursing, maternal chest tightness, symptomatic improvement in dyspnea, bleeding under control, could keep the balance of body fluid with fetus or newborn safety.%  目的:探讨羊水栓塞的临床护理方法。方法:收集2009年1月~2012年2月羊水栓塞患者16例护理方法进行分析。结果:16例患者经救治12例救治成功,其中4例死亡。结论:通过对羊水栓塞患者的救治及护理,产妇胸闷、呼吸困难症状改善,出血不止得到控制,维持体液平衡。胎儿或新生儿安全。

  8. Role of intravenous amino acid infusion in cases of oligohydramnios and its effect on amniotic fluid index and fetal weight gain

    OpenAIRE

    Pragya Shree; Nupur Mittal; Vaibhav Kanti; Sonia Vishwakarma

    2016-01-01

    Background: Oligohydramnios in early pregnancy is attended by serious consequences to the fetus. Various conditions associated with oligohydramnios increase perinatal mortality and morbidity. Different medical and interventional methods have been tried to treat oligohydramnios. The present study was done to study the effect of intravenous amino acid infusion on amniotic fluid index (A.F.I) and fetal weight gain. Methods: A total of 100 patients of oligohydramnios were studied. They were di...

  9. 羊水细胞染色体分析在产前的应用%Amniotic fluid cel chromosome analysis in prenatal application

    Institute of Scientific and Technical Information of China (English)

    王亚群; 童克婷

    2013-01-01

    Objective Study amniotic fluid cel chromosome usefulness in clinical prenatal diagnosis and in the diagnosis of chromosomal disorders. Methods Puncture indications of second trimester amniotic fluid cel culture and chromosome analysis detected abnormal karyotype types and statistics. Results 474 cases were successfuly cultured amniotic fluid detection of abnormal karyotype 22 cases, autosomal abnormal number of 15 cases, the sex chromosome abnormalities, six cases of chromosome structural abnormalities, abnormal detection rate of 4.64%, chromosome polymorphismThe karyotype 22 cases. A conclusion Second trimester amniotic fluid chromosome chromosome-risk pregnant woman is an important means of prenatal diagnosis.%  目的研究羊水细胞染色体检查在临床产前诊断中的实用性和在染色体疾病诊断中的意义.方法对孕中期有穿刺指征的孕妇羊水细胞培养并进行染色体分析,检出异常核型及类型并统计.结果在成功培养的474例羊水中,检出异常核型22例,其中常染色体数目异常15例,性染色体数目异常1例,染色体结构异常6例,异常检出率为4.64%,染色体多态性核型22例.结论孕中期对染色体高危孕妇进行羊水染色体检查是产前诊断的重要手段.

  10. Progress in the Diagnosis and Treatment of Amniotic Fluid Embolism%羊水栓塞诊断治疗的新进展

    Institute of Scientific and Technical Information of China (English)

    刘世芬

    2007-01-01

    羊水栓塞(amniotic fluid embolism,AFE)是一种极为凶险的产科并发症。AFE已上升为产科死因的首位Ⅲ。近几年来对AFE的发病机制已有了更新的认识,现就AFE的诊断、治疗新进展进行讨论。

  11. Analysis of relationship between amniotic fluid pollution and neonatal asphyxia%羊水污染与新生儿窒息关系的分析

    Institute of Scientific and Technical Information of China (English)

    李晓明

    2015-01-01

    羊水污染是胎儿窘迫的重要临床表现。羊水污染与新生儿窒息发生率呈正相关。因此,临床上应加强产程观察,及时发现羊水污染并根据羊水污染程度正确分析判断胎儿缺氧状况,尽早积极处理,降低新生儿窒息率、围产儿死亡率,预防胎粪吸入综合症。此外,脐带因素、胎盘因素、胎膜早破、早产、产程及胎位异常均可导致胎儿窘迫和新生儿窒息,这些因素也必须关注。%Amniotic fluid pollution is the important clinical manifestation of fetal distress. The incidence of amniotic fluid pollution was positively correlated with the incidence of neonatal asphyxia. Therefore, clinical should strengthen the observation of birth process, timely detection of amniotic fluid contamination and according to the degree of amniotic fluid pollution correct analysis determine fetal hypoxia condition, early aggressive treatment, reduce the rate of neonatal asphyxia and perinatal mortality, prevention of meconium aspiration syndrome. In addition, umbilical cord factors, placental factors, premature rupture of membranes, premature birth, birth process and fetal abnormalities can lead to fetal distress and neonatal asphyxia, so we should also must pay close attention to these factors.

  12. Investigation of Efficacy of Mitomycin-C, Sodium Hyaluronate and Human Amniotic Fluid in Preventing Epidural Fibrosis and Adhesion Using a Rat Laminectomy Model

    OpenAIRE

    Bolat, Elif; Kocamaz, Erdoğan; Kulahcilar, Zeki; Yilmaz, Ali; Topcu, Abdullah; Ozdemir, Mevci; Coskun, Mehmet Erdal

    2013-01-01

    Study Design A retrospective study. Purpose The aim of this study was to evalute the effects of mitomycin-C, sodium hyaluronate and human amniotic fluid on preventing spinal epidural fibrosis. Overview of Literature The role of scar tissue in pain formation is not exactly known, but it is reported that scar tissue causes adhesions between anatomic structures. Intensive fibrotic tissue compresses on anatomic structures and increases the sensitivity of the nerve root for recurrent herniation an...

  13. An Update on Maternal Hydration Strategies for Amniotic Fluid Improvement in Isolated Oligohydramnios and Normohydramnios: Evidence from a Systematic Review of Literature and Meta-Analysis

    OpenAIRE

    Gizzo, Salvatore; NOVENTA, MARCO; Vitagliano, Amerigo; Dall’Asta, Andrea; D’Antona, Donato; Aldrich, Clive J.; Quaranta, Michela; Frusca, Tiziana; Patrelli, Tito Silvio

    2015-01-01

    Objective Several trials aimed at evaluating the efficacy of maternal hydration (MH) in increasing amniotic-fluid-volume (AFV) in pregnancies with isolated oligohydramnios or normohydramnos have been conducted. Unfortunately, no evidences support this intervention in routine-clinical-practice. The aim of this systematic-literature-review and meta-analysis was to collect all data regarding proposed strategies and their efficacy in relation to each clinical condition for which MH-therapy was pe...

  14. Bacterial Growth in Amniotic Fluid Is Dependent on the Iron-Availability and the Activity of Bacterial Iron-Uptake System

    OpenAIRE

    Ahn, Young-Joon; Park, Sang-Kee; Oh, Jae-Wook; Sun, Hui-Yu; Shin, Sung-Heui

    2004-01-01

    In the present study, the relationship among iron-availability, antibacterial activity, role of meconium as an iron source and the activity of bacterial iron-uptake system (IUS) for bacterial growth in amniotic fluid (AF) were investigated. Staphylococcus aureus ATCC 6538 and its streptonigrin-resistant (SR) mutant with defective IUS were used as the test strains. The growth of S. aureus in AF was stimulated dosedependently by addition of meconium. Bacterial growth stimulated by meconium was ...

  15. Amniotic fluid stem cells morph into a cardiovascular lineage: analysis of a chemically induced cardiac and vascular commitment

    Directory of Open Access Journals (Sweden)

    Maioli M

    2013-09-01

    Full Text Available Margherita Maioli,1–3 Giovanni Contini,1 Sara Santaniello,1,2 Pasquale Bandiera,1 Gianfranco Pigliaru,1,2 Raimonda Sanna,5 Salvatore Rinaldi,3 Alessandro P Delitala,1 Andrea Montella,1,5 Luigi Bagella,1,6 Carlo Ventura2–41Department of Biomedical Sciences, University of Sassari, Sassari, 2Laboratory of Molecular Biology and Stem Cell Engineering, National Institute of Biostructures and Biosystems, Bologna, 3Department of Regenerative Medicine, Rinaldi Fontani Institute, Florence, 4Cardiovascular Department, S Orsola-Malpighi Hospital, University of Bologna, Bologna, 5Facility of Genetic and Developmental Biology, AOU Sassari, Sassari, Italy; 6Sbarro Institute for Cancer Research and Molecular Medicine, Center for Biotechnology, College of Science and Technology, Temple University, Philadelphia, PA, USAAbstract: Mouse embryonic stem cells were previously observed along with mesenchymal stem cells from different sources, after being treated with a mixed ester of hyaluronan with butyric and retinoic acids, to show a significant increase in the yield of cardiogenic and vascular differentiated elements. The aim of the present study was to determine if stem cells derived from primitive fetal cells present in human amniotic fluid (hAFSCs and cultured in the presence of a mixture of hyaluronic (HA, butyric (BU, and retinoic (RA acids show a higher yield of differentiation toward the cardiovascular phenotype as compared with untreated cells. During the differentiation process elicited by exposure to HA + BU + RA, genes controlling pluripotency and plasticity of stem cells, such as Sox2, Nanog, and Oct4, were significantly downregulated at the transcriptional level. At this point, a significant increase in expression of genes controlling the appearance of cardiogenic and vascular lineages in HA + BU + RA-treated cells was observed. The protein expression levels typical of cardiac and vascular phenotypes, evaluated by Western blotting

  16. Inhibition of glycogen synthase kinase-3 (GSK3) promotes the neural differentiation of full-term amniotic fluid-derived stem cells towards neural progenitor cells.

    Science.gov (United States)

    Gao, Liyang; Zhao, Mingyan; Ye, Wei; Huang, Jinzhi; Chu, Jiaqi; Yan, Shouquan; Wang, Chaojun; Zeng, Rong

    2016-08-01

    The amniotic fluid has a heterogeneous population of cells. Some human amniotic fluid-derived stem (hAFS) cells have been shown to harbor the potential to differentiate into neural cells. However, the neural differentiation efficiency of hAFS cells remains low. In this study, we isolated CD117-positive hAFS cells from amniotic fluid and then examined the pluripotency of these cells through the formation of embryoid bodies (EBs). Additionally, we induced the neural differentiation of these cells using neuroectodermal medium. This study revealed that the GSK3-beta inhibitor SB216763 was able to stimulate the proliferation of CD117-positive hAFS cells without influencing their undifferentiated state. Moreover, SB216763 can efficiently promote the neural differentiation of CD117-positive hAFS cells towards neural progenitor cells in the presence of DMEM/F12 and N2 supplement. These findings provide an easy and low-cost method to maintain the proliferation of hAFS cells, as well as induce an efficacious generation of neural progenitor cells from hAFS cells. Such induction of the neural commitment of hAFS cells may provide an option for the treatment of neurodegenerative diseases by hAFS cells-based therapies.

  17. Predictive value of mid-trimester amniotic fluid high-sensitive C-reactive protein, ferritin, and lactate dehydrogenase for fetal growth restriction

    Directory of Open Access Journals (Sweden)

    Borna Sedigheh

    2009-10-01

    Full Text Available Background: Fetal growth restriction (FGR is surprisingly common with placental dysfunction occurring in about 3% of pregnancies and despite advances in obstetric care, FGR remains a major problem in developed countries. Aim: The purpose of this study is to find out the predictive value of amniotic fluid high sensitive C-reactive protein (hs-CRP, ferritin, and lactate dehydrogenase (LDH for FGR. Materials and Methods: This prospective strategy of this study has been conducted on pregnant women who underwent genetic amniocentesis between 15th and 20th weeks of gestation. All patients were followed up on until delivery. Patients with abnormal karyotype and iatrogenic preterm delivery for fetal and maternal indications were excluded. The samples were immediately sent to laboratory for cytogenetic and biochemical examination. Non-parametric tests and receiver-operator characteristic curve analysis were used for statistical purpose. Results: A significant correlation between incremental amniotic fluid alpha fetoprotein (αFPr and LDH levels and FGR at gestational weeks 15th-20th was found out. We also found an optimum cut-off value> 140 IU/L for the amniotic fluid LDH concentration with a sensitivity of 87.5% and a specificity of 82.4% for the prediction of FGR. Conclusion: Once the LDH value is confirmed, it could serve as a prediction factor for FGR at the time of genetic amniocentesis at gestational weeks 15-20.

  18. Human amniotic fluid stem cells labeled with up-conversion nanoparticles for imaging-monitored repairing of acute lung injury.

    Science.gov (United States)

    Xu, Yunyun; Xiang, Jian; Zhao, He; Liang, Hansi; Huang, Jie; Li, Yan; Pan, Jian; Zhou, Huiting; Zhang, Xueguang; Wang, Jiang Huai; Liu, Zhuang; Wang, Jian

    2016-09-01

    Human amniotic fluid stem (hAFS) cells have generated a great deal of excitement in cell-based therapies and regenerative medicine. Here, we examined the effect of hAFS cells labeled with dual-polymer-coated UCNP-PEG-PEI nanoparticles in a murine model of acute lung injury (ALI). We observed hAFS cells migration to the lung using highly sensitive in vivo upconversion luminescence (UCL) imaging. We demonstrated that hAFS cells remained viable and retained their ability to differentiate even after UCNP-PEG-PEI labeling. More importantly, hAFS cells displayed remarkable positive effects on ALI-damaged lung tissue repair compared with mouse bone marrow mesenchymal stem cells (mBMSCs), which include recovery of the integrity of alveolar-capillary membrane, attenuation of transepithelial leukocyte and neutrophil migration, and down-regulation of proinflammatory cytokine and chemokine expression. Our work highlights a promising role for imaging-guided hAFS cell-based therapy in ALI. PMID:27244692

  19. Multielemental analysis of human amniotic fluid by use of Total Reflection X-Ray Fluorescence and Rutherford Forward Scattering

    International Nuclear Information System (INIS)

    Full text: Correlation studies between the concentrations of certain elements present in human amniotic fluid (A F) and fetal disorders are important. There is a need for a technique or a group of complementary techniques for the reliable elemental analysis of A F. In order to study the reliability of Total Reflection X-Ray Fluorescence (TXRF), a comparison between TXRF and the well established technique of Proton Induced X-Ray Emission (PIXE) has been carried out by measuring the concentrations of Cl, K, Ca, Fe, Cu, Zn and Br in 10 common samples of A F. Different degrees of consistency have been obtained depending on the element being analyzed. There is a need to establish the experimental conditions under which a complete agreement between TXRF and PIXE is achieved. A common weakness of TXRF and PIXE is the difficulty to obtain adequate signals from elements lighter than Aluminum. To overcome this problem, a method based on Rutherford Forward Scattering (RFS) for the quantification of elements as light as Lithium is under development. Details on the experimental configuration (beam type, beam energy, detector angle, sample preparation, etc) that leads to an appropriate mass separation by using RFS will be given. Both TXRF and RFS are extremely convenient for correlating physical and medical data because they are non-destructive multielemental techniques which require small amounts of the sample to be analyzed

  20. Chromosome abnormalities diagnosed in utero: a Japanese study of 28 983 amniotic fluid specimens collected before 22 weeks gestations.

    Science.gov (United States)

    Nishiyama, Miyuki; Yan, Jim; Yotsumoto, Junko; Sawai, Hideaki; Sekizawa, Akihiko; Kamei, Yoshimasa; Sago, Haruhiko

    2015-03-01

    To investigate the frequency and type of abnormal karyotype in Japan by amniocentesis before 22 weeks of gestation. We performed a retrospective analysis of 28 983 amniotic fluid specimens in a local population collected before 22 weeks gestations for fetal karyotyping. The incidence of abnormal karyotype was 6.0%. The main indication was advanced maternal age (AMA) of 35 years and older, which represented over half of the clinical indications. Abnormal karyotype was most frequently reported among the referrals for abnormal ultrasound findings (21.8%), followed by positive maternal serum screen results (5.3%). Three-fourths of abnormal karyotype was either autosomal aneuploidy (64.0%) or sex chromosome aneuploidy (11.6%). Abnormal karyotype was detected in 2.8% of pregnant women referred for AMA. Clinically significant abnormal karyotype increased with advancing maternal age. The frequency and type of abnormal karyotype detected by amniocentesis for various indications were determined. Amniocentesis was mainly performed among the referrals for AMA, which is a characteristic distribution of indications of Japan.

  1. Prenatal diagnosis of Down syndrome using cell-free fetal DNA in amniotic fluid by quantitative fluorescent polymersase chain reaction

    Institute of Scientific and Technical Information of China (English)

    Wu Dan; Chi Hongbin; Shao Minjie; Wu Yao; Jin Hongyan; Wu Baiyan; Qiao Jie

    2014-01-01

    Backgroud Amniotic fluid (AF) supernatant contains cell-free fetal DNA (cffDNA) fragments.This study attempted to take advantage of cffDNA as a new material for prenatal diagnosis,which could be combined with simple quantitative fluorescent polymerase chain reaction (QF-PCR) to provide an ancillary method for the prenatal diagnosis of trisomy 21 syndrome.Methods AF supernatant samples were obtained from 27 women carrying euploid fetuses and 28 women carrying aneuploid fetuses with known cytogenetic karyotypes.Peripheral blood samples of the parents were collected at the same time.Short tandem repeat (STR) fragments on chromosome 21 were amplified by QF-PCR.Fetal condition and the parental source of the extra chromosome could be determined by the STR peaks.Results The sensitivity of the assay for the aneuploid was 93% (26/28; confidence interval,CI:77%-98%) and the specificity was 100% (26/26; CI:88%-100%).The determination rate of the origin of the extra chromosome was 69%.The sensitivity and the specificity of the assay in the euploid were 100% (27/27).Conclusions Trisomy 21 can be prenatally diagnosed by the QF-PCR method in AF supernatant.This karyotype analysis method greatly reduces the requirement for the specimen size.It will be a benefit for early amniocentesis and could avoid pregnancy complications.The method may become an ancillary method for prenatal diagnosis of trisomy 21.

  2. Tuberin and PRAS40 are anti-apoptotic gatekeepers during early human amniotic fluid stem-cell differentiation.

    Science.gov (United States)

    Fuchs, Christiane; Rosner, Margit; Dolznig, Helmut; Mikula, Mario; Kramer, Nina; Hengstschläger, Markus

    2012-03-01

    Embryoid bodies (EBs) are three-dimensional multicellular aggregates allowing the in vitro investigation of stem-cell differentiation processes mimicking early embryogenesis. Human amniotic fluid stem (AFS) cells harbor high proliferation potential, do not raise the ethical issues of embryonic stem cells, have a lower risk for tumor development, do not need exogenic induction of pluripotency and are chromosomal stable. Starting from a single human AFS cell, EBs can be formed accompanied by the differentiation into cells of all three embryonic germ layers. Here, we report that siRNA-mediated knockdown of the endogenous tuberous sclerosis complex-2 (TSC2) gene product tuberin or of proline-rich Akt substrate of 40 kDa (PRAS40), the two major negative regulators of mammalian target of rapamycin (mTOR), leads to massive apoptotic cell death during EB development of human AFS cells without affecting the endodermal, mesodermal and ectodermal cell differentiation spectrum. Co-knockdown of endogenous mTOR demonstrated these effects to be mTOR-dependent. Our findings prove this enzyme cascade to be an essential anti-apoptotic gatekeeper of stem-cell differentiation during EB formation. These data allow new insights into the regulation of early stem-cell maintenance and differentiation and identify a new role of the tumor suppressor tuberin and the oncogenic protein PRAS40 with the relevance for a more detailed understanding of the pathogenesis of diseases associated with altered activities of these gene products.

  3. The use of human amniotic fluid mesenchymal stem cells as the feeder layer to establish human embryonic stem cell lines.

    Science.gov (United States)

    Soong, Yung-Kwei; Huang, Shang-Yu; Yeh, Chiu-Hsiang; Wang, Tzu-Hao; Chang, Kuo-Hsuan; Cheng, Po-Jen; Shaw, S W Steven

    2015-12-01

    Human embryonic stem cells (hESCs) are pluripotent cells that have the potential to differentiate into the three germ layers and possibly all tissues of the human body. To fulfil the clinical potentials for cell-based therapy, banks of hESC lines that express different combinations of the major histocompatibility genes should be established, preferably without exposing such cells to animal cells and proteins. In this study, we tested human amniotic fluid mesenchymal stem cells (AFMSCs) as feeder cells to support the growth of hESCs. Our results indicated that mitomycin-treated AFMSCs were able to support the newly established hESC lines CGLK-1 and CGLK-2. The hESC colonies cultured on AFMSCs expressed alkaline phosphatase (ALK-P), SSEA-4, TRA-1-60, TRA-1-81, Oct-4, Nanog and Sox-2, which are markers for undifferentiated hESCs. Chromosomal analyses of both hESC lines, CGLK-1 and CGLK-2, which were cultured on AFMSC feeders for 22 and 14 passages, respectively, were confirmed to be normal karyotypes (46, XX). The ability of AFMSCs as feeder cells to maintain the undifferentiated growth and pluripotency of hESCs was confirmed by in vivo formation of teratomas derived on AFMSC hESCs in severe combined immune-compromised mice. The use of AFMSCs for feeder cells to culture hESCs has several advantages, in that AFMSCs are not tumourigenic and can be expanded extensively with a short doubling time.

  4. Mercury concentrations in human placenta, umbilical cord, cord blood and amniotic fluid and their relations with body parameters of newborns

    International Nuclear Information System (INIS)

    Studies were conducted on samples taken from giving birth women (n = 40) living in Poland, representing three age groups: 19–25, 26–30 and 31–38 years old. Mercury concentrations were measured with CV-AAS in placenta, umbilical cord, cord blood and amniotic fluid. The placentas weight did not exceed the 750 g value and was heavier than 310 g. Mean values of Hg concentrations in blood, placenta and umbilical cord were similar (c.a. 9 μg/g). High levels of mercury were noted in cord blood which in 75% of all observations exceeded (up to 17 μg/L) the safe dose set by US EPA (5.8 μg/L). No statistically significant differences in medium level of Hg in all the studied tissues among age groups of women were observed. Positive correlations between Hg concentrations in placenta and umbilical cord and cord blood were revealed as well as some negative ones between mercury concentrations and pregnancy parameters. -- Highlights: •Concentrations of mercury in cord blood exceed the safety threshold level. •Maternal age was not an influential factor of Hg concentrations in studied samples. •Positive correlations between Hg levels in different tissues were observed. •Negative correlation between Hg concentrations and pregnancy parameters were noted. -- Maternal age was not an influential factor of mercury concentrations in studied samples. 75% of cord blood samples exceeded the Hg threshold concentration

  5. The relationship between meconium-stained amniotic fluid and chorioamnionitis%羊水粪染与绒毛膜羊膜炎关系探讨

    Institute of Scientific and Technical Information of China (English)

    杜玉琴; 刘群香; 蔡丹青

    2011-01-01

    目的:探讨Ⅱ~Ⅲ度羊水粪染与绒毛膜羊膜炎的关系及对围生儿的影响.方法:对2010年2~8月囚羊水Ⅱ~Ⅲ度粪染行胎盘病理检查的236例临床资料进行回顾性分析.结果:在236例Ⅱ~Ⅲ度羊水粪染病例中,胎盘病理检查有组织学绒毛膜羊膜炎病例多于无组织学绒毛膜羊膜炎病例,重度绒毛膜羊膜炎新生儿窒息发病率较尤急性绒毛膜羊膜炎和轻、中度急性绒毛膜羊膜炎病例高(P<0.05),有组织学绒毛膜羊膜炎与无组织学绒毛膜羊膜炎的胎盘病理表现基本相同(P>0.05).结论:Ⅱ~Ⅲ度羊水粪染与绒毛膜羊膜炎密切相关;绒毛膜羊膜炎引起绒毛及血管病变是导致羊水粪染、胎儿窘迫、新生儿窒息原因之一.在临床工作中对羊水Ⅱ~Ⅲ度粪染病例应常规行胎盘病理检查,有利于诊断及指导孕产妇和新生儿的治疗.%Objective: To study on the relationship between meconium - stained amniotic fluid of Ⅱ ~ Ⅲ degree and chorioamnionitis and the effect of meconium - stained amniotic fluid on perinatal children.Methods: 236 patients who were done placental pathology because of Ⅱ - Ⅲ degree meconium- stained amniotic fluid from February, 2010 to August, 2010 in our hospital were retrospectively analyzed.Results: In 236 cases of Ⅱ - Ⅲ degree meconium - stained amniotic fluid, the patients with histologically chorioamnionitis were more than the patients without histologically chorioamnionitis (64.41% ) by placental pathology, the incidence of neonatal asphyxia with severe chorioamnionitis was higher than those without acute chorioamnionitis and mild acute chorioamnionitis ( P < 0.05 ).The placental pathology was same between histologic chorioamnionitis and no histological chorioamnionitis (P > 0.05 ).Conclusion: Ⅱ - Ⅲ degree meconium - stained amniotic fluid is closely related with the chorioamnionitis; Chorioamnionitis caused by vascular disease is one of the

  6. Cell-free DNA Fragmentation Patterns in Amniotic Fluid Identify Genetic Abnormalities and Changes due to Storage

    Science.gov (United States)

    Peter, Inga; Tighiouart, Hocine; Lapaire, Olav; Johnson, Kirby L.; Bianchi, Diana W.; Terrin, Norma

    2015-01-01

    Circulating cell-free DNA (cfDNA) has become a promising biomarker in prenatal diagnosis. However, despite extensive studies in different body fluids, cfDNA predictive value is uncertain owing to the confounding factors that can affect its levels, such as gestational age, maternal weight, smoking status, and medications. Residual fresh and archived amniotic fluid (AF) supernatants were obtained from gravid women (mean gestational age 17 wk) carrying euploid (N = 36) and aneuploid (N = 29) fetuses, to characterize cfDNA-fragmentation patterns with regard to aneuploidy and storage time (−80°C). AF cfDNA was characterized by the real-time quantitative polymerase chain reaction amplification of glyceraldehyde-3-phosphate dehydrogenase, gel electrophoresis, and pattern recognition of the DNA fragmentation. The distributions of cfDNA fragment lengths were compared using 6 measures that defined the locations and slopes for the first and last peaks, after elimination of the confounding variables. This method allowed for the unique classification of euploid and aneuploid cfDNA samples in AF, which had been matched for storage time. In addition, we showed that archived euploid AF samples gradually lose long cfDNA fragments: this loss accurately distinguishes them from the fresh samples. We present preliminary data using cfDNA-fragmentation patterns, to uniquely distinguish between AF samples of pregnant women with regard to aneuploidy and storage time, independent of gestational age and initial DNA amount. In addition to potential applications in prenatal diagnosis, these data suggest that archived AF samples consist of large amounts of short cfDNA fragments, which are undetectable using standard real-time polymerase chain reaction amplification. PMID:18382362

  7. The transplantation of Akt-overexpressing amniotic fluid-derived mesenchymal stem cells protects the heart against ischemia-reperfusion injury in rabbits

    Science.gov (United States)

    WANG, YAN; LI, YIGANG; SONG, LEI; LI, YANYAN; JIANG, SHAN; ZHANG, SONG

    2016-01-01

    Amniotic fluid-derived mesenchymal stem cells (AFMSCs) are an attractive cell source for applications in regenerative medicine, due to characteristics such as proliferative capacity and multipotency. In addition, Akt, a serine-threonine kinase, maintains stem cells by promoting viability and proliferation. Whether the transplantation of Akt-overexpressing AFMSCs protects the heart against ischemia-reperfusion (I/R) injury has yet to be elucidated. Accordingly, the Akt gene was overexpressed in AFMSCs using lentiviral transduction, and Akt-AFMSCs were transplanted into the ischemic myocardium of rabbits prior to reperfusion. Any protective effects resulting from this procedure were subsequently sought after three weeks later. A histological examination revealed that there was a decrease in intramyocardial inflammation and ultrastructural damage, and an increase in capillary density and in the levels of GATA binding protein 4, connexin 43 and cardiac troponin T in the Akt-AFMSC group compared with the control group. A significant decrease in cardiomyocyte apoptosis, accompanying an increase in phosphorylated Akt and B-cell lymphoma 2 (Bcl-2) and a decrease in caspase-3, was also observed. Furthermore, the left ventricular function was markedly augmented in the Akt-AFMSC group compared with the control group. These observations suggested that the protective effect of AFMSCs may be due to the delivery of secreted cytokines, promotion of neoangiogenesis, prevention of cardiomyocyte apoptosis, transdifferentiation into cardiomyocytes and promotion of the viability of AFMSCs, which are assisted by Akt gene modification. Taken together, the results of the present study have indicated that transplantation of Akt-AFMSCs is able to alleviate myocardial I/R injury and improve cardiac function. PMID:27151366

  8. 羊水来源干细胞的研究进展%Research Progresses of Amniotic Fluid-derived Stem Cells

    Institute of Scientific and Technical Information of China (English)

    王艳

    2011-01-01

    干细胞具有自我更新和多向分化的潜能,是目前医学及组织工程学研究的热点.近来发现羊水中含有干细胞,具有向内、中、外三个胚层分化的能力,且通过了功能测试.由于羊水来源广泛、创伤小、无伦理道德方面的限制且无致瘤性,将为干细胞开辟新的研究领域,为组织工程提供新的种子细胞来源,为细胞介导的基因治疗提供新的载体.目前对其来源及生物学特征的研究还不是很清楚.现对羊水中细胞的组成、羊水来源干细胞分离培养、生物学特征及鉴定、分化潜能等问题进行综述.%Stem cells possess the potentials of self-renewal and multipotent differentiation, which has become a hotspot of medical and tissue engineering research. Recently, amniotic fluids are found to contain stem cells capable of differentiating to endoderm, mesoderm,and ectoderm as justified by functional tests. As amniotic fluids have a wide source, minimally invasive harvest,less ethnical restriction, and free of tumorigenesis,they are used to create a new research field to provide new seed cells for tissue engineering and new vectors for cell-based gene therapy. The source and biological properties of amniotic fluid-derived stem cells remain unclear until now. This article reviews the components of amniotic cells,isolation and culture of amniotic fluid-derived stem cells, biological properties, characterization, and differential potentials.

  9. 围术期急性羊水栓塞11例诊治分析%Analysis of 11 cases of perioperative acute amniotic fluid embolism

    Institute of Scientific and Technical Information of China (English)

    莫竹泉; 蓝英平; 梁天北; 韦天全

    2015-01-01

    目的:通过探讨围术期羊水栓塞的发生原因及诊治措施,提高对羊水栓塞的诊断、预防及抢救水平。方法收集1995年5月-2011年8月围术期羊水栓塞患者11例,进行回顾性分析。结果11例羊水栓塞患者中,进入手术室尚未进行麻醉出现羊水栓塞的患者2例,剖宫产术中出现羊水栓塞的患者9例。有胸闷、呼吸困难、呛咳等肺动脉高压症状者6例,确诊弥散性血管内凝血(DIC)者5例,经抢救治疗后,6例症状缓解,4例切口及阴道出血不止,行子宫全切除或次全切除术。抢救无效死亡1例,抢救治愈10例,死亡率9.09%。结论及时、正确的诊断,并采取合理、有效的抢救措施是提高抢救成功率的关键。%Objective To explore the causes and treatment of perioperative amniotic fluid embolism,and improve the diagnosis,prevention and rescue level of amniotic fluid embolism. Methods Clinical data of 11 patients with perioperative am-niotic fluid embolism from May 1995 to August 2011 were collected and retrospectively analyzed. Results 11 cases of amniot-ic fluid embolism patients into the operation room had not yet performed anesthesia in patients with amniotic fluid embolism in 2 cases;9 cases of amniotic fluid embolism occurred in patients with cesarean section. Chest tightness,dyspnea,choking cough and pulmonary arterial hypertension symptoms were occurred in 6 cases,and 5 cases were diagnosed diffuse intravascular coag-ulation(DIC). After treatment,6 patients relieved the symptoms,and 4 cases of incision and vaginal bleeding,and then uterine subtotal or time total resection. Died 1 case,and rescue cure in 10 cases,the mortality rate was 9. 09% . Conclusion Timely and correct diagnosis,taking reasonable and effective rescue measures is the key to improve the success rate of rescue.

  10. Induction of E-cadherin+ human amniotic fluid cell differentiation into oocyte-like cells via culture in medium supplemented with follicular fluid.

    Science.gov (United States)

    Liu, Te; Huang, Yongyi; Bu, Yanzhen; Zhao, Yanhui; Zou, Gang; Liu, Zhixue

    2014-07-01

    Pluripotent human amniotic fluid cells (HuAFCs) can differentiate into various types of somatic cell in vitro. However, their differentiation into oocyte-like cells has never been described to the best of our knowledge. In the present study, differentiation of E-cadherin+ and E-cadherin- HuAFC sub-populations into oocyte-like cells was induced via culture in medium containing bovine follicular fluid and β-mercaptoethanol. The E-cadherin+ HuAFCs expressed DAZL highly. Post-induction, cells with an oocyte-like phenotype were found among the E-cadherin+ HuAFCs, expressing markers specific to germ cells and oocytes (VASA, ZP3 and GDF9) and meiosis (DMC1 and SCP3). When specific small interfering RNA (siRNA) was used to suppress E-cadherin in the E-cadherin+ HuAFCs, the levels of DAZL expression were reduced. Post-induction, the morphology of the siRNA‑E‑cadherin HuAFCs was poorer and the expression levels of germ cell-specific markers were lower compared with those of the siRNA-mock HuAFCs. Therefore, E-cadherin+ HuAFCs could be more easily induced to differentiate into oocyte-like cells by bovine follicular fluid and β-mercaptoethanol. In addition, the E-cadherin+ HuAFCs exhibited potential characteristics of DAZL protein expression, and thus it was conjectured that bovine follicular fluid acts on DAZL protein and promotes E-cadherin+ HuAFC differentiation into oocyte-like cells.

  11. Células-tronco do líquido amniótico Amniotic fluid stem cells

    Directory of Open Access Journals (Sweden)

    Sergio P. Bydlowski

    2009-05-01

    Full Text Available Desde o primeiro isolamento e cultivo de células-tronco embrionárias humanas, há mais de 10 anos, seu uso na pesquisa e terapia foi inibida por considerações éticas complexas e pelo risco de transformação maligna destas células indiferenciadas após transplante no paciente. As células-tronco adultas são eticamente aceitas e o risco de transformação maligna é muito baixo. Entretanto, seu potencial de diferenciação e sua capacidade proliferativa são limitados. Cerca de 6 anos atrás, a descoberta de célulastronco no líquido amniótico que expressavam Oct-4, um marcador específico de pluripotencialidade, com alta capacidade de proliferação e diferenciação, iniciou um novo campo promissor na área das células-tronco. Estas células têm potencial de se diferenciar em células dos três folhetos germinativos. Não formam tumores in vivo e não levantam os questionamentos éticos associados com as células-tronco embrionárias humanas. Futuras investigações revelarão se as células-tronco do líquido amniótico realmente irão representar um tipo intermediário com vantagens em relação tanto às células-tronco embrionárias quanto às adultas. Este artigo faz uma revisão acerca destes tópicos e das características biológicas das células-tronco do líquido amniótico.Since the first successful isolation and cultivation of human embryonic stem cells about 10 years ago, their use for research and therapy has been constrained by complex ethical considerations as well as by the risk of development of malignancies of undifferentiated embryonic stem cells after transplantation into the patient. Adult stem cells are ethically acceptable and the risk of tumor development is low. However, their differentiation potential and proliferative capacity are limited. About 6 years ago, the discovery of Oct-4 expressing amniotic fluid stem cells, a specific marker of pluripotency, with a high proliferative capacity, and multilineage

  12. 羊水 ABH血型物质测定与 ABO 血型基因分型%Detection of amniotic fluid ABH blood group substances and ABO blood type gene classification

    Institute of Scientific and Technical Information of China (English)

    陈江; 逯心敏; 郭渝; 胡伟

    2014-01-01

    Objective To detect amniotic fluid ABH blood group substances and ABO blood group genotype by the polymerase chain reaction with sequence-specific primers(PCR-SSP) to increase the prenatal diagnosis of fetal ABO blood group .Methods 53 pregnant women with gestational age 16 -25 weeks were selected .Amniotic fluid was extracted for detecting ABH blood group substances by the serological indirect agglutinating reaction ;the amniotic fluid cells were separated for extracting DNA .Then the PCR-SSP technique was adopted to analyze the ABO blood group genotypes .Results 16 specimens of amniotic fluid were non-se-creting type phenotype(30 .2% ) and 37 specimens of amniotic fluid were secreting type phenotype (69 .8% );48 specimens of amni-otic fluid were detected out the ABO blood group genotype by the PCR-SSP method .ABO blood group of fetal amniotic fluid cells by the gene identification was consistent to the detection results of amniotic fluid secreting type ABH blood group substances .Con-clusion The PCR-SSP technique can accurately detect the fetal amniotic fluid cells ABO blood group .%目的:通过检测羊水ABH血型物质和序列特异性引物-聚合酶链反应(PCR-SSP)基因技术检测胎儿羊水细胞ABO血型基因型,鉴定胎儿ABO血型。方法选取妊娠16~25周的孕妇53例,抽取羊水,利用间接凝集实验测定羊水AB H血型物质;将羊水细胞进行分离,提取羊水细胞DNA ,运用PCR-SSP技术分析其ABO血型基因型。结果16例羊水标本为非分泌型,占30.2%,37例羊水标本为分泌型,占69.8%;48例羊水标本通过PCR-SSP方法检测出了ABO血型的基因型。经基因鉴定的胎儿羊水细胞ABO血型与羊水分泌型ABH血型物质检测结果一致。结论 PCR-SSP技术可以准确地检测胎儿羊水细胞的ABO血型。

  13. Determinants of organochlorine levels detectable in the amniotic fluid of women from Tenerife Island (Canary Islands, Spain).

    Science.gov (United States)

    Luzardo, Octavio P; Mahtani, Vikesh; Troyano, Juan M; Alvarez de la Rosa, Margarita; Padilla-Pérez, Ana I; Zumbado, Manuel; Almeida, Maira; Burillo-Putze, Guillermo; Boada, Carlos; Boada, Luis D

    2009-07-01

    Organochlorines (OCs) tend to accumulate in human tissues and can be measured in amniotic fluid (AF). The detection of OCs in AF samples reflects intrauterine exposure of human beings to these persistent organic pollutants. The present study was performed to evaluate the level of contamination of AF by OCs in 100 pregnant women from Tenerife Island (Canary Islands, Spain). Gas chromatography/mass spectrometry (GC/MS) was used to identify and quantify the analytes, including 7 polychlorobiphenyl (PCB) congeners and 18 OC pesticides and metabolites. The majority of the AF samples (67%) showed some detectable OC-residue, hexachlorobenzene (HCB) being the most frequently detected compound (66% of the samples) and at the highest concentration (median 0.023 ng/ml). Lindane was also detected in 28% of the samples. Inverse associations were found between previous lactation and hexachlorocyclohexane isomers (HCH) and cyclodienes in the group of younger women (p = 0.037 and p = 0.027, respectively). Unexpectedly, serum values of HCB (r = -0.414; p = 0.04), gamma-HCH (r = -0.294; p = 0.035), and SigmaOCs (r = -0.350; p = 0.014) were negatively related to age. Even more, women with detectable levels of HCH isomers were younger (33.9 +/- 4.9 years) than women with undetectable levels of them (36.1 +/- 4.9 years; p = 0.035). We conclude that approximately one in two fetuses in the Canary Islands is exposed to OCs in utero, and that, therefore, the exposure of young women from these Islands to some HCH isomers persists nowadays. Because prenatal exposure to these chemicals may be a causative factor in adverse health trends, further studies are required to enhance preventive measures.

  14. Feasibility of Human Amniotic Fluid Derived Stem Cells in Alleviation of Neuropathic Pain in Chronic Constrictive Injury Nerve Model.

    Directory of Open Access Journals (Sweden)

    Chien-Yi Chiang

    Full Text Available The neurobehavior of neuropathic pain by chronic constriction injury (CCI of sciatic nerve is very similar to that in humans, and it is accompanied by a profound local inflammation response. In this study, we assess the potentiality of human amniotic fluid derived mesenchymal stem cells (hAFMSCs for alleviating the neuropathic pain in a chronic constriction nerve injury model.This neuropathic pain animal model was conducted by four 3-0 chromic gut ligatures loosely ligated around the left sciatic nerve in Sprague-Dawley rats. The intravenous administration of hAFMSCs with 5x105 cells was conducted for three consecutive days.The expression IL-1β, TNF-α and synaptophysin in dorsal root ganglion cell culture was remarkably attenuated when co-cultured with hAFMSCs. The significant decrease of PGP 9.5 in the skin after CCI was restored by administration of hAFMSCs. Remarkably increased expression of CD 68 and TNF-α and decreased S-100 and neurofilament expression in injured nerve were rescued by hAFMSCs administration. Increases in synaptophysin and TNF-α over the dorsal root ganglion were attenuated by hAFMSCs. Significant expression of TNF-α and OX-42 over the dorsal spinal cord was substantially attenuated by hAFMSCs. The increased amplitude of sensory evoked potential as well as expression of synaptophysin and TNF-α expression was alleviated by hAFMSCs. Human AFMSCs significantly improved the threshold of mechanical allodynia and thermal hyperalgesia as well as various parameters of CatWalk XT gait analysis.Human AFMSCs administration could alleviate the neuropathic pain demonstrated in histomorphological alteration and neurobehavior possibly through the modulation of the inflammatory response.

  15. Amniotic fluid stem cells inhibit the progression of bleomycin-induced pulmonary fibrosis via CCL2 modulation in bronchoalveolar lavage.

    Directory of Open Access Journals (Sweden)

    Orquidea Garcia

    Full Text Available The potential for amniotic fluid stem cell (AFSC treatment to inhibit the progression of fibrotic lung injury has not been described. We have previously demonstrated that AFSC can attenuate both acute and chronic-fibrotic kidney injury through modification of the cytokine environment. Fibrotic lung injury, such as in Idiopathic Pulmonary Fibrosis (IPF, is mediated through pro-fibrotic and pro-inflammatory cytokine activity. Thus, we hypothesized that AFSC treatment might inhibit the progression of bleomycin-induced pulmonary fibrosis through cytokine modulation. In particular, we aimed to investigate the effect of AFSC treatment on the modulation of the pro-fibrotic cytokine CCL2, which is increased in human IPF patients and is correlated with poor prognoses, advanced disease states and worse fibrotic outcomes. The impacts of intravenous murine AFSC given at acute (day 0 or chronic (day 14 intervention time-points after bleomycin injury were analyzed at either day 3 or day 28 post-injury. Murine AFSC treatment at either day 0 or day 14 post-bleomycin injury significantly inhibited collagen deposition and preserved pulmonary function. CCL2 expression increased in bleomycin-injured bronchoalveolar lavage (BAL, but significantly decreased following AFSC treatment at either day 0 or at day 14. AFSC were observed to localize within fibrotic lesions in the lung, showing preferential targeting of AFSC to the area of fibrosis. We also observed that MMP-2 was transiently increased in BAL following AFSC treatment. Increased MMP-2 activity was further associated with cleavage of CCL2, rendering it a putative antagonist for CCL2/CCR2 signaling, which we surmise is a potential mechanism for CCL2 reduction in BAL following AFSC treatment. Based on this data, we concluded that AFSC have the potential to inhibit the development or progression of fibrosis in a bleomycin injury model during both acute and chronic remodeling events.

  16. Amniotic fluid stem cells with low γ-interferon response showed behavioral improvement in Parkinsonism rat model.

    Directory of Open Access Journals (Sweden)

    Yu-Jen Chang

    Full Text Available Amniotic fluid stem cells (AFSCs are multipotent stem cells that may be used in transplantation medicine. In this study, AFSCs established from amniocentesis were characterized on the basis of surface marker expression and differentiation potential. To further investigate the properties of AFSCs for translational applications, we examined the cell surface expression of human leukocyte antigens (HLA of these cells and estimated the therapeutic effect of AFSCs in parkinsonian rats. The expression profiles of HLA-II and transcription factors were compared between AFSCs and bone marrow-derived mesenchymal stem cells (BMMSCs following treatment with γ-IFN. We found that stimulation of AFSCs with γ-IFN prompted only a slight increase in the expression of HLA-Ia and HLA-E, and the rare HLA-II expression could also be observed in most AFSCs samples. Consequently, the expression of CIITA and RFX5 was weakly induced by γ-IFN stimulation of AFSCs compared to that of BMMSCs. In the transplantation test, Sprague Dawley rats with 6-hydroxydopamine lesioning of the substantia nigra were used as a parkinsonian-animal model. Following the negative γ-IFN response AFSCs injection, apomorphine-induced rotation was reduced by 75% in AFSCs engrafted parkinsonian rats but was increased by 53% in the control group after 12-weeks post-transplantation. The implanted AFSCs were viable, and were able to migrate into the brain's circuitry and express specific proteins of dopamine neurons, such as tyrosine hydroxylase and dopamine transporter. In conclusion, the relative insensitivity AFSCs to γ-IFN implies that AFSCs might have immune-tolerance in γ-IFN inflammatory conditions. Furthermore, the effective improvement of AFSCs transplantation for apomorphine-induced rotation paves the way for the clinical application in parkinsonian therapy.

  17. 羊水葡萄糖及白介素-6在胎膜早破中的意义%Determination of Amniotic Fluid Glucose and Interleukin 6in Premature Rupture of Membranes

    Institute of Scientific and Technical Information of China (English)

    陈丽红; 胡继芬; 游彩玲; 马炎辉

    2001-01-01

    Objective To study the relationship between amniotic cavity infection and the content of glucose and interleukin 6(IL 6) in amniotic fluid in premature rupture of membranes(PMOR) group. Methods To chose randomly 70 examples of PMOR patients without pregnant complication in 1994~1999. Leading by Brightness mode of ultrasound, amniotic fluid was obtained by puncturing the amnion through abdomen. Amniotic fluid glucose was determined quantitatively by "Glucose oxidizing enzyme", IL 6 was measured by enzyme linked immunosorbent assay. Results The content of glucose in amniotic fluid decreased obviously while the quantity of IL 6 increased distinctively in the group with PMOR and amniotic cavity infection. When the content of glucose in amniotic fluid was lower than 0.55 mmol/L while the quantity of IL 6 higher than 315 ng/L, the sensitivity of amniotic cavity infection was expected to be 100%, the specificity over 80%. Conclusion In the PMOR group, to determine the content of glucose and IL 6 in amniotic fluid can predict amniotic cavity infection rapidly and conveniently.%目的探讨胎膜早破患者羊水中葡萄糖及白介素 6(IL 6)含量与宫内感染的关系。方法随机选择1994~1999年70例无妊娠并发症的胎膜早破的患者,在B超引导下,经腹行羊膜腔内穿刺,抽取羊水,用葡萄糖氧化酶方法测定羊水中葡萄糖,用酶联免疫方法测定IL 6含量。结果胎膜早破并宫内感染者,羊水葡萄糖含量明显下降,IL 6含量则明显增高,当羊水葡萄糖含量≤0.55 mmol/L,IL 6含量≥315 ng/L时,预测宫内感染的敏感性100%,特异性>80.00%。结论胎膜早破患者,测定羊水葡萄糖及IL 6含量,能早期快速预测宫内感染。

  18. Amniotic fluid embolism after cesarean section in 1 case of first aid and nursing care%1例剖宫产术后羊水栓塞的急救与护理

    Institute of Scientific and Technical Information of China (English)

    赵素清; 邵燕明; 黄彩霞

    2010-01-01

    Objective 1 case of amniotic fluid embolism after cesarean section in first aid, rescue of amniotic fluid embolism approach to improve the treatment level of amniotic fluid embolism. Methods 1 case of amniotic fluid embolism in our hospital the incidence of postpartum hemorrhage caused by inducement, clinical manifestations, laboratory examination and treatment were analyzed. Results 1 patient was discharged successfully rescued. Conclusion Early recognition, prompt and correct treatment is to improve the rescue of amniotic fluid embolism that occurred after the key to success.%目的 通过对1例剖宫产术后羊水栓塞的急救,探讨羊水栓塞的抢救方法,以提高羊水栓塞救治水平.方法 对我院1例羊水栓塞致产后大出血的发病诱因、临床表现、实验室检查及治疗结果进行分析.结果 1例患者抢救成功痊愈出院.结论 早期识别、及时正确处理是提高产后发生羊水栓塞抢救成功的关键.

  19. Human amniotic fluid-derived mesenchymal cells from fetuses with a neural tube defect do not deposit collagen type i protein after TGF-β1 stimulation in vitro.

    Science.gov (United States)

    Hosper, Nynke A; Bank, Ruud A; van den Berg, Paul P

    2014-03-01

    In spina bifida, the neural tube fails to close during the embryonic period. Exposure of the neural tube to the amniotic fluid during pregnancy causes additional neural damage. Intrauterine tissue engineering using a biomaterial seeded with stem cells might prevent this additional damage. For this purpose, autologous cells from the amniotic fluid are an attractive source. To close the defect, it is important that these cells deposit an extracellular matrix. However, it is not known if amniotic fluid mesenchymal cells (AFMCs) from a fetus with a neural tube defect (NTD) share the same characteristics as AFMCs from a healthy fetus. We found that cells derived from fetuses with a NTD, in contrast to healthy human amniotic fluid cells, did not deposit collagen type I. Furthermore, the NTD cells showed, compared with both healthy amniotic fluid cells and fetal fibroblasts, much lower mRNA expression levels of genes that are involved in collagen biosynthesis [procollagen C-endopeptidase enhancer proteins (PCOLCE), PCOLCE2, ADAM metallopeptidase with thrombospondin type 1 motif, 2 (ADAMTS2), ADAMTS14]. This indicates that NTD-AFMCs have different characteristics compared with healthy AFMCs and might not be suitable for fetal therapy to close the defect in spina bifida patients. PMID:24171700

  20. Postnatal amniotic fluid intake reduces gut inflammatory responses and necrotizing enterocolitis in preterm neonates

    DEFF Research Database (Denmark)

    Siggers, Jayda; Østergaard, Mette V.; Siggers, Richard H.;

    2013-01-01

    hypothesized that postnatal AF administration reduces inflammatory responses and NEC in preterm neonates. Preterm pigs (92% gestation) were delivered by caesarean section and fed parental nutrition (2 days) followed by enteral (2 days) porcine colostrum (COLOS, n = 7), infant formula (FORM, n = 13), or AF...... supplied before and after introduction of formula (AF, n = 10) in experiment 1, and supplied only during the enteral feeding period in experiment 2 (FORM, n = 16; AF, n = 14). The NEC score was reduced in both AF and COLOS pigs, relative to FORM, when AF was provided prior to full enteral feeding (9.......9 and 7.7 compared with 17.3, P pigs showed decreased bacterial abundance in colon and intestinal inflammation-related genes (e.g., TNF-α, IL-1α, IL-6, NOS) were downregulated, relative to FORM pigs with NEC. Anti...

  1. Clinical Diagnosis and Treatment Analysis of Amniotic Fluid Embolism%羊水栓塞的临床诊断及治疗分析

    Institute of Scientific and Technical Information of China (English)

    张娓娓

    2015-01-01

    Objective The clinical diagnostic approach and efficacy in treatment of amniotic fluid embolism are to be discussed. Methods Chose 30 patients with amniotic fluid embolism in hospital from July 2013 to October 2014. Firstly,those patients was diagnosed accurately and treated them with anti-al ergy,shock and microcirculation dredge,and bronchial dilation on basis of diagnostic results. Then we observed the efficacy. Results After treatment,28 patients were cured and discharged. The treatment success rate was up to 93.33% . The treatment efficacy was significant and it had statistic value(P<0.05).Conclusion Diagnosing early amniotic fluid embolism patients and treating them with comprehensive and symptomatic treatment are bound to achieve favorable.%目的:探究羊水栓塞患者临床的诊断方法和治疗效果。方法选取2013年7月~2014年10月收治的30例羊水栓塞患者进行治疗,首先给予明确诊断,并根据诊断情况采取抗过敏、休克、疏通微循环、扩张肺支气管的治疗,观察患者的治疗效果。结果对所有患者进行治疗,28例患者治愈出院,治疗成功率为93.33%。治疗效果显著,有统计学意义(P<0.05)。结论对羊水栓塞患者给予早期诊断,以及综合的对症治疗,可得到显著的治疗效果。

  2. Chromosome karyotype analysis of 1341 amniotic fluid samples%1341例羊水细胞染色体核型分析

    Institute of Scientific and Technical Information of China (English)

    黄郁晶; 王岳平

    2013-01-01

    目的 探讨羊水细胞培养染色体核型分析技术在细胞遗传学产前诊断中的应用及意义.方法 1341例妊娠17~28周的孕妇在超声引导下行羊膜腔穿刺术,进行细胞培养及染色体核型分析.结果 1341例标本一次培养成功1330例,培养成功率为99.2%.共检出异常核型90例,异常率为6.8%,其中21-三体24例,18-三体7例,其他异常核型59例.结论 羊水细胞学检查作为一项产前诊断技术对于指导优生优育,降低缺陷儿的出生具有重要意义.%Objective:To investigate the significance of chromosome karyotype analysis of amniotic fluid cells in prenatal diagnosis.Methods:Amniocentesis by guided B-ultrasound was performed on 1341 cases of pregnant women.Chromosome karyotypes from amniotic fluid samples were then analyzed.Results:1330 cells were cultured successfully,and the success rate of primary culture was 99.2%.90 abnormal karyotypes were detected,including 24 21-trisomes,7 18-trisomes.Conclusion:Chromosome karyotype analysis of amniotic fluid cells has great significance in prenatal diagnosis.

  3. Recurrent patterns in fluid geochemistry data prior to phreatic eruptions

    Science.gov (United States)

    Rouwet, Dmitri; Sandri, Laura; Todesco, Micol; Tonini, Roberto; Pecoraino, Giovannella; Diliberto, Iole Serena

    2016-04-01

    Not all volcanic eruptions are magma-driven: the sudden evaporation and expansion of heated groundwater may cause phreatic eruptions, where the magma involvement is absent or negligible. Active crater lakes top some of the volcanoes prone to phreatic activity. This kind of eruption may occur suddenly, and without clear warning: on September 27, 2014 a phreatic eruption of Ontake, Japan, occurred without timely precursors, killing 57 tourists near the volcano summit. Phreatic eruptions can thus be as fatal as higher VEI events, due to the lack of recognised precursory signals, and because of their explosive and violent nature. In this study, we tackle the challenge of recognising precursors to phreatic eruptions, by analysing the records of two "phreatically" active volcanoes in Costa Rica, i.e. Poás and Turrialba, respectively with and without a crater lake. These volcanoes cover a wide range of time scales in eruptive behaviour, possibly culminating into magmatic activity, and have a long-term multi-parameter dataset mostly describing fluid geochemistry. Such dataset is suitable for being analysed by objective pattern recognition techniques, in search for recurrent schemes. The aim is to verify the existence and nature of potential precursory patterns, which will improve our understanding of phreatic events, and allow the assessment of the associated hazard at other volcanoes, such as Campi Flegrei or Vulcano, in Italy. Quantitative forecast of phreatic activity will be performed with BET_UNREST, a Bayesian Event Tree tool recently developed within the framework of FP7 EU VUELCO project. The study will combine the analysis of fluid geochemistry data with pattern recognition and phreatic eruption forecast on medium and short-term. The study will also provide interesting hints on the features that promote or hinder phreatic activity in volcanoes that host well-developed hydrothermal circulation.

  4. Cotinine and polycyclic aromatic hydrocarbons levels in the amniotic fluid and fetal cord at birth and in the urine from pregnant smokers.

    Directory of Open Access Journals (Sweden)

    Julia de Barros Machado

    Full Text Available Cigarette smoking during pregnancy has several impacts on fetal development, including teratogenic effects. The objective of this study was to assess whether the toxic substances (cotinine and polycyclic aromatic hydrocarbons found in pregnant smokers are transmitted to their fetuses. The outcomes were analyzed measuring cotinine and 1-hydroxypyrene in the amniotic fluid and maternal urine, benzopyrene and cotinine in the umbilical cord blood. Through a controlled cross-sectional design, 125 pregnant women were selected and classified according to their smoking status: 37 current smokers, 25 passive smokers and 63 non-smokers (controls. We performed high-performance liquid chromatography to measure substances' concentrations. A post-hoc Tukey's test was used to analyze the differences between the groups. All variables were significantly different between controls and smokers. The mean ratios between the concentration of cotinine in smokers compared to controls were as follows: 5.9 [2.5-13.5], p<0.001 in the urine; 25 [11.9-52.9], p<0.001 in the amniotic fluid; and 2.6 [1.0-6.8], p = 0.044 in the umbilical cord blood. The mean ratios of 1-hydroxypyrene concentration between smokers and controls were 7.3 [1.6-29.6], p = 0.003 in the urine and 1.3 [1.0-1.7], p = 0.012 in the amniotic fluid, and of benzopyrene in umbilical cord blood was 2.9 [1.7-4.7], p<0.001. There were no significant differences between controls and passive smokers. When comparing the three groups together, there were statistical differences between all variables. Thus, the fetuses of pregnant smokers are exposed to toxic and carcinogens substances. To our knowledge, this is the first study to measure 1-hydroxypyrene in the amniotic fluid and benzopyrene in umbilical cord blood by high-performance liquid chromatography when considering pregnant women in relation to smoking exposure only.

  5. Clinical Study on Treatment of Amniotic Fluid Embolism%羊水栓塞的急救处理措施临床研究

    Institute of Scientific and Technical Information of China (English)

    姜丽娟

    2015-01-01

    Objective To study the clinical analysis of first aid in amniotic fluid embolism and treatment methods,to provide the reference for the clinical treatment of amniotic fluid embolism.Methods According to the 42 amniotic fluid embolism patients in our hospital received to carry on the research analysis,these patients were grouped into control group and treatment group,the treatment group adopted new first aid technique,the control group used the traditional first aid technique,each group had 21 patients,according to the two groups of patients with clinical rescue situation to compare. Results After emergency treatment,the control group had 42.86% patients successful treatment,the treatment group of 100% successful rescue. Conclusion Amniotic fluid embolism patients who receive new aid technology has a high success rate,it is worth to promote the use.%目的:研究分析羊水栓塞临床的急救和处理方式,为临床治疗羊水栓塞提供参考。方法根据我院接收的42羊水栓塞患者来进行研究分析,将这些患者分组为对照组和治疗组,治疗组采取新急救技术,对照组使用传统急救技术,每组都有21例患者,根据两组患者的临床抢救情况来进行比较。结果经抢救治疗,对照组有42.86%的患者抢救成功,治疗组100%抢救成功。结论羊水栓塞患者接受新急救技术具有比较高的成功率,值得推广使用。

  6. Morphometric characteristics of periodontal and gum mucosa structures of rats after injection of the antigen in amniotic fluid in the antenatal period

    Directory of Open Access Journals (Sweden)

    Voloshin N.A.

    2013-01-01

    Full Text Available The purpose of the study was to establish and examine the dynamics of changes in morphometric parameters of structure formation of periodontal and gingival mucosa of rats after injection of the antigen in amniotic fluid in the antenatal period. Work founds that prenatal antigenic action delays the rate of formation of the structures of periodontal and gingival mucosa of rats from the 1st to 11th day, and on the 30th day postnatal life. The imbalance in the formation of structures and periodontal gum mucosa of rats maintained for months and leveled on the 45th day of life.

  7. Provision of Amniotic Fluid During Parenteral Nutrition Increases Weight Gain With Limited Effects on Gut Structure, Function, Immunity, and Microbiology in Newborn Preterm Pigs

    DEFF Research Database (Denmark)

    Østergaard, Mette Viberg; Liang Shen, Rene; Støy, Ann Cathrine Findal;

    2016-01-01

    Background: Small enteral boluses with human milk may reduce the risk of subsequent feeding intolerance and necrotizing enterocolitis in preterm infants receiving parenteral nutrition (PN). We hypothesized that feeding amniotic fluid, the natural enteral diet of the mammalian fetus, will have...... and IL8 were increased in AF pigs, while blood biochemistry and amino acid levels were minimally affected. Conclusion: Enteral boluses of AF were well tolerated in the first 5 days of life in preterm pigs receiving PN. Enteral provision of AF before the initiation of milk feeding may stimulate body...

  8. Emergency Treatment and Nursing Experience of 1 Cases of Amniotic Fluid Embolism%1例羊水栓塞的急救处理及护理体会

    Institute of Scientific and Technical Information of China (English)

    钟贵微

    2016-01-01

    Objective To explore the emergency treatment and nursing experience of patients with amniotic fluid embolism.Methods A retrospective analysis was made on November 2015 the successful treatment of clinical data of 1 case of amniotic fluid embolism,propose an emergency nursing measures and matters needing attention. Results The amniotic fluid embolism patients after effective diagnosis treatment and careful nursing after treatment success.Conclusion Early identification of prodromal symptoms of amniotic fluid embolism,beware of the risk factors,do a good job in monitoring and early diagnosis of amniotic fluid embolism in patients with, timely and correct treatment is to improve the rescue of amniotic fluid embolism that occurred after the key to success.%目的:探讨羊水栓塞患者的急救处理与护理体会。方法回顾性分析2015年11月本院成功救治1例羊水栓塞患者的临床资料,提出急救时的护理措施和注意事项。结果该羊水栓塞患者经过有效的诊断治疗和精心的护理后救治成功。结论及早识别羊水栓塞的前驱症状,提防高危因素,做好羊水栓塞患者的监测及早期诊断,及时正确处理是提高产后发生羊水栓塞抢救成功的关键。

  9. The comparison of the perinatal outcome between amniotic fluid index ≤5 cm and the largest pocket of amniotic fluid ≤2 cm×2 cm%羊水指数≤5 cm与羊水池最大切面≤2 cm×2 cm围产结局的比较

    Institute of Scientific and Technical Information of China (English)

    张建迎; 韩玉环; 郭尚宏; 刘跃华; 刘映瞵

    2001-01-01

    Objective To determine a more appropriate diagnostic criteria of ultrasonography for the oligohydramnios.Methods Oligohydramnios were determined by ultrasonography in the two groups that were amniotic fluid index (AFI)≤5 cm and the largest pocket of amniotic fluid ≤2 cm in two prependicular planes respectively.χ2 test was used to analyse the perinatal outcome between the two groups.Results Among the patients with AFI ≤5 cm, 45.2% of them had a largest pocket of amniotic fluid >2 cm×2 cm.The incidence of fetal heart rate abnormalities and the thick meconium were increased in the group with the largest pocket amniotic fluid ≤2 cm×2 cm when compared to the group with AFI ≤5 cm (P0.05).Conclusions It is more accurate criteria that oligohydramnios are diagnosed by ultrasonography with the largest pocket of amniotic fluid ≤2 cm×2 cm.%目的为超声诊断羊水过少寻求更为适宜的诊断标准。方法分别以羊水指数(AFI)≤5 cm和羊水池最大切面≤2 cm×2 cm 为诊断标准超声诊断羊水过少,采用χ2检验分析两组围产结局。结果 AFI≤5 cm组中有45.2%的孕妇羊水池最大切面>2 cm×2 cm。羊水池最大切面≤2 cm×2 cm组的胎心率异常,羊水II度以上粪染率均高于AFI≤5 cm组(P0.05)。结论以羊水池最大切面≤2 cm×2 cm为标准超声诊断羊水过少更为准确。

  10. Human amniotic fluid stem cells as a model for functional studies of genes involved in human genetic diseases or oncogenesis.

    Science.gov (United States)

    Rosner, Margit; Dolznig, Helmut; Schipany, Katharina; Mikula, Mario; Brandau, Oliver; Hengstschläger, Markus

    2011-09-01

    Besides their putative usage for therapies, stem cells are a promising tool for functional studies of genes involved in human genetic diseases or oncogenesis. For this purpose induced pluripotent stem (iPS) cells can be derived from patients harbouring specific mutations. In contrast to adult stem cells, iPS cells are pluripotent and can efficiently be grown in culture. However, iPS cells are modulated due to the ectopic induction of pluripotency, harbour other somatic mutations accumulated during the life span of the source cells, exhibit only imperfectly cleared epigenetic memory of the source cell, and are often genomically instable. In addition, iPS cells from patients only allow the investigation of mutations, which are not prenatally lethal. Embryonic stem (ES) cells have a high proliferation and differentiation potential, but raise ethical issues. Human embryos, which are not transferred in the course of in vitro fertilization, because of preimplantation genetic diagnosis of a genetic defect, are still rarely donated for the establishment of ES cell lines. In addition, their usage for studies on gene functions for oncogenesis is hampered by the fact the ES cells are already tumorigenic per se. In 2003 amniotic fluid stem (AFS) cells have been discovered, which meanwhile have been demonstrated to harbour the potential to differentiate into cells of all three germ layers. Monoclonal human AFS cell lines derived from amniocenteses have a high proliferative potential, are genomically stable and are not associated with ethical controversies. Worldwide amniocenteses are performed for routine human genetic diagnosis. We here discuss how generation and banking of monoclonal human AFS cell lines with specific chromosomal aberrations or monogenic disease mutations would allow to study the functional consequences of disease causing mutations. In addition, recently a protocol for efficient and highly reproducible siRNA-mediated long-term knockdown of endogenous gene

  11. The performance of four molecular methods for the laboratory diagnosis of congenital toxoplasmosis in amniotic fluid samples

    Directory of Open Access Journals (Sweden)

    Leandro Emidio Teixeira

    2013-10-01

    Full Text Available Introduction Toxoplasmosis may be life-threatening in fetuses and in immune-deficient patients. Conventional laboratory diagnosis of toxoplasmosis is based on the presence of IgM and IgG anti-Toxoplasma gondii antibodies; however, molecular techniques have emerged as alternative tools due to their increased sensitivity. The aim of this study was to compare the performance of 4 PCR-based methods for the laboratory diagnosis of toxoplasmosis. One hundred pregnant women who seroconverted during pregnancy were included in the study. The definition of cases was based on a 12-month follow-up of the infants. Methods Amniotic fluid samples were submitted to DNA extraction and amplification by the following 4 Toxoplasma techniques performed with parasite B1 gene primers: conventional PCR, nested-PCR, multiplex-nested-PCR, and real-time PCR. Seven parameters were analyzed, sensitivity (Se, specificity (Sp, positive predictive value (PPV, negative predictive value (NPV, positive likelihood ratio (PLR, negative likelihood ratio (NLR and efficiency (Ef. Results Fifty-nine of the 100 infants had toxoplasmosis; 42 (71.2% had IgM antibodies at birth but were asymptomatic, and the remaining 17 cases had non-detectable IgM antibodies but high IgG antibody titers that were associated with retinochoroiditis in 8 (13.5% cases, abnormal cranial ultrasound in 5 (8.5% cases, and signs/symptoms suggestive of infection in 4 (6.8% cases. The conventional PCR assay detected 50 cases (9 false-negatives, nested-PCR detected 58 cases (1 false-negative and 4 false-positives, multiplex-nested-PCR detected 57 cases (2 false-negatives, and real-time-PCR detected 58 cases (1 false-negative. Conclusions The real-time PCR assay was the best-performing technique based on the parameters of Se (98.3%, Sp (100%, PPV (100%, NPV (97.6%, PLR (∞, NLR (0.017, and Ef (99%.

  12. Prediction markers for respiratory distress syndrome: evaluation of the stable microbubble test, surfactant protein-A and hepatocyte growth factor levels in amniotic fluid.

    Directory of Open Access Journals (Sweden)

    Kumazawa K

    2003-02-01

    Full Text Available Surfactant treatment in infants with respiratory distress syndrome (RDS has decreased neonatal mortality. With the advent of this therapy, it has become important to predict accurately the fetal lung maturity of a fetus before delivery. We evaluated the stable microbubble test (SMT, surfactant protein-A (SP-A and hepatocyte growth factor (HGF in amniotic fluid as predicting markers for RDS. Of 55 amniotic fluid samples obtained by amniocentesis from women less than 37 weeks pregnant, the SMT values were as follows: sensitivity 76.5%, specificity 84.2%, positive predictive value 68.4%, negative predictive value 88.9% and overall accuracy 81.8%. For SP-A, the values were 88.2%, 65.8%, 53.6%, 92.6% and 72.7%, respectively. If we used both SMT and SP-A, we could diagnose with 100% accuracy that a case with measurements of SMT > or = 2 and SP-A > or = 420 ng/ml would not complicate with RDS (24/24. However, the RDS diagnostic accuracy of HGF does not equal to those of SMT and SP-A levels. We concluded that the rapidity, simplicity and reliability of SMT was very useful during 24-36 weeks of gestation as a bedside procedure to predict fetuses likely to develop RDS. We also noted the additive effect of SP-A in improving the accuracy of lung maturity diagnosis.

  13. Optimization of Toxoplasma gondii DNA extraction from amniotic fluid using NucliSENS easyMAG and comparison with QIAamp DNA minikit.

    Science.gov (United States)

    Faucher, B; Miermont, F; Ranque, S; Franck, J; Piarroux, R

    2012-06-01

    Antenatal diagnosis of congenital toxoplasmosis relies on PCR in amniotic fluid. Because parasitic load is often low, DNA extraction must be optimized. Manual methods remain widespread although automated methods appear more effective. This study aimed at optimizing an automated method and at comparing it with a widespread manual method: QIAamp DNA minikit. To optimize NucliSens easyMAG, we evaluated the addition of proteinase K pre-treatment and the increase of the amount of silica particles used for the extraction. The optimized method was then compared to QIAamp DNA minikit on samples containing less than 25 tachyzoites/ml. NucliSens easyMAG DNA yield was improved after proteinase K pre-treatment (p DNA amount in samples found positive by PCR was higher after optimized automated extraction than after manual extraction (p Proteinase K pre-treatment should be added to extract DNA from amniotic fluid using NucliSens easyMAG. Using this optimized automated method rather than manual methods would improve the sensitivity of Toxoplasma PCR and simplify the daily workflow.

  14. Lim Mineralization Protein 3 Induces the Osteogenic Differentiation of Human Amniotic Fluid Stromal Cells through Kruppel-Like Factor-4 Downregulation and Further Bone-Specific Gene Expression

    Directory of Open Access Journals (Sweden)

    Marta Barba

    2012-01-01

    Full Text Available Multipotent mesenchymal stem cells with extensive self-renewal properties can be easily isolated and rapidly expanded in culture from small volumes of amniotic fluid. These cells, namely, amniotic fluid-stromal cells (AFSCs, can be regarded as an attractive source for tissue engineering purposes, being phenotypically and genetically stable, plus overcoming all the safety and ethical issues related to the use of embryonic/fetal cells. LMP3 is a novel osteoinductive molecule acting upstream to the main osteogenic pathways. This study is aimed at delineating the basic molecular events underlying LMP3-induced osteogenesis, using AFSCs as a cellular model to focus on the molecular features underlying the multipotency/differentiation switch. For this purpose, AFSCs were isolated and characterized in vitro and transfected with a defective adenoviral vector expressing the human LMP3. LMP3 induced the successful osteogenic differentiation of AFSC by inducing the expression of osteogenic markers and osteospecific transcription factors. Moreover, LMP3 induced an early repression of the kruppel-like factor-4, implicated in MSC stemness maintenance. KLF4 repression was released upon LMP3 silencing, indicating that this event could be reasonably considered among the basic molecular events that govern the proliferation/differentiation switch during LMP3-induced osteogenic differentiation of AFSC.

  15. [The determination of unconjugated estrone, estradiol, estriol and estetrol in serum or amniotic fluid by high performance liquid chromatography with an amperometric detector (author's transl)].

    Science.gov (United States)

    Sagara, Y; Okatani, Y; Takeda, Y; Kambegawa, A

    1981-07-20

    A simultaneous microdetermination of unconjugated estrone, estradiol, estriol and estetrol in serum or amniotic fluid by High Performance Liquid Chromatography with an Amperometric Detector is described. Steroids in serum or amniotic fluid were extracted with 10 volumes of ethyl ether, and then ether extract was evaporated to dryness under N2 gas. After defatting with a mixture of 50% methanol/n-hexane, the methanol phase was evaporated to dryness under N2 gas. The residue was applied to microcolumn packed with 2 ml volume of Sephadex LH-20 in the eluting solvent benzene/methanol (85:15). Fractions contained estrone and estradiol; estriol and estetrol were collected and then evaporated to dryness under N2 gas. The sample solution was applied to HPLC using a reverse phase ODS column and acetonitrile: 0.1M KH2 PO4 47:53 for estrone and estradiol fraction, and 30:70 for estriol and estetrol fraction as a mobile phase, respectively. The fraction of each estrogen was separated completely within a 20 minute period. The limit of detection of estrone, estradiol, estriol and estetrol was 50 pg, respectively. PMID:7286351

  16. Amniotic Fluid Analysis

    Science.gov (United States)

    ... a woman is at an increased risk for premature delivery or an early birth is necessary for the baby or mother's health. The tests are based upon the presence of adequate protective liquid substances called surfactants in the lungs, which are necessary for proper ...

  17. 羊水栓塞导致孕产妇死亡的相关因素分析%Analysis of Related Factors of Maternal Death Cause of Amniotic Fluid Embolism

    Institute of Scientific and Technical Information of China (English)

    刘晓慧

    2015-01-01

    Objective To investigate the causes of maternal deaths caused by amniotic fluid embolism.Methods Aretrospective analysis was made on the amniotic fluid embolism in our hospital from 2010 to 2014 received 35 cases died, looking to the related risk factors of clinical information from their.ResultsThe reason why this occurred in 35 patients of amniotic fluid embolism with oxytocin, misoprostol, cervical laceration, turbid amniotic fluid, premature rupture of membranes, amniotic fluid embolism occurred due to oxytocin accounted for 28.6% of the total number of cases study. There were 18 patients with diagnosis of embolism is the performance of the 10, is to create the conditions to change death.ConclusionAmniotic fluid embolism clinical onset speed, produced a greater threat to maternal life safety, provide accurate diagnosis and timely and effective rescue can avoid the death of parturient, need to give attention to the early diagnosis in clinic, especially the use of oxytocin, like this can maximize the prevention of amniotic fluid embolism.%目的:探讨羊水栓塞引起产妇死亡的原因。方法对我院2010年至2014年接收的羊水栓塞死亡病例35例进行回顾分析,从他们的临床病例资料来进行相关危险因素的寻找。结果这35例患者发生羊水栓塞的原因有催产素、米索前列醇引产、宫颈裂伤、羊水混浊、胎膜早破等,而因催产素出现羊水栓塞的病例占研究总数的28.6%。有18例患者是对其表现诊断为栓塞死亡,10是可创造条件改变死亡。结论羊水栓塞临床发病速度快,对产妇的生命安全产生了较大了威胁,对产妇提供准确的诊断和及时有效的抢救能够避免其死亡,在临床中需要对早期诊断给予重视,特别是催产素的使用,这样能够最大限度的预防羊水栓塞。

  18. An Update on Maternal Hydration Strategies for Amniotic Fluid Improvement in Isolated Oligohydramnios and Normohydramnios: Evidence from a Systematic Review of Literature and Meta-Analysis.

    Directory of Open Access Journals (Sweden)

    Salvatore Gizzo

    Full Text Available Several trials aimed at evaluating the efficacy of maternal hydration (MH in increasing amniotic-fluid-volume (AFV in pregnancies with isolated oligohydramnios or normohydramnos have been conducted. Unfortunately, no evidences support this intervention in routine-clinical-practice. The aim of this systematic-literature-review and meta-analysis was to collect all data regarding proposed strategies and their efficacy in relation to each clinical condition for which MH-therapy was performed with the aim of increasing amniotic-fluid (AF and improving perinatal outcomes.A systematic literature search was conducted in electronic-database MEDLINE, EMBASE, ScienceDirect and the Cochrane-Library in the time interval between 1991 and 2014. Following the identification of eligible trials, we estimated the methodological quality of each study (using QADAS-2 and clustered patients according to the following outcome measures: route of administration (oral versus intravenous versus combined, total daily dose of fluids administered (2000, duration of hydration therapy: (1 day, >1 day but 1 week, type of fluid administered (isotonic versus hypotonic versus combination.In isolated-oligohydramnios (IO, maternal oral hydration is more effective than intravenous hydration and hypotonic solutions superior to isotonic solutions. The improvement in AFV appears to be time-dependent rather than daily-dose dependent. Regarding normohydramnios pregnancies, all strategies seem equivalent though the administration of hypotonic-fluid appears to have a slightly greater effect than isotonic-fluid. Regarding perinatal outcomes, data is fragmentary and heterogeneous and does not allow us to define the real clinical utility of MH.Available data suggests that MH may be a safe, well-tolerated and useful strategy to improve AFV especially in cases of IO. In view of the numerous obstetric situations in which a reduced AFV may pose a threat, particularly to the fetus, the possibility

  19. Identification of fetal ABO blood groups by analyzing amniotic fluid cells via PCR-SSP%PCR-SSP技术对羊水细胞ABO血型的基因鉴定

    Institute of Scientific and Technical Information of China (English)

    马欣; 陈江

    2013-01-01

    目的 通过PCR-SSP基因技术检测胎儿羊水细胞ABO血型基因型,产前诊断胎儿ABO血型.方法 选取了6名孕16 W以上的孕妇,抽取羊水细胞并进行分离,提取羊水细胞DNA,运用PCR-SSP技术分析其ABO血型基因型,并通过出生后的脐带血的血型鉴定进行确认.结果 6例羊水标本均通过PCR-SSP方法检测出了ABO血型的基因型;该6名胎儿的脐带血的ABO血型与羊水细胞的血型一致.结论 PCR-SSP技术可以准确地检测胎儿羊水细胞的ABO血型.%Objective To identify fetal ABO blood groups by analyzing amniotic fluid cells via PCR-SSP. Methods Six pregnant women with gestational age between 16 weeks and 25 weeks were selected. DNA was taken in amniotic fluid cells from these pregnant women and then ABO genotypes of amniotic fluid cells were detected by PCR-SSP. And the ABO genotypes were conformed by detecting the cord blood . Results The ABO genotypes were identified from the 6 samples of amniotic fluid cells, and the results were in accordance with cord blood. Conclusion Fetal ABO blood group can be accurately detected out by amniotic fluid cells.

  20. Human amniotic fluid stem cells support undifferentiated propagation and pluripotency of human embryonic stem cell without b-FGF in a density dependent manner.

    Science.gov (United States)

    Ma, Xiaorong; Li, Huanqi; Xin, Shujia; Ma, Yueting; Ouyang, Tianxiang

    2014-01-01

    Human embryonic stem cells (hESCs) are pluripotent cells which can give rise to almost all adult cell lineages. Culture system of hESCs is complex, requiring exogenous b-FGF and feeder cell layer. Human mesenchymal stem cells (MSCs) not only synthesize soluble cytokines or factors such as b-FGF, but also provide other mechanism which might play positive role on sustaining hESCs propagation and pluripotency. Human amniotic fluid stem (AFS) cells, which share characteristics of both embryonic and adult stem cells, have been regarded as promising cells for regenerative medicine. Taking advantage by AFS cells, we studied the ability of AFS cells in supporting undifferentiated propagation and pluripotency of Chinese population derived X-01 hESCs. Human AF-type amniotic fluid stem cells (hAF-AFSCs) transcribed genes including Activin A, TGF-β1, Noggin and b-FGF, which involved in maintaining pluripotency and self-renewal of hESCs. Compared to mouse embryonic fibroblasts (MEFs), hAF-AFSCs secreted higher concentration of b-FGF which was important in hESCs culture (P < 0.05). The hESCs were propagated more than 30 passages on hAF-AFSCs layer with exogenous b-FGF supplementation, keeping undifferentiated status. While exogenous b-FGF was obviated, propagation of hESCs with undifferentiated status was dependent on density of hAF-AFSC feeder layer. Lower density of hAF-AFSCs resulted in rapid decline in undifferentiated clone number, while higher ones hindered the growth of colonies. The most appropriate hAF-AFSCs feeder density to maintain the X-01 hESC line without exogenous b-FGF was 15-20×10(4)/well. To the best of our knowledge, this is the first study demonstrating that hAF-AFSCs could support undifferentiated propagation and pluripotency of Chinese population derived hESCs without exogenous b-FGF supplementation.

  1. Transcapillary permeability and subendothelial distribution of endothelial and amniotic fluid insulin-like growth factor binding proteins in the rat heart

    Energy Technology Data Exchange (ETDEWEB)

    Bar, R.S.; Clemmons, D.R.; Boes, M.; Busby, W.H.; Booth, B.A.; Dake, B.L.; Sandra, A. (Veterans Administration Hospital, Iowa City, IA (USA))

    1990-09-01

    Insulin-like growth factor (IGF) binding proteins (IGFBP) were purified from conditioned media of cultured bovine endothelial cells (ECBP) and from human amniotic fluid (IGFBP-1), and then labeled by radioiodination. 125I-ECBP and 125I-IGFBP-1 were perfused through isolated beating rat hearts for 1 and 5 min, and the hearts fixed and analyzed for 125I-BP content and distribution. One to 4% of the perfused 125I-ECBP and 125I-IGFBP-1 crossed the capillary boundary. The ECBPs predominantly localized as intact 125I-BP in connective tissue elements of the heart with less 125I-BP in cardiac muscle. The ratio of 125I-ECBP in connective tissue: muscle (normalized to percent vol of these compartments) was greater than or equal to 10:1. In contrast, the IGFBP-1 had a greater affinity for cardiac muscle with ratios of 125I-IGFBP-1 in connective tissue:muscle of approximately 1:2. When 125I-IGF-I, in the absence of any BPs, was perfused through the hearts approximately 3-5% left the microcirculation and was found in subendothelial tissues. 125I-IGF-I localized primarily to cardiac muscle with a distribution of connective tissue:cardiac muscle of about 1:3. The findings in the isolated perfused heart were confirmed in intact animals. After 125I-IGFBP-1 was injected into anesthetized rats and allowed to circulate for 5 min, substantial radioactivity was associated with the heart. As in the isolated heart, the IGFBP-1 preferentially localized to cardiac muscle with a connective tissue:cardiac muscle ratio of 1:3. We conclude that IGFBPs produced by endothelial cells and the IGFBP-1 contained in amniotic fluid can cross the capillary boundaries of the rat heart, and that the ECBPs preferentially localize in connective tissue elements of the myocardium, whereas IGFBP-1 predominantly localizes in cardiac muscle.

  2. 产前超声监测羊水量不均衡双胎妊娠的临床价值%Value of prenatal surveillances of ultrasonography in twin pregnancies with amniotic fluid discordance

    Institute of Scientific and Technical Information of China (English)

    刘涛; 吴瑛; 王慧芳; 谭喜平; 甘晗靖; 林琪; 焦阳; 熊奕; 姜燕; 张辉

    2010-01-01

    Objective To evaluate the values of prenatal surveillances of ultrasonography in twin pregnancies with amniotic fluid discordance. Methods Two hundred and seventy cases of diamniotic twins were included. Both postnatal outcomes and prenatal amniotic fluid discordant variations were analyzed,and the incidences of amniotic fluid discordance were compared between the monochorionic-diamniotic(MCDA)and dichorionic-diamniotic (DCDA) gruop. Results Twenty four cases of twins with amniotic fluid discordance were found in the study. The incidence of amniotic fluid discordance in MCDA group was much higher than that in DCDA group (28.9% vs 5.6%, P <0. 001 ) ,and 24 cases of twin-to-twin transfusion syndrome (TTTS) were diagnosed in the former group and none were found in the latter group. Downward tendency of amniotic fluid discordance was shown in non-TTTS cases of MCDA group. Compared with TTTS cases, the postnatal outcomes of non-TTTS cases with amniotic fluid discordance were much better in MCDA group ( P <0.001 ). Conclusions TTTS and MCDA twins with amniotic fluid discordance may overlap each other in the early stage. Serial surveillances of ultrasonography are necessary for prenatal differentiating twin pregnancies complicated by amniotic fluid discordance,and providing strong support to clinical treament.%目的 探讨产前超声监测羊水量不均衡双胎的临床价值.方法 分析270例双羊膜囊双胎中单绒毛膜双羊膜囊双胎(monochorionic-diamniotic twin,MCDA)与双绒毛膜双羊膜囊双胎(dichorionicdiamniotic twin,DCDA)羊水量不均衡的发生率,妊娠过程中羊水量变化趋势及与妊娠结局的关系.结果 共45例双胎间羊水量不均衡,MCDA组37例,其中24例为双胎输血综合征(twin-to-twin transfusion syndrome,TTTS);DCDA组8例,无TTTS发生.MCDA组羊水量不均衡的发生率明显高于DCDA组(P<0.001).MCDA组中羊水量不均衡的非TTTS双胎,羊水量的差异随孕周增加呈减少趋势,且

  3. The Influence of Decreased Amniotic Fluid on the Pregnancy Outcome and the Perinatal Health%妊娠晚期羊水过少对妊娠的结局及围生儿健康的影响

    Institute of Scientific and Technical Information of China (English)

    钟庆

    2015-01-01

    Objective To analyze the influence of decreased amniotic fluid on the pregnancy outcome and the perinatal health.Methods A total of 82 patients with decreased amniotic fluid in Beihai Maternal and Child Care Service Center from Mar.2011 to May 2013 were selected for this study,then 85 normal patients during the same period were selected as the control group,and the pregnancy complication,perinatal complication and the mode of delivery were observed and analyzed.Results The pregnancy complication incidence of decreased amniotic fluid group was 54.9%, of normal amniotic fluid group was 14.1%, the difference was statistically significant(P<0.05);incidence of perinatal complication in decreased amniotic fluid group was 95.1%,of normal amniotic fluid group was 14.1%, the difference was statistically signifi-cant(P<0.05);the rate of Cesarean-section of decreased amniotic fluid group was 56.1%, of normal amni-otic fluid group was 15.3%, the difference was statistically significant(P<0.01).Conclusion Decreased amniotic fluid can increase the rate of Cesarean-section,and affect the perinatal health.%目的:分析妊娠晚期羊水过少对妊娠的结局及围生儿健康的影响。方法选择2011年3月至2013年5月北海市妇幼保健院足月妊娠羊水指数减少孕妇82例作为羊水过少组,同时期羊水指数正常孕产妇85例为羊水正常组,观察分析羊水过少组和羊水正常组妊娠相关并发症、围生儿并发症以及产妇分娩方式。结果妊娠相关并发症的发生率,羊水过少组为54.9%、羊水正常组为14.1%,羊水过少组显著高于羊水正常组( P <0.05);围生儿并发症的发生率,羊水过少组为95.1%、羊水正常组为14.1%,羊水过少组显著高于羊水正常组( P<0.05);剖宫产率,羊水过少组为56.1%、羊水正常组为15.3%,羊水过少组显著高于羊水正常组( P <0.01)。结论羊水量减少可引起孕产妇接受剖宫产增多

  4. Elemental analysis of human amniotic fluid and placenta by total-reflection X-ray fluorescence and energy-dispersive X-ray fluorescence: child weight and maternal age dependence

    Science.gov (United States)

    Carvalho, M. L.; Custódio, P. J.; Reus, U.; Prange, A.

    2001-11-01

    This work is an attempt to evaluate the possible influence of the mother's age in trace element concentrations in human amniotic fluid and placenta and whether these concentrations are correlated to the weight of the newborn infants. Total-reflection X-ray fluorescence (TXRF) was used to analyze 16 amniotic fluid samples, and the placenta samples were analyzed by energy dispersive X-ray fluorescence (EDXRF). The whole samples were collected during delivery from healthy mothers and healthy infants and full-term pregnancies. According to the age of the mother, three different groups were considered: 20-25, 25-30 and 30-40 years old. Only two mothers were aged more than 35 years. The weight of the infants ranged from 2.56 to 4.05 kg and three groups were also considered: 2.5-3, 3-3.5 and 3.5-4 kg. The organic matrix of the amniotic fluid samples was removed by treatment with HNO 3 followed by oxygen plasma ashing. Yttrium was used as the internal standard for TXRF analysis. Placenta samples were lyophilized and analyzed by EDXRF without any chemical treatment. Very low levels of Ni and Sr were found in the amniotic fluid samples, and were independent of the age of the mother and weight of the child. Cr, Mn, Se and Pb were at the level of the detection limit. Zn, considered one of the key elements in neonatal health, was not significantly different in the samples analyzed; however, it was weakly related to birth weigh. The concentrations obtained ranged from 0.11 to 0.92 mg/l and 30 to 65 μg/g in amniotic fluid and placenta, respectively. The only two elements which seemed to be significantly correlated with mother's age and newborn weight were Ca and Fe for both types of sample: Ca levels were increased in heavier children and older mothers; however, Fe increased with increasing maternal age, but decreased for heavier babies. The same conclusions were obtained for placenta and amniotic fluid samples. Cu is closely associated with Fe in its function in the organism

  5. 利用抗氧化剂促进羊水细胞培养效果的研究%The study of improving the culture results of amniotic fluid cells by adding antioxidants

    Institute of Scientific and Technical Information of China (English)

    丘力功; 蔡小杰; 黄志诚

    2012-01-01

    目的 通过添加抗氧化剂促进羊水细胞的培养效果.方法 分离传代的成纤维型羊水细胞,以生长指数为检测指标,在H配方的基础上利用部分析因设计法和最陡爬坡法对促进羊水细胞生长的抗氧化剂进行筛选和优化.优化后的培养基通过原代羊水细胞培养进行效果验证.结果 添加的维生素E、L-抗坏血酸、α硫辛酸和还原型谷胱甘肽等抗氧化剂皆能促进羊水细胞的生长,且具有协同效应.与H培养基相比,经最陡爬坡法优化的培养基培养的羊水细胞在克隆总数、生长指数等指标都提高3倍以上,分裂相细胞总数增长4倍以上.结论 改良后的羊水细胞培养基培养效果要显著优于H配方培养基,在产前诊断应用中具有推广价值.%Objective To improve the culture results of amniotic fluid by adding antioxidants. Methods Using Fractional factorial designs combined with the steepest ascent path approach, the concentration of antioxidants added in H medium was optimized to increase the growth speed of the passage fibroblast cells from amniotic fluid . And the performance of the optimized culture medium was tested with the growth index, the numbers of clones and metaphase of primary amniotic fluid cells culture. Results Vitamin E, L-ascorbic acid,α-lipoic acid and reduced CSH can all promote the growth of the amniotic fluid cells with synergic effect. Total number of clones,growth index,and total number of metaphase cells from amniotic fluid cells cultured in medium optimized by the steepest ascent path approach are all 3 times higher than those from H medium. Conclusion The optimization method of adding antioxidants in H medium can improve significantly the results of amniotic fluid cells culture and the optimized culture medium is applicable to the prenatal diagnosis.

  6. Chromosome karyotype analysis of amniotic fluid cells of 1 466 pregnant women in Yangzhou%扬州地区1466例孕妇羊水细胞染色体核型分析

    Institute of Scientific and Technical Information of China (English)

    陈剑; 徐贵江

    2014-01-01

    Objective To explore the clinic value of chromosome karyotype analysis of amniotic fluid cells in prenatal diagnosis . Methods 1 466 cases of pregnant women who had the prenatal diagnosis indexes were selected ,and their amniotic fluid specimens were collected through amniocentesis guiding by type‐B ultrasonic around the 16th to 24th week .Amniotic fluid cells were gained after a successful cell culture .G banding was used for the karyotype analysis of amniotic fluid cells .Results The one‐time success rate of cultivation for amniotic fluid cells was 99 .8% .In 1 466 cases of pregnant women ,there were 16 cases of abnormal karyotype polymorphism (including 12 cases of trisomy 21 ,1 case of trisomy 18 ,and 3 cases of Chromosome abnormalities) and 3 cases of chromosomal polymorphism .Conclusion The chromosome karyotype analysis of amniotic fluid cell is still an irreplaceable test in prenatal diagnosis .%目的:探讨孕妇羊水细胞染色体核型分析在产前诊断中的临床应用价值。方法选择孕16~24周、具有产前诊断指征的孕妇1466例,在B超引导下行羊膜腔穿刺抽取羊水。经过羊水细胞培养增殖成功后收获细胞,G显带检查分析羊水细胞的染色体核型。结果羊水细胞一次性培养成功率为99.8%。1466例孕妇中,检出16例异常核型(其中12例21三体,1例18三体,3例染色体异常)和3例染色体多态性。结论羊水细胞染色体核型检查仍然是产前诊断中不可替代的手段。

  7. Isolation and characterization of amniotic fluid-derived stem cells in Turner’s syndrome%Turner综合征羊水干细胞的分离及特征*★◆

    Institute of Scientific and Technical Information of China (English)

    龚余; 骆玉梅; 田霖; 刘海波; 陈欣洁; 孙筱放; 陈耀勇

    2013-01-01

      背景:羊水干细胞的分离培养及生物学特性相关研究取得了明显进展,但未见45,X/46,XX(Turner综合征)羊水细胞建系的报道。目的:建立体外培养人羊水来源干细胞的方法,初步探讨羊水干细胞的生物学特性。方法:孕中期羊膜腔穿刺获得1例染色体核型异常(45,X/46,XX)羊水标本,采用梯度稀释后低密度种植的方法获得羊水干细胞,体外传代培养,倒置显微镜观察细胞的贴壁生长情况,细胞染色体检查确认核型,流式细胞仪检测羊水干细胞特异性表面标志和细胞周期,进行成骨诱导分化及碱性磷酸酶染色和茜素红染色鉴定。结果与结论:羊水干细胞在体外培养体系中增殖迅速,核型为45,X/46,XX,流式细胞仪检测羊水干细胞表达CD29、CD44、CD90和CD105间充质干细胞表面标志,不表达造血干细胞标志CD45和CD34;大部分细胞处于 G1期,增殖能力强。羊水干细胞经成骨诱导分化后,碱性磷酸酶染色和茜素红染色阳性。结果可见该实验成功分离获得45,X/46,XX (Turner 综合征)羊水干细胞,其增殖能力强,表现间充质干细胞的特性。%BACKGROUND: Great progress has been achieved on studies on isolation, culture and biological characteristics of amniotic fluid-derived mesenchymal stem cel s. However, few studies are reported on amniotic fluid-derived mesenchymal stem cel s in 45, X/46, XX (Turner’s syndrome). OBJECTIVE: To develop a simple culture protocol to isolate amniotic fluid-derived mesenchymal stem cel s and investigate the biological characteristics of amniotic fluid-derived mesenchymal stem cel s. METHODS: We developed a gradient dilution culture protocol to isolate a population of 45, X/46, XX (Turner’s syndrome) amniotic fluid-derived mesenchymal stem cel s from second-trimester amniocentesis. The morphology of amniotic fluid-derived mesenchymal stem cel s was observed by

  8. Meconium stained amniotic fluid neonatal umbilical arterial blood gas value of Apgar score and clinical observation%羊水胎粪污染新生儿脐动脉血气pH值与Apgar评分临床观察

    Institute of Scientific and Technical Information of China (English)

    高建国; 孙庆霞; 于普丽; 宋燕玲; 胡美莲

    2014-01-01

    Objective To explore the relationship between meconium stained amniotic fluid and the degree of asphyxia of newborn hypoxia. Methods Umbilical arterial blood gas analysis and Apgar score were pH value detection method of meconium stained amniotic fluid 1 degrees in 160 cases, 135 cases of meconium stained amniotic fluidⅡ°Ⅲ°, meconium stained amniotic fluid of 189 cases of newborn. Results the difference of umbilical artery blood gas index pH value and Apgar score significantly, and the amniotic fluid meconium pollution degree and umbilical artery blood gas index pH value and Apgar score proportional relationship, namely, the more serious pollution of neonatal asphyxia hypoxic severity. Conclusion Meconium stained amniotic fluid and the degree of asphyxia of newborn anoxic degree, and the problem of Neonatology, obstetrics, puts forward positive prevention interventions.%目的:探讨羊水胎粪污染程度与新生儿窒息缺氧的相关性。方法对羊水胎粪污染Ⅰ度160例、羊水胎粪污染Ⅱ度135例、羊水胎粪污染Ⅲ度189例新生儿的脐动脉血气pH值及Apgar评分结果进行分析。结果3组脐动脉血血气指标pH值及Apgar评分差异显著,且羊水胎粪污染程度与脐动脉血血气指标pH值及Apgar评分成正比关系,即污染程度越严重新生儿窒息缺氧程度越重。结论羊水胎粪污染程度与新生儿窒息缺氧的程度有密切联系,产科、新生儿科应积极给予预防干预措施。

  9. Intra-amniotic thyroxine to treat fetal goiter.

    Science.gov (United States)

    Kim, Min-Jung; Chae, Yong-Hwa; Park, So-Young; Kim, Moon-Young

    2016-01-01

    A 35-year-old pregnant woman visited our department and had been treated with 100 µg of daily oral levothyroxine for hypothyroidism. An ultrasonography screening was performed at 25 weeks gestation and revealed a fetal goiter and an increased amniotic fluid volume. Fetal hypothyroidism was confirmed by cordocentesis and amniotic hormone levels at 26 weeks gestation. We treated the mother with 200 µg of daily oral levothyroxine to optimize the transplacental transfer. A total of four intra-amniotic injections of levothyroxine were administered, resulting in progressive reduction in the fetal thyroid volume of goiter as measured by 3D ultrasonography and increased amniotic fluid volume. Following birth, neonatal serum thyroid stimulating hormone level was within the normal range, but free T4 was reduced. Based on this case, we suggest that monitoring amniotic fluid thyroid hormone concentration and intra-amniotic levothyroxine injection can be used to reduce the thyroid volume of goiters and to prevent polyhydramnios. PMID:26866040

  10. 羊水污染对胎儿危害分析与处理方法的探讨%Exploration of amniotic fluid pollution on fetal harm analysis and han-dling method

    Institute of Scientific and Technical Information of China (English)

    蔡春燕

    2015-01-01

    目的:探讨羊水污染对胎儿的危害及临床处理方法。方法2012年3月~2013年3月在本院产科足月分娩的产妇共2952例,其中剖宫产968例(32.79%),经阴道分娩1984例(67.21%),选取其中发生羊水污染的263例(8.91%)产妇作为研究对象,分析羊水污染对胎儿的影响及其相应的临床处理措施。结果Ⅰ度羊水污染的新生儿窒息率为9.78%,Ⅱ度羊水污染的新生儿窒息率为14.29%,Ⅲ度羊水污染的新生儿窒息率为21.74%,Ⅰ度羊水污染的新生儿窒息率显著低于Ⅱ度和Ⅲ度(P期发生Ⅱ度、Ⅲ度羊水污染,其胎儿窘迫率为21.74%(5/23),新生儿窒息率为4.35%(1/23),潜伏期与活>期比较,差异有统计学意义(P<0.05)。结论羊水污染与胎儿窘迫及新生儿窒息密切相关,对胎儿具有较大危害,针对羊水污染采取相应的临床处理措施,有助于保障围生儿生命安全。%Objective To explore the amniotic fluid pollution on fetal harm and clinical handling method. Methods From March 2012 to March 2013,there were 2952 puerperae of maternal labor in department of obstetrical in our hos-pital,among these participants,968 puerperae (32.79%) was given cesarean section,1984 puerperae (67.21%) was given through vaginal delivery.There were 263 out of 2952 puerperae which took 8.91% occurredwith amniotic fluid pollution were selected as research objects.Influence of amniotic fluid pollution on fetus and the corresponding treatment in clinic was analyzed. Results Incidence of neonatal asphyxia in degree Ⅰ amniotic fluid pollution was 9.78%,14.29% in de-greeII,and 21.74%in degreeⅢ.Incidence of amniotic fluid pollution in degreeⅠ was greatly less than that of degreeII and degree Ⅲ (P<0.05).During latent period, incidence of fetal distress in uterus due to degree II and Ⅲ was 32.14%(18/56),and occurrence rate of neonatal asphyxia was 21.43%(12/56).However,incidences of fetal distress in uterus due to

  11. Amniotic Fluid Embolism "Medical Trouble" Analysis and Consideration of the Case%羊水栓塞"医闹"案件的分析与思考

    Institute of Scientific and Technical Information of China (English)

    李红莲; 张鸿慧; 刘艳; 官丽波; 紫云芝

    2011-01-01

    目的 了解羊水栓塞"医闹"的相关因素.方法 在百度和Google中输入"羊水栓塞,医疗纠纷,医闹"等关键词进行检索,将羊水栓塞医疗纠纷、"医闹"的案件认真阅读后摘录、编号并列表统计分析.结果 ①案件网上发表时间为1986年10月25日至2009年3月18日,共78起,羊水栓塞医疗纠纷、"医闹"案件随年度增长其构成比增加.②56.41%明确记载医院名称,37.18%记载某医院,6.41%记载其他.③"医闹"占23.08%;其中66.67%停尸医院,摆放花圈,设灵堂,奏哀乐,放鞭炮,烧纸钱,点香烛等;殴打医务人员及严重威胁相关医务人员人身安全分别占22.22%;将刚出生女儿丢弃医院长达3个月之久占5.56%."医闹"导致医院停业并转诊孕产妇10余人到其他医院占5.56%.参加"医闹"人数为数十人、几百人,甚至上千人."医闹"形式:大批社会人员冲击医院、占据医院多处工作场所,集会,捣毁办公室,砸领导家门窗."医闹"持续时间为20多小时至断断续续3个月不等.④10.26%案件报警:其中62.50%医院报警,37.50%家属报警.87.50%案件公安部门介入,12.50%案件警察袖手旁观.拘捕及拘留分别占12.50%;25.00%追究刑事责任.⑤32.05%家属提出赔偿要求:赔偿金5 ~300万元;要求新生儿由医院扶养至18周岁占4.00%.40.00%案件医院给予补偿:补偿金3000元至42万元;述及医院无过错,补偿出于无奈占30.00%.结论 产科医务人员勤于学习相关法律知识,以严肃科学的诊疗规范,及早发现羊水栓塞的征兆,及早诊断,及早急救,尽最大可能维持孕产妇生命,保障产科医疗工作及时准确,安全有效,是从根本上避免羊水栓塞医疗纠纷、"医闹"的关键.%Objective TO investigate the relevant factors of amniotic fluid embolism" medical trouble".Methods In Baidu and Google,type "amniotic fluid embolism,medical malpractice, medical trouble" and other keyword search,the amniotic fluid embolism medical dispute

  12. 孕晚期羊水量的减少与妊娠结局的临床分析%Reduce the Clinical Analysis and the Outcome of Pregnancy Trimester Amniotic Fluid Volume

    Institute of Scientific and Technical Information of China (English)

    任英囡

    2015-01-01

    目的:分析并研究孕晚期羊水量减少对妊娠结局的影响。方法选取我院在2012年8月~2014年8月收治的98例孕晚期羊水减少的患者作为研究对象,将其定为观察组,再选取同期的98例羊水正常对象作为对照组。对两组研究对象的进行胎心监护和B超检测。结果观察组的胎盘钙化率、剖宫产率、新生儿窒息率、FGR率和羊水污染率都明显高于对照组,P<0.05,效果显著,具有统计学意义。结论妊娠晚期羊水减少严重地影响着胎儿的生命安全,所以需要重视妊娠期内羊水量少的孕妇的检测工作。%Objective To analyze and study the third trimester amniotic fluid volume to reduce the impact on the outcome of pregnancy. Methods In our hospital in 98 cases of late pregnancy amniotic lfuid in 2012 August to 2014 August were decreased in patients as the research object, use it as the observation group, 98 cases of normal amniotic fluid object were selected as the control group. The fetal heart rate monitoring and B ultrasound detection of two groups. Results The observation group of placental calciifcation rate, cesarean section rate, neonatal asphyxia rate, FGR rate and amniotic fluid contamination rates are signiifcantly higher than the control group, P<0.05, the effect is remarkable, with statistical significance. Conclusion amniotic fluid in late pregnancy to reduce seriously affect fetal life safety, so need to pay attention to the detection work during pregnancy the amniotic lfuid volume and less in pregnant women.

  13. 水通道蛋白9与羊水量异常的研究进展%Research progress on relationship between expression of aquaporin 9 and amniotic fluid volume abnormality

    Institute of Scientific and Technical Information of China (English)

    解雁飞; 李红梅

    2013-01-01

    水通道蛋白普遍存在于人体组织器官的细胞膜上,跨过脂质双分子层转运水及其它小分子物质,调节人体内的水平衡代谢。近年来研究发现水通道蛋白是羊水平衡的重要通道,参与母胎的液体交换。水通道蛋白9作为水通道蛋白家族中重要成员之一,目前被认为表达于人类的胎膜和胎盘,可能是羊水膜内调节中的一种重要的水通道。对水通道蛋白9在人胎盘胎膜的分布以及水通道蛋白9与羊水量异常相关性的深入研究,有助于探索羊水量异常的发生机制,从而为治疗羊水量异常提供新的思路和方向。为进一步明确羊水量异常的发病机制以指导临床的诊治,该文就国内外水通道蛋白9及其与羊水量异常关系的研究进展进行了综述。%Aquaporin ( AQP ) , which exists widely in cell membrane of human tissues and organs , passes through lipidic bilayer ( phospholipid bilayer ) to transport water and other small molecules and regulates water metabolic balance in body .Recent studies have found that AQP is an important passage for amnion fluid balance and maternal-fetal fluid exchange .As one of the important members of the AQPs family, AQP9 is now believed to be expressed in human fetal membrane and placenta , and it may be an important water passage for amniotic fluid intramembrane regulation .Deep investigationes on distribution of AQP 9 in fetal membranes and placenta and its relationship with amniotic fluid volume abnormality is contributive to explore mechanisms of amniotic fluid volume abnormality , so as to provide a new idea and direction for the treatment .In order to further clarify the pathogenesis of abnormal amniotic fluid volume and to guide the clinical diagnosis and treatment , the article reviewed recent advance both at home and abroad in AQP 9 and its relationship with amniotic fluid volume abnormality .

  14. 羊水栓塞患者的临床分析及护理要点探讨%Clinical Analysis and Nursing Key Points Discussed in Patients with Amniotic Fluid Embolism

    Institute of Scientific and Technical Information of China (English)

    谭秀玉

    2015-01-01

    Objective Clinical characteristics and nursing methods of patients with amniotic fluid embolism.Methods12 cases of amniotic fluid embolism admitted in our hospital in 2008 March~2013 year in February period as the object of study, the clinical data were retrospectively analyzed.ResultsIn 1 patients died and the remaining patients were survived, and were discharged from the hospital. Conclusion Amniotic fluid embolism in the clinical manifestations of shock, vaginal bleeding, DIC and coagulation and other symptoms, clinical on treating the patients with amniotic fluid embolism, given targeted nursing measures, not only can reduce the incidence of complications, but also can improve the therapeutic effect, improve the quality of life of patients with pre.%目的:探析羊水栓塞患者的临床特点和护理方法。方法将我院2008年3月~2013年2月期间收治的12例羊水栓塞患者作为研究对象,对其临床治疗资料进行回顾性分析。结果除1例患者死亡外,其余患者均存活,并康复出院。结论羊水栓塞在临床上表现为休克、阴道出血、DIC和血不凝等症状,临床上在对羊水栓塞患者进行治疗时,给予针对性护理措施,不仅可以降低并发症发生率,还能提高治疗效果,改善患者预后生活质量。

  15. B超监测羊水性状在孕晚期可疑羊水过少中的应用%B-mode ultrasound monitoring of amniotic fluid character in suspected oligohydramnios during late pregnancy

    Institute of Scientific and Technical Information of China (English)

    李晓峥; 朱科俊

    2016-01-01

    目的::B超监测羊水性状在孕晚期可疑羊水过少中的应用,方法:2012年1月至2014年12月就诊我院系统产检300例患者,比较单纯可疑羊水过少组(150例)与合并羊水浑浊组(150例)的剖宫产率和新生儿窒息率。结果:可疑羊水过少且合并羊水浑浊组发生剖宫产分娩率、新生儿窒息率升高( P<0.01)。结论:B超监测羊水性状为孕晚期可疑羊水过少提供敏感指标,为临床分娩方式选择提供依据。%Objective:To investigate the value of B-mode ultrasound monitoring of amniotic fluid character in suspected oligohydramnios during late pregnancy. Methods:Included in this study were 300 patients subjected to systemic prenatal examination in our hospital between January 2012 and December 2014. These patients were with suspected oligohydramnios alone (n=150) or concomitant amniotic fluid turbidity (n=150). The rates of cesarean section and neonatal asphyxia in these patients were compared. Results: Patients with suspected oligohydramnios and concomitant amniotic fluid turbidity were more likely to have cesarean delivery (P<0.01) and neonatal asphyxia ( P<0.01) . Conclusion:B-mode ultrasound monitoring of amniotic fluid can offer sensitive indicators for suspected oligohydramnios during late pregnancy and evidence for selection of delivery mode.

  16. CD44+/CD105+ Human Amniotic Fluid Mesenchymal Stem Cells Survive and Proliferate in the Ovary Long-Term in a Mouse Model of Chemotherapy-Induced Premature Ovarian Failure

    OpenAIRE

    LIU, TE; HUANG, YONGYI; Guo, Lihe; Cheng, Weiwei; Zou, Gang

    2012-01-01

    Objectives: Stem cell transplantation has been reported to rescue ovarian function in a preclinical mouse model of chemotherapy-induced premature ovarian failure (POF); however, maintaining the survival and self-renewal of transplanted seed cells in ovarian tissues over the long-term remains a troublesome issue. In this study we aimed to determine whether the CD44+/CD105+ human amniotic fluid cell (HuAFCs) subpopulation represent potential seed cells for stem cell transplantation treatments i...

  17. Radioimmunologic determination of SP-1 (gestational beta-1-glycoprotein) in the serum and amniotic fluid during normal and pathological courses of gestation. Radioimmunologische Bestimmung von SP-1 (schwangerschaftsspezifisches. beta. 1-Glycoprotein) im Serum und Fruchtwasser bei normalen und pathologischen Schwangerschaften

    Energy Technology Data Exchange (ETDEWEB)

    Courtial, A.

    1986-07-18

    While determinations of SP-1 in the amniotic fluid were found to be of rather limited diagnostic usefulness, both single and repeated measurements in the serum provided valuable information that permitted to predict the presumable patient outcome in cases of imminent abortion attributable to such conditions as diabetic fetopathy or severe gestosis associated with deficient fetal development (one limitation of the method's usefulness being a comparatively high percentage of false-positive results). (TRV).

  18. Maternal intravenous treatment with either azithromycin or solithromycin clears Ureaplasma parvum from the amniotic fluid in an ovine model of intrauterine infection.

    Science.gov (United States)

    Miura, Yuichiro; Payne, Matthew S; Keelan, Jeffrey A; Noe, Andres; Carter, Sean; Watts, Rory; Spiller, Owen B; Jobe, Alan H; Kallapur, Suhas G; Saito, Masatoshi; Stock, Sarah J; Newnham, John P; Kemp, Matthew W

    2014-09-01

    Intrauterine infection with Ureaplasma spp. is strongly associated with preterm birth and adverse neonatal outcomes. We assessed whether combined intraamniotic (IA) and maternal intravenous (IV) treatment with one of two candidate antibiotics, azithromycin (AZ) or solithromycin (SOLI), would eradicate intrauterine Ureaplasma parvum infection in a sheep model of pregnancy. Sheep with singleton pregnancies received an IA injection of U. parvum serovar 3 at 85 days of gestational age (GA). At 120 days of GA, animals (n=5 to 8/group) received one of the following treatments: (i) maternal IV SOLI with a single IA injection of vehicle (IV SOLI only); (ii) maternal IV SOLI with a single IA injection of SOLI (IV+IA SOLI); (iii) maternal IV AZ and a single IA injection of vehicle (IV AZ only); (iv) maternal IV AZ and a single IA injection of AZ (IV+IA AZ); or (v) maternal IV and single IA injection of vehicle (control). Lambs were surgically delivered at 125 days of GA. Treatment efficacies were assessed by U. parvum culture, quantitative PCR, enzyme-linked immunosorbent assay, and histopathology. Amniotic fluid (AF) from all control animals contained culturable U. parvum. AF, lung, and chorioamnion from all AZ- or SOLI-treated animals (IV only or IV plus IA) were negative for culturable U. parvum. Relative to the results for the control, the levels of expression of interleukin 1β (IL-1β), IL-6, IL-8, and monocyte chemoattractant protein 2 (MCP-2) in fetal skin were significantly decreased in the IV SOLI-only group, the MCP-1 protein concentration in the amniotic fluid was significantly increased in the IV+IA SOLI group, and there was no significant difference in the histological inflammation scoring of lung or chorioamnion among the five groups. In the present study, treatment with either AZ or SOLI (IV only or IV+IA) effectively eradicated macrolide-sensitive U. parvum from the AF. There was no discernible difference in antibiotic therapy efficacy between IV-only and IV

  19. Performance of Polymerase Chain Reaction Analysis of the Amniotic Fluid of Pregnant Women for Diagnosis of Congenital Toxoplasmosis: A Systematic Review and Meta-Analysis

    Science.gov (United States)

    2016-01-01

    Introduction Congenital infection caused by Toxoplasma gondii can cause serious damage that can be diagnosed in utero or at birth, although most infants are asymptomatic at birth. Prenatal diagnosis of congenital toxoplasmosis considerably improves the prognosis and outcome for infected infants. For this reason, an assay for the quick, sensitive, and safe diagnosis of fetal toxoplasmosis is desirable. Goal To systematically review the performance of polymerase chain reaction (PCR) analysis of the amniotic fluid of pregnant women with recent serological toxoplasmosis diagnoses for the diagnosis of fetal toxoplasmosis. Method A systematic literature review was conducted via a search of electronic databases; the literature included primary studies of the diagnostic accuracy of PCR analysis of amniotic fluid from pregnant women who seroconverted during pregnancy. The PCR test was compared to a gold standard for diagnosis. Results A total of 1.269 summaries were obtained from the electronic database and reviewed, and 20 studies, comprising 4.171 samples, met the established inclusion criteria and were included in the review. The following results were obtained: studies about PCR assays for fetal toxoplasmosis are generally susceptible to bias; reports of the tests’ use lack critical information; the protocols varied among studies; the heterogeneity among studies was concentrated in the tests’ sensitivity; there was evidence that the sensitivity of the tests increases with time, as represented by the trimester; and there was more heterogeneity among studies in which there was more time between maternal diagnosis and fetal testing. The sensitivity of the method, if performed up to five weeks after maternal diagnosis, was 87% and specificity was 99%. Conclusion The global sensitivity heterogeneity of the PCR test in this review was 66.5% (I2). The tests show low evidence of heterogeneity with a sensitivity of 87% and specificity of 99% when performed up to five weeks

  20. Comparison of human amniotic fluid-derived and umbilical cord Wharton's Jelly-derived mesenchymal stromal cells: Characterization and myocardial differentiation capacity

    Institute of Scientific and Technical Information of China (English)

    Jing Bai; Yuan Hu; Yi-Ru Wang; Li-Feng Liu; Jie Chen; Shao-Ping Su; Yu Wang

    2012-01-01

    Objective To compare the characterization and myocardial differentiation capacity of amniotic fluid-derived mesenchymal stromal cells (AF MSCs) and umbilical cord Wharton's Jelly-derived mesenchymal stromal cells (WJ MSCs). Methods The human AF MSCs were cultured from amniotic fluid samples obtained by amniocentesis. The umbilical cord WJ MSCs were obtained from Wharton's Jelly of umbilical cords of infants delivered full-term by normal labor. The morphology, growth curves, and analyses by flow cytometry of cell surface markers were compared between the two types of cells. Myocardial genes (GATA-4, c-TnT, α-actin, and Cx43) were detected by real-time PCR and the corresponding protein expressions were detected by Western blot analysis after myocardial induced in AF MSCs and WJ MSCs. Results Our findings revealed AF MSCs and WJ MSCs shared similar morphological characteristics of the fibroblastoid shape. The AF MSCs were easily obtained than the WJ MSCs and had a shorter time to reach adherence of 2.7 ± 1.6 days to WJ MSCs of 6.5 ± 1.8 days. The growth curves by MTT cytotoxic assay showed the AF MSCs had a similar proliferative capacity at passage 5 and passage 10. However, the proliferative capacities of WJ MSCs were decreased at 5 passage relative to 10 passage. Both AF stem cells and WJ stem cells had the characteristics of mesenchymal stromal cells with some characteristics of embryonic stem cells. They express CD29 and CD105, but not CD34. They were positive for Class I major histocompatibility (MHC I) antigens (HLA-ABC), and were negative, or mildly positive, for MHC Class II (HLA-DR) antigen. Oct-4 was positive in all the two cells types. Both AF MSCs and WJ MSCs could differentiate along myocardium. The differentiation capacities were detected by the expression of GATA-4, c-TnT, α-actin, Cx43 after myocardial induction. Conclusions Both AF MSCs and WJ MSCs have the potential clinical application for myogenesis in cardiac regenerative therapy.

  1. To study on the methods of serial subcultivation of amniotic fluid in penatal diagnosis%转瓶培养在羊水细胞产前诊断中的应用

    Institute of Scientific and Technical Information of China (English)

    李锋; 郑红云; 童永清

    2011-01-01

    目的 建立一种成功率高,收获分裂相多的羊水细胞培养方法.方法 总共357例羊水标本用经典培养法和转瓶培养法培养.结果 经典培养成功率为94.3%(337/357),转瓶培养二次收获后成功率为97.8% (349/357),成功率提高,且所获分裂相数目多,形态好.结论 转瓶培养方法是一种简便易行的羊水细胞培养方法.%Objective; To improve the successful rate of culture of human amniotic fluid cells. Methods; The classic cultivation method and serial subcultivation method was performed in 357 cases of amniotic fluid cultivation. Results: The successful rate of classic cultivation method and serial subcultivation method was 94. 3% (337/357) and 97. 8% (349/357) respectively. The serial sub-cultivation has high successful rate. More and high - quality M - phase can be observed by serial subcultivation method. Conclusion: The serial subcultivation is convenient method in amniotic fluid culture. It has the advantages of good chromosome morphous and high successful rate.

  2. Líquido amniótico tópico: uma potencial nova alternativa para doenças da superfície ocular Topical amniotic fluid: a potential new alternative for ocular surface diseases

    Directory of Open Access Journals (Sweden)

    Guilherme Goulart Quinto

    2008-12-01

    Full Text Available O líquido amniótico banha o feto durante a vida intra-uterina e está em contato permanente com a superfície ocular durante este importante período do desenvolvimento. Ele contém uma série de fatores de crescimento que podem ter diversos efeitos sobre o processo cicatricial. Estes fatores aceleram a recuperação da sensibilidade corneana e regeneração nervosa após procedimentos cerato-refrativos, além de controlar a formação de cicatriz e o equilíbrio da superfície ocular após sua aplicação tópica. Centenas de diferentes proteínas têm sido identificadas no líquido amniótico humano e o papel de cada uma continua desconhecido. Os resultados obtidos até o momento sobre a aplicação de líquido amniótico em doenças de superfície ocular sugerem uma terapia promissora. Pesquisas estão sendo realizadas para identificar os efeitos dos fatores específicos do líquido amniótico sobre a inflamação ocular. O objetivo desta revisão é relatar as propriedades e utilizações atuais do líquido amniótico, bem como apresentar os recentes estudos relacionados ao uso deste líquido e doenças da superfície ocular.Amniotic fluid bathes the fetus during intrauterine life and is in permanent contact with the fetal ocular surface in this important period of development. It contains a series of growth factors that may have multiple effects on the wound healing process. These factors are thought to accelerate the recovery of corneal sensitivity and nerve regeneration after keratorefractive procedures, and also may control scar formation and balance the ocular surface after topical application. Hundreds of different proteins have been identified in the human amniotic fluid, and the role of each still not quite understood. The outcomes obtained so far with amniotic fluid application to ocular surface diseases suggest a promising therapy. Research is underway to identify the effects of specific factors of the amniotic fluid in ocular

  3. Progress on the pathogenesis diagnosis and treatment of amniotic fluid embolism%羊水栓塞发病机理及诊治进展

    Institute of Scientific and Technical Information of China (English)

    刘凤华

    2008-01-01

    羊水栓塞(amniotic Fluid embolism,AFE)是指羊水物质进入母血循环引起肺栓塞、休克、弥漫性血管内凝血(disseminated intravascular coagulation,DIC)等一系列严重症状的综合征。Clark报道AFE发病率约1:8000,80000,死亡率高达80%以上。AFE引起死亡的孕产妇数占孕产妇死亡总数的10%,20%。近年孕产妇病死率显著下降,而导致产妇直接死因的AFE一直未改变。可见AFE是一种发病率低,病死率高,但又不可预料且极其凶险的产科并发症。近年来通过临床病例的总结、研究,对AFE的发病原因及相关因素有了新的认识,并对早期诊断及治疗也有了新的进展。

  4. Reference intervals for N-terminal pro-B-type natriuretic peptide in amniotic fluid between 10 and 34 weeks of gestation.

    Directory of Open Access Journals (Sweden)

    Waltraut M Merz

    Full Text Available BACKGROUND: In adult and pediatric cardiology, n-terminal pro-B-type natriuretic peptide (nt-proBNP serves as biomarker in the diagnosis and management of cardiovascular dysfunction. Elevated levels of circulating nt-proBNP are present in fetal conditions associated with myocardial pressure or volume load. Compared to fetal blood sampling, amniocentesis is technically easier and can be performed from early pregnancy onwards. We aimed to investigate amniotic fluid (AF nt-proBNP concentrations in normal pregnancies between 10 and 34 weeks of gestation. METHODS: Nt-proBNP and total protein (TP was measured in AF by chemiluminescence assay (photometry, respectively. To adjust for a potential dilutional effect, the AF-nt-proBNP/AF-TP ratio was analyzed. Reference intervals were constructed by regression modeling across gestational age. RESULTS: 132 samples were analyzed. A negative correlation between AF-nt-proBNP/AF-TP ratio and gestational age was observed. Curves for the mean and the 5% and 95% reference interval between 10 and 34 weeks of gestation were established. CONCLUSION: In normal pregnancy, nt-proBNP is present in AF and decreases during gestation. Our data provide the basis for research on AF-nt-proBNP as biomarker in fetal medicine.

  5. Amniotic Fluid Embolism Pathophysiology Suggests the New Diagnostic Armamentarium: β-Tryptase and Complement Fractions C3-C4 Are the Indispensable Working Tools

    Directory of Open Access Journals (Sweden)

    Francesco Paolo Busardò

    2015-03-01

    Full Text Available Amniotic fluid embolism (AFE is an uncommon obstetric condition involving pregnant women during labor or in the initial stages after delivery. Its incidence is estimated to be around 5.5 cases per 100,000 deliveries. Therefore, this paper investigated the pathophysiological mechanism, which underlies AFE, in order to evaluate the role of immune response in the development of this still enigmatic clinical entity. The following databases (from 1956 to September 2014 Medline, Cochrane Central, Scopus, Web of Science and Science Direct were used, searching the following key words: AFE, pathophysiology, immune/inflammatory response, complement and anaphylaxis. The main key word “AFE” was searched singularly and associated individually to each of the other keywords. Of the 146 sources found, only 19 were considered appropriate for the purpose of this paper. The clinical course is characterized by a rapid onset of symptoms, which include: acute hypotension and/or cardiac arrest, acute hypoxia (with dyspnoea, cyanosis and/or respiratory arrest, coagulopathies (disseminated intravascular coagulation and/or severe hemorrhage, coma and seizures. The pathology still determines a significant morbidity and mortality and potential permanent neurological sequelae for surviving patients. At this moment, numerous aspects involving the pathophysiology and clinical development are still not understood and several hypotheses have been formulated, in particular the possible role of anaphylaxis and complement. Moreover, the detection of serum tryptase and complement components and the evaluation of fetal antigens can explain several aspects of immune response.

  6. Glial cell line-derived neurotrophic factor induced the differentiation of amniotic fluid-derived stem cells into vascular endothelial-like cells in vitro.

    Science.gov (United States)

    Zhang, Ruyu; Lu, Ying; Li, Ju; Wang, Jia; Liu, Caixia; Gao, Fang; Sun, Dong

    2016-02-01

    Amniotic fluid-derived stem cells (AFSCs) are a novel source of stem cells that are isolated and cultured from second trimester amniocentesis. Glial cell line-derived neurotrophic factor (GDNF) acts as a tissue morphogen and regulates stem cell proliferation and differentiation. This study investigated the effect of an adenovirus-mediated GDNF gene, which was engineered into AFSCs, on the cells' biological properties and whether GDNF in combination with AFSCs can be directionally differentiated into vascular endothelial-like cells in vitro. AFSCs were isolated and cultured using the plastic adherence method in vitro and identified by the transcription factor Oct-4, which is the primary marker of pluripotent stem cells. AFSCs were efficiently transfected by a GFP-labeled plasmid system of an adenovirus vector carrying the GDNF gene (Ad-GDNF-GFP). Transfected AFSCs stably expressed GDNF. Transfected AFSCs were cultured in endothelial growth medium-2 containing vascular endothelial growth factor. After 1 week, AFSCs were positive for von Willebrand factor (vWF) and CD31, which are markers of endothelial cells, and the recombinant GDNF group was significantly higher than undifferentiated controls and the GFP only group. These results demonstrated that AFSCs differentiated into vascular endothelial-like cells in vitro, and recombinant GDNF promoted differentiation. The differentiation-induced AFSCs may be used as seed cells to provide a new manner of cell and gene therapies for transplantation into the vascular injury site to promote angiogenesis.

  7. Intravenous grafts of amniotic fluid-derived stem cells induce endogenous cell proliferation and attenuate behavioral deficits in ischemic stroke rats.

    Directory of Open Access Journals (Sweden)

    Naoki Tajiri

    Full Text Available We recently reported isolation of viable rat amniotic fluid-derived stem (AFS cells [1]. Here, we tested the therapeutic benefits of AFS cells in a rodent model of ischemic stroke. Adult male Sprague-Dawley rats received a 60-minute middle cerebral artery occlusion (MCAo. Thirty-five days later, animals exhibiting significant motor deficits received intravenous transplants of rat AFS cells or vehicle. At days 60-63 post-MCAo, significant recovery of motor and cognitive function was seen in stroke animals transplanted with AFS cells compared to vehicle-infused stroke animals. Infarct volume, as revealed by hematoxylin and eosin (H&E staining, was significantly reduced, coupled with significant increments in the cell proliferation marker, Ki67, and the neuronal marker, MAP2, in the dentate gyrus (DG [2] and the subventricular zone (SVZ of AFS cell-transplanted stroke animals compared to vehicle-infused stroke animals. A significantly higher number of double-labeled Ki67/MAP2-positive cells and a similar trend towards increased Ki67/MAP2 double-labeling were observed in the DG and SVZ of AFS cell-transplanted stroke animals, respectively, compared to vehicle-infused stroke animals. This study reports the therapeutic potential of AFS cell transplantation in stroke animals, possibly via enhancement of endogenous repair mechanisms.

  8. 产后出血与羊水栓塞关系的初步研究%Preliminary study on the relationship between postpartum hemorrhage and amniotic fluid embolism

    Institute of Scientific and Technical Information of China (English)

    赵敏; 余舰; 张国栋

    2011-01-01

    Objective: To detect the expression of STN antigen which was the characteristic component of amniotic fluid and meconium in the cases with postpartum hemorrhage, find out the clear pathological causes of postpartum hemorrhage, explore the relationship between postpartum hemorrhage and anmiotic fluid embolism preliminarily. Methods: 20 autopsy specimens were analyzed retrospectively by HE staining and STN antigen immunohistochemical staining Results: Among 15 cases diagnosed as postpartum hemorrhage, 8 cases were found with positive STN antigen; tangible components in amniotic fluid including squamous epithelium, meconium body, fetal fat and mucus were not found by HE staining; 2 cases were diagnosed as amniotic fluid embolism by autopsy and HE staining (positive control group), and they were found with positive STN antigen, fetal fat and meconium body by HE staining; 3 cases died because of other causes ( negative control group), and they were found with negative STN antigen, no tangible components in amniotic fluid was found by HE staining; there was significant difference in positive rate of STN antigen among experimental group, positive control group and negative control group (P < 0. 05) . Conclusion: For the cases with unexplained postpartum hemorrhage, STN antigen which is the characteristic component of amniotic fluid can be detected by immunohistochemistry in order to determine if amniotic fluid enters into blood circulation of pregnant women and induce the occurrence of atypical amniotic fluid embolism, then the causes of postpartum hemorrhage can be made clear.%目的:检测羊水及胎粪的特征性成分-STN抗原在产后出血病例中的表达,查找引起产后出血的确切病因,初步探讨产后出血与羊水栓塞的关系.方法:通过HE染色、STN抗原免疫组化染色,对20例尸检标本进行回顾性研究.结果:临床诊断为产后出血的15例病例中,STN抗原表达阳性8例.HE染色均末观察到鳞状上皮、胎粪小

  9. Hypothermic preconditioning of donor organs prior to harvesting and ischaemia using ice-cold intravenous fluids.

    Science.gov (United States)

    Kämäräinen, Antti; Virkkunen, Ilkka; Tenhunen, Jyrki

    2009-07-01

    To promote organ transplantation and viability, hypothermia has been applied as a protective agent for decades. Current management of organ preservation includes hypothermia as a component of static storage. In rare cases, hypothermic perfusion is initiated in the donor organs prior to harvesting but this requires invasive perfusion techniques. Therefore, hypothermic organ protection is currently achieved only after organ retrieval and onset of ischaemic injury cascades. The relevant mechanisms of cellular and organ damage involve ischaemia-reperfusion injury and apoptosis. In this hypothesis, we propose the possibility of inducing hypothermic protective effects prior to organ harvesting using infusion of ice-cold (+4 degrees C) intravenous fluid in the organ donor. This method of cooling to mild hypothermia (32-34 degrees C) has been found feasible in e.g. cardiac arrest victims and already during the ischaemic insult. We hypothesize that cooling with ice-cold fluid preceding organ harvesting would downregulate organ metabolism and oxygen consumption resulting in improved tolerance to ischaemia. Furthermore, according to existing evidence, mild hypothermia possesses anti-apoptotic effects and suppresses reperfusion associated inflammatory response. Finally, diabetes insipidus is often observed in the brain dead donor. Subsequent hypovolemia is conveniently treated with additional infusion of cold intravenous fluid. We offer this hypothesis as a simple method of improving donor organ viability via improved tolerance to ischaemia and reperfusion injury. This method of hypothermic preconditioning seems safe, inexpensive and easily applicable in virtually every institution treating organ donors. The feasibility and effects of this hypothesis could be further evaluated in comparison to current treatment protocols in laboratory settings including evaluation of organ preservation. PMID:19269108

  10. Physics of amniote formation.

    Science.gov (United States)

    Fleury, Vincent; Murukutla, Ameya Vaishnavi; Chevalier, Nicolas R; Gallois, Benjamin; Capellazzi-Resta, Marina; Picquet, Pierre; Peaucelle, Alexis

    2016-08-01

    We present a detailed study of the formation of the amniotic sac in the avian embryo, and a comparison with the crocodile amniotic sac. We show that the amniotic sac forms at a circular line of stiffness contrast, separating rings of cell domains. Cells align at this boundary, and this in turn orients and concentrates the tension forces. The tissue fold which forms the amniotic sac is locked exactly along this line due to the colocalization of the stiffness contrast and of the tensile force. In addition, the tensile force plays a regenerative role when the amniotic sac is cut. The fold forming the ventral side of the embryo displays the same characteristics. This work shows that amniote embryogenesis consists of a cascade of buckling events taking place at the boundaries between regions of differing mechanical properties. Hence, amniote embryogenesis relies on a simple and robust biomechanical scheme used repeatedly, and selected ancestrally. PMID:27627351

  11. Significant performance variation among PCR systems in diagnosing congenital toxoplasmosis in São Paulo, Brazil: analysis of 467 amniotic fluid samples

    Directory of Open Access Journals (Sweden)

    Thelma Suely Okay

    2009-03-01

    Full Text Available INTRODUCTION: Performance variation among PCR systems in detecting Toxoplasma gondii has been extensively reported and associated with target genes, primer composition, amplification parameters, treatment during pregnancy, host genetic susceptibility and genotypes of different parasites according to geographical characteristics. PATIENTS: A total of 467 amniotic fluid samples from T. gondii IgM- and IgG-positive Brazilian pregnant women being treated for 1 to 6 weeks at the time of amniocentesis (gestational ages of 14 to 25 weeks. METHODS: One nested-B1-PCR and three one-round amplification systems targeted to rDNA, AF146527 and the B1 gene were employed. RESULTS: Of the 467 samples, 189 (40.47% were positive for one-round amplifications: 120 (63.49% for the B1 gene, 24 (12.69% for AF146527, 45 (23.80% for both AF146527 and the B1 gene, and none for rDNA. Fifty previously negative one-round PCR samples were chosen by computer-assisted randomization analysis and re-tested (nested-B1-PCR, during which nine additional cases were detected (9/50 or 18%. DISCUSSION: The B1 gene PCR was far more sensitive than the AF146527 PCR, and the rDNA PCR was the least effective even though the rDNA had the most repetitive sequence. Considering that the four amplification systems were equally affected by treatment, that the amplification conditions were optimized for the target genes and that most of the primers have already been reported, it is plausible that the striking differences found among PCR performances could be associated with genetic diversity in patients and/or with different Toxoplasma gondii genotypes occurring in Brazil. CONCLUSION: The use of PCR for the diagnosis of fetal Toxoplasma infections in Brazil should be targeted to the B1 gene when only one gene can be amplified, preferably by nested amplification with primers B22/B23.

  12. Non-integrating episomal plasmid-based reprogramming of human amniotic fluid stem cells into induced pluripotent stem cells in chemically defined conditions.

    Science.gov (United States)

    Slamecka, Jaroslav; Salimova, Lilia; McClellan, Steven; van Kelle, Mathieu; Kehl, Debora; Laurini, Javier; Cinelli, Paolo; Owen, Laurie; Hoerstrup, Simon P; Weber, Benedikt

    2016-01-01

    Amniotic fluid stem cells (AFSC) represent an attractive potential cell source for fetal and pediatric cell-based therapies. However, upgrading them to pluripotency confers refractoriness toward senescence, higher proliferation rate and unlimited differentiation potential. AFSC were observed to rapidly and efficiently reacquire pluripotency which together with their easy recovery makes them an attractive cell source for reprogramming. The reprogramming process as well as the resulting iPSC epigenome could potentially benefit from the unspecialized nature of AFSC. iPSC derived from AFSC also have potential in disease modeling, such as Down syndrome or β-thalassemia. Previous experiments involving AFSC reprogramming have largely relied on integrative vector transgene delivery and undefined serum-containing, feeder-dependent culture. Here, we describe non-integrative oriP/EBNA-1 episomal plasmid-based reprogramming of AFSC into iPSC and culture in fully chemically defined xeno-free conditions represented by vitronectin coating and E8 medium, a system that we found uniquely suited for this purpose. The derived AF-iPSC lines uniformly expressed a set of pluripotency markers Oct3/4, Nanog, Sox2, SSEA-1, SSEA-4, TRA-1-60, TRA-1-81 in a pattern typical for human primed PSC. Additionally, the cells formed teratomas, and were deemed pluripotent by PluriTest, a global expression microarray-based in-silico pluripotency assay. However, we found that the PluriTest scores were borderline, indicating a unique pluripotent signature in the defined condition. In the light of potential future clinical translation of iPSC technology, non-integrating reprogramming and chemically defined culture are more acceptable.

  13. 足月分娩羊水栓塞6例临床分析%Clinical analysis of six cases with full-term amniotic fluid embolism

    Institute of Scientific and Technical Information of China (English)

    凌定文

    2013-01-01

    Objective Through the clinical analysis of 6 cases with full-term amniotic fluid embolism (AFE), to explore the predisposing factor of AFE and emphasize on strict control of oxytocin indication. Methods Retrospectively analyzed the clinical data of 6 cases of full-term AFE, from May 2010 to December 2012, in Yangzhou County and Township Hospital. Results Incorrect static drop of oxytocin was the causative factor of AFE. 5 cases died, 1 case was successfully rescued, and the mortality was 83.3%. Conclusion Prevention is the emphasis on AFE. Strict control on oxytocin induction and reduction of unnecessary medical intervention are effective action to prevent AFE from occurring.%目的:通过对6例足月分娩羊水栓塞(AFE)患者的临床分析,找出诱发因素,强调严格掌握催产素应用指征。方法对2010年5月~2012年12月在扬州县乡级医院发生的6例足月分娩羊水栓塞患者的临床资料回顾性分析。结果不正确静滴催产素是导致6例患者羊水栓塞的诱发因素,6例中5例死亡,1例抢救成功,死亡率为83.3%。结论AFE重在预防,严格掌握催产素应用指征,减少不必要的医疗干预是预防AFE发生的有效措施。

  14. The differentiation of amniotic fluid stem cells into sweat glandlike cells is enhanced by the presence of Sonic hedgehog in the conditioned medium.

    Science.gov (United States)

    Liang, Hansi; Sun, Qing; Zhen, Yunfang; Li, Fang; Xu, YunYun; Liu, Yao; Zhang, Xueguang; Qin, Mingde

    2016-09-01

    After patients suffer severe full-thickness burn injuries, the current treatments cannot lead to the complete self-regeneration of the sweat gland structure and function. Therefore, it is important to identify new methods for acquiring sufficient functional sweat gland cells to restore skin function. In this study, we induced CD117+ human amniotic fluid stem (hAFS) cells to differentiate into sweat glandlike (hAFS-SG) cells based on the use of conditioned medium (CM) from the human sweat gland (hSG) cells. Real-time PCR and immunofluorescent staining were used to confirm the expression of the sweat gland-related genes Ectodysplasin-A (EDA), Ectodysplasin-A receptor (EDAR), keratin 8 (K8) and carcino-embryonic antigen (CEA). Transmission electron microscopy analysis shows that microvilli, the cellular structures that are typical for hSG cells, can also be observed on the membrane of the hAFS-SG cells. Our test for the calcium response to acetylcholine (Ach) proved that hAFS-SG cells have the potential to respond to Ach in a manner similar to normal sweat glands. A three-dimensional culture is an effective approach that stimulates the hAFS-SG cells to form tubular structures and drives hAFS-SG cells to mature into higher stage. We also found that epidermal growth factor enhances the efficiency of differentiation and that Sonic hedgehog is an important factor of the CM that influences sweat gland differentiation. Our study provides the basis for further investigations into novel methods of inducing stem cells to differentiate into sweat glandlike cells. PMID:27120089

  15. Amniotic fluid stem cell-based models to study the effects of gene mutations and toxicants on male germ cell formation

    Institute of Scientific and Technical Information of China (English)

    Claudia Gundacker; Helmut Dolznig; Mario Mikula; Margit Rosner; Oliver Brandau; Markus Hengstschl(a)ger

    2012-01-01

    Male infertility is a major public health issue predominantly caused by defects in germ cell development.In the past,studies on the genetic regulation of spermatogenesis as well as on negative environmental impacts have been hampered by the fact that human germ cell development is intractable to direct analysis in vivo.Compared with model organisms including mice,there are fundamental differences in the molecular processes of human germ cell development.Therefore,an in vitro model mimicking human sperm formation would be an extremely valuable research tool.In the recent past,both human embryonic stem (ES) cells and induced pluripotent stem (iPS) cells have been reported to harbour the potential to differentiate into primordial germ cells and gametes.We here discuss the pessibility to use human amniotic fluid stem (AFS) cells as a biological model.Since their discovery in 2003,AFS cells have been characterized to differentiate into cells of all three germ layers,to be genomically stable,to have a high proliferative potential and to be non-tumourigenic.In addition,AFS cells are not subject of ethical concerns.In contrast to iPS cells,AFSs cells do not need ectopic induction of pluripotency,which is often associated with only imperfectly cleared epigenetic memory of the source cells.Since AFS cells can be derived from amniocentesis with disease-causing mutations and can be transfected with high efficiency,they could be used in probing gene functions for spermatogenesis and in screening for male reproductive toxicity.

  16. Amniotic Fluid Derived Stem Cells with a Renal Progenitor Phenotype Inhibit Interstitial Fibrosis in Renal Ischemia and Reperfusion Injury in Rats.

    Directory of Open Access Journals (Sweden)

    Marina Gabriela Monteiro Carvalho Mori da Cunha

    Full Text Available Mesenchymal stem cells derived from human amniotic fluid (hAFSCs are a promising source for cellular therapy, especially for renal disorders, as a subpopulation is derived from the fetal urinary tract. The purpose of this study was to evaluate if hAFSCs with a renal progenitor phenotype demonstrate a nephroprotective effect in acute ischemia reperfusion (I/R model and prevent late stage fibrosis.A total of 45 male 12-wk-old Wistar rats were divided into three equal groups;: rats subjected to I/R injury and treated with Chang Medium, rats subjected to I/R injury and treated with hAFSCs and sham-operated animals. In the first part of this study, hAFSCs that highly expressed CD24, CD117, SIX2 and PAX2 were isolated and characterized. In the second part, renal I/R injury was induced in male rats and cellular treatment was performed 6 hours later via arterial injection. Functional and histological analyses were performed 24 hours, 48 hours and 2 months after treatment using serum creatinine, urine protein to creatinine ratio, inflammatory and regeneration markers and histomorphometric analysis of the kidney. Statistical analysis was performed by analysis of variance followed by the Tukey's test for multiple comparisons or by nonparametric Kruskal-Wallis followed by Dunn. Statistical significance level was defined as p <0.05.hAFSCs treatment resulted in significantly reduced serum creatinine level at 24 hours, less tubular necrosis, less hyaline cast formation, higher proliferation index, less inflammatory cell infiltration and less myofibroblasts at 48 h. The treated group had less fibrosis and proteinuria at 2 months after injury.hAFSCs contain a renal progenitor cell subpopulation that has a nephroprotective effect when delivered intra-arterially in rats with renal I/R injury, and reduces interstitial fibrosis on long term follow-up.

  17. The targeted inhibitory effects of human amniotic fluid stem cells carrying CXCR4 promoter and DAL-1 on non-small cell lung carcinoma growth.

    Science.gov (United States)

    Li, L; Li, S; Cai, T; Wang, H; Xie, X; Liu, Z; Zhang, Y

    2016-02-01

    The differentially expressed in adenocarcinoma of the lung-1 (DAL-1) protein has been demonstrated to be suppressive to various types of tumors including lung cancer. This study aimed to determine the targeted effects of human amniotic fluid stem cells (hAFS cells) carrying CXCR4 promoter driven conditionally replicable adenovirus vector overexpressing DAL-1 (Ad-CXCR4-DAL-1) on non-small cell lung carcinoma (NSCLC) growth. The apoptotic effects of virus vectors were assessed using flow cytometry, and the cytotoxicity analyzed by CCK-8 assay. In vivo imaging system was used to determine the homing capability of hAFS cells. A549 cell xenograft mouse model was created to assess the in vivo effect of DAL-1 overexpression on NSCLC growth. We found that infection of Ad-CXCR4-DAL-1 increased the apoptosis of A549 NSCLC cells but not 16HBE normal human bronchial epithelial cells. Ad-CXCR4-DAL-1 administered via intratumoral injection led to significant reduced growth and greater necrosis of A549 xenograft tumors comparing to null vector treated animals. When infused via tail vein, hAFS cells carrying Ad-CXCR4-DAL-1 homed to lung cancer xenografts, caused virus replication and DAL-1 overexpression, and led to significant lower growth and greater necrosis of A549 cell xenografts comparing to non-treatment control. In conclusion, hAFS cells are capable of carrying Ad-CXCR4-DAL-1 vectors, specifically targeting to lung cancer, and causing oncolytic effects when administered in vivo.

  18. Senescence-Associated Molecular and Epigenetic Alterations in Mesenchymal Stem Cell Cultures from Amniotic Fluid of Normal and Fetus-Affected Pregnancy

    Science.gov (United States)

    Savickienė, Jūratė; Baronaitė, Sandra; Zentelytė, Aistė; Treigytė, Gražina

    2016-01-01

    Human amniotic-fluid-derived mesenchymal stem cells (AF-MSCs) are interesting for their multilineage differentiation potential and wide range of therapeutic applications due to the ease of culture expansion. However, MSCs undergo replicative senescence. So far, the molecular mechanisms that underlie fetal diseases and cell senescence are still poorly understood. Here, we analyzed senescence-associated morphologic, molecular, and epigenetic characteristics during propagation of MSCs derived from AF of normal and fetus-affected pregnancy. AF-MSCs cultures from both cell sources displayed quite similar morphology and expression of specific cell surface (CD44, CD90, and CD105) and stemness (Oct4, Nanog, Sox2, and Rex1) markers but had interindividual variability in proliferation capability and time to reach senescence. Within passages 4 and 8, senescent cultures exhibited typical morphological features, senescence-associated β-galactosidase activity, increased levels of p16, and decreased levels of miR-17 and miR-21 but showed differential expression of p21, p53, and ATM dependently on the onset of cell senescence. These differences correlated with changes in the level of chromatin modifiers (DNMT1 and HDAC1) and polycomb group proteins (EZH2, SUZ12, and BMI1) paralleling with changes in the expression of repressive histone marks (H3K9me3 and H3K27me3) and stemness markers (Oct4, Nanog, Sox2, and Rex1). Therefore epigenetic factors are important for AF-MSCs senescence process that may be related with individuality of donor or a fetus malignancy status. PMID:27803714

  19. Amniotic Fluid-Derived Mesenchymal Stem Cells Cut Short the Acuteness of Cisplatin-Induced Nephrotoxicity in Sprague-Dawley Rats

    Science.gov (United States)

    Al-Husseiny, Fatma; Sobh, Mohamed Ahmed; Ashour, Rehab H.; Foud, Samah; Medhat, Tarek; El-Gilany, Abdel-Hady; Elghannam, Doaa; Abdel-Ghaffar, Hassan; Saad, Mohamed-Ahdy; Sobh, Mohamed

    2016-01-01

    Background and objectives Cisplatin is a nephrotoxic chemotherapeutic agent. So, preventive measures worth to be evaluated. Human amniotic fluid stem cells (hAFSCs) in prevention or amelioration of cisplatin-induced acute kidney injury (AKI) in Sprague-Dawley rates have been tested. Methods 80 Sprague-Dawley rats (250~300 g) were used and divided into 4 major groups, 20 rats each. Group I: Saline-injected group. Group II: Cisplatin-injected group (5 mg/kg I.P). Group III: Cisplatin-injected and hAFSCs-treated group (5×106 hAFSCs I.V. one day after cisplatin administration). Group IV: Cisplatin-injected and culture media-treated group. Each major group was further divided into 4 equal subgroups according to the timing of sacrifice; 4, 7, 11 and 30 days post-cisplatin injection. Renal function tests were done. Kidney tissue homogenate oxidative stress parameters malondialdehyde (MDA), superoxide dismutase (SOD) and glutathione (GSH) were determined. Histopathological scoring systems for active injury, regenerative and chronic changes were analyzed separately. Results hAFSCs characterization and differentiation was proved. Cisplatin injection resulted in a significant increase in serum creatinine and MDA and decrease in SOD, GSH and creatinine clearance. These changes were attenuated early by day 4 with the use of hAFSCs. Cisplatin injection induced tubular necrosis, atrophy, inflammatory cells infiltration and fibrosis. The use of hAFSCs was associated with significantly lowered injury score at day 4, 7, 11 and 30 with marked regenerative changes starting from day 4. Conclusion hAFSCs have both a protective and regenerative activities largely through an antioxidant activity. This activity cut short the acuteness of cisplatin nephrotoxicity. PMID:27426088

  20. The Association between N-terminal Pro-Brain Natriuretic Peptide Levels in the Umbilical Vein and Amniotic Fluid Volume Abnormalities.

    Science.gov (United States)

    Ersoy, Ali Ozgur; Ozler, Sibel; Oztas, Efser; Ersoy, Ebru; Ergin, Merve; Erkaya, Salim; Uygur, Dilek

    2016-04-01

    Purpose The amniotic fluid volume (AFV) is known as a predictor for the wellness of a fetus. We aimed to investigate whether N-terminal pro-brain natriuretic peptide (NTproBNP) levels reflect AFV abnormalities in otherwise normal fetuses. Methods We recruited 24 women with isolated oligohydramnios, 23 women with isolated polyhydramnios, and 36 women with normal AFV at a tertiary referral center. NT-proBNP levels in umbilical venous samples and the individual characteristics of the three groups were compared. One-way ANOVA and Kruskal-Wallis analysis of variance were used for multi-group comparisons of continuous variables. When a significant difference was detected, the Scheffe test was performed as a post-hoc analysis. Proportions were compared using the Chi-square (χ2) test. Results Maternal age, body mass indices, weight gained in pregnancy and NT-proBNP levels were similar among the three groups. Apgar scores at 1 and 5 minutes significantly correlated with NT-proBNP levels in all newborns (Spearman's r = 0.23; p = 0.03 and Spearman's r = 0.24; p = 0.02, respectively). The umbilical venous NT-proBNP levels did not differ between newborns who needed mechanical ventilation and those who didn't (p = 0.595). Conclusions NT-proBNP is a biomolecule that may provide insights into the pathogenesis of fetal circulatory problems and subsequent renal failure. Further investigations are warranted. PMID:27096950

  1. Senescence-Associated Molecular and Epigenetic Alterations in Mesenchymal Stem Cell Cultures from Amniotic Fluid of Normal and Fetus-Affected Pregnancy

    Directory of Open Access Journals (Sweden)

    Jūratė Savickienė

    2016-01-01

    Full Text Available Human amniotic-fluid-derived mesenchymal stem cells (AF-MSCs are interesting for their multilineage differentiation potential and wide range of therapeutic applications due to the ease of culture expansion. However, MSCs undergo replicative senescence. So far, the molecular mechanisms that underlie fetal diseases and cell senescence are still poorly understood. Here, we analyzed senescence-associated morphologic, molecular, and epigenetic characteristics during propagation of MSCs derived from AF of normal and fetus-affected pregnancy. AF-MSCs cultures from both cell sources displayed quite similar morphology and expression of specific cell surface (CD44, CD90, and CD105 and stemness (Oct4, Nanog, Sox2, and Rex1 markers but had interindividual variability in proliferation capability and time to reach senescence. Within passages 4 and 8, senescent cultures exhibited typical morphological features, senescence-associated β-galactosidase activity, increased levels of p16, and decreased levels of miR-17 and miR-21 but showed differential expression of p21, p53, and ATM dependently on the onset of cell senescence. These differences correlated with changes in the level of chromatin modifiers (DNMT1 and HDAC1 and polycomb group proteins (EZH2, SUZ12, and BMI1 paralleling with changes in the expression of repressive histone marks (H3K9me3 and H3K27me3 and stemness markers (Oct4, Nanog, Sox2, and Rex1. Therefore epigenetic factors are important for AF-MSCs senescence process that may be related with individuality of donor or a fetus malignancy status.

  2. Application of FISH in prenatal diagnosis of chromosome number abnormality in amniotic fluid cells%FISH在产前羊水细胞染色体数目异常诊断中的应用观察

    Institute of Scientific and Technical Information of China (English)

    张艳丽; 李华锋; 高刚

    2011-01-01

    Objective To observe effect of fluorescence in situ hybridization(FISH) on prenatal diagnosis of abnormal number of chromosomes in amniotic fluid cells. Methods The amniotic fluid of 1 121 cases of pregnant women with down syndrome screening in high-risk or age higher than 35 years old, were got by amniocentesis, and udenvent rapid prenatal diagnosis by FISH. Then the G banding karyotypes from standard cytogenetic analysis after cultured amniotic fluid cells were compared to the FISH results. Results 16 cases were found abnormal result, including 7 cases of trisomy 21 , 4 cases of trisomy 21, and other 5 cases with abnormal. It was consistent with G banding karyotypes results. Conclusion Prenatal diagnosis of chromosome humber sbnormality by FISH is satisfactory.%目的 观察应用荧光原位杂交( FISH)技术产前诊断羊水细胞染色体数目异常的效果.方法 唐氏综合征筛查高危或高龄(≥35岁)孕妇1 121例,经腹部穿刺抽取羊水,应用FISH技术进行羊水细胞染色体数目检测,并将其结果与羊水细胞常规G显带核型分析结果作比较.结果 均获得诊断结果,发现16例异常胎儿,其中7例为21三体,4例为18三体,5例为其他异常.FISH检测与核型分析结果一致.结论 用FISH产前诊断羊水细胞染色体数目异常效果满意.

  3. 过期妊娠合并羊水过少72例临床分析%Expired Pregnancy with Amniotic Fluid Reduce 72 Cases of Clinical Analysis

    Institute of Scientific and Technical Information of China (English)

    杜春彦; 龙玲玲

    2011-01-01

    目的:通过临床观察分析过期妊娠合并羊水过少对围产儿的影响.方法:对我院于2009年2月~2011年2月间收治的72例过期妊娠的临床资料进行分析,通过比较羊水过少和适量羊水对胎儿的影响,监测的羊水量范围,进行临床观察.结果:过期妊娠羊水过少的胎儿容易发生胎儿呼吸窘迫、新生儿窒息,而分娩后的羊水胎粪污染率比正常要高.结论:监测羊水量的对预测围产儿的预后有着非常重要的意义.%Objective:Through clinical observation and analysis overdue pregnancy oligohydramnios on perinatal effects. Methods:Our hospital in February 2009~February 2011 72 patients were treated between the clinical data of prolonged pregnancy were analyzed by comparing the amount of amniotic fluid,oligohydramnios,and the impact on the fetus,amniotic fluid volume monitoring the scope of clinical observation.Results:Oligohydramnios in prolonged pregnancy the fetus vulnerable to fetal respiratory distress,neonatal asphyxia,and meconium-stained amniotic fluid after delivery is higher than normal.Conclusion:Monitoring of water to predict the sheep surrounded the prognosis of product has a very important significance.

  4. chromosome karyotype analysis of pregnant amniotic fluid in Qingdao area 1206 cases%青岛地区1206例孕妇羊水染色体核型分析

    Institute of Scientific and Technical Information of China (English)

    姜楠; 俞冬熠; 韩美艳

    2012-01-01

    Objective: Evaluation of amniotic fluid cells karyotype analysis on second trimester of pregnant women at risk for prenatal diagnosis. Method: From 19 to 23 weeks of pregnancy in pregnant women at risk of amniocentesis and cell culture karyotype analysis. Result: Amniotic fluid cell culture success rate of 99. 9% , detection of chromosome abnormalities in 47 cases, including 23 cases of trisomy 21, 18 — trisomy 2 cases, 5 cases with sex chromosome abnormalities, trisomy 22 in 1 cases and other structural chromosomal abnormality in 16 cases. Conclusion; Pregnant amniotic fluid cell karyotype, can be safe and effective for fetal chromosome abnormalities for prenatal diagnosis, chromosome disease patients to reduce the birth has an important guiding significance.%目的 评价羊水细胞的染色体核型分析对妊娠中期的高危孕妇进行产前诊断的意义.方法 对妊娠19~ 23周的高危孕妇进行羊膜腔穿刺术并进行细胞培养染色体核型分析.结果 羊水细胞培养成功率99.9%,检出染色体异常47例,包括21-三体23例,18-三体2例,性染色体异常5例,22-三体1例以及其他染色体结构异常16例.结论 孕妇羊水细胞染色体核型检查,能安全有效的对胎儿染色体异常进行产前诊断,对于减少具有染色体病患儿的出生具有重要的指导意义.

  5. Correlation analysis of outcome of pregnancy according to the residual amount of amniot-ic fluid after full-term premature rupture of fetal membranes%足月胎膜早破残余羊水量对妊娠结局的影响

    Institute of Scientific and Technical Information of China (English)

    石海霞; 杭木兰

    2015-01-01

    目的:回顾性分析足月胎膜早破后残余羊水量对妊娠结局的影响。方法收集143例足月胎膜早破孕产妇临床资料,根据产前B超检测的残余羊水指数(AFI)分为三组:A组(8 cm≤AFI<25 cm)75例,B组(5 cm≤AFI<8 cm)38例,C组( AFI<5 cm )30例,比较三组孕妇在分娩方式、宫内感染率、胎儿窘迫率、新生儿发病率和羊水粪染率等方面的差异。结果 C组剖宫产率高于A组(70.00%vs 37.30%,P<0.05);A组自然分娩率高于B组和C组,差异均有统计学意义( P<0.05)。 C组宫内感染发生率、新生儿疾病发生率、羊水粪染率、胎儿窘迫发生率均高于A组,差异有统计学意义(P<0.05),其他组间比较均无统计学差异。 Logistic回归分析表明,残余羊水量(OR=2.912)、破膜至分娩时间(OR=2.356)与羊水粪染( OR=1.833)是产妇宫内感染率、新生儿疾病发病率的影响因素。结论足月胎膜早破后残余羊水量的多少与妊娠结局密切相关,羊水残余量越少对母婴的威胁越大。%Objective To analyze and discuss the impacts of the outcome of pregnancy according to the residual amount of am-niotic fluid after full-term premature rupture of fetalmembranes.Methods 143 puerperas were divided into three groups according to their prenatal B ultrasound detection of residual amniotic fluid index(AFI) results, including Group A (8 cm≤AFI<25 cm) 75 ca-ses,Group B(5 cm≤AFI<8 cm) 38 cases and Group C(AFI <5 cm) 30 cases.Thedifferenceswere comparedbetween the three groups of pregnant women in mode of delivery, intrauterine infection, fetal distress, neonatal morbidity and meconium stained amniotic fluid rate.Results The cesarean section rate in Group C was significantly higher than in Group A (70.00%vs 37.30%,P<0.05). The spontaneous vaginal delivery rates in Group C and Group B were lower than in Group A, with a significant

  6. 359 cases of prenatal diagnosis by amniotic fluid cell karyotype analysis in Guangxi%广西地区产前诊断359例羊水细胞染色体异常核型分析

    Institute of Scientific and Technical Information of China (English)

    张海燕; 郑陈光; 杜娟; 蒙达华; 陈科; 甘腾华; 黄红倩; 周元圆

    2011-01-01

    目的 通过对有产前诊断指征的中期妊娠孕妇自愿进行羊水细胞遗传学分析,检出染色体异常核型胎儿,从而减少异常缺陷儿的出生.方法 采用我室的改良羊水细胞原位培养方法进行培养和G显带染色体核型分析.结果 在6085例羊水细胞培养中.发现染色体异常核型359例.异常检出率为5.90%,其中常染色体数目异常72例占异常核型的20.06%,常染色体结构异常237例(含正常变异的倒位和异染色质增加等多态性变异)占异常核型的66.02%,性染色体数目异常39例,占异常核型的10.86%.性染色体结构异常11例,占异常核型的3.06%.结论 通过进行产前诊断,发现胎儿染色体核型异常时,在患者自愿的情况下,采取相应的措施,防止先天缺陷儿的出生.%Objective; In order to reduce birth defect of newborn, karatyping was employed to analyze in maternal amniotic fluid cell. Methods; Amniotic fluid cells were cultured karyotype analysis by a modified method of in situ culture and C - banding. Results; Out of 6085 cases of matema amniotic fluid cell, 359 cases individual had chromosome abnormalities. Among them, 72 (20. 06% ) cases were abnormal number of autosomes, 237 (66. 02% ) cases were autosomal structural abnormalities, 39 ( 10. 86% ) cases were abnormal number of sexual chromosomes, 11 (3. 06% ) cases were sexual chromosome structure abnormal. Conclusion; karatyping maternal amniotic fluid cellis an effective methods to reduce birth defects.

  7. Tentative research on the human amniotic fluid proteomics%人羊水特异蛋白质组学的探讨研究

    Institute of Scientific and Technical Information of China (English)

    朱斌; 陈芳; 侯常; 黎丽红; 黄素华

    2014-01-01

    目的:寻找人羊水中特异性表达的蛋白质。方法羊膜腔穿刺获取3份正常孕妇的羊水,同时采集其外周肘静脉血,分离血清。提取羊水及血清中的蛋白质,用双向凝胶电泳观察人羊水和血清中蛋白质表达情况,并选取羊水中表达量较血清中高2倍以上的蛋白斑点行基质辅助激光解吸/离子化飞行时间质谱分析。结果在pH 4~7、相对分子质量10~55 kDa区域里,羊水中约(613±29)个蛋白点,血清中约(785±64)个蛋白点。在羊水中表达但血清中不表达的蛋白点约50个,羊水中表达量较血清高2倍以上的蛋白点约50个。结论羊水中存在特异性表达蛋白质,其在妊娠相关生理、病理学中可能起重要作用。%Objective To explore the specific expression of proteomics in amniotic fluid (AF ).Methods Three samples were collected from normal AF by amniocentesis and peripheral venous blood sam-ples were collected simultaneously from which the serum was isolated. Proteins were extracted from both sam-ples and analyzed by two-dimensional gel electrophoresis (2-DE). The protein blots expressed in normal AF twice as high as that in serum were identified by matrix-assisted laser desorption ionizafion time-of-flight mass spectrometry.Results At pH 4-7 and within a molecular mass of 10-55 kDa,(613 ±29)protein blots were i-dentified in normal AF and (785 ±64)in serum. Approximately 50 protein blots were expressed in normal AF rather than serum. Roughly 50 blots were expressed in normal AF twice as high as that in serum. Conclusion Specific protein expression was observed in normal AF,which probably plays a vital role in pregnancy-related physiology and pathology.

  8. Current situation of research and prospects of human amniotic fluid-derived multipotential stem cells%羊水多潜能干细胞的研究现状及前景展望

    Institute of Scientific and Technical Information of China (English)

    顾潇; 陈必良

    2011-01-01

    由于强大的自我更新能力和多向分化的潜能,多潜能干细胞被广泛应用于再生医学的研究.胚胎干细胞的研究因伦理道德问题而受到限制.羊水多潜能干细胞的发现为多潜能干细胞的研究开辟了新的领域,引起了广大学者的关注.该文就羊水多潜能干细胞的生物学性状、分化潜能、临床应用前景等予以综述.%Because of a strong serf-renewal ability and multiplex differentiation potential, multipotential stem cells are widely used in researches on regenerative medicine. The research on embryonic stem cell is restricted because of ethical issues. The discovery of amniotic fluid-derived multipotential stem cells has open up a new field for multipotential stem cell research, and attracted attention of scholars. The article reviewed biological characteristics, differentiation potentiality and future clinical application of amniotic fluid-derived multipotential stem cells.

  9. 大剂量甲强龙在羊水栓塞抢救早期应用的优势%Advantages of large doses of methylprednisolone early application in rescue for amniotic fluid embolization

    Institute of Scientific and Technical Information of China (English)

    周竞旭

    2012-01-01

    Objective To explore the method of improving rescue success rate for the amniotic fluid embolization (AFE).Methods A retrospective analysis was carried out based on clinical data of 12 cases of AFE in our hospital.Results 5 cases using methylprednisolone as imported cases were rescued,while among those 7 without using methylpreduisolone,4 of imported cases died.Conclusion The early application of large doses of methylpreduisolone can improve the rescue success rate.%目的 探讨提高羊水栓塞(amniotic fluid embolism,AFE)抢救成功率的方法.方法 回顾性分析我院抢救的12例重症AFE患者临床资料.结果 5例输入性病人使用甲强龙均获救,未使用甲强龙的7例病人中4例输入性病例死亡.结论 早期使用大剂量甲强龙可提高抢救成功率.

  10. 人羊水干细胞分离方法及其生物学特性研究%Isolation and Biological Characterization of Human Amniotic Fluid-derived Stem Cells

    Institute of Scientific and Technical Information of China (English)

    关婷; 谢晓砚; 刘珊玲; 陈新莲; 魏杨君; 赖怡; 谢良玉; 刘之英; 张雪梅; 刘洪倩; 张建军

    2012-01-01

    Objective To establish in vitro culture procedure for human amniotic fluid-derived CD117 positive stem cells, and to identify the characteristics of CD117 positive stem cells. Methods 86 amniotic fluid samples (10 mL of each) were obtained by second-trimester amniocentesis. Isolation of amniotic fluid-derived stem cells expressing CD117 antigen was performed via magnetic cell sorting using the CD117 MicroBead Kit. The karyotype of CD117 positive stem cells was analysed throughrepeated freezing. Adipogenic differentiation of these CD117 positive stem cells was displayed by Oil Red O staining. Osteogeneic differentiation of these CD117 positive stem cells was confirmed by Alizarin Red staining. Results The CD117 positive stem cells were successfully isolated and cultured from 61 samples, with all showing normal karyotype. Product analysis of specific staining confirmed that under specific culture mediums, these cells could be successfully induced to differentiate into adipocytes and osteocytes. Conclusion Based on this study, we estimate that isolating CD117 positive stem cells from second-trimester amniotic fluid obtained by amniocentesis has a success rate of 70. 93%. These cells maintain morphological and genetic stability in vitro. Human amniotic fluid-derived CD117 positive stem cells have the ability to differentiate in vitro into adipocytes and osteocytes under specific cuLture mediums and may be applied in cell transplantation and regenerative medicine.%目的 建立体外培养人羊水来源CD117阳性干细胞的方法,初步探讨CD117阳性干细胞的特性.方法 通过孕中期羊膜腔穿刺获得86例羊水标本.采用CD117磁珠分选表达CD117抗原的羊水干细胞.对经过反复冻存的CD117阳性干细胞进行核型分析.分别经成脂诱导和成骨诱导分化,再分别使用油红O染色、茜素红染色.结果 从61例标本中成功分离培养出CD117阳性细胞,经核型分析显示其染色体核型正常.CD117阳性细胞经

  11. Detection of fetal keratin with high molecular weight cytokeratin immunostaining in lung biopsy material from a patient with amniotic fluid embolism

    OpenAIRE

    Hacivelioglu, Servet; Oguzalp, Huseyin; Muratli, Asli; Asgun, Fatih; Kirilmaz, Bahadir; Omur, Dilek

    2013-01-01

    Abstract. Amniotic fluidembolism (AFE) is a rare and fatal disorder in which the diagnosis can bechallenging for clinicians and pathologists. A healthy 36-year-old woman(gravida 4, para 2) was admitted for delivery in the 40th week of gestation. Atthe fifth minute following birth, during expulsion of the placenta, the patientsuddenly collapsed with bradycardia, shallow respiration, and loss ofconsciousness. After evaluation, an emergent pulmonary embolectomy for acutethrombo-embolism was perf...

  12. Influence of Daily Fluid Balance prior to Continuous Renal Replacement Therapy on Outcomes in Critically Ill Patients.

    Science.gov (United States)

    Han, Min Jee; Park, Ki Hyun; Shin, Jung-Ho; Kim, Su Hyun

    2016-08-01

    Positive fluid balance is a risk factor for mortality in critically ill patients, especially those requiring continuous renal replacement therapy (CRRT). However, the association between daily fluid balance and various organ impairments remains unclear. This study investigated the impacts of daily fluid balance prior to CRRT on organ dysfunction, as well as mortality in critically ill patients. We identified daily fluid balance between intensive care unit (ICU) admission and CRRT initiation. According to daily fluid balance, the time to CRRT initiation and the rate of organ failure based on the sequential organ failure assessment (SOFA) score were assessed. We recruited 100 patients who experienced CRRT for acute kidney injury. CRRT was initiated within 2 [0, 4] days. The time to CRRT initiation was shortened in proportion to daily fluid balance, even after the adjustment for the renal SOFA score at ICU admission (HR 1.14, P = 0.007). Based on the SOFA score, positive daily fluid balance was associated with respiratory, cardiovascular, nervous, and coagulation failure, independent of each initial SOFA score at ICU admission (HR 1.36, 1.26, 1.24 and 2.26, all P balance was related with an increase in the rate of 28-day mortality (HR 1.14, P = 0.012). Positive daily fluid balance may accelerate the requirement for CRRT, moreover, it can be associated with an increased risk of multiple organ failure in critically ill patients.

  13. Some considerations on Meconial Amniotic Fluid in the new born babies Algunas consideraciones acerca del líquido amniótico meconial en el recién nacido

    Directory of Open Access Journals (Sweden)

    Sergio Elías Molina Lamothe

    2007-03-01

    Full Text Available Background: Many functions are attributed to amniotic liquid, there is no doubt, after all, about the negative consequences of its alteration. The differentiation between physiological meconium and pathological meconium can modify the perinatal results. Objectives: to determine if the presence of the meconium considered pathological, is significantly related to the morbimortality of the patients. Method: an analytic and prospective study was made, control case type, of 504 newborn children with meconial amniotic liquid, and the same number of newborn children with clear amniotic liquid. Results: the pathological meconial amniotic liquid was associated to a low Apgar percentage, in the first minute of 5,2 %. When the meconial amniotic liquid resulted physiological it was of 0,4 %. The morbility associated to perinatal hypoxia raised from 0,4 % when the meconial amniotic liquid was physiological, and to 4,85 when it was pathological. The necessity of ventilation, associated to the pathological meconial amniotic liquid, was of 3,1 %. There were 3 deaths in the pathological meconial amniotic liquid group, for a 1,3 % of mortality. When the meconial amniotic liquid colour was intensified during delivery labour, it was observed a low Apgar percentage of 11 %. Conclusions: the meconial amniotic fluid is presented in the 23% of the patients in our study increasing its incidence as long as the gestational age and the weight of the patient were higher. Preeclampsia is associated in a very significant way to the presence of meconium which is considered pathological.
    Fundamento: Son numerosas las funciones que se atribuyen al líquido amniótico; cualquier alteración que presente, tiene consecuencias desfavorables. La diferenciación entre meconio fisiológico o patológico, puede modificar los resultados perinatales.

  14. 荷斯坦牛羊水来源干细胞分离培养及其表面标志检测%Isolation of amniotic fluid-derived stem cells from Holstein cow and test of the cell markers

    Institute of Scientific and Technical Information of China (English)

    贺小英; 张涌; 郑月茂

    2011-01-01

    利用羊水来源干细胞培养技术体系,从胎龄285 d荷斯坦奶牛胎儿羊水中分离培养干细胞;采用RT-PCR技术检测干细胞表面标志或相关基因.成功分离培养出奶牛羊水采源干细胞,干细胞中CD-90、Nanog、Oct4、TERT、Sox2、Desmin和HES1表达阳性.从奶牛胎儿羊水中分离干细胞具有可行性和有效性,为进行转基因研究提供靶细胞奠定了基础.%The aim of this study was to get amniotic fluid-derived stem (AFS) cells from cow which may be used as target cells for transgenic research in future. AFS cells were isolated from amniotic fluid of a 285-day-old Holstein cow fetus. Expanded AFS cells were harvested for analysis of markers using reverse transcription-polymerase chain reaction (RT-PCR). The results showed that AFS cells were abtained from amniotic fluid. AFS cells expressed CD-90, Nanog,Oct4,TERT, Sox2,Desmin and HES1. We have demonstrated that stem cells isolated from amniotic fluid of cow may be used as target cells for transgenic research in future.

  15. Clinical Analysis of 16 Patients with Amniotic Fluid Embolism%羊水栓塞16例临床分析

    Institute of Scientific and Technical Information of China (English)

    蒋玉蓉; 游一平

    2013-01-01

    [Objective] To explore the high risk factors, clinical manifestation, diagnosis and treatment of amniotic fluid embolism( AFE). [Methods] The pathogenesis, clinical course and treatment of 16 AFE patients in our hospital from Jan. 2006 to Oct. were analyzed retrospectively. [Results]Different degrees of cardiac and pulmonary function disorders such as difficult breathing and dyspnea occurred in 14 patients with acute AFE. Only vaginal bleeding combined with coagulation disorder was found in 2 patients with late-onset AFE. Among 16 patients, 13 patients were primiparas(including 1 case of twins) and 3 patients were pluriparas. Seven patients(43. 75%) received the labor intervention including oxytocin intervention for 3 patients and artificial membrane rupture for 4 patients. Heparin 6. 25~25mg was used in 7 patients. Blynch suture was operated in 8 patients and uterine subtotal resection was operated in 2 patients. Fifteen patients were rescued successfully. One patient undergoing hysterectomy died. [Conclusion]The key to rescue AFE patients is early i-dentification of symptoms and precaution of the incidence of untypical AFE. Labor should be correctly treated, and obstetric intervention should be reduced. Heparin should be selectively used. Microdose and small dose of heparin are recommended.%[目的]探讨羊水栓塞(AFE)发病的高危因素、临床表现、诊断与处理.[方法]对本院2006年1月至2012年10月31日收治的16例AFE患者的发病情况、临床经过及治疗进行回顾性分析.[结果]14例急性AFE患者均出现不同程度的呼吸困难、胸闷等心肺功能障碍,2例迟发型AFE仅表现为阴道流血伴凝血功能障碍;其中初产妇13例(含双胎1例),经产妇3例;产程中干预7例(43.75%)(催产素干预3例,人工破膜4例).应用肝素7例,剂量在6.25~25 mg之间;行Blynch缝合术8例,子宫次全切除2例;抢救成功15例,死亡1例(行子宫切除术).[结论]抢救羊水栓塞患者的关键

  16. 地塞米松防治羊水栓塞的效果探究%Explore the effect of dexamethasone on prevention and cure of amniotic fluid embolism

    Institute of Scientific and Technical Information of China (English)

    李淑青

    2015-01-01

    Objective:To explore the effect of dexamethasone on prevention and cure of amniotic fluid embolism.Methods:300 women with cesarean section were selected from January 2011 to January 2014.According to the different preoperative medication, they were divided into the control group and the observation group.The control group was given 5% sodium bicarbonate before operation,and the observation group was given dexamethasone before surgery.We observed the probability of prodromal symptoms of amniotic fluid embolism of the two groups.Results:Mild chills,severe chills,chills rate,chills time,operation time,amount of bleeding during operation,risk of postpartum hemorrhage and neonatal asphyxia of the two groups were compared,and the difference was statistically significant(P<0.05).Conclusion:Before caesarean operation,intravenous injection of dexamethasone can effectively prevent the amniotic fluid embolism and postpartum hemorrhage,but also can prevent neonatal asphyxia,and it had high clinical value.%目的:探讨地塞米松对羊水栓塞的防治效果.方法:2011年1月-2014年1月收治剖宫产产妇300例,按照术前用药的不同分为对照组与观察组,对照组术前给予5%碳酸氢钠处理,观察组术前给予地塞米松处理,观察两组产妇发生羊水栓塞前驱症状的几率.结果:比较两组产妇的轻度寒颤、重度寒颤、总寒颤率、寒颤时间、手术时间、术中出血量、产后出血率及新生儿窒息情况,差异有统计学意义(P<0.05).结论:剖宫产手术前静脉注射地塞米松能有效防止羊水栓塞及产后出血的发生,还能预防新生儿窒息,具有较高的临床推广价值.

  17. 桂林地区526例遗传咨询者羊水细胞染色体核型分析%Karyotype analysis of amniotic fluid cells in 526 cases for genetic consult

    Institute of Scientific and Technical Information of China (English)

    蒋群芳; 唐娟

    2012-01-01

    目的 探讨羊水细胞培养及染色体核型分析在唐氏综合征等染色体病干预中的价值.方法 对526例孕妇行羊膜腔穿刺术,羊水细胞培养、染色体制备及核型分析.结果 羊水细胞培养成功率为99.43%,检出异常核型31例,其中21-三体6例,包括嵌合型1例,13-三体1例,性染色体数目异常3例,嵌合体4例,染色体结构异常14例,多态性变异4例.结论 采用羊水细胞进行染色体核型分析对唐氏综合征等染色体异常进行产前诊断,是控制和减少出生缺陷的发生地有效措施.%Objective; To investigate the value of amniotic fluid cell culture and chromosome kaiyotype analysis in interventing Down's syndrome and other chromosomal disease. Methods; The amniocentesis were implemented among 526 cases gravidas, and amniotic fluid cell were cultured, and there karyotype were analyed. Results; The rate of training success is 99.43%. The abnormal chromosome karyotypes of 31 cases were as follows; 6 cases for trisomy 21, including 1 case for the chimeric type, 1 case for trisomy 13, 3 cases for sex chromosome abnormalities, 4 cases for mosaicism, 14 cases for structural chromosomal abnormality, 4 cases fin-polymorphic variation. Conclusion; In order to control and reduce the incidence of birth defects, it is effective measure to use amniotic fluid cell chromosome karyotype analysis for diagnosising Down's syndrome and other chromosomal abnormalities.

  18. 磁共振弥散成像对妊娠中晚期羊水监测的价值研究%The investigation on value of monitoring the magnetic resonance diffusion weighted imaging in the amniotic fluid of mid to late gestation

    Institute of Scientific and Technical Information of China (English)

    李志铭; 陈焱淼; 谭理连; 张志兴; 黄勇; 余林; 杨慧

    2016-01-01

    Objective:To investigate the value of monitoring the magnetic resonance diffusion weighted imaging (DWI) in the amniotic fluid of mid to late gestation.Methods: 13 pregnant women in mid to late gestation were scanned by the magnetic resonance imaging, whose amniotic fluids were abnormal by ultrasound examination. Measuring the values of apparent diffusion coefficient (ADC) of meconium stained amniotic fluid was to study the corresponding relation between the values of ADC and its classification, and contrast with the normal pregnant women.Results: The values of the meconium-stained amniotic fluid have significant differences with the normal group in the group ofⅡ° andⅢ°. The values of the meconium-stained amniotic fluid have no significant differences with the normal group in the group ofⅠ°. The results showed that the values of ADC associated with the classification of the meconium-stained amniotic fluid. Conclusion: The properties changes of amniotic fluid in mid to late gestation associated with the meconium-stained amniotic fluid, and magnetic resonance imaging can effectively monitor the change of the amniotic fluid properties in medium and late pregnancy, and tip the change of amount and the properties as early as possible. It can provide the scientific evidence for clinical early intervention, reducing the various complications caused by the meconium-stained amniotic fluid and improving the survival rate of perinatal fetus.%目的:探讨磁共振弥散成像对羊水监测在妊娠中晚期围产保健的价值。方法:选取通过磁共振弥散成像扫描13名妊娠中晚期产检超声提示羊水异常的孕妇,测量其羊水的表观弥散系数(ADC)值来研究粪染羊水的ADC值与其羊水分级的对应关系,并与正常孕妇进行对比。结果:羊水粪染Ⅱ度和Ⅲ度均与正常组的羊水ADC值有显著差异,而羊水粪染Ⅰ度则与正常组无显著差异,且ADC值与羊水分级具有相关性关系。

  19. 孕足月胎膜早破残余羊水量与母儿预后的关系%Residue amniotic fluid volume after premature rupture of membranes and maternal-fetal outcome

    Institute of Scientific and Technical Information of China (English)

    桑琳; 吴艳

    2013-01-01

    Objective To determine the relationship between the residue amniotic fluid volume after premature rupture of membranes (PROM) and maternal-fetal prognosis. Methods 162 pregnant women with PROM were studied , hospitalized in department of Obstetrics and Gynecology ,the Affiliated Hefei Hospital of Anhui Medical University from Jun . 2011 to Dec. 2011. According to Amniotic fluid index (AFl)by ultrasound,patients were assigned into three groups :(1)Group of normal amniotic fluid;90 pregnant women(80 mm≤ AFI 0. 05 ). The rupture distance delivery time of three groups had no significant difference (P >0. 05). The puerperal morbidity of three groups had no significant difference (P >0. 05). The Neonatal asphyxia of oligohydramnios group was significantly higher than that of normal amniotic fluid group ( P 0. 05 ). There was no significant difference between borderline oligohydramnios group and oligohydramnios group (P >0. 05). Conclusion Oligohydramnios after prom increase neonatal asphyxia and cesarean section rate . The amniotie fluid volume might be an important prognostic indicator to assess the maternal and neonatal outcomes when PROM happened .%目的 探讨足月胎膜早破残余羊水量与母儿预后关系.方法 采用回顾性研究方法选择该院2011年6-12月162例孕足月胎膜早破病例,根据破膜后残余羊水的羊水指数(AFI)将162例孕妇分成三组,其中羊水指数正常组90例(80 mm≤AFI<180 mm),可疑羊水过少组40例(50 mm≤AFI<80 mm),羊水过少组32例(AFI<50 mm).比较其分娩方式及母儿结局.结果 羊水过少组剖宫产率明显高于羊水指数正常组,差异有统计学意义(P<0.05).可疑羊水过少组与羊水指数正常组相比剖宫产率差异无统计学意义(P>0.05),三组破膜距分娩时间相比差异均无统计学意义(P>0.05),三组产后产褥病率发生率差异均无统计学意义(P>0.05),羊水过少组新生儿窒息率明显高于羊水指数正常

  20. A fetal lamb model of temperature reduction through amniotic fluid%宫内羊水降温诱导胎羊低温动物模型

    Institute of Scientific and Technical Information of China (English)

    许刚; 庄建; 周成斌; 陈寄梅; 岑坚正

    2010-01-01

    Objective To establish a fetal lamb model of temperature reduction through amniotic fluid and study the influence on the fetus and ewe. To search for an effective and safe method to change the body temperature of fetal lamb. Methods Six ewes at 120 to 140 days of gestation were anesthetized intramuscularly with katamine hydrochloride, incubated and ventilated with a respirator. Anesthesia was maintained with fentanyl and vecuronium. Transfusion of Lactated Ringer's solution and magnesium sulfate were made to maintain the mean blood pressure over 70 mmHg and uterine relaxation. A midline laparotomy was performed and the uterus was exposed. Fetal lamb received fentanyl and vecuronium anesthesia drugs intramuscularly via uterine. A hysterotomy was made after the disappear of fetal movement. A plastic tube was put into utero and the pipe was connected with the variable temperature unit and water tank, which could pump warm and cold normal saline into utero and change the temperature of amniotie fluid. Thus the temperature of the fetus could be regulated. The heart rate, blood pressure and arterial blood gas data of mothers and fetus were recorded. Results The average body weight of fetal lamb was (1.76±0.25) kg and that of maternal lamp was(25.00±5.90)kg. All the ewes and the fetal lambs were kept alive during the experiment.signs of ewes were stable. The heart rate and blood pressure were normal, and the data of arterial blood gas analysis were in their physiological level. The heart rate and blood pressure of fetal lambs were also stable during the experiment. The data of arterial blood gas analysis of fetal lambs were also in their physiological level. The pH value decreased significantly and PaCO2increased remarkably when the temperature decreased. When the nasopharyngeal temperature of fetal lambs reached 28℃, the pH value of arterial blood sample was 7.29±0.05, which was significantly lower than that before temperature reduction 7.41±0.03(P<0.05). The PaCO2

  1. Release of arachidonic acid metabolites from bloodby cultivation of human amniotic fluid with oneself blood%羊水与自体血培养后刺激花生四烯酸代谢物的释放

    Institute of Scientific and Technical Information of China (English)

    杨鉴; 余艳红; 周凤琴; 钟梅

    2000-01-01

    AIM: To investigate the effect of human amniotic fluid on the release of thromboxane A2 (TXA2), prostaglandin I2 (PGI2) and Leukotriene C4 (LTC4) from blood cells. METHODS: 1 mL human amniotic fluid and 10 mL oneself blood collected from 38 - 41 weeks with cesarean section were cultured at 37℃ for 30 min, and then centrifuged. The supernatants were taken and stored at - 70℃. TXB2 and 6 - Keto - PGF1α of the supernrants were determined by radioimmunoassay and LTC4 by enzyme immunoassay. RESULTS: It was found that the levels of TXB2 and LTC4 in blood were elevated from (63.5 + 52.0) ng/L and (40.1 + 39.2) ng/L to (189.1 + 102.0) ng/L and (293.5 + 206.1) ng/L respectively ( P 0.05 ). CONCLUSION: Amniotic fluid might stimulate the release of TXA2 and LTC4 from blood, it might affect the balance of TXA2 and PGI2 in blood, which might play an important role in the pathogenesis of amniotic fluid embolism.%目的:探讨人羊水在体外刺激自体血细胞释放前列环素(PGI2)、血栓素A2(TXA2)和白三烯C4(LTC4)等花生四烯酸代谢物的作用。方法:取产妇羊水与自体血进行培养,用放射免疫分析法检测血中血栓素B2(TXB2)和6-酮前列腺素F1α(6-Keto-PGF1α)的含量,用酶联免疫法检测LTC4。结果:羊水能刺激血细胞释放TXA2和LTC4,胎粪污染的羊水作用更为明显。TXB2的含量由加羊水培养前的(63.5±52.0)ne/L增加到培养后的(189.1±l02.0)ng/L(P0.05)。结论:羊水能刺激血细胞释放花生四烯酸类生物活性物质,使其正常的平衡状态被破坏,可能与羊水栓塞的发生机理有关。

  2. The traits of the amniotic fluid after induced labor by oxytocin in full-term pregnancy%足月妊娠缩宫素引产对羊水性状的影响

    Institute of Scientific and Technical Information of China (English)

    李婵娟; 赵玉华

    2015-01-01

    目的:评价足月妊娠用缩宫素引产对羊水性状的影响,指导缩宫素引产的临床应用。方法将足月妊娠采用缩宫素引产的孕妇123例分为3组,缩宫素引产48 h内分娩(Ⅰ组),48 h~72 h内分娩(Ⅱ组),>72 h分娩(Ⅲ组),观察其羊水性状。结果Ⅰ组,羊水性状为:清,Ⅰ~Ⅱ度,Ⅲ度,分别为60.0%,29.3%,9.8%;Ⅱ组为45.0%,37.5%,17.5%,Ⅲ组为23.8%,28.6%,47.6%。结论足月妊娠采用缩宫素引产>72 h分娩比72 h内分娩的孕妇,其羊水明显污染。对于缩宫素引产>72 h分娩的孕妇要加强监护,或改用其他方式终止妊娠。%Objective To evaluate influences of induced labor by oxytocin in the full-term pregnancy on the traits of the amniotic fluid,and guide the clinical application of induced labor by oxytocin. Methods To observe 123 pregnant women who were induced labor by oxytocin in full-term pregnancy and divided into three groups:delivery within 48 hours because of induced labor by oxytocin(groupⅠ),delivery within 48-72 hours(groupⅡ),longer than 72 hours of birth (groupⅢ).And observe properties of the amniotic fluid in each group.Results Amniotic fluid properties in groupⅠwere as follows:clear, Ⅰ-Ⅱdegree andⅢdegree which were 60.0%,29.3%and 9.8%respectively;that in groupⅡwere 45.0%,45.0%,and 45.0%respectively;and that in groupⅢwere 23.8%,28.6%and 47.6%respectively. Conclusion The amniotic fluid of women after induced labor by oxytocin in full-term pregnancy is contaminated more obviously in delivery longer than 72 hours than that within 72 hours. Pregnant women after induced labor by oxytocin longer than 72 hours should be strengthened to monitor, or switch to other methods.

  3. 羊水间充质干细胞在肿瘤治疗中的研究进展%The research progress of amniotic fluid-derived mesenchymal stem cells in cancer therapy

    Institute of Scientific and Technical Information of China (English)

    王德君(综述); 张广美(审校)

    2014-01-01

    羊水间充质干细胞是多能的非造血祖细胞,具有自我修复及多向分化潜能,如成骨细胞、成软骨细胞及成脂肪细胞。尽管其具有高度增殖能力,但是其在体内并没有成瘤的报道,甚至多次传代后其核型也正常。 AF-MSCs对肿瘤的趋向性及其作为治疗多种肿瘤的细胞载体已经被很多研究证实。本文总结近期国内外的相关文献,就羊水间充质干细胞在肿瘤治疗中的研究进展进行综述。%Amniotic fluid-derived mesenchymal stem cells(AF-MSCs)are multipotential,nonhemato-poietic progenitor cells that have an inherent ability to self -renew and to differentiate into many cell types ,inclu-ding osteoblasts,chondrocytes and adipocytes.Despite their high proliferation rate,no in vivo tumorigenicity has been reported and their karyotype was normal even after extensive expansion in culture .Several studies have dem-onstrated the inherent tumortropic properties of MSCs and their successful use as cellular vehicles of therapeutic agents for the treatment of several types of cancer .This article reviews recent articles on studying the role of amni-otic fluid-derived mesenchymal stem cells in cancer therapy .

  4. Intra-amniotic thyroxine to treat fetal goiter

    OpenAIRE

    Kim, Min-Jung; Chae, Yong-Hwa; Park, So-young; Kim, Moon-Young

    2016-01-01

    A 35-year-old pregnant woman visited our department and had been treated with 100 µg of daily oral levothyroxine for hypothyroidism. An ultrasonography screening was performed at 25 weeks gestation and revealed a fetal goiter and an increased amniotic fluid volume. Fetal hypothyroidism was confirmed by cordocentesis and amniotic hormone levels at 26 weeks gestation. We treated the mother with 200 µg of daily oral levothyroxine to optimize the transplacental transfer. A total of four intra-amn...

  5. 先天显性脊柱裂胎鼠羊水蛋白谱差异性分析%Comparative proteomics analysis of amniotic fluid in rats with spina bifida aperta

    Institute of Scientific and Technical Information of China (English)

    单立平; 李慧; 范洋; 周凤华; 顾卉; 袁正伟

    2013-01-01

    Objective To explore the potential biomarker for early diagnosis of spina bifida aperta by analyzing of proteomic profile of amniotic fluid in rats with spina bifida aperta (SBA) induced by all-trans retinoic acid (ATRA).Methods The pregnant rats were randomly divided into 2 groups:SBA group (24 rats) and normal group (9 rats).SBA was induced by a single intragastric administration of ATRA to the pregnant rats on gestational day 10 (E10).All pregnant rats were sacrificed by an overdose chloral hydrate on E17 day,and fetuses and amniotic fluid were collected.Albumin and IgG were removed using Protein A/G kit to increase the concentration of target proteins.The proteomic profiles of amniotic fluid were analyzed by two-dimensional gel electrophoresis (2-DE)/mass spectrometry (MS).Results Six proteins were found to be differentially expressed in the amnioticfluid of SBA rats.Of the 6 proteins,transferrin,alpha-1 antiproteinase and signal recognition particle receptor were unregulated,and apolipoprotein A Ⅳ and Srprb 77 kDa were down-regulated.Additionally,46 protein fragments in SBA amniotic fluid were found,including 11 were upregulated and 35 were downregulated.A Western blot analysis confirmed the 2-DE/MS data,indicating the 6 isoforms of AFP (69-,52-,36-,24-and 14-kDa) were associated with SBA.Moreover,the 69-kDa AFP was the most abundant protein in the amniotic fluid of SBA,which was increased by 1.42-fold (P<0.05).Conclusions Six proteins in amniotic fluid are correlated with spinal bifida aperta,and may be used as biomarkers for early diagnosis of spina bifida aperta.%目的 采用2-D/质谱电泳方法,比较孕17d正常组胎鼠和全反式维甲酸诱导的显性脊柱裂胎鼠羊水蛋白表达谱的变化,筛查先天性显性脊柱裂相关羊水标记物.方法 孕10d大鼠,采用全反式维甲酸胃管灌饲的方法建立先天显性脊柱裂动物模型24只(脊柱裂组),正常对照组9只(正常组).孕17d晨,麻醉孕鼠,显微镜下获取每

  6. [Amniotic membrane in conjunctivoplasty].

    Science.gov (United States)

    Samoila, O; Lacramioara, Totu; Mihu, D

    2012-01-01

    The basic principles of conjunctival reconstruction are similar in all pathologies that inflict conjunctival tissue loss. Large conjunctival defects are difficult to treat, with little conjunctival reserve that can be used to close the defect. The study had the objective to find alternatives to conjunctival autograft. Frozen amniotic membrane was investigated. From 27 cases, 22 cases were reconstructed using amniotic membrane alone, but in 5 cases conjunctival autograft was also needed. Bulbar conjunctiva was reconstructed in 23 cases, of which 19 with pterygium, 3 with conjunctival tumors, one operatory plague. Fornix reconstruction was carried out in 4 cases, one tumor and 3 symblepharons (2 after conjunctival burns and one pemfigus). The rate of pterygium recurrence was 7,14%. Amniotic membrane can heal large defects of the conjunctiva, either bulbar or forniceal.

  7. Diagnosis of subclinical amniotic fluid infection prior to rescue cerclage using gram stain and glucose tests: an individual patient meta-analysis.

    Science.gov (United States)

    Lisonkova, Sarka; Sabr, Yasser; Joseph, K S

    2014-02-01

    Objectifs : L’invasion microbienne de la cavité amniotique (IMCA) peut affecter les issues à la suite d’un cerclage d’urgence. Nous avons mené une étude visant à comparer le rendement diagnostique de la coloration de Gram à celui de la concentration en glucose pour ce qui est du dépistage d’une IMCA subclinique. Méthodes : Nous avons utilisé des données personnelles issues d’études publiées ayant porté sur l’utilisation de la coloration de Gram, de la concentration en glucose et de la mise en culture du liquide amniotique chez des femmes connaissant un travail préterme. Nous avons calculé la sensibilité, la spécificité, la surface sous la courbe (SSC) et d’autres indices, les résultats de la mise en culture du liquide amniotique étant utilisés à titre de test de référence. La probabilité de constater une infection à la suite de l’utilisation des deux tests à titre de facteurs prédictifs a également été estimée au moyen d’une régression logistique. Résultats : Le taux d’IMCA confirmée par mise en culture était de 11,8 % (34 femmes sur 288). Le test par coloration de Gram a présenté une sensibilité de 65 % (IC à 95 %, 46 % - 78 %) et une spécificité de 99 % (IC à 95 %, 98 % - 100 %). L’obtention d’un résultat positif à la suite d’une coloration de Gram ou de la mesure de la concentration en glucose présentait une sensibilité de 88 % (IC à 95 %, 72 % - 96 %) et une spécificité de 87 % (IC à 95 %, 82 % - 90 %), tandis que l’obtention d’un résultat positif à la suite d’une coloration de Gram et de la mesure de la concentration en glucose présentait une sensibilité de 62 % (IC à 95 %, 44 % - 77 %) et une spécificité de 100 % (IC à 95 %, 98 % - 100 %). Les SSC étaient de 0,82 (IC à 95 %, 0,74 - 0,90) pour la coloration de Gram, de 0,86 (IC à 95 %, 0,80 - 0,93) pour la concentration en glucose et de 0,92 (IC à 95 %, 0,86 - 0,98) pour la combinaison « coloration de Gram-concentration en glucose ». L’utilisation de ces tests, de façon isolée ou en combinaison, offrait une meilleure (importante sur le plan clinique) capacité d’étalonnage, capacité de stratification du risque et précision en matière de classification que l’utilisation d’aucun de ces tests. Conclusion : La coloration de Gram et/ou la mesure de la concentration en glucose du liquide amniotique offrent un rendement substantiellement accru pour ce qui est du diagnostic de l’IMCA subclinique, par comparaison avec l’absence de tests.

  8. Physicochemical characterisation of fluids and soft foods frequently mixed with oral drug formulations prior to administration to children.

    Science.gov (United States)

    Kersten, E; Barry, A; Klein, S

    2016-03-01

    Oral drug administration to children poses specific pharmaceutical challenges that are often not seen to the same extent in adults, and whose occurrence may also be age dependent. When an age-appropriate dosage form is not available, manipulation of adult dosage forms (e.g., splitting and crushing of tablets or opening of capsules) has been reported as a means to facilitate administration to children. To enhance swallowability and/or mask an unpleasant taste of the dosage form to be administered, crushed/split tablets or the contents of capsules are often mixed with food or drinks or suspended in a vehicle prior to administration. However, it seems that the risks and benefits of an approach whereby the dosage form is modified prior to administration in this manner are everything but clear. The aim of the present study was to gain an overview of the physicochemical properties of a number of fluids, soft foods and suspension vehicles that are commonly reported to be mixed with oral medications before administration to children to improve patient acceptability. For this purpose, physicochemical parameters of 15 different fluids, soft foods and suspension vehicles were measured. These included pH, buffer capacity, osmolality, surface tension and viscosity. Results of the study clearly show the differences in physicochemical properties of the test candidates. It is thus obvious that the type of fluid/food mixed with a drug product before administration may have a significant impact on bioavailability of the drug administered. Therefore, a risk-based assessment of such practices considering API properties, formulation features and physicochemical properties of the fluids and foods intended to be co-administered with the dosage form, in conjunction with the anatomical and physiological maturity of the gastro-intestinal tract in the intended paediatric population, should be an essential part of paediatric oral formulation development. PMID:27183705

  9. Genome Wide Expression of Amniotic Fluid Stem Cells in Early and Late Passage during in Vitro Culture%羊水干细胞体外培养早期和后期基因表达谱分析

    Institute of Scientific and Technical Information of China (English)

    焦扬; 刘建军; 冯国华; 于明; 赵洪波

    2013-01-01

    Objective This study was purposed to investigate the changes of biological properties and expression patterns of the amniotic fluid stem cells (AFSCs) during in vitro culture.Methods The gene chip data of amniotic fluid stem cells were obtained from GEO database and statistically analyzed using R and Bioconductor to identify the differentially expressed genes,then do the Gene Ontology analysis and KEGG pathway analysis.Results We did not find differentially expressed genes by linear model using limma package,but 495 differentially expressed probes were identified by RankProd,including 217 up-regulated and 278 down-regulated probes.Further analysis with Gene Ontology functional categories showed that the up-regulated genes were concentrated in those related to collagen fibril organization,extracellular matrix organization,extracellular structure organization,skeletal system development,cell adhesion and biological adhesion and the down-regulated probes in late passage were associated with nuclear division,mitosis,and cell cycle.The up-regulated pathway was ECM-receptor interaction and focal adhesion.Cell cycle,cytokine-cytokine receptor interaction,p53 signaling pathway and oocyte meiosis were down-regulated.Conclusion AFSCs maintain their genome-wide expression profile during in-vitro culture.%目的 探讨羊水干细胞(amniotic fluid stem cells,AFSCs)体外培养早期和后期全基因组表达规律.方法 在公共基因芯片数据库GEO中找到羊水干细胞相关的基因芯片数据,使用R和Bioconductor软件包对其进行统计学分析,筛选差异表达基因,并进行GO分析和KEGG通路分析.结果 通过线性模型没有找到差异表达基因,而通过秩积法找到217个上调探针,278个下调探针.对这些差异表达基因进行功能富集,上调的生物过程是胶原纤维组织相关过程、细胞外基质组织、胞外结构组织、骨骼系统发育、细胞粘附等.下调过程最显著的是核分裂过程,有丝分

  10. Clinical significance of using urinary low molecular weight proteins in the detection of neonatal renal damage associated with meconium-stained amniotic fluid%尿低分子量蛋白联合检测在新生儿羊水粪染肾损害中的预警作用

    Institute of Scientific and Technical Information of China (English)

    李丽; 陈敬国

    2013-01-01

    目的 探讨尿低分子量蛋白联合检测在新生儿羊水粪染肾损害中的临床意义.方法 采用病例对照研究的方法,选择120例足月新生儿,其中90例羊水粪染新生儿为研究组,按污染程度分为3组,30名正常羊水新生儿为对照组.测定血气分析、血清尿素氮(BUN)、肌酐(Cr)、尿β2-微球蛋白(β2-MG)、尿α1-微球蛋白(α1-MG)及尿微量白蛋白(MALB)水平.结果 随着羊水粪染程度加重,BUN、Cr、尿β2-MG、尿α1-MG及尿MALB水平逐渐增高.研究组和对照组中的BUN和Cr水平比较差异均无统计学意义(P>0.05).脐带血pH值(血气分析)、尿β2-MG、尿α1-MG及尿MALB在羊水Ⅲ度粪染组中的含量明显高于对照组,差异有统计学意义(P<0.05),而在Ⅰ、Ⅱ度粪染组与对照组比较差异无统计学意义(P>0.05).结论 尿低分子量蛋白联合检测对羊水粪染引起的肾功能损害早期发现及评估其程度有一定的意义.%Objective To investigate the clinical significance of using urinary low molecular weight proteins in the detection of neonatal renal damage caused by meconium-stained amniotic fluid.Methods 120 full-term newborn baby were selected for this study.90 cases were equally divided into three study groups according to the degree of meconium-stained amniotic fluid (MSAF),and the other 30 cases with normal amniotic fluid were used as control.The levels of blood gases,serum blood urea nitrogen (BUN),creatinine (Cr),urinary β2-microglobulin (β2-MG),urinary α1-microglobulin (α1-MG) and urinary microalbumin (MALB) were compared.Results With the increase in the severity of meconium-stained amniotic fluid,the levels of BUN,Cr,urinary β2-MG,urinary α1-MG and urinary microalbumin were increased gradually.The levels of serum urea nitrogen and creatinine in the amniotic fluid Ⅰ,Ⅱ and Ⅲ degree of MSAF group compared with the control group had no statistical significance (P>0.05).The values of cord blood pH,urinary

  11. Research on Two-dimensional Ultrasonography in Detection of Amniotic Fluid Volume of Fetus at 7 to 13 Weeks%二维超声检测孕7~13周胎儿羊水体积的研究

    Institute of Scientific and Technical Information of China (English)

    梁耀园; 马小燕; 饶腾子; 黄苑铭; 梁耀佳

    2015-01-01

    Objective To analyze the relationship of amniotic fluid volume and crown rump length (CRL) in normal fetus at 7 to 13 weeks. Methods 281 cases of normal fetus with 10 to 65 mm CRL at 7 to 13 weeks were selected, their amniotic fluid volume and CRL were measured by two-dimensional ultrasonography, and the relationship of amniotic fluid volume and CRL was analyzed. Results The amniotic fluid volume of fetus was positively correlated with CRL (r=0.913, P<0.001), the regression equation was:amniotic fluid volume (cm3)=-12.41+1.25íCRL (mm). Of 281 fetus, the mean and median value of CRL was (35.42±15.74) mm and 32.00 mm respectively, the mean and median value of amniotic fluid volume was (31.692±21.458) cm3 and 29.029 cm3 respectively;the median predictive value of CRL increased from 10 mm to 65 mm, the median predictive value of amniotic fluid volume increased from 0.188 cm3 (0.140~0.278 cm3) to 65.236 cm3 (58.660~74.723 cm3). Conclusions The variation law and metrical data of amniotic fluid volume in normal fetus at 7 to 13 weeks can provide important basis for early evaluation of fetal prognosis.%目的:分析7~13周正常胎儿羊水体积及其头臀径的关系。方法选取P7~13周头臀径为10~65皂皂的正常胎儿281例,利用二维超声测量其羊水体积和头臀径(CRL),并对头臀径与羊水体积进行相关性研究。结果胎儿羊水体积与头臀径呈正相关(则越0.913,P<0.001),回归方程为:羊水体积(糟皂3)越-12.41+1.25×头臀径(皂皂)。281例胎儿头臀径平均测值为(35.42±15.74)皂皂,中位数为32.00皂皂;羊水体积的平均体积为(31.692±21.458)糟皂3,中位数为29.029糟皂3;中位数预测值从头臀径为10皂皂时的0.188糟皂3(范围0.140~0.278糟皂3)增加至头臀径为65皂皂时的65.236糟皂3(范围58.660~74.723糟皂3)。结论P7~13周正常胎儿羊水体积的变化规律及其正常测量数据可为临床早期评价胎儿的预后提供重要的依据。

  12. Clinical observation of umbilical artery blood gas pH and blood glucose results in neonatus with amniotic fluid contamination by meconium%羊水胎粪污染新生儿的脐动脉血气pH值与血糖结果临床观察

    Institute of Scientific and Technical Information of China (English)

    高建国; 孙庆霞; 于普丽; 袁星堂; 胡美莲; 顾艳华; 宋燕玲; 赵香丽

    2014-01-01

    目的:观察不同程度羊水胎粪污染新生儿的脐动脉血气pH值与血糖结果关系。方法:2013年5月1日-2014年6月1日产科分娩484例不同程度羊水胎粪污染的新生儿,其中羊水胎粪污染Ⅰ°160例、羊水胎粪污染Ⅱ°135例、羊水胎粪污染Ⅲ°189例。对新生儿进行脐动脉血气pH值及血糖检测结果分析。结果:脐动脉血血气指标pH值及血糖结果差异显著,Ⅰ°、Ⅱ°羊水胎粪污染程度与脐动脉血血气指标pH值及血糖成正比关系,Ⅲ°羊水胎粪污染的新生儿脐动脉血血气指标pH值及血糖成反比关系。结论:不同程度羊水胎粪污染新生儿的脐动脉血气pH值与血糖结果差异显著,且与新生儿窒息缺氧的程度有密切联系,有助于判断胎儿血气异常的性质及其严重程度,对于分析胎儿娩出前的状态、评价产科处理经过,指导新生儿治疗、评估新生儿预后等有着极其重要的意义,并针对问题对产科、新生儿科提出积极预防干预措施。%Objective:To explore the relationship between the umbilical artery blood gas pH and blood glucose results in neonatus with different degree amniotic fluid contamination by meconium.Methods:484 cases of different degree amniotic fluid contamination by meconium were selected from 1 April 2013 to 1 June 2014.Ⅰ°amniotic fluid contamination by meconium was in 160 patients,Ⅱ°amniotic fluid contamination by meconium was in 135 cases,Ⅲ°amniotic fluid contamination by meconium was in 189 cases.We analyzed the relationship between the umbilical artery blood gas pH and blood glucose results in neonatus. Results:Differences in blood gas index pH value and blood glucose results of umbilical arterial blood were remarkable.Ⅰ°andⅡ°amniotic fluid contamination by meconium were directly proportional relationship with umbilical artery blood gas index pH value and glucose.Blood gas index pH value was inversely proportional

  13. Ex vivo expansion of hematopoietic stem- and progenitor cells from cord blood in coculture with mesenchymal stroma cells from amnion, chorion, Wharton's jelly, amniotic fluid, cord blood, and bone marrow.

    Science.gov (United States)

    Klein, Caroline; Strobel, Julian; Zingsem, Jürgen; Richter, Richard H; Goecke, Tamme W; Beckmann, Matthias W; Eckstein, Reinhold; Weisbach, Volker

    2013-12-01

    In most cases, the amount of hematopoietic stem and progenitor cells (HSPCs) in a single cord blood (CB) unit is not sufficient for allogenic transplantation of adults. Therefore, two CB units are usually required. The ex vivo expansion of HSPCs from CB in coculture with mesenchymal stroma cells (MSCs) might be an alternative. It was investigated, whether bone marrow-derived MSCs, which have to be obtained in an invasive procedure, introduce a further donor and increases the risk of transmissible infectious diseases for the patient can be replaced by MSCs from amnion, chorion, Wharton's jelly, amniotic fluid, and CB, which can be isolated from placental tissue which is readily available when CB is sampled. In a two-step ex vivo coculture mononuclear cells from cryopreserved CB were cultured with different MSC-feederlayers in a medium supplemented with cytokines (stem cell factor, thrombopoietin [TPO], and granulocyte colony-stimulating factor). Expansion rates were analyzed as well, by long-term culture-initiating cell (LTC-IC) and colony-forming unit (CFU) assays, as by measuring CD34(+)- and CD45(+)-cells. Due to the comparably low number of 5×10(2) to 1×10(4) CD34(+)-cells per cm(2) MSC-monolayer, we observed comparably high expansion rates from 80 to 391,000 for CFU, 70 to 313,000 for CD34(+)-, and 200 to 352,000 for CD45(+)-cells. Expansion of LTC-IC was partly observed. Compared to the literature, we found a better expansion rate of CD34(+)-cells with MSCs from all different sources. This is probably due to the comparably low number of 5×10(2) to 1×10 CD34(+)-cells per cm(2) MSC-monolayer we used. Comparably, high expansion rates were observed from 80 to 391,000 for CFUs, 70 to 313,000 for CD34(+)-, and 200 to 352,000 for CD45(+)-cells. However, the expansion of CD34(+)-cells was significantly more effective with MSCs from bone marrow compared to MSCs from amnion, chorion, and Wharton's jelly. The comparison of MSCs from bone marrow with MSCs from CB and

  14. 人羊水间充质干细胞分离培养方法的优化%Optimization of the isolation and cultivation method of human amniotic fluid-derived mesenchymal stem cells

    Institute of Scientific and Technical Information of China (English)

    郭素红; 苑春华; 侯毅鞠; 刘会玲

    2011-01-01

    背景:目前关于人羊水间充质干细胞的体外分离培养方法不一,获得较多数量的间充质干细胞仍有困难.目的:分离80份羊水标本,比较不同的体外培养方法,优化筛选到一种合适的培养纯化条件,为人羊水间充质干细胞的基础研究和临床广泛应用奠定基础.方法:无菌条件下采集足月分娩和终止妊娠引产的羊水,分离羊水细胞,比较孕期、不同培养基、接种密度、首次换液时间对人羊水间充质干细胞原代培养过程的影响,通过细胞化学染色方法检测细胞代谢情况,观察人羊水间充质干细胞的生物学特性.结果与结论:相同培养条件下,采用AmnioMAXⅡcomplete羊水专用细胞培养基,以5×104/cm2 的密度接种,首次换液时间为6 d时,人羊水间充质干细胞原代培养成功率较高.孕期为14~20周的人羊水间充质干细胞培养成功率高于晚期妊娠(21~36周)及足月分娩(37~42周)的羊水.人羊水间充质干细胞强表达过碘酸-雪夫、酸性磷酸酶、酸性α-醋酸萘酚酯酶染色,弱表达中性粒细胞碱性磷酸酶,不表达过氧化酶、苏丹黑染色.提示,优化筛选到一种合适的人羊水间充质干细胞培养纯化条件.%BACKGROUND: There are different methods of in vitro isolating culture for human amniotic fluid-derived mesenchymal stem cells (AF-MSCs). To gain most AF-MSCs is still difficult.OBJECTIVE: We had isolated 80 cases AF, and compared different in vitro culture methods for optimization and bolted a better method to establish foundation of AF-MSCs in clinical widespread application.METHODS: Amniotic fluid was collected from full-term deliveries and artificial labors under aseptic condition. The amniotic fluid cells were isolated by centrifugation. The influences of different pregnancy ages, culture media, incubation densities and the time points of the first medium change on the growth of AF-MSCs were analyzed. The cell metabolism was

  15. Prenatal diagnosis of fetal dysplastic kidney with normal amniotic fluid volume by ultrasonography%羊水量正常时胎儿肾发育不良的超声诊断及临床意义

    Institute of Scientific and Technical Information of China (English)

    孟华; 姜玉新; 戴晴; 杨萌; 张一休; 朱庆莉; 陈彦

    2008-01-01

    目的 探讨产前超声检查对于羊水量正常时胎儿肾发育不良的诊断价值和临床意义.方法 于孕中晚期对羊水量正常胎儿中发现的单侧或双侧肾超声表现异常(包括大小、回声、形态异常,出现囊肿等)病例进行系统二维超声检查、孕期及生后随访观察、病理学检查等,并进行总结分析.仅有肾盂增宽的胎儿不包括在本组研究中.结果 发现羊水量正常但单侧或双侧肾发育不良的胎儿11例.其中单侧多囊性肾发育不良5例,4例不合并其他异常,1例合并同侧手缺如;单侧肾缺如2例,其中1例不合并其他畸形,另1例合并多发畸形包括脑积水、骶尾部脊柱裂、同侧桡骨缺失及单脐动脉,符合VACTERL综合征;盆腔.肾1例,马蹄肾1例,生后超声证实;常染色体显性遗传多囊肾1例,胎儿一侧肾可见多发囊肿,合并心脏横纹肌瘤,孕妇为双侧多囊肾;双侧肾发育不良1例,产前超声表现为双侧肾回声增强.结论 单侧多囊性肾发育不良是羊水量正常时产前超声最常检出的胎儿肾发育不良性疾病.根据产前超声表现并结合家族史,能在大多数胎儿肾发育不良病例中进行病因学诊断并帮助判断预后.%Objective To determine the diagnostic value and clinical significance of sonographically detected fetal dysplastic kidney with normal amniotic fluid volume. Methods At the 2nd or 3rd trimester of gestation,the fetuses with unilateral or bilateral renal anomalies (ahnormal size,echo,shape or cyst of the kidney) and normal amniotic fluid volume received systemic ultrasound examination,autopsy or follow-up until after birth. The fetus with only dilated renal pelvis was not included. Results Eleven fetuses of dysplastic renal anomalies with normal amniotic fluid volume were identified by prenatal ultrasound. Among the five fetuses affected by unilateral multicystic kidney dysplasia (MCKD),the renal anomaly was isolated in four fetuses,and the

  16. 湘潭地区344例遗传咨询高危孕妇羊水染色体分析在产前诊断中的应用%Application of amniotic fluid's chromosome analysis in prenatal diagnosis for 344 cases of genetic counseling high risk pregnancy

    Institute of Scientific and Technical Information of China (English)

    熊敏; 王淑嫒; 孙辉

    2011-01-01

    Objective; To investigate the application of amniotic fluid's chromosome analysis in prenatal diagnosis. Methods; Am-niotic fluid (20-30 ml) was drawn from fetuses of 344 pregnant mothers who were diagnosed in prepotency department, Xiangtan MCH Hospital from Jun. 2007 to Aug. 2010 with high risks of genetic counseling, by amniocentesis under ultrasound monitoring at 18 -28 gestational age, and then amniotic - fluid cell culture's C - banding was examed by using amniotic - fluid chromosomal karyo-type analysis. Results; Amniotic cell culture was successfully undertaken in 342 among the 344 cases. The success rate of amniotic cell culture was 99. 41% (342/344). There were 15 cases found karyotype abnormal, the abnormal rate was 4. 39% (15/342) which includes 3 of 21 -trisomy, 2 of 18 -trisomy, 2 of Turner Syndrome (TS) , 1 of 48, XXY, +21, 4 of balanced translocation, 1 of inversion, lof trisomy, 1 of monosomy, 10 of genetic diversity. The abnormal karyotype analysis for karyotype of amniotic cell was consistent with the results of succedent visit. Conclusion; Amniotic fluid's chromosome analysis plays an important part when diagnosing chromosome diseases in prenatal diagnosis.%目的 探讨羊水染色体分析在产前诊断中的应用.方法 对344例2007年6月至2010年8月湖南省湘潭市妇幼保健院遗传咨询高危孕妇,于孕18~28周在B超引导下进行羊膜腔穿刺,抽取羊水20~30ml,羊水细胞培养G显带进行羊水染色体核型分析.结果 344例孕妇羊水羊水细胞培养成功342例,成功率为99.41%(342/344),发现异常核型15例,异常率为4.39%(15/342),其中21-三体3例、18-三体2例、特纳综合征2例、48,XXY,+21 1例、平衡易位4例、倒位1例、部分染色体三体1例、部分染色体单体1例;遗传多态性10例.羊水染色体异常核型分析与随访结果一致.结论 说明羊水染色体分析在产前诊断染色体病中起着重要的作用.

  17. The CT appearances of delayed amniotic fluid clearance from the lungs in an infant with absent pulmonary valve and congenital lobar emphysema

    Energy Technology Data Exchange (ETDEWEB)

    Fink, A. Michelle [Royal Children' s Hospital, Department of Medical Imaging, Parkville, Victoria (Australia); University of Melbourne, Melbourne, Victoria (Australia); Edis, Brian [Royal Children' s Hospital, Department of Cardiology, Parkville, Victoria (Australia); Massie, John [University of Melbourne, Melbourne, Victoria (Australia); Royal Children' s Hospital, Department of Respiratory Medicine, Parkville, Victoria (Australia); Murdoch Children' s Research Institute, Melbourne, Victoria (Australia)

    2005-09-01

    Congenital lobar emphysema (CLE) is a cause of severe neonatal respiratory distress. Overexpansion of the affected pulmonary lobe in the fetus is due to narrowing of the airway, with a resultant 'ball-valve' effect. At birth, there may be delayed clearance of fetal lung fluid. Early chest radiographs show opacification of the hyperexpanded lobe. The CT findings in the immediate neonatal period have not been previously reported. We describe the imaging in a neonate with tetralogy of Fallot and absent pulmonary valve with secondary CLE. CT demonstrates the hyperexpanded lobe with initial thickening of the interlobular septa and alveolar ground glass attenuation, with subsequent clearing. This resorption of fetal lung fluid via the pulmonary interstitium should not be confused with interstitial lung disease. (orig.)

  18. The CT appearances of delayed amniotic fluid clearance from the lungs in an infant with absent pulmonary valve and congenital lobar emphysema

    International Nuclear Information System (INIS)

    Congenital lobar emphysema (CLE) is a cause of severe neonatal respiratory distress. Overexpansion of the affected pulmonary lobe in the fetus is due to narrowing of the airway, with a resultant 'ball-valve' effect. At birth, there may be delayed clearance of fetal lung fluid. Early chest radiographs show opacification of the hyperexpanded lobe. The CT findings in the immediate neonatal period have not been previously reported. We describe the imaging in a neonate with tetralogy of Fallot and absent pulmonary valve with secondary CLE. CT demonstrates the hyperexpanded lobe with initial thickening of the interlobular septa and alveolar ground glass attenuation, with subsequent clearing. This resorption of fetal lung fluid via the pulmonary interstitium should not be confused with interstitial lung disease. (orig.)

  19. Investigation on Chromosomal Karyotypes of Amniotic Fluid Cells for 2 414 Cases%2414例胎儿羊水细胞的体外培养及染色体核型分析

    Institute of Scientific and Technical Information of China (English)

    卢丽华; 邹德学; 胡飞雪

    2013-01-01

    Objective:To investigate the application of karyotypes of amniotic fluid cells in prenatal diagnosis.Methods:A total of 2 414 pregnant women received amniocenteiss via B ultranound in sterile condition.A volume of 20 ml amniotic fluid was extracted from each case.Then the amniotic fluid cells were in vitro cultrued and their karyotypes were analysed by G band.Results:There were 124 cases with chromosomal abnormalities and it was 5.1% over all 2 414 cases.There were 46 cases with chromosomal numberical abnormality and 38 cases with trisomy syndrome,accounting for 82.6% of chromosomal numberical abnormality.There were 56 cases with chromosomal structural abnormality and 47 cases with balanced chromosome rearrangements including balanced translocation,Rob's translocation and inversion,accounting for 83.9% of chromosomal structural abnormality.There were 22 cases with mosaicism and they had normal chromosome of umbilical cord blood follow-up.The constituent ratios of Down's high-risk group and advanced matemal age group were 48.3% and 36.6%,respectively,which were significantly higher than those of other groups (P<0.05).The abnormal ratios in fetus abnormal ultra-sonographic group,nuchal translucency (NT) enhancement group and parental balanced chromosome rearrangements group were 25.5%,19.0% and 17.2%,respectively,which were significantly different from other groups (P<0.05).Conclusion:The improvement of amniocytes cultured in vitro was more practicability,and karyotypes of amnioc fluid cells were more important for prenatal diagnosis.%目的:探讨羊水细胞染色体分析在产前诊断中的应用价值.方法:无菌条件下,经B超介导,对2 414名孕16~25周的孕妇行羊膜腔穿刺术,每例抽取羊水20 ml,经体外培养后进行G显带,显微镜下做核型分析,并了解异常核型的相应高危因素分布情况.结果:共收集到2 414例羊水标本,2 407例培养成功,成功率为99.7%.核型异常124例,异常率为5

  20. Alfafetoproteína: valores normais no líquido amniótico entre 14 e 21 semanas Alphafetoprotein: amniotic fluid normal values between 14 and 21 weeks

    Directory of Open Access Journals (Sweden)

    D. Maestri

    1998-12-01

    Full Text Available OBJETIVO: Definir uma curva de normalidade dos valores de alfafetoproteína (AFP no líquido amniótico em gestantes entre 14 e 21 semanas de gravidez no Hospital de Clínicas de Porto Alegre. MATERIAIS E MÉTODOS: Nas 137 mulheres que procuraram o diagnóstico pré-natal e tiveram indicação de coleta de líquido amniótico. A alfafetoproteína foi dosada em todas as amostras por enzima imunoensaio. Foram selecionadas 109 gestações normais (sem malformações, cariótipo normal, não-gemelares e cujas amostras de líquido amniótico não eram sanguinolentas. Essas foram divididas quanto à idade gestacional e tiveram calculadas as medianas dos valores de AFP e seus múltiplos. RESULTADOS: As medianas da alfafetoproteína (KUI/ml para cada idade gestacional foram as seguintes: 14 semanas:16,32; 15 semanas:14,36; 16 semanas: 13,43; 17 semanas:10,93; 18 semanas: 8,22; 19 semanas: 7,35; 20 semanas: 5,62; 21 semanas:4,47. CONCLUSÃO: O estabelecimento de uma curva normal de AFP em nosso serviço permite a utilização deste exame para pacientes em risco de defeitos de fechamento de tubo neural. Permite também que sejam analisadas amostras enviadas para estudos citogenéticos ou metabólicos de maneira a identificar fetos com níveis elevados de AFP que necessitarão de estudos ultrasonográficos mais detalhados pela possibilidade de defeitos morfológicos.BACKGROUND: To define the normal values of amniotic fluid alphafetoprotein in pregnant women, whose gestational ages range from 14 to 21 weeks, in the Hospital de Clínicas de Porto Alegre. MATERIAL AND METHOD: One hundred thirty seven women with indication for amniocentesis were studied. The alphafetoprotein was measured in all samples using enzyme immunoassay. One hundred and nine normal pregnancies were selected. All of these fetuses had normal cariotype and had no malformation. They were not twins and their amniotic fluid samples were not bloody. These samples were divided by their

  1. 脐血中 Caspase7蛋白在羊水量异常产妇中的表达%Expression of Caspase7 in umbilical serum of pregnant women with abnormal amniotic fluid

    Institute of Scientific and Technical Information of China (English)

    李小琴; 白彩云

    2016-01-01

    Objective To explore the difference in expression of Caspase 7 in umbilical serum between pregnant women with abnormal amniotic fluid and normal pregnant women .Methods ELISA was performed to determine the concentration of Caspase 7 protein in umbilical serum of 30 cases of oligohydramnios , 30 cases of polyhydramnios and 30 normal cases .Results Caspase7 was positively expressed in umbilical serum of three groups.The expression of Caspase7 was higher in the oligohydramnios group (160.2 ±25.8 ng/mL) than in the normal group (142.9 ±18.4 ng/mL), and there was significant difference (t=2.99,P<0.05).The expression of Caspase7 was lower in the polyhydramnios group (119.2 ±21.5 ng/mL) than in the normal group (142.9 ±18.4 ng/mL) with significant difference (t=4.59, P<0.05 ) .Conclusion The expression of Caspase 7 in umbilical serum of pregnant women of oligohydramnios and polyhydramnios is abnormal, which indicates that it might be correlated with abnormal amniotic fluid .%目的:探讨Caspase7蛋白在羊水量异常和正常的产妇血清中的表达差异。方法采用酶联免疫吸附法( ELISA)分别检测30例羊水过少、30例羊水过多和30例羊水量正常产妇脐带血中Caspase7蛋白表达水平的情况,并加以分析。结果Caspase7蛋白在3组产妇血清中均有阳性表达。羊水过少组血清中Caspase7蛋白平均浓度(160.2±25.8ng/mL)比对照组高(142.9±18.4ng/mL),差异有统计学意义(t=2.99,P<0.05)。羊水过多组血清中Caspase7蛋白平均浓度(119.2±21.5ng/mL)比对照组低(142.9±18.4ng/mL),差异也有统计学意义(t=4.59,P<0.05)。结论羊水过少或过多产妇血清中Caspase7蛋白表达异常,提示其可能与羊水量异常的发生有关。

  2. CD44+/CD105+ Human Amniotic Fluid Mesenchymal Stem Cells Survive and Proliferate in the Ovary Long-Term in a Mouse Model of Chemotherapy-Induced Premature Ovarian Failure

    Directory of Open Access Journals (Sweden)

    Te Liu, Yongyi Huang, Lihe Guo, Weiwei Cheng, Gang Zou

    2012-01-01

    Full Text Available Objectives: Stem cell transplantation has been reported to rescue ovarian function in a preclinical mouse model of chemotherapy-induced premature ovarian failure (POF; however, maintaining the survival and self-renewal of transplanted seed cells in ovarian tissues over the long-term remains a troublesome issue. In this study we aimed to determine whether the CD44+/CD105+ human amniotic fluid cell (HuAFCs subpopulation represent potential seed cells for stem cell transplantation treatments in POF. Materials and methods: The CD44+/CD105+ subpopulation were isolated from HuAFCs, cultured in vitro, and injected into a cyclophosphamide-induced mouse model of POF. Results: Under continuous subculture in vitro, CD44+/CD105+ cells proliferated rapidly and expressed high levels of the proliferative markers Ki67 and survivin, as well as high levels of a number of mesenchymal stem cell biomarkers. Moreover, when red fluorescence protein (RFP-transduced CD44+/CD105+ HuAFCs were transplanted into the ovaries of POF mice, the cells could be detected by fluorescence microscopy up to three weeks after injection. Furthermore, the BrdUrd incorporation assay and immunofluorescent staining demonstrated that CD44+/CD105+ HuAFCs underwent normal cycles of cell proliferation and self-renewal in the ovarian tissues of POF mice over the long-term. Conclusions: The mesenchymal stem cell properties and long-term in vivo survival of CD44+/CD105+ HuAFCs make them ideal seed cells for stem cell transplantation to treat POF.

  3. Human second trimester amniotic fluid cells are able to create embryoid body-like structures in vitro and to show typical expression profiles of embryonic and primordial germ cells.

    Science.gov (United States)

    Antonucci, Ivana; Di Pietro, Roberta; Alfonsi, Melissa; Centurione, Maria Antonietta; Centurione, Lucia; Sancilio, Silvia; Pelagatti, Francesca; D'Amico, Maria Angela; Di Baldassarre, Angela; Piattelli, Adriano; Tetè, Stefano; Palka, Giandomenico; Borlongan, Cesar V; Stuppia, Liborio

    2014-01-01

    Human amniotic fluid-derived stem cells (AFSCs) represent a novel class of broadly multipotent stem cells sharing characteristics of both embryonic and adult stem cells. However, both the origin of these cells and their actual properties in terms of pluripotent differentiation potential are still debated. In order to verify the presence of features of pluripotency in human second trimester AFSCs, we have investigated the ability of these cells to form in vitro three-dimensional aggregates, known as embryoid bodies (EBs), and to express specific genes of embryonic stem cells (ESCs) and primordial germ cells (PGCs). EBs were obtained after 5 days of AFSC culture in suspension and showed positivity for alkaline phosphatase (AP) staining and for specific markers of pluripotency (OCT4 and SOX2). Moreover, EB-derived cells showed the expression of specific transcripts of the three germ layers. RT-PCR analysis, carried out at different culture times (second, third, fourth, fifth, and eighth passages), revealed the presence of specific markers of ESCs (such as FGF4 and DAPPA4), as well as of markers typical of PGCs and, in particular, genes involved in early stages of germ cell development (Fragilis, Stella, Vasa, c-Kit, Rnf17). Finally, the expression of genes related to the control of DNA methylation (DNMT3A, DNMT3b1, DNMT1, DNMT3L, MBD1, MBD2, MBD3, MDB4, MeCP2), as well as the lack of inactivation of the X-chromosome in female samples, was also demonstrated. Taken together, these data provide further evidence for the presence of common features among human AFSCs, PGCs, and ESCs.

  4. 羊水干细胞的研究现状及应用前景%Current status in research on amniotic fluid-derived stem cells and its application persnective

    Institute of Scientific and Technical Information of China (English)

    白璐; 陈必良

    2011-01-01

    Stem cells which emerged at the beginning of human life, have been widely used in medicine and many other fields. Compared with embryonic stem cells (ESC) and adult stem cells (ASC), amniotic fluid-derived stem cells (AFS) not only can be easily obtained but also are safe to the pregnant women and her fetus. Meanwhile, the isolated and amplified AFS have some surface markers as same as other stem cells and can differentiate into many cells. They can be used in fetus herseff or autologous transplantation, as well as other individuals which are compatible in immunity. At present, researches on AFS have attracted more and more attention. In this article, the related contents in researches on ASC were reviewed.%干细胞已被广泛用于医学及多个领域.与胚胎干细胞和成体干细胞相比,羊水取材方便,对孕妇及胎儿安全微创,分离扩增的羊水干细胞与其他干细胞一样存在一些表面标志物,且具有分化潜能.羊水干细胞不仅用于胎儿或自体移植,也可用于免疫相容的其他个体.目前对于羊水干细胞的研究已不断引起人们的关注,该文对羊水干细胞的相关内容作以综述.

  5. Explore the relationship between excess amniotic fluid and fetal malformations between ultrasound%胎儿畸形与羊水过多的超声之间的关系探究

    Institute of Scientific and Technical Information of China (English)

    罗文波

    2014-01-01

    目的:探讨胎儿畸形与羊水过多之间关系。方法取我院2010年6月至2012年12月3000例16~40孕周孕妇给予 B 超检查,统计羊水过多例数以及胎儿畸形发生率,并统计羊水过多胎儿畸形种类。结果经超声检查后,130例患者羊水过多共有34例胎儿畸形,占26.15%。此外,羊水过多中胎儿畸形依次为:中枢神经畸形、骨骼畸形、消化系统畸形、合并畸形、面部异常。结论超声检查为发现羊水过多的主要方法,必须加强超声检查,及时发现和处理畸形。%Objective to investigate the relationship between fetal malformations and polyhydramnios between. Methods Hospital June 2010 to 2012 in december 3000 cases of pregnant women 16-40 weeks of gestation to give B-ultrasound, the number of cases and statistics polyhydramnios incidence of fetal malformations and fetal malformations polyhydramnios statistical categories. Results After ultrasonography, 130 cases of patients with a total of 34 cases of excessive amniotic fluid fetal malformation, accounting for 26.15%. in addition, polyhydramnios fetal malformations were: central nervous system malformations, skeletal deformities, digestive abnormalities, malformations, facial abnormalities. Conclusion Ultrasonography is the primary method of discovery polyhydramnios must strengthen ultrasound to detect and deal with deformities.

  6. A altura uterina é capaz de diagnosticar os desvios do volume de líquido amniótico? Is uterine height able to diagnose amniotic fluid volume deviations?

    Directory of Open Access Journals (Sweden)

    Djacyr Magna Cabral Freire

    2013-02-01

    deveriam ter esse exame realizado.PURPOSE: To evaluate the performance of a Brazilian reference curve of fundal height (FH regarding its capacity of screening the deviations of volume of amniotic fluid using a Brazilian reference curve of amniotic fluid index (AFI as gold standard. METHODS: This was a cross-sectional study evaluating 753 pregnant women receiving prenatal care at the public health services of João Pessoa (PB, from March to October 2006, who had a routine ultrasound exam scheduled for after 26 weeks of gestational age. Cases with diagnoses of twin pregnancy, intrauterine fetal death and major fetal malformations were excluded. Besides socio-demographic information, data regarding fundal height measured in a standard way, estimated fetal weight, AFI and gestational age at the time of the ultrasound exam were also collected. The capacity of the FH curve to predict deviations of the amniotic fluid volume was assessed using the Brazilian curve of AFI according to gestational age as the gold standard. For this purpose, sensitivity, specificity, positive and negative predictive values were estimated for different cut-off points. RESULTS: The measurement of FH identified 10.5% of women as having low FH possibly associated with oligohydramnios and 25.2% as having high FH possibly associated with polyhydramnios. Using a Brazilian reference curve of AFI, the FH was able to poorly predict the occurrence of oligohydramnios (sensitivity ranging from 37 to 28% and to reasonably predict the occurrence of polyhydramnios (sensitivity ranging from 88 to 69%. CONCLUSIONS: The measurement of fundal height showed a poor performance for predicting oligohydramnios and a reasonable performance for predicting polyhydramnios. Its use for this purpose is then only supported in settings where the ultrasound exam is not easily or routinely available in order to help define priorities for cases that should have this exam performed.

  7. The Amniotic Membrane: Development and Potential Applications - A Review.

    Science.gov (United States)

    Favaron, P O; Carvalho, R C; Borghesi, J; Anunciação, A R A; Miglino, M A

    2015-12-01

    Foetal membranes are essential tissues for embryonic development, playing important roles related to protection, breathing, nutrition and excretion. The amnion is the innermost extraembryonic membrane, which surrounds the foetus, forming an amniotic sac that contains the amniotic fluid (AF). In recent years, the amniotic membrane has emerged as a potential tool for clinical applications and has been primarily used in medicine in order to stimulate the healing of skin and corneal diseases. It has also been used in vaginal reconstructive surgery, repair of abdominal hernia, prevention of surgical adhesions and pericardium closure. More recently, it has been used in regenerative medicine because the amniotic-derived stem cells as well as AF-derived cells exhibit cellular plasticity, angiogenic, cytoprotective, immunosuppressive properties, antitumoural potential and the ability to generate induced pluripotent stem cells. These features make them a promising source of stem cells for cell therapy and tissue engineering. In this review, we discussed the development of the amnion, AF and amniotic cavity in different species, as well as the applicability of stem cells from the amnion and AF in cellular therapy.

  8. 中山地区羊水细胞培养核型分析联合荧光原位杂交技术在产前诊断中的应用%The combined application of karyotype analysis of chromosome in amniotic fluid cells and fish in prenatal diagnosis in Zhongshan District

    Institute of Scientific and Technical Information of China (English)

    苏年华; 季明芳; 陈慧

    2016-01-01

    Objective:To explore the applications value of karyotype analysis of chromosome in amniotic fluid cells and fluorescence in situ hybridization (FISH) in prenatal diagnosis.Methods:369 samples of amniotic fluid from women during 16-22th-week gestation and with the indications of prenatal diagnosis were cultured and performed both karyotype analysis of chromosome and FISH using the 13/18/21/X/Y chromosome probe.Results:The success rate of karyotype analysis of chromosome in amniotic fluid cells culture was 98.37% (363 in 369 cases).336 cases of normal variation of chromosome and 27 cases of abnormal variation of chromosome (numerical abnormalities chromosome in 18 cases,and structural abnormalities chromosome in 9 cases) were detected.The success rate of FISH detection of amniotic fluid cells culture was 100.00%,which included 351 cases of normal variation of chromosome and 18 cases of numerical abnormal variation of chromosome.However,there were no cases of structural abnormalities chromosome detected in FISH,due to the limited detecting probe.Conclusion:The karyotype analysis and FISH detection showed good consistency in detection of abnormal chromosome numbers (aneuploidy) in amniotic fluid cells culture.Furthermore,the former was more comprehensive with higher detection rate,and the latter was more convenient with shorter operating time and less operating steps.To combined apply karyotype analysis and FISH in amniotic fluid cells can be more effective for fetal chromosome abnormalities in prenatal diagnosis.%目的 探索羊水细胞培养核型分析联合荧光原位杂交技术(FISH)在产前诊断中的应用价值;方法 采集16~22孕周、有产前诊断指征孕妇的羊水标本369例,进行羊水细胞培养核型分析并同时采用13/18/21/X/Y染色体探针对未培养羊水进行FISH检测;结果 369例羊水细胞培养核型分析成功363例,异常27例(数目异常18例,结构异常9例);未培养羊水细胞FISH检测

  9. Diagnóstico do oligoâmnio pela ultra-sonografia: uso de diferentes medidas do maior bolsão comparadas ao ILA Diagnostic capacity of oligohydramnios by ultrasound using different measures of the maximum pool depth of amniotic fluid in comparison to AFI

    Directory of Open Access Journals (Sweden)

    Maria Regina Machado Perrotti

    2000-02-01

    Full Text Available Objetivo: comparar a capacidade de diagnosticar oligoâmnio pela ultra-sonografia por meio de diferentes valores do maior bolsão de líquido amniótico, em comparação ao índice de líquido amniótico (ILA, em gestantes normais, de 36 a 42 semanas de gestação. Métodos: realizou-se um estudo descritivo de validação de método diagnóstico, incluindo 875 gestantes normais. Mediante um exame ultra-sonográfico obstétrico de rotina, foi feita a medida do maior bolsão de líquido amniótico para o diagnóstico de oligoâmnio, utilizando como padrão-ouro o índice de líquido amniótico. Os dados foram analisados por meio do cálculo da sensibilidade e da especificidade da medida do maior bolsão de líquido amniótico, utilizando os diferentes pontos de corte de 10, 20 e 30 mm, em comparação aos valores normais do índice de líquido amniótico determinados pelos percentis 2,5 e 10 nas respectivas idades gestacionais. Resultados: a medida do maior bolsão de líquido amniótico apresenta baixa sensibilidade para diagnosticar oligoâmnio quando se adotam os pontos de corte 10 e 20 mm, e boa sensibilidade e especificidade quando se adota 30 mm, quando comparadas às medidas do índice de líquido amniótico nos percentis 2,5 e 10 da curva normal. A sensibilidade e especificidade da medida do maior bolsão são melhores, quando se adota o ponto de corte de 30 mm para diagnosticar oligoâmnio em comparação ao percentil 2,5. Conclusões: a capacidade de diagnosticar oligoâmnio pela medida do maior bolsão é satisfatória apenas com o ponto de corte em 30 mm.Purpose: to compare the capacity of diagnosing oligohy-dramnios by ultrasound using different measures of the maximum pool depth of amniotic fluid in comparison to the amniotic fluid index among normal pregnant women from the 36th to the 42nd week of gestation. Methods: a descriptive study of diagnostic validity was perfomed, on 875 normal pregnant women who were studied through

  10. The Relationship Between Pregnancy Outcomes and the Residue Amniotic Fluid Volume After Premature Rupture of Membranes in the Normal Period of Gestation%足月胎膜早破孕妇剩余羊水量与妊娠结局

    Institute of Scientific and Technical Information of China (English)

    余立波

    2014-01-01

    目的:探讨足月胎膜早破孕妇剩余羊水量对妊娠结局的影响。方法孕足月胎膜早破孕妇分为羊水量正常组、羊水量偏少组、羊水量过少组。统计分析三组宫内感染、剖宫产率、胎儿宫内窘迫及新生儿窒息的差别。结果羊水量过少组剖宫产率、胎儿宫内窘迫发生率、新生儿窒息的发生率高于另外两组(P<0.05);三组间羊膜腔感染率差异无统计学意义(P>0.05)。结论胎膜早破的剩余羊水量过少可导致剖宫产率、胎儿宫内窘迫及新生儿窒息发生率升高。%Objective: To determine the relationship between the residue amniotic fluid volume after premature rupture of membranes (PROM) in the normal period of gestation. Methods:According to amniotic fluid index (AFI) by ultrasound, pregnant women were divided intogroup of normal amniotic fluid, group of borderline oligohydramnios, and group of oligohydramnios. Analyzed and compared the rate of intrauterine infection, cesarean section, fetal distress and neonatal asphyxia. Result: Group of oligohydramnios had a high rates of cesarean section, fetal distress and neonatal asphyxia compared with other two groups (P0.05). Conclusion:Oligohydramnios after PROM is associated with the increasing risks of cesarean section, fetal distress and neonatal asphyxia.

  11. Isolamento, caracterização e diferenciação de células-tronco mesenquimais do líquido amniótico equino obtido em diferentes idades gestacionais Isolation, characterization and differentiation of mesenchymal stem cells derived from equine amniotic fluid obtained from different gestacional ages

    Directory of Open Access Journals (Sweden)

    Bruna De Vita

    2013-04-01

    potencial de diferenciação em linhagens extra mesodermais já relatados na literatura.The interest in stem cells derived from fetal annexes of many species has exponentially increased during the last decades, because they are adult stem cell sources with potential of differentiation in several cell lineages; which present little or no immunogenicity and are an alternative with great importance for storage cell banks. Despite the rising interest, studies for the equine species are still rare. The aim of this study was to isolate, characterize and differentiate mesenchymal stem cells derived from equine amniotic fluid obtained from initial, middle and late third of gestation (AF-MSCs, and compare their results. Twenty three samples from equine amniotic fluid were evaluated by morphological, immunocytochemical and immunophenotypical (Flow cytometer assays and osteogenic, adipogenic and chondrogenic in vitro differentiation. All samples demonstrated plastic adhesion and fibroblastoid morphology. The immunocytochemical assay demonstrated cells from all the studied groups were positive for CD44, PCNA and vimentin and negative for cytokeratin and Oct-4. Flow cytometry demonstrated expression of CD44 and CD90 and no expression of CD34, where CD44 and CD90 markers presented decreasing pattern of expression in relation to the gestational development. All samples collected from all gestational phases were capable to differentiate in osteogenic, chondrogenic and adipogenic lineages. Thus, cells obtained from equine amniotic fluid presented morphological and immunophenotypical characteristics and potential of differentiation typical of MSCs showing that the collection can be performed at any stage of pregnancy. However, more studies should be performed about the expression of pluripotent markers as Oct-4 and the differentiation potential for extra mesodermal lineages prior demonstrated in the literature.

  12. Embolia pulmonar por líquido amniótico: relato de caso e revisão da literatura Pulmonary amniotic fluid embolism syndrome: case report and literature review

    Directory of Open Access Journals (Sweden)

    Edmilton Pereira de Almeida

    2007-06-01

    ório, hipotensão arterial, sintomatologia neurológica e coagulopatia que se iniciou durante ou em 30 min do trabalho de parto. O diagnóstico é de exclusão de outras afecções mais comuns, tais como eclâmpsia, sepse, miocardiopatia periparto, anafilaxia, tromboembolismo pulmonar, reações transfusionais, complicações anestésicas e estenose mitral, que podem surgir ou agravar-se durante o trabalho de parto. Pode ocorrer durante ou logo após aborto cirúrgico, amniocentese ou colocação de transdutor de pressão na cavidade uterina. O tratamento é o de suporte hemodinâmico, ventilatório e correção dos distúrbios de coagulação. A interrupção imediata da gestação, através de cesariana, parece trazer benefícios para a mãe e concepto. Os intensivistas e obstetras devem estar atentos para esta entidade com o intuito de diagnóstico e tratamento imediatos.BACKGROUND AND OBJECTIVES: Amniotic fluid embolism is a rare complication of pregnancy whose physiopathology is not completely known and still not frequently remembered by intensive care physicians and obstetricians. The main aim of this case report was to emphasize the need of better knowledge of this disease by physicians. CASE REPORT: A 15 years old, primigravida, 35th week of gestation was admitted in our intensive care unit (ICU with a sudden respiratory distress. Soon after admission she was intubated and put on mechanical ventilation. After stabilization she was transferred to the operating room and a cesarean section was undertaken. During the operation, instead of fluid reposition with crystalloids in large amounts, her hemodynamic status deteriorated and it was necessary to use vasoactive drugs. After three days on mechanical ventilation she was successfully weaned and discharged from the intensive care unit (ICU after 6 days. She and her baby were discharged from hospital on13th day of hospitalization. CONCLUSIONS: Amniotic fluid embolism is a rare and catastrophic complication of pregnancy, at

  13. Relationships between sex hormones assessed in amniotic fluid, and maternal and umbilical cord serum: what is the best source of information to investigate the effects of fetal hormonal exposure?

    NARCIS (Netherlands)

    Beek, C.; Thijssen, J.H.; Cohen-Kettenis, P.T.; Goozen, S.H. van

    2004-01-01

    Levels of testosterone (T) (total and free), androstenedione (A4), dehydroepiandrosterone sulphate (DHEAS), sex hormone-binding globulin (SHBG), and estradiol (E2) were measured by radioimmunoassay (RIA) in 156 normal pregnancies (77 male and 79 female fetuses). Samples were obtained from amniotic f

  14. Application of fluorescence in situ hybridization in rapid prenatal diagnosis of chromosome aneuploidy in uncultured amniotic fluid samples%FISH技术在产前诊断胎儿染色体数异常中的应用

    Institute of Scientific and Technical Information of China (English)

    张利平; 剡红民; 秦翠云; 娄超; 马晓萍; 郑军; 强荣

    2011-01-01

    目的 探讨荧光原位杂交(FISH)技术在快速产前诊断胎儿染色体非整倍体异常中的价值.方法 使用荧光原位杂交技术,选用荧光素标记的双色13/21染色体位点特异性探针和三色18/X/Y染色体着丝粒探针,检测760例胎儿羊水细胞.结果 采用双色13/21号和三色18/X/Y染色体荧光探针检测间期未培养羊水细胞,发现8例21三体综合征,1例13三体综合征,1例45,XO,1例47,XXX,3例性染色体嵌合体.荧光原位杂交检测结果 和常规细胞遗传学检测结果 相比,两者符合率为99%.结论 荧光原位杂交技术在产前快速诊断胎儿染色体非整倍体异常有很高的临床价值.%Objective To investgate clinical value of fluorescence in situ hybridization (FISH) in rapid prenatal diagnosis of chromosome aneuploidy of the fetus. Methods Fluorescein-labeled bicolor 13th/21th chromosomal loci specificity probe and triad colour 18th/X/Y kinomere probe were used to detect cells in uncultured amniotic fluid samples of 760 pregnact women. Results 8 fetuses with trisomy 21 syndrome, I fetus with trisomy 13 syndrome, I fetus with with 45 ,XO, 1 fetus with 47,XXX and 5 fetuses with sex chromosome mosaic syndrome were identified. The coincidence rate of diagnosis between FISH and conventional cytogenetics was 99%. Conclusion FISH technique has a high clinic value in rapid diagnosis of chromosome aneuploidy.

  15. 正常产妇羊水、血浆蛋白质指纹图谱分析的研究%Analysis of fingerprint patterns of amniotic fluid and plasma proteins in healthy pregnant women

    Institute of Scientific and Technical Information of China (English)

    朱斌; 周坚; 陈芳; 黎丽红; 叶志海; 夏鲁全

    2015-01-01

    目的:比对羊水、血浆蛋白质指纹图谱,寻找羊水特异性表达蛋白,为产科学的临床研究提供分子依据。方法应用表面增强激光解吸电离飞行时间质谱仪采用4种不同原理的蛋白芯片检测了12名正常足月产妇的羊水、血浆蛋白质指纹图谱。结果羊水和血浆标本分别测得蛋白信号(信噪比大于3)150个和250个。4种芯片检出羊水特异性蛋白30个,相对分子质量为11198、12705 Da 的蛋白是比较确定的羊水特异性蛋白。结论羊水中存在特异性表达蛋白,其在妊娠相关生理、病理学中可能起重要作用。%Objective To explore the proteins specifically-expressed in the amniotic fluid (AF)by comparing the fingerprint patterns of in the AF and plasma proteins,aiming to provide molecular evidence for obstetrics research.Methods Surface enhanced laser desorption/ionization time-of-flight mass spectrometry (SELDI-TOF-MS)with four different protein-chips was utilized to investigate the fingerprint patterns of AF and plasma proteins from 1 2 healthy full-term pregnant women.Results In total,1 50 protein signals (signal-to-noise ratio >3)were detected in the AF and 250 in the plasma.Thirty proteins were detected specifically ex-pressed in the AF using four types of protein-chips.The proteins with a molecular weight of 1 1 1 98 Da and 1 2705 Da were confirmed to be specifically expressed in the AF.Conclusion The AF contains specifically-expressed proteins,which probably play a vital role in the physiological and pathological progresses during pregnancy.

  16. Timing of Histologic Progression from Chorio-Deciduitis to Chorio-Deciduo-Amnionitis in the Setting of Preterm Labor and Preterm Premature Rupture of Membranes with Sterile Amniotic Fluid.

    Directory of Open Access Journals (Sweden)

    Chan-Wook Park

    Full Text Available Histologic chorio-deciduitis and chorio-deciduo-amnionitis (amnionitis in extra-placental membranes are known to represent the early and advanced stages of ascending intra-uterine infection. However, there are no data in humans about the time required for chorio-deciduitis to develop and for chorio-deciduitis without amnionitis to progress to chorio-deciduitis with amnionitis, and the effect of prolongation of pregnancy on the development of chorio-deciduitis and amnionitis in patients with preterm labor and intact membranes (PTL and preterm premature rupture of membranes (preterm-PROM. We examined these issues in this study.The study population consisted of 289 women who delivered preterm (133 cases with PTL, and 156 cases with preterm-PROM and who had sterile amniotic fluid (AF defined as a negative AF culture and the absence of inflammation as evidenced by a matrix metalloproteinase-8 (MMP-8 level <23 ng/ml. We examined the association between amniocentesis-to-delivery interval and inflammatory status in the extra-placental membranes (i.e., inflammation-free extra-placental membranes, choroi-deciduitis only, and chorio-deciduitis with amnionitis in patients with PTL and preterm-PROM.Amniocentesis-to-delivery interval was longer in cases of chorio-deciduitis with amnionitis than in cases of chorio-deciduitis only in both PTL (median [interquartile-range (IQR]; 645.4 [319.5] vs. 113.9 [526.9] hours; P = 0.005 and preterm-PROM (131.3 [135.4] vs. 95.2 [140.5] hours; P<0.05. Amniocentesis-to-delivery interval was an independent predictor of the development of both chorio-deciduitis and amnionitis after correction for confounding variables such as gestational age at delivery in the setting of PTL, but not preterm-PROM.These data confirm for the first time that, in cases of both PTL and preterm-PROM with sterile AF, more time is required to develop chorio-deciduitis with amnionitis than chorio-deciduitis alone in extra-placental membranes. Moreover

  17. A comparative study on efficiency of adult fibroblasts and amniotic fluid-derived stem cells as donor cells for production of hand-made cloned buffalo (Bubalus bubalis) embryos.

    Science.gov (United States)

    Em, Sadeesh; Kataria, Meena; Shah, Fozia; Yadav, P S

    2016-08-01

    The efficiency of two cell types, namely adult fibroblasts, and amniotic fluid stem (AFS) cells as nuclear donor cells for somatic cell nuclear transfer by hand-made cloning in buffalo (Bubalus bubalis) was compared. The in vitro expanded buffalo adult fibroblast cells showed a typical "S" shape growth curve with a doubling time of 40.8 h and stained positive for vimentin. The in vitro cultured undifferentiated AFS cells showed a doubling time of 33.2 h and stained positive for alkaline phosphatase, these cells were also found positive for undifferentiated embryonic stem cell markers like OCT-4, NANOG and SOX-2, which accentuate their pluripotent property. Further, when AFS cells were exposed to corresponding induction conditions, these cells differentiated into osteogenic, adipogenic and chondrogenic lineages which was confirmed through alizaran, oil red O and alcian blue staining, respectively. Cultured adult fibroblasts and AFS cells of passages 10-15 and 8-12, respectively, were used as nuclear donors. A total of 94 embryos were reconstructed using adult fibroblast as donor cells with cleavage and blastocyst production rate of 62.8 ± 1.8 and 19.1 ± 1.5, respectively. An overall cleavage and blastocyst formation rate of 71.1 ± 1.2 and 29.9 ± 2.2 was obtained when 97 embryos were reconstructed using AFS cells as donor cells. There were no significant differences (P > 0.05) in reconstructed efficiency between the cloned embryos derived from two donor cells, whereas the results showed that there were significant differences (P < 0.05) in cleavage and blastocyst rates between the cloned embryos derived from two donor cell groups. Average total cell numbers for blastocyst generated using AFS cells (172.4 ± 5.8) was significantly (P < 0.05) higher than from adult fibroblasts (148.2 ± 6.1). This study suggests that the in vitro developmental potential of the cloned embryos derived from AFS cells were higher than that of the cloned embryos

  18. Avaliação da maturidade pulmonar fetal pela contagem dos corpos lamelares no líquido amniótico Evaluation of fetal lung maturity by lamellar bodies counting in amniotic fluid

    Directory of Open Access Journals (Sweden)

    Beatriz Maykot Kuerten Gil

    2010-03-01

    Full Text Available OBJETIVO: comparar o teste de contagem de corpos lamelares (CCL no líquido amniótico com o teste da polarização fluorescente (PF como parâmetro diagnóstico para avaliação da maturidade pulmonar fetal. MÉTODO: estudo transversal, analítico e controlado realizado com 60 gestantes atendidas no período de março de 2002 a dezembro de 2007. Foram colhidas amostras de líquido amniótico e realizados os testes de CCL e PF (TDxFLM II, considerados de referência, e comparados à presença ou ausência da Síndrome do Desconforto Respiratório (SDR. Foram estabelecidos valores de corte para maturidade de 30 mil corpos lamelares/µL para o teste da CCL e 55 mg/g de albumina para o PF. Foram avaliadas as características maternas e perinatais, a evolução neonatal e o desempenho dos testes diagnósticos para predição da maturidade pulmonar fetal. Na análise estatística, foram utilizadas medidas descritivas e calculados os valores referentes à sensibilidade, especificidade, valor preditivo positivo e negativo dos testes, considerando-se significativos valores de pPURPOSE: to compare the lamellar body number density (LBND count in amniotic fluid using the fluorescent polarization (FP test as a diagnostic parameter for the assessment of fetal pulmonary maturity. METHOD: this was an analytical, controlled cross-sectional study conducted on 60 pregnant women from March 2002 to December 2007. Amniotic fluid specimens were obtained by amniocentesis or at the time of caesarean section, and submitted to the LBND and FP tests (TDxFLM®, Abbott Laboratories, the latter considered to be a reference test, and compared in terms of the presence or absence of respiratory distress syndrome (RDS. Cut-off values for maturity were established at 30,000 lamellar bodies/µL for the LBND test and 55 mg/g albumin for the FP test. Maternal and perinatal characteristics and neonatal evolution were evaluated, and the performance of the diagnostic tests regarding

  19. The Evaluation of Amniotic Fluid Lameliar Body Count to Predict Fetal Lung Maturity%羊水板层小体计数预测胎儿肺成熟度的评价

    Institute of Scientific and Technical Information of China (English)

    凤婧; 陈剑; 江咏梅; 戴维; 朱凯; 杨惠

    2011-01-01

    Objective .This prospective study was designed to perform lamellar body count(LBC) of amni-otic fluid to evaluate fetal lung maturity. Methods:LBC in 82 amniotic fluid samples from 82 pregnant women (28-40 gestational weeks) were evaluated, in which 14 cases were checked two times before and after administration of dexamethasone to accelerate fetal pulmonary maturation. After delivery, each infant was eval-uated for any evidence of respiratory distress syndrome (RDS). SPSS sofeware was used to define the cutoff value of LBC to predict fetal lung immaturity and fetal lung maturity ,and the sensitivity, specificity, positive predictive value and negative predictive value were calculated. Results;The LBC increased and the incidence of RDS decreased along with the increased gestational weeks. The LBC increased significantly after the use of dexamethasone to accelerate fetal lung maturation. 11 (13.4%) infants developed RDS, 8 of them with LBC 50 x10 9/L was defined to predict fetal lung maturity, the sensitivity was 81.7%, specificity was 100%, the positive predictive value was 100%, negative predictive value was 45. 8%. Conclusions: LBC can be used as a favorable predictor and reliable screening test for fetal lung maturity because the method is simple, quick, inexpensive,standardization and available.%目的:检测羊水中板层小体计数(LBC),并对胎儿肺成熟度进行评价.方法:选取82例孕28~40周的单胎孕妇(妊娠合并糖尿痛27例,妊娠期高血压疾病20例,妊娠期肝内胆汁淤积症16例,正常妊娠孕妇19例)检测其羊水标本中LBC,其中14例测定经过地塞米松促胎肺成熟治疗前后两次羊水,并随访其新生儿是否发生呼吸窘迫综合征(RDS).根据羊水LBC与新生儿是否发生RDS的关系,建立本实验室羊水LBC预测胎儿肺不成熟与胎儿肺成熟的临界值,并计算相应的灵敏度、特异度、阳性预测值、阴性预测值.结果:随孕妇孕周增加,羊水LBC增加,新生儿RDS

  20. Effects of transforming growth factor-β1 on acute lung injury by amniotic fluid embolis in rabbit%转化生长因子-β1在家兔羊水栓塞后肺损伤中的作用

    Institute of Scientific and Technical Information of China (English)

    岳艳; 范丽; 刘伯毅

    2014-01-01

    Objective To explore the pathogenesis of lung injury caused by amniotic fluid embolism (AFE) and the effects of transforming growth factor-β1 (TGF-β1 ) on AFE caused acute lung injury .Methods 20 healthy late pregnancy rabbits were randomly divided into the control group (10 cases ,injected with normal saline) and the amni-otic group(10 cases ,injected with amniotic fluid) to establish the animal model of AFE .The pulmonary tissue of AFE rabbits was taken out after 1h for preparing the lung tissue sections .The pulmonary tissue pathological changes were observed .The streptavidin-biotin-peroxidase complex(SABC) method was adopted to conduct the immunohistochemi-cal staining on lung bronchiole epithelial cells TGF-β1 protein expression ,and the MIAS-2000 image analysis system was adopted to perform the semi-quantitative analysis of proteins ,with the maximum gray value for reflecting the a-mount of TGF-β1 protein expression .Results Lung tissue edema could be fined in lung tissue biopsy of the amniotic group .The TGF-β1 protein content was(19 .85 ± 1 .92)μg/L in the control group and(5 .02 ± 0 .76)μg/L in the amni-otic group ,the TGF-β1 content of lung tissue in the amniotic group was significantly increased (P< 0 .05) .Conclusion AFE caused acute lung injury is closely related with the TGF-β1 level .%目的:探讨羊水栓塞(AFE)肺损伤发病机制,探讨转化生长因子-β1(TGF-β1)在 AFE 肺损伤中的作用。方法将20只健康妊娠晚期家兔随机分为对照组(生理盐水组,10只)及羊水组(10只),建立 AFE 动物模型,1 h 后取家兔肺组织制作病理切片观察肺组织病理变化,采用链霉素亲和-生物素-过氧化酶复合物法对肺组织细支气管上皮细胞 TGF-β1蛋白表达进行免疫组织化学染色,采用 MIAS-2000医学图像分析系统进行蛋白半定量分析,以最大灰度值反映 TGF-β1蛋白表达量。结果羊水组肺组织病理切片

  1. Fetal fluid and protein dynamics

    OpenAIRE

    Pasman, Suzanne

    2010-01-01

    In this thesis fetal fluid and protein dynamics are investigated to gain insight in fetal (patho-)physiology. Studies were performed in fetuses with severe anemia and/or hydrops fetalis. Measurements were performed in fetal blood or amniotic fluid, obtained before or during intrauterine transfusion. The severity of anemia can be predicted by measurement of bilirubin in amniotic fluid. We showed that this concentration is based on bilirubin in fetal blood and on albumin concentrations. Albumin...

  2. Amniotic membrane covering for facial nerve repair

    Institute of Scientific and Technical Information of China (English)

    Murat Karaman; Arzu Tuncel; Shahrouz Sheidaei; Mehmet Güney (S)enol; Murat Hakan Karabulut; Ildem Deveci; Nihan Karaman

    2013-01-01

    Amniotic membranes have been widely used in ophthalmology and skin injury repair because of their anti-inflammatory properties. In this study, we measured therapeutic efficacy and determined if amniotic membranes could be used for facial nerve repair. The facial nerves of eight rats were dissected and end-to-end anastomosis was performed. Amniotic membranes were covered on the anastomosis sites in four rats. Electromyography results showed that, at the end of the 3rd and 8th weeks after amniotic membrane covering, the latency values of the facial nerves covered by amniotic membranes were significantly shortened and the amplitude values were significantly increased. Compared with simple facial nerve anastomosis, after histopathological examination, facial nerve anastomosed with amniotic membrane showed better continuity, milder inflammatory reactions, and more satisfactory nerve conduction. These findings suggest that amniotic membrane covering has great potential in facial nerve repair.

  3. A comparative analysis of nasogastric and intravenous fluid resuscitation in patients with malignant obstructive jaundice prior to endoscopic biliary drainage

    Directory of Open Access Journals (Sweden)

    Kavita Baghel

    2013-01-01

    Full Text Available Background: An alternative to intravenous is nasogastric fluid administration through normal functioning gut. Though not common, this practice has significance in mass causalities and elective situations. Aim: The study was designed to compare nasogastric and intravenous fluid resuscitation in malignant obstructive jaundice (OJ and their effect on endotoxemia. Materials and Methods: Sixty patients with malignant OJ undergoing endoscopic biliary drainage were randomized into two groups. A total of 4 l of fluid (Ringer′s lactate was administered to Group A through nasogastric tube and to Group B through intravenous route for 48 h. Vital parameters, serum bilirubin, serum creatinine, creatinine clearance rate, electrolytes, and endotoxemia were monitored. Results: Significant improvement in blood pressure (Group A, P = 0.014; Group B, P = 0.020 and significant decrease in serum bilirubin level (Group A, P = 0.001; Group B, P < 0.0001 was observed in both groups after resuscitation. Significantly decreased (P = 0.036 post hydration endotoxin level was observed in Group A as compared to Group B. Febrile events were significantly higher (P = 0.023 in Group B as compared to Group A (6 vs 0. Electrolyte abnormalities were found more in Group B, however statistically insignificant. Conclusion: In OJ patient undergoing biliary drainage, preoperative fluid resuscitation through nasogastric tube may be helpful in reducing postoperative septic complications and endotoxemia.

  4. 区域生长法在胎儿磁共振羊水量测量中的应用%Application of the Region Growing Method in Measuring the Amniotic Fluid in Fetal MRI

    Institute of Scientific and Technical Information of China (English)

    胡立伟; 薛潋滟; 董素贞; 钟玉敏; 朱铭

    2015-01-01

    目的:探讨磁共振成像中利用区域生长法测量胎儿羊水量的可行性。方法选取26例胎儿的磁共振图像,采用传统方法和区域生长法对胎儿的羊水量进行测量,测量误差值并计算回归线性方程。结果羊水过少时的测量误差为10%~15%,而羊水量正常和过多时的测量误差为1.2%~8%,最后计算得到的回归线性方程为Y=0.975X-9.748。线性方程矫正后的平均羊水量误差仅为2.32%。结论对胎儿进行磁共振检查后,采用区域生长法测量胎儿的羊水量具有操作简单、测量数据真实等优点,可以作为临床对于胎儿羊水量评估的有效手段。%Objective To study the feasibility of the region growing method in measuring the amniotic lfuid in fetal MRI. Methods Altogether 26 foetuses were selected and scanned by MRI. Then, the amniotic lfuid in fetal MRI was measured respectively through the region growing method and the traditional method so as to measure the error value and calculate the linear regression equation. Results The measurement error was 10%to 15%under the conditions of oligohydramnios;while the error was in excess of 1.2%to 8%under the conditions of normality and polyhydramnios. The linear regression equation was calculated as Y=0.975X-9.748. After rectiifcation of the amniotic lfuid value through the linear regression equation, the average error was reduced to only 2.32%. Conclusion The region growing was an easy-to-operate method for precise measurement of the amniotic lfuid after foetuses were scanned by MRI, which should be used as an effective clinical method to measure the fetal amniotic lfuid.

  5. 人羊水来源干细胞治疗大鼠卵巢早衰的初步研究%Preliminary study on the effects of human amniotic fluid-derived stem cells on rats'premature ovarian failure

    Institute of Scientific and Technical Information of China (English)

    李洁; 张建芳; 白璐; 陈必良

    2012-01-01

    目的:尾静脉注射移植人羊水干细胞(AFS),评价其治疗大鼠卵巢早衰(POF)的效果.方法:采用SD大鼠,按体重随机分为四组:A组正常组、B组模型组、C组一次移植组和D组两次移植组,除A组灌胃生理盐水外,其余各组均连续14天灌胃雷公藤多苷片;C组在第14天灌胃后移植一次AFS,D组在第1天与第7天灌胃后移植两次AFS;观察大鼠阴道涂片、血清性激素水平、大鼠卵巢及子宫组织形态学变化.结果:(1)B组动情周期较A组显著延长,C组与D组均有不同程度恢复,D组恢复状况优于C组;(2)HE染色结果显示,D组大鼠卵巢均有新生卵泡;(3)性激素检测结果显示,各组之间E2值差异均有统计学意义(P均<0.01).结论:AFS对POF有修复作用,可能通过促进卵泡生成,调节雌激素分泌,从而改善了卵巢功能.%Objective; To evaluate it's the treatment effects on rats'premature ovarian failure. With transplant human amniotic fluid-derived stem cells by caudal vein injection, Methods ; SD rats were randomly divided into four groups by weight: group A ( normal group ) , group B(model group) ,group C(once transplantation group) ,group D(twice transplantation group). Except group A was perfused with physiological saline, other groups were perfused with Tripterygium Glucosides tablet for 14 days;then group C transplanted AFS once on the 14th day after gastric perfusion, group D transplanted AFS twice on the 1st day and the 7 th day after gastric perfusion. Rat's vaginal smears,serum sex hormone levels and the morphological changes of rats'ovary organizations were observed. Results; The treatment effects of AFS on Rats'premature ovarian failure: (1) The estrous cycle of group B was significantly prolonger than that of group A. Both group C and group D recovered to different degrees, and the recovery of group D was better than that of group C; (2) The results of HE coloration showed that new follicles appeared in all rats

  6. Comparative microRNA profile analysis of amniotic fluid in rats with congenital spina bifida%先天性脊柱裂子鼠羊水微小RNA谱差异性研究

    Institute of Scientific and Technical Information of China (English)

    秦攀; 王家祥; 刘秋亮; 张大; 杨合英

    2014-01-01

    Objective To explore the differentially expressed microRNA of amniotic fluid in rats with congenital spina bifida (CSB).Methods Rats with CSB were induced by all-trans retinoic acid (ATRA).microRNA (miRNA) microarray was applied to compare the miRNA expression profile between rats with CSB (n =6) and normal controls (n =6).Real-time quantitative polymerase chain reaction (Real-time PCR)was used to confirm the results of microarray.Results As compared with normal controls,the expression of three microRNAs including miRNA-9,miRNA-124a and miRNA-138 was significantly decreased (more than 4 times),while that of miRNA-134 was significantly increased in rats with CSB (more than 4 times).Cluster analysis showed that the expression of these four miRNAs could distinguish the CSB group and the normal control group.Conclusion The differential expression miRNAs in rats with CSB maybe play an important role in the development of CSB.%目的 探讨先天性脊柱裂子鼠与正常发育子鼠羊水中的差异表达的微小RNA(miRNA).方法 利用全反式维甲酸构建先天性脊柱裂子鼠动物模型,采用miRNA芯片技术检测6例脊柱裂子鼠和6例正常发育子鼠羊水中的miRNA表达谱,筛选差异性表达miRNA,并采用实时定量聚合酶链反应(Real-time PCR)技术验证miRNA芯片结果的可靠性.结果 相对于正常发育子鼠组,脊柱裂子鼠羊水中miRNA-9、miRNA-124a、miRNA-138表达显著下调(大于4倍),miRNA-134表达显著上调(大于4倍).聚类分析显示,通过该4个差异表达显著的miRNA,可以将脊柱裂子鼠组和正常发育子鼠区分开.结论 筛选得到的先天性脊柱裂相关miRNA可能在脊柱裂的发生过程中起重要调控作用.

  7. Evaluation of fluorescence in situ hybridization in prenatal diagnosis of uncultured amniotic fluid cells%荧光原位杂交技术在未培养羊水细胞产前诊断中的临床应用

    Institute of Scientific and Technical Information of China (English)

    吴莉; 钟进; 陈志华; 郭晓玲; 邓秀珍; 邓露莎

    2012-01-01

    目的 探讨荧光原位杂交(fluorescence in situ hybridization,FISH)技术在产前诊断中的优缺点及临床应用价值.方法 用FISH技术检测163例孕17 - 33周孕妇的未培养羊水细胞,每例均行常规染色体核型分析.结果 应用FISH法,所有样本均在24h内获得检测结果,除4例羊水培养失败外,其余样本均在3周内获得细胞遗传学诊断.两种方法均检测出3例非整倍体,FISH结果与核型分析结果一致.9例染色体结构异常,FISH法未能检出.结论 FISH技术应用于产前诊断染色体非整倍体,成功率高,准确可靠,较常规核型分析方法有效缩短报告时间.FISH不能完全替代常规染色体核型分析,疑有染色体结构异常者,必须行羊水细胞染色体核型分析.母血清唐氏征筛查异常孕妇产前诊断倾向选择FISH检测.%Objective: To evaluate clinical application value of fluorescence in situ hybridization. Methods: Amniotic fluid samples were taken from 163 women at 17 +4 ~ 33 +1 weeks of pregnancy; FISH was performed for diagnosing aneuploidies of five chromosomes (13, 18, 21, X and Y). The routine kaiyotypes analysis was performed at the same time. Results: The FISH diagnosis of all species was achieved in 24h, while 161 chromosome kaiyotypes diagnosis acquired in 3 weeks, since failed cell culture occurred in 2 amniotic fluid cases. 3 aneuploidies found by FISH and chromosome karyotypes. For the two methods, the diagnosis of aneuploidies matched perfectly. 9 Structural abnormalitic of chromosome were missed by FISH. Conclusion; FISH is a rapid and accurate method for prenatal diagnosis of chromosome aneuploidies, but it can't completely replace the conventional chromosome karyotype analysis. If structural abnormalities of chromosome was suspected to be, Amniotic fluid cell cultures and karyotype analysis must be performed. FISH could be choiced when biochemical data for Down's syndrome were positive.

  8. Nursing experience of amniotic fluid embolism complicated with disseminated intravascular coagulation and multiple organ function failure%羊水栓塞合并弥散性血管内凝血、多脏器功能衰竭的护理体会

    Institute of Scientific and Technical Information of China (English)

    孙福月; 柳亚君; 全金梅; 燕朋波

    2016-01-01

    This article retrospectively analyzed treatment and nursing measures of one patient occurred amniotic fluid embolism complicated with serious complications in spontaneous delivery, disseminated intravascular coagulation (DIC) and multiple system organ failure (MSOF) included, expecting to offer a reference for clinically treating patients in the future.%回顾1例顺产发生羊水栓塞合并弥漫性血管内凝血(disseminated intravascular coagulation,DIC)、多脏器功能衰竭(multiple system organ failure,MSOF)等严重并发症患者的治疗护理经过,以期为此类患者日后临床治疗提供借鉴。

  9. 80例足月羊水偏少孕妇阴道试产可行性分析%The feasibility analysis of vaginal pregnant in 80 cases of full-term pregnant women with less amniotic fluid than normal

    Institute of Scientific and Technical Information of China (English)

    廖革红

    2012-01-01

    Objective To analyze the feasibility of vaginal pregnant in full-term pregnant women with less amniotic fluid than normal. Methods 80 cases of full-term pregnant women with less amniotic fluid than normal were selected as study group, and 80 cases of full-term pregnant women with normal amniotic fluid were selected as control group. The prenatal and intrapartum monitoring situation, final mode of delivery, fetal and neonatal prognosis were compared between the two groups. Results The VD appearing of study group obviously was more than that of control group (P 0.05); the ce-sarean section rate in the study group (28.75%) was higher than that of the control group (15.00%) (P 0.05); less than 7 points of Apgar score in the study group was more than that of the control group (P 0.05). Conclusion In the intensive care, the vaginal pregnant in full-term pregnant women with less amniotic fluid than normal is feasible.%目的 分析探讨足月羊水偏少孕妇阴道试产的可行性.方法 收集80例足月妊娠羊水偏少孕妇作为研究组,并设选择80例足月妊娠羊水正常孕妇为对照组,比较两组孕妇产前产时监护情况、最终分娩方式、胎儿情况及新生儿预后情况.结果 研究组孕妇产时出现变异减速(VD)情况明显多于对照组(P<0.05),而产前产时孕妇晚期减速(LD)情况及产前VD情况比较,差异均无统计学意义(P>0.05);研究组剖宫产率为28.75%,明显高于对照组的15.00%(P<0.05);研究组胎儿羊水轻度粪染情况明显多于对照组(P<0.05),而两组羊水中、重度粪染情况及胎儿窘迫情况比较,差异均无统计学意义(P> 0.05);研究组新生儿Apgar评分<7分者明显多于对照组(P<0.05),而两组Apgar评分<4分者及新生儿体重比较,差异均无统计学意义(P> 0.05).结论 足月羊水偏少孕妇在严密监护下阴道试产具有可行性.

  10. Fractures, stress and fluid flow prior to stimulation of well 27-15, Desert Peak, Nevada, EGS project

    Science.gov (United States)

    Davatzes, Nicholas C.; Hickman, Stephen H.

    2009-01-01

    A suite of geophysical logs has been acquired for structural, fluid flow and stress analysis of well 27-15 in the Desert Peak Geothermal Field, Nevada, in preparation for stimulation and development of an Enhanced Geothermal System (EGS). Advanced Logic Technologies Borehole Televiewer (BHTV) and Schlumberger Formation MicroScanner (FMS) image logs reveal extensive drilling-induced tensile fractures, showing that the current minimum compressive horizontal stress, Shmin, in the vicinity of well 27-15 is oriented along an azimuth of 114±17°. This orientation is consistent with the dip direction of recently active normal faults mapped at the surface and with extensive sets of fractures and some formation boundaries seen in the BHTV and FMS logs. Temperature and spinner flowmeter surveys reveal several minor flowing fractures that are well oriented for normal slip, although over-all permeability in the well is quite low. These results indicate that well 27-15 is a viable candidate for EGS stimulation and complements research by other investigators including cuttings analysis, a reflection seismic survey, pressure transient and tracer testing, and micro-seismic monitoring.

  11. Detection and analysis of thalassemia gene of the fetal amniotic fluid in baise city%广西百色市胎儿羊水地中海贫血基因检测分析

    Institute of Scientific and Technical Information of China (English)

    罗宏成; 王春芳; 向阳; 雷茗; 邓鹰; 韦叶生

    2015-01-01

    simple alpha thalassaemia which accout For 47.3%,the Medium and heavy of alpha thalas-saemia accout for 36.2%,and 16 case of Hb Bart's hydrops fetalis tire having heavy alpha thalassaemia accout for 11.3%,36 cases were diagnosed with HbH disease which accout for 24.8%;145 cases were diagnosed with simple Beta thalassaemia which accout for 33.6%,and the Medium and heavy of Beta thalassaemia accout for 27.2%;21 cases were diagnosed with the Compound of alpha and beta thalassae-mia which accout for 6.8%;The incidence of alpha thalassaemia in Zhuang populations was 56.6%, 27.6% in Yao populations,and 15.8% in Han populations;The incidence of Beta thalassaemia in Zhuang populations was 66.0%,21.4% in Yao populations,and 12.6% in Han populations.Conclu-sion:The positivty of fetal amniotic fluid with thalassemia is higher in Baise city.Especially,the positive rate of Medium and heavy of fetal is also high;The incidence of alpha thalassaemia was significant differ-ence in Zhuang,Yao,Han Populations (P 0.05).Couples who will give birth to baby in the re-gion should make prenatal genetic of thalassemia screening and breeding knowledge guide.

  12. Concentrations of cytokines in the mid-trimester amniotic fluid of normal pregnancy%正常妊娠中期羊水细胞因子水平分析

    Institute of Scientific and Technical Information of China (English)

    刘乐南; 冯振华; 李洁; 戴毅敏; 朱海燕; 许碧云; 周乙华; 胡娅莉

    2014-01-01

    Objective The concentration of cytokines in the amniotic fluid ( AF) may reflect the immune state of maternal-fetal interface .This study aimed to investigate the level of inflammation -related cytokines in the mid-trimester AF of normal pregnant women. Methods This study included 263 pregnant women undergoing mid-trimester genetic amniocentesis , and all of them had normal pregnancy outcomes .Using MILLIPLEX MAP and Luminex, we measured the concentrations of interleukin IL-10, IL-1β, IL-6, monocyte chemotactic MCP-1, and tumor necrosis factor TNF-αin the AF collected from the women at 18-22 +6 weeks′gesta-tion.We analyzed the correlation of their concentrations with maternal age , gestational age , and fetal gender by rank sum test . Results The median concentrations of IL-10, IL-1β, IL-6, MCP-1, and TNF-αin AF at mid-trimester were 7.91, 0.97, 78.15, 1 135.57, and 8.47 pg/mL, respectively.The levels of IL-10 and IL-1βwere higher in the pregnancies with male fetuses than in those with female fetuses (8.54 and 1.18 pg/mL vs 7.72 and 0.85 pg/mL, P=0.043 and 0.008).Maternal age or gestational week at the mid-trimester exhibited no influence on the concentrations of the 5 cytokines. Conclusion The levels of IL-10, IL-1β, IL-6, MCP-1 and TNF-αremain stable in AF at mid-trimester and the former 2 are higher in pregnancies with male fetuses .%目的:人类妊娠过程中,羊水中细胞因子浓度可反映母胎界面炎症免疫状态。文中旨在了解正常孕妇中孕期羊水中炎症相关细胞因子的水平以反映正常妊娠中期母胎界面炎症免疫状态。方法研究263名孕妇妊娠中期(18~22+6周)因产前诊断行羊膜腔穿刺采集的羊水,随访证实最终妊娠结局正常。用高灵敏MILLIPLEX MAP试剂及Luminex仪检测羊水中白细胞介素(interleukin, IL)-10、IL-1β、IL -6、单核细胞趋化蛋白(monocyte chemotactic protein, MCP)-1和肿瘤坏死因子( tumor necrosis factor , TNF

  13. 广西百色市胎儿羊水地中海贫血基因检测分析%Detection and analysis of thalassemia gene of the fetal amniotic fluid in baise city

    Institute of Scientific and Technical Information of China (English)

    罗宏成; 王春芳; 向阳; 雷茗; 邓鹰; 韦叶生

    2015-01-01

    simple alpha thalassaemia which accout For 47.3%,the Medium and heavy of alpha thalas-saemia accout for 36.2%,and 16 case of Hb Bart's hydrops fetalis tire having heavy alpha thalassaemia accout for 11.3%,36 cases were diagnosed with HbH disease which accout for 24.8%;145 cases were diagnosed with simple Beta thalassaemia which accout for 33.6%,and the Medium and heavy of Beta thalassaemia accout for 27.2%;21 cases were diagnosed with the Compound of alpha and beta thalassae-mia which accout for 6.8%;The incidence of alpha thalassaemia in Zhuang populations was 56.6%, 27.6% in Yao populations,and 15.8% in Han populations;The incidence of Beta thalassaemia in Zhuang populations was 66.0%,21.4% in Yao populations,and 12.6% in Han populations.Conclu-sion:The positivty of fetal amniotic fluid with thalassemia is higher in Baise city.Especially,the positive rate of Medium and heavy of fetal is also high;The incidence of alpha thalassaemia was significant differ-ence in Zhuang,Yao,Han Populations (P 0.05).Couples who will give birth to baby in the re-gion should make prenatal genetic of thalassemia screening and breeding knowledge guide.

  14. Líquido amniótico, atividade física e imersão em água na gestação Amniotic fluid, physical activity and water immersion during pregnancy

    Directory of Open Access Journals (Sweden)

    Márcia San Juan Dertkigil

    2005-12-01

    Full Text Available O objetivo desta revisão foi avaliar a inter-relação entre volume do líquido amniótico, atividade física e imersão em água na gestação. Utilizando diferentes combinações desses termos, foram consultadas as bases de dados do MedLine e do Scielo, no período de 1980 a 2005 para a identificação de artigos relevantes ao assunto. O líquido amniótico é fundamental no desenvolvimento dos sistemas músculo-esquelético, gastrointestinal e respiratório fetal. Sua avaliação no passado era imprecisa, mas com o advento da ultra-sonografia, tornou-se fácil e não invasiva. Surgiram técnicas para a aferição do seu volume e curvas de normalidade. Mais recentemente, têm-se tentado diversas técnicas para a correção do seu volume, na tentativa de diminuir a morbidade associada. Um método não invasivo muito utilizado no Brasil é a hiperhidratação materna. Outros autores sugerem medidas como a imersão estática ou com atividade física em água, muito na moda nos dias de hoje. Ainda são poucos os estudos relativos à prática da atividade física na água para gestantes e seus benefícios maternos, fetais e perinatais. A presente revisão visa aprofundar os conhecimentos acerca dos exercícios aeróbicos sob imersão de gestantes em água, no que diz respeito ao volume de líquido amniótico e bem-estar fetal durante a gestação.The objective of this paper was to assess the relationship between amniotic liquid volume, physical activity and immersion in water during pregnancy. By using different combinations of these terms MedLine and Scielo databases were consulted in the period of 1980 and 2005 for subject related articles. Amniotic liquid is fundamental for fetal muscle skeletal, gastrointestinal and respiratory systems development. In the past amniotic liquid evaluation was poor but with the introduction of ultrasonography it has become easy and non-invasive. New techniques to measure volume and normality curves emerged. More

  15. Feasibility and clinical significance of lamellar body count in amniotic fluid for prediction of fetal lung maturity%羊水板层小体计数预测胎儿肺成熟的可行性及其临床意义

    Institute of Scientific and Technical Information of China (English)

    张温麂; 温岩; 孙晓峰

    2012-01-01

    Objective: To explore the clinical application value of lamellar body count in amniotic fluid for prediction of fetal lung maturity. Methods: A total of 156 single pregnant women were selected as study objects, the amniotic fluid samples underwent LBC count, L/S detection, and foam test simultaneously during 28-38 gestational weeks. Results: There was a positive linear correlation between LBC count and L/S ratio (γ = 0.623, P 0.05); the predictive values of LBC count was significantly higher than those of foam test ( P < 0. 01) . Conclusion: Amnionic fluid LBC count is superior to routine foam test for prediction of fetal lung maturity; compared with L/S ratio, the method is time - saving and labor - saving, and it is the first choice to predict fetal lung maturity in clinic.%目的:探讨羊水板层小体计数预测胎肺成熟度的临床应用价值.方法:选择156例单胎孕妇作为研究对象,孕28 - 38周,每份羊水分3份分别进行LBC计数、L/S比值测定及泡沫试验.结果:羊水LBC与L/S比值成正线性相关,相关系数(r)为0.623,有极显著统计学意义(P<0.001);LBC与泡沫试验呈等级相关,相关系数为(r)为0.781,有极显著统计学意义(P<0.001).以LBC≤10×109/L作为判断胎儿肺不成熟的临界值,以LBC≥35×109/L作为判断胎儿肺成熟的临界值,比较羊水LBC计数各预测值率与L/S比值差异无统计学意义(P>0.05);与泡沫试验相比,羊水LBC计数的各预测值明显高于泡沫试验,差异有统计学意义(P<0.01).结论:羊水LBC计数在预测胎肺成熟度方面优于传统的泡沫试验,较L/S比值省时、省力,是临床中用于判断胎儿肺成熟方法的首选.

  16. Interactions among pulmonary surfactant, vernix caseosa, and intestinal enterocytes: intra-amniotic administration of fluorescently liposomes to pregnant rabbits.

    Science.gov (United States)

    Nishijima, Koji; Shukunami, Ken-ichi; Yoshinari, Hideo; Takahashi, Jin; Maeda, Hideyuki; Takagi, Hitoshi; Kotsuji, Fumikazu

    2012-08-01

    Although vernix caseosa is known to be a natural biofilm at birth, human pulmonary surfactant commences to remove the vernix from fetal skin into the amniotic fluid at gestational week 34, i.e., well before delivery. To explain this paradox, we first produced two types of fluorescently labeled liposomes displaying morphology similar to that of pulmonary surfactant and vernix caseosa complexes. We then continuously administered these liposomes into the amniotic fluid space of pregnant rabbits. In addition, we produced pulmonary surfactant and vernix caseosa complexes and administered them into the amniotic fluid space of pregnant rabbits. The intra-amniotic infused fluorescently labeled liposomes were absorbed into the fetal intestinal epithelium. However, the liposomes were not transported to the livers of fetal rabbits. We also revealed that continuous administration of micelles derived from pulmonary surfactants and vernix caseosa protected the small intestine of the rabbit fetus from damage due to surgical intervention. Our results indicate that pulmonary surfactant and vernix caseosa complexes in swallowed amniotic fluid might locally influence fetal intestinal enterocytes. Although the present studies are primarily observational and further studies are needed, our findings elucidate the physiological interactions among pulmonary, dermal-epidermal, and gastrointestinal developmental processes.

  17. 分娩中羊水栓塞的成功处置:一例临床危重病例报告及文献复习%Amniotic Fluid Embolism Managed with Success during Labour:Report of A Severe Clinical Case and Review of Literature

    Institute of Scientific and Technical Information of China (English)

    吴思雨; 于芳; 侯海燕; 邢静; 陈亚琼

    2015-01-01

    Amniotic fluid embolism (AFE) is widely known as a disastrous rapid-progressing intrapartum complication. The incident ranges from 2/100 000 to 6/100 000. The mortality rate reaches 61%—86%. Neonatal survival is reported at 70%. We describe a case of severe AFE in our practice and review the relevant documents. A 33-year pluripara developed amniotic fluid embolism during labour. The mother identified as gestational anemia when came to our hospital with acute respiratory failure to be her initial symptom. A forceps delivery was performed. She showed extreme blood loss complicated by disseminated coagulopathy. A subtotal hysterectomy was performed due to approximately 3000 mL bleeding. Aggressive management was practiced with continuous transfusion of blood products. Haemodialysis was performed because of chronic renal failure after her being transmitted to ICU. The patient had been treated for 3 months and discharged from hospital with an improved condition and a survived baby without neurological damage. The patient receives dialysis regularly due to chronic renal failure.%羊水栓塞(amniotic fluid embolism,AFE)是一种进展迅猛的严重分娩并发症,其发病率为2/100000~6/100000,产妇病死率为61%~86%,新生儿存活率为70%。报告1例极重症羊水栓塞病例情况,并对既往文献进行复习综述。该病例为33岁经产妇,患有妊娠期贫血,在分娩过程中发生AFE。首发症状为急性呼吸衰竭,在此情况下行产钳助产。初诊为AFE,转入手术室抢救。患者失血过多并出现凝血功能障碍,因大出血(约3000 mL)行子宫次全切除术,而后持续输入血制品。患者术后转至重症监护病房(ICU)继续治疗,因慢性肾功能衰竭接受持续性床旁血液滤过,而后间断行血液净化治疗。治疗3个月后病情好转出院,新生儿存活,未遗留神经系统异常。患者现为慢性肾功能不全,定期门诊透析治疗。

  18. Volume do líquido amniótico associado às anomalias fetais diagnosticadas em um centro de referência do nordeste brasileiro Amniotic fluid volume associated with fetal anomalies diagnosed in a reference center in the Brazilian Northeast

    Directory of Open Access Journals (Sweden)

    Carlos Noronha Neto

    2009-04-01

    Full Text Available OBJETIVO: determinar fatores associados ao volume de líquido amniótico e frequências de anomalias fetais em um centro de referência. MÉTODOS: realizou-se um estudo de corte transversal, com gestantes de risco, avaliadas pela ultrassonografia morfológica, no período de março de 2002 a março de 2006, em uma instituição em Recife (PE Brasil. O diagnóstico intraútero foi confirmado no pós-parto. As características sociodemográficas e obstétricas, o índice de líquido amniótico e a presença de anomalias fetais foram variáveis estudadas. Para verificar associação entre variáveis, foram utilizados testes χ2, exato de Fisher e t de Student, a um nível de significância de 5%. Foram calculados a razão de prevalência e o intervalo de confiança a 95%. Análise de regressão logística múltipla foi realizada, a um nível de significância de 5%. RESULTADOS: foram incluídas no estudo 257 (56,2% gestantes com anomalias congênitas e 200 sem anomalias confirmadas no pós-natal. As médias das idades maternas e gestacionais do parto foram 24,8±6,5 anos e 35,9±3,7 semanas, respectivamente. As anomalias fetais foram mais encontradas no sistema nervoso central (50,6% e trato geniturinário (23,0%. A presença de anomalias congênitas esteve associada significativamente ao líquido diminuído/oligohidrâmnio (p=0,0002 e líquido aumentado/polihidrâmnio (pPURPOSE: to determine factors associated to amniotic fluid volume and frequencies of fetal anomalies, in a reference center in Pernambuco. METHODS: a transversal study performed in high-risk pregnant women submitted to obstetrical morphological ultrasound, from March 2002 to March 2006, at an institution from Recife, Pernambuco, Brasil. The intrauterine diagnosis was confirmed after birth. Sociodemographic and obstetrical characteristics, amniotic liquid volume and presence of fetal anomalies were the variables studied. Fisher's exact, χ2, and Student's t tests, at a significance

  19. 广州地区6000例羊水细胞染色体核型分析及其产前诊断价值探讨%Investigation on 6 000 cases of chromosomal karyotypes of amniotic fluid cells and their prenatal dianostic values in Guangzhou area

    Institute of Scientific and Technical Information of China (English)

    刘海波; 丘文君; 郑育红; 赖炜强; 孙筱放

    2015-01-01

    目的:分析羊水细胞染色体,比较不同异常核型的发生率及其在产前诊断中的应用价值。方法选择2010年1月至2013年9月到该院就诊有产前诊断指征的孕妇6000例,行羊膜腔穿刺术、传代法羊水细胞培养及胎儿染色体核型分析。结果6000例羊水培养成功5994例(99.90%),异常核型193例(3.22%)。其中,染色体数目异常108例,占异常核型的55.96%,以21三体为主,占数目异常的67.59%(73/108);结构异常60例,占异常核型的31.09%,其中平衡性结构重排38例(19.69%),非平衡性结构重排22例(11.40%);嵌合体25例(12.95%)。将孕妇按进行穿刺的首要指征分为6组,血清学筛查高风险组和高龄组分别占受检人数41.62%和33.70%,B超检查示胎儿异常组和夫妇一方染色体异常组的核型异常检出率分别为5.56%和20.00%,与其他组比较差异有统计学意义( P<0.05)。结论传代法羊水细胞体外培养对核型分析具有实用性。羊水染色体核型分析是安全、有效的诊断胎儿染色体病的方法。%Objective To analyze the chromosoms of amniotic fluid cells ,to compare the occurrence rate of different karyo‐types an dto investigate their application values in prenatal diagnosis .Methods A total of 6 000 pregnant women with the prenatal diagnostic indications came to our hospital from January 2010 to September 2013 were performed the amniocentesis ,amniotic fluid cell passage culture and fetal chromosomal karyotypes analysis .Results Among 6 000 cases of amniotic fluid cell culture ,5 594 ca‐ses(99 .90% ) were succeeded and 193 cases(3 .22% ) were abnormal karyotypes ,in which 108 cases were the chromosomal number‐ical abnormality ,acounting for 55 .96% of abnormal karyotypes ,Down′s syndrome was predominant and accounted for 67 .59% of chromosomal numberical abnormality .There were 60 cases (31

  20. Quantitative mapping of intracellular cations in the human amniotic membrane

    Science.gov (United States)

    Moretto, Ph.; Llabador, Y.; Simonoff, M.; Razafindrabe, L.; Bara, M.; Guiet-Bara, A.

    1993-05-01

    The effect of magnesium and taurine on the permeability of cell membranes to monovalent cations has been investigated using the Bordeaux nuclear microprobe. PIXE and RBS techniques have been used to provide quantitative measurements and ion distributions in the isolated amniotic membrane. This physiological model for cellular exchanges allowed us to reveal the distribution of most elements involved in cellular pathways and the modifications under different experimental conditions of incubation in physiological fluids. The PIXE microanalysis provided an original viewpoint on these mechanisms. Following this first study, the amnion compact lamina was found to play a role which was not, up to now, taken into account in the interpretation of electrophysiological experimentations. The release of some ionic species, such as K +, from the epithelial cells, during immersion in isotonic fluids, could have been hitherto underestimated.

  1. Fetal fluid and protein dynamics

    NARCIS (Netherlands)

    Pasman, Suzanne

    2010-01-01

    In this thesis fetal fluid and protein dynamics are investigated to gain insight in fetal (patho-)physiology. Studies were performed in fetuses with severe anemia and/or hydrops fetalis. Measurements were performed in fetal blood or amniotic fluid, obtained before or during intrauterine transfusion.

  2. Analysis on Karyotype of Amniotic Fluid Cells from 3 800 Fetus and Related Genetic Counseling%3800例羊水细胞染色体核型分析及相关遗传咨询

    Institute of Scientific and Technical Information of China (English)

    孙立娟; 李岩; 张秀玲; 史云芳; 李晓洲; 张颖

    2011-01-01

    目的:探讨染色体异常核型与产前诊断指征的关系及羊膜腔穿刺术的安全性,为产前遗传咨询提供客观的实验依据.方法:3 800例具备产前诊断指征的妊娠妇女,在知情选择的情况下行羊膜腔穿刺术及染色体核型检测.分析相关数据,追踪羊膜腔穿刺术的结局.结果:羊水细胞一次培养成功率为99.26%(3772/3 800),两次培养成功率为99.97%(3 795/3 796).在3 795例羊水细胞培养成功的染色体核型中,检出异常核型120例,异常率为3.16%,其中染色体数目异常率1.61%(61/3 795),结构异常率O.58%(22/3 795),多态性变异异常率0.97%(37/3 795).产前诊断指征中,按羊膜腔穿刺例数.位于前3位的分别是唐氏综合征筛查高危人群组(以下简称唐筛高危组,3 54l 例)、不良妊娠分娩史组(95例)和单纯高龄组(≥35岁,83例).检出染色体异常核型例数前3位的分别是唐筛高危组(103例)、夫妻单方染色体异常组(8例)和单纯高龄组(4例).染色体核型异常率前3位的分别是夫妻单方染色体异常组(38.10%,8/21,仅1例有临床意义)、超声提示胎儿异常组(9.38%.3/32)和单纯高龄组(4.82%.4/83).唐筛高危组中,高龄和低龄妊娠妇女染色体核型异常率差异有统计学意义(x2=4.342,P0.05).胎儿丢失率0.237%(9/3 800).胎死宫内率0.053%(2/3 800).结论:①唐筛高危、高龄、超声提示胎儿异常及夫妻单方染色体异常者均有必要进行产前诊断.②羊膜腔穿刺术相对安全.③根据相关实验数据对高危妊娠妇女进行个体化遗传咨询是必要的.%Objective: In order to constitute a basis for genetic counseling, we studied the relationship between fetal chromosomal aberrations and prenatal diagnosis indications, and analyzed the security of amniocentesis. Methods:Fetal chromosomal karyotypes were examined in 3 800 pregnant women with amniotic cell culture in accordance with the indications for prenatal diagnosis. We studied the

  3. The amniotic membrane as a source of stem cells.

    Science.gov (United States)

    Insausti, Carmen L; Blanquer, Miguel; Bleda, Patricia; Iniesta, Paqui; Majado, María J; Castellanos, Gregorio; Moraleda, José M

    2010-01-01

    Cellular therapy has emerged as a new potential tool for curing a wide range of degenerative diseases and tissue necrosis. Embryonic stem cells possess potential for differentiation into a wide range of cell lineages, but the ethical issues associated with establishment of this human cell line have to be resolved prior to any use. The bone marrow (BM) is the usual source of adult stem cells for hematopoietic stem cell transplants and cellular therapy, but the BM harvest is a surgical procedure that requires general anesthesia or sedation, and there seems to be a reduction of the proliferative potential and differentiation capacity of the marrow mesenchymal stem cells in older donors. For these reasons there is an increasing interest in other sources of stem cells from adult and fetal tissues. The amniotic membrane (AM) or amnion is a tissue of particular interest because its cells possess characteristics of stem cells with multipotent differentiation ability, and because of low immunogenicity and easy procurement from the placenta, which is a discarded tissue after parturition, thus avoiding the current controversies associated with the use of human embryonic stem cells. Therefore, amniotic membrane has been proposed as a good candidate to be used in cellular therapy and regenerative medicine. PMID:19924645

  4. Cryopreserved Amniotic Suspension for the Treatment of Knee Osteoarthritis.

    Science.gov (United States)

    Vines, Jeremy B; Aliprantis, Antonios O; Gomoll, Andreas H; Farr, Jack

    2016-08-01

    There are few treatment options for symptomatic knee osteoarthritis (OA). Human amniotic suspension allografts (ASA) have anti-inflammatory and chondroregenerative potential and thus represent a promising treatment strategy. In anticipation of a large, placebo-controlled trial of intra-articular ASA for symptomatic knee OA, an open-label prospective feasibility study was performed. Six patients with Kellgren-Lawrence grades 3 and 4 tibiofemoral knee OA were administered a single intra-articular ASA injection containing cryopreserved particulated human amnion and amniotic fluid cells. Patients were followed for 12 months after treatment. No significant injection reactions were noted. Compared with baseline there were (1) no significant effect of the ASA injection on blood cell counts, lymphocyte subsets, or inflammatory markers and (2) a small, but statistically significant increase in serum IgG and IgE levels. Patient-reported outcomes including International Knee Documentation Committee, Knee Injury and Osteoarthritis Outcome, and Single Assessment Numeric Evaluation scores were collected throughout the study and evaluated for up to 12 months. Overall, this study demonstrates the feasibility of a single intra-articular injection of ASA for the treatment of knee OA and provides the foundation for a large placebo-controlled trial of intra-articular ASA for symptomatic knee OA. PMID:26683979

  5. Tissue Banking in Malaysia-amniotic membrane

    International Nuclear Information System (INIS)

    Burn treatment using amniotic membranes in some of our patients initiate our own tissue bank starting with a pilot project on procurement, processing and clinical application of irradiated amniotic membrane. The irradiation of amniotic membrane was made possible by the availability of cobalt source at the Nuclear Energy Agency (UTN). With the technical help from the Inter-national Atomic Energy Agency (IAEA) we soon should be able to embark on bone bank to supply local surgeons. Thus the establishment of tissue bank at our institution will further enhance our programme which will include keratinocytes culture for burn, osteocytes culture for bone replacement as well as the use of animal skin for temporary coverage of open wounds

  6. Mermaid syndrome with amniotic band disruption.

    Science.gov (United States)

    Managoli, Sanjeev; Chaturvedi, Pushpa; Vilhekar, Krishna Y; Iyenger, Janaki

    2003-01-01

    An association of Amniotic Band Disruption Sequence and Mermaid Syndrome in a newborn having multiple congenital anomalies is being reported. The newborn had aberrant string like tissues attached to the amputed fingers and toes. Adhesions of amniotic bands had disrupted the fetal parts especially anteriorly in the midline, causing multiple anomalies. Apart from these features of Amniotic Band Disruption Sequence, the newborn had complete fusion of the lower limbs by cutaneous tissue, a characteristic of Mermaid Syndrome (Sirenomelia). Associated malformations were anal stenosis, rectal atresia, small horseshoe kidney, hypoplastic urinary bladder and a bicomuate uterus. The single umbilical artery had a high origin, arising directly from the aorta just distal to the celiac axis, which is unique to sirenomelia. Theories put forward regarding the etiopathogenesis of both the conditions are discussed. PMID:12619964

  7. Association of pregnancy management with fetal weight, amniotic fluid volume, and placental function in gestational impaired glucose tolerance%妊娠期糖耐量异常的孕期管理与胎儿体重、羊水及胎盘功能的关系研究

    Institute of Scientific and Technical Information of China (English)

    张兰珍; 吴爱华

    2010-01-01

    目的 探讨妊娠期糖耐量异常孕期管理对胎儿生长发育的影响,以便获得恰当、有效的处理方法 和监护措施.方法 对我院2006年1月-2008年1月常规产检,并在本院分娩的、材料完整的妊娠期糖耐量异常孕妇80例,进行OGTY检查,并对胎儿体重、羊水情况及胎盘成熟度进行追踪.结果 GDM组孕妇空腹血糖异常者占20%,GIGT组中3小时血糖异常占44%;血糖管理组胎儿体重及羊水指数较未管理组明显下降;管理组低体重儿较未管理组明显增多,未管理组巨大儿明显增多;巨大儿组羊水过多明显增多,低体重儿组羊水过少及胎盘Ⅲ级者明显增多.结论 OGTT中3小时血糖检查在GIGT诊断中具有重要意义,血糖管理在减少巨大儿、羊水过多发生的同时增加了低体重儿的发生率,且进行血糖管理时要考虑胎盘的功能,减少低体重儿的发生.%Objective To obtain proper,effective therapies and monitoring approach by exploring the effect of pregnancy management on fetal growth and development in women with gestational impaired glucose tolerance.Methods Oral glucose tolerance test was performed on eighty women with gestational impaired glucose tolerance who had had regular prenatal vists during January 2006 to January 2008.Fetal weight,amniotic fluid indices,and placental maturation were determined.Results Abnormal levels of fasting plasma glucose developed in 20% of the women in GDM group and abnormal 3—hour glucose levels occurred in 44% of the women in GIGT group.Fetal weight and amniotic fluid indices were markedly lower in the group with management of glucose than in the group without management.The incidence of polyhydramnios and fetal macrosomia increased signifiantly in the group without managemnet.Conclusions 3—our OGTT plays an important role in the incidence of polyhydramnios and fetal macrosomia diagnosis of gestational impaired glucose tolerance.Management of glucose reduces but increase

  8. Impedance-matching hearing in Paleozoic reptiles: evidence of advanced sensory perception at an early stage of amniote evolution.

    Directory of Open Access Journals (Sweden)

    Johannes Müller

    Full Text Available BACKGROUND: Insights into the onset of evolutionary novelties are key to the understanding of amniote origins and diversification. The possession of an impedance-matching tympanic middle ear is characteristic of all terrestrial vertebrates with a sophisticated hearing sense and an adaptively important feature of many modern terrestrial vertebrates. Whereas tympanic ears seem to have evolved multiple times within tetrapods, especially among crown-group members such as frogs, mammals, squamates, turtles, crocodiles, and birds, the presence of true tympanic ears has never been recorded in a Paleozoic amniote, suggesting they evolved fairly recently in amniote history. METHODOLOGY/PRINCIPAL FINDINGS: In the present study, we performed a morphological examination and a phylogenetic analysis of poorly known parareptiles from the Middle Permian of the Mezen River Basin in Russia. We recovered a well-supported clade that is characterized by a unique cheek morphology indicative of a tympanum stretching across large parts of the temporal region to an extent not seen in other amniotes, fossil or extant, and a braincase specialized in showing modifications clearly related to an increase in auditory function, unlike the braincase of any other Paleozoic tetrapod. In addition, we estimated the ratio of the tympanum area relative to the stapedial footplate for the basalmost taxon of the clade, which, at 23:1, is in close correspondence to that of modern amniotes capable of efficient impedance-matching hearing. CONCLUSIONS/SIGNIFICANCE: Using modern amniotes as analogues, the possession of an impedance-matching middle ear in these parareptiles suggests unique ecological adaptations potentially related to living in dim-light environments. More importantly, our results demonstrate that already at an early stage of amniote diversification, and prior to the Permo-Triassic extinction event, the complexity of terrestrial vertebrate ecosystems had reached a level that

  9. Magmatic fluid input to the Kuju-Iwoyama hydrothermal system prior to the 1995 eruption of the Kuju volcano (Kyushu, Japan)

    Energy Technology Data Exchange (ETDEWEB)

    Kita, Itsuro [Department of Environmental Changes, Faculty of Social and Cultural Studies, Kyushu University, 744, Motooka Nishi-ku, Fukuoka 819-0395 (Japan); Kai, Tatsuji; Itoi, Ryuichi [Department of Earth Resources Engineering, Faculty of Engineering, Kyushu University, 744, Motooka Nishi-ku, Fukuoka 819-0395 (Japan); Ishida, Makiko [Institute of Applied Earth Sciences, Faculty of Engineering and Resource Science, Akita University, 1-1, Tegata Gakuen-cho, Akita 010-8502 (Japan); Ueda, Akira [Department of Civil and Earth Resources Engineering, Graduate School of Engineering, Kyoto University, C1-2-155, Katsura, Nishikyo-ku, Kyoto 615-8540 (Japan)

    2009-09-15

    A schematic model showing the sources of hot waters being discharged at the surface in the Kuju-Iwoyama of the Kuju volcano has been developed. Based on the isotopic characteristics of these fluids it is inferred that deep magmatic fluid mixes with thermal waters derived from rainwater in a shallow geothermal reservoir, and with local groundwaters in a deeper reservoir. These thermal waters feed hot springs that discharge waters with Cl/SO{sub 4} ratios that differ from that of the fumaroles on Kuju-Iwoyama, due to the addition of SO{sub 4}{sup 2-} ions produced by the decomposition of native sulfur and mixing with magmatic fluid of high Cl content. (author)

  10. Comparison of cannabinoid concentrations in oral fluid and whole blood between occasional and regular cannabis smokers prior to and after smoking a cannabis joint

    OpenAIRE

    Fabritius, Marie; Chtioui, Haithem; Battistella, Giovanni; Annoni, Jean Marie; Dao, Kim; Favrat, Bernard; Fornari, Eleonora; Lauer, Estelle; Maeder, Philippe; Giroud, Christian

    2014-01-01

    A cross-over controlled administration study of smoked cannabis was carried out on occasional and heavy smokers. The participants smoked a joint (11 % Δ9-tetrahydrocannabinol (THC)) or a matching placebo on two different occasions. Whole blood (WB) and oral fluid (OF) samples were collected before and up to 3.5 h after smoking the joints. Pharmacokinetic analyses were obtained from these data. Questionnaires assessing the subjective effects were administered to the subjects during each sessio...

  11. Experience of Using Amniotic Membrane After Circumcision

    International Nuclear Information System (INIS)

    It is compulsory, for boys to undergone circumcision before getting adult in Moslem region. It can be done by General Surgeon, General Practitioner, Nurse, Midwife or Quack. The place to carry out the circumcision can be inside or outside hospital. The utmost problems are injections, point for secondary wound covering and delay of using underpants. To overcome those problem amniotic membranes can be used as wound covering, based on : they are soft, easy to shape wound surface, satisfactory adhesive properties, good elasticity and sufficient, transparency which allows wound control without redressing of the wound. From January until December 1999, 165 boys at an age between 6-10 years, which have been carried out circumcision, were evaluated. Radiation sterilized lyophilized amniotic membranes were used in this work as wound covering Result show that amniotic membrane gave a good result in wound healing. All the patients observed, showed early mobilization as well as early using underpants. There is no different result between circumcision which had been done either inside or out hospital, carried out by surgeon or non-surgeon

  12. The role of the multiple banded antigen of Ureaplasma parvum in intra-amniotic infection: major virulence factor or decoy?

    Science.gov (United States)

    Dando, Samantha J; Nitsos, Ilias; Kallapur, Suhas G; Newnham, John P; Polglase, Graeme R; Pillow, J Jane; Jobe, Alan H; Timms, Peter; Knox, Christine L

    2012-01-01

    The multiple banded antigen (MBA) is a predicted virulence factor of Ureaplasma species. Antigenic variation of the MBA is a potential mechanism by which ureaplasmas avoid immune recognition and cause chronic infections of the upper genital tract of pregnant women. We tested whether the MBA is involved in the pathogenesis of intra-amniotic infection and chorioamnionitis by injecting virulent or avirulent-derived ureaplasma clones (expressing single MBA variants) into the amniotic fluid of pregnant sheep. At 55 days of gestation pregnant ewes (n = 20) received intra-amniotic injections of virulent-derived or avirulent-derived U. parvum serovar 6 strains (2×10⁴ CFU), or 10B medium (n = 5). Amniotic fluid was collected every two weeks post-infection and fetal tissues were collected at the time of surgical delivery of the fetus (140 days of gestation). Whilst chronic colonisation was established in the amniotic fluid of animals infected with avirulent-derived and virulent-derived ureaplasmas, the severity of chorioamnionitis and fetal inflammation was not different between these groups (p>0.05). MBA size variants (32-170 kDa) were generated in vivo in amniotic fluid samples from both the avirulent and virulent groups, whereas in vitro antibody selection experiments led to the emergence of MBA-negative escape variants in both strains. Anti-ureaplasma IgG antibodies were detected in the maternal serum of animals from the avirulent (40%) and virulent (55%) groups, and these antibodies correlated with increased IL-1β, IL-6 and IL-8 expression in chorioamnion tissue (p<0.05). We demonstrate that ureaplasmas are capable of MBA phase variation in vitro; however, ureaplasmas undergo MBA size variation in vivo, to potentially prevent eradication by the immune response. Size variation of the MBA did not correlate with the severity of chorioamnionitis. Nonetheless, the correlation between a maternal humoral response and the expression of chorioamnion cytokines is a

  13. The role of the multiple banded antigen of Ureaplasma parvum in intra-amniotic infection: major virulence factor or decoy?

    Directory of Open Access Journals (Sweden)

    Samantha J Dando

    Full Text Available The multiple banded antigen (MBA is a predicted virulence factor of Ureaplasma species. Antigenic variation of the MBA is a potential mechanism by which ureaplasmas avoid immune recognition and cause chronic infections of the upper genital tract of pregnant women. We tested whether the MBA is involved in the pathogenesis of intra-amniotic infection and chorioamnionitis by injecting virulent or avirulent-derived ureaplasma clones (expressing single MBA variants into the amniotic fluid of pregnant sheep. At 55 days of gestation pregnant ewes (n = 20 received intra-amniotic injections of virulent-derived or avirulent-derived U. parvum serovar 6 strains (2×10⁴ CFU, or 10B medium (n = 5. Amniotic fluid was collected every two weeks post-infection and fetal tissues were collected at the time of surgical delivery of the fetus (140 days of gestation. Whilst chronic colonisation was established in the amniotic fluid of animals infected with avirulent-derived and virulent-derived ureaplasmas, the severity of chorioamnionitis and fetal inflammation was not different between these groups (p>0.05. MBA size variants (32-170 kDa were generated in vivo in amniotic fluid samples from both the avirulent and virulent groups, whereas in vitro antibody selection experiments led to the emergence of MBA-negative escape variants in both strains. Anti-ureaplasma IgG antibodies were detected in the maternal serum of animals from the avirulent (40% and virulent (55% groups, and these antibodies correlated with increased IL-1β, IL-6 and IL-8 expression in chorioamnion tissue (p<0.05. We demonstrate that ureaplasmas are capable of MBA phase variation in vitro; however, ureaplasmas undergo MBA size variation in vivo, to potentially prevent eradication by the immune response. Size variation of the MBA did not correlate with the severity of chorioamnionitis. Nonetheless, the correlation between a maternal humoral response and the expression of chorioamnion

  14. Early mesozoic coexistence of amniotes and hepadnaviridae.

    Directory of Open Access Journals (Sweden)

    Alexander Suh

    2014-12-01

    Full Text Available Hepadnaviridae are double-stranded DNA viruses that infect some species of birds and mammals. This includes humans, where hepatitis B viruses (HBVs are prevalent pathogens in considerable parts of the global population. Recently, endogenized sequences of HBVs (eHBVs have been discovered in bird genomes where they constitute direct evidence for the coexistence of these viruses and their hosts from the late Mesozoic until present. Nevertheless, virtually nothing is known about the ancient host range of this virus family in other animals. Here we report the first eHBVs from crocodilian, snake, and turtle genomes, including a turtle eHBV that endogenized >207 million years ago. This genomic "fossil" is >125 million years older than the oldest avian eHBV and provides the first direct evidence that Hepadnaviridae already existed during the Early Mesozoic. This implies that the Mesozoic fossil record of HBV infection spans three of the five major groups of land vertebrates, namely birds, crocodilians, and turtles. We show that the deep phylogenetic relationships of HBVs are largely congruent with the deep phylogeny of their amniote hosts, which suggests an ancient amniote-HBV coexistence and codivergence, at least since the Early Mesozoic. Notably, the organization of overlapping genes as well as the structure of elements involved in viral replication has remained highly conserved among HBVs along that time span, except for the presence of the X gene. We provide multiple lines of evidence that the tumor-promoting X protein of mammalian HBVs lacks a homolog in all other hepadnaviruses and propose a novel scenario for the emergence of X via segmental duplication and overprinting of pre-existing reading frames in the ancestor of mammalian HBVs. Our study reveals an unforeseen host range of prehistoric HBVs and provides novel insights into the genome evolution of hepadnaviruses throughout their long-lasting association with amniote hosts.

  15. Karyotype analysis of amniotic fluid cells and comparison of chromosomal abnormality rate during second trimester%孕中期羊水细胞染色体核型分析及其异常核型发生率的比较

    Institute of Scientific and Technical Information of China (English)

    张月萍; 伍俊萍; 李笑天; 雷彩霞; 徐建忠; 殷民

    2011-01-01

    ,占全部异常核型的35.6%( 138/388),其次为常染色体平衡性结构重排为20.6% (80/388)、嵌合体为12.4% (48/388)、18三体为11.3% (44/388),其他较常见的异常核型包括常染色体非平衡性结构重排和45,X0,各为4.1%(16/388),47,XXY为3.9%(15/388)。(3)父母淋巴细胞核型分析:153个胎儿进行了其父母淋巴细胞的核型分析,并最终确定了胎儿异常核型来源:家族性异常58个,新发生的异常95个。78个胎儿的荧光原位杂交技术诊断结果与G显带核型全部一致,其中2个为21三体。结论不同检查指征孕妇的胎儿异常核型的构成不同;孕中期胎儿异常核型种类繁多,致畸风险与异常核型种类有关。%Objective To investigate the karyotypes of amiotic fluid cells and compare the incidence of chromosomal abnormality as well as to evaluate the clinical significance of abnormal karyotypes. Methods A total of 13 648 pregnant women came to Shanghai Jiai Genetics and IVF Institute, Obstetrics and Gynecology Hospital, Fuclan University to do amniocentesis from September 1998 to November 2010, and 13 795 amniotic fluid specimens were successfully extracted and cultured, thus 13 795 fetuses received karyotype diagnosis. These fetuses were grouped according to different indications. If maternal age was ≥ 35, the fetuses were grouped into the advanced maternal age group (4065) ; and if maternal serum screening test revealed high-risk of trisomy 18 or trisomy 21, the fetuses were grouped into the high-risk serum screening group (6462) ; and those with abnormal signs of ultrasound screening were grouped into the abnormal ultrasound signs group (1539); and if either of the parents was with chromosome abnormalities, the fetus was grouped into the paternal/maternal abnormality group ( 108 ) ; whereas the remainder were grouped in other factors group ( 1621 ). The amniotic fluid cells were in-situ cultured on coverslips, harvested by conventional G-banded methods

  16. 2607份羊水样本的改良FISH检测结果与羊水培养核型分析结果的对比%Comparison of results of improved FISH and conventional karyotyping analysis of 2607 amniotic fluid samples

    Institute of Scientific and Technical Information of China (English)

    阳彦; 刘艳秋; 黄宁; 谢康

    2015-01-01

    Objective To compare the results of fluorescence in situ hybridization (FISH) assay and conventional karyotyping analysis for the detection of chromosomal aneuploidies.Methods In total 2607 amniotic fluid samples were subjected to an improved FISH technique.Meanwhile, karyotype analysis was also ordered for each sample.Results Of the 2607 samples, 62 abnormalities were identified by FISH, which included 62 cases of trisomy 21, 5 cases of 45,X, 12 cases of trisomy 18, 3 cases of trisomy 13, and 1 case of 47, XYY.Conventional karyotyping analysis has identified 63 cases of trisomy 21, 5 cases of 45, X, 12 cases of trisomy 18, 3 cases of trisomy 13, 1 case of 47, XYY, and 57 cases of balanced translocations.The success rate of FISH detection was 98.4% for trisomy 21, and 100% for 45 ,X, trisomy 18 and trisomy 13.Conclusion For the detection of chromosomal aneuploidies, FISH assay is quick, simple, accurate and can reduce workload when aminocyte culture has failed.As an auxiliary method for amniocytic analysis, it can provide reference for the consultation of those with advanced age and high pregnancy risk.%目的 探讨荧光原位杂交(fluorescence in situ hybridization,FISH)技术在产前诊断中对常见染色体非整倍体的快速诊断结果是否与传统核型分析结果一致.方法 改良FISH技术,延长低渗时间和改变洗涤方法,对2607份未培养羊水行快速染色体非整倍体遗传疾病诊断,同时平行进行羊水培养核型分析.结果 2607份羊水中,FISH检测出了62例21三体、5例45,X、12例18三体、3例13三体和1例47,XYY;羊水培养核型分析结果:63例21三体、5例45,X、12例18三体、3例13三体、1例47,XYY和57例平衡异位携带者.与羊水核型分析结果对比,FISH技术对21三体检出率为98.4%,对13、18、性染色体数目异常检出率为100%.结论 FISH技术能快速准确的检测常见染色体非整倍体异常,检测过程耗时短,对标本要求低,并且能够在羊

  17. 羊水胎粪污染程度和持续时间与胎盘病理改变的关系%Relationship Between the Degree and Duration of Meconium-stained Amniotic Fluid and Pathological Changes of the ;Placenta

    Institute of Scientific and Technical Information of China (English)

    陈丽芬; 耿春惠; 张丽燕

    2015-01-01

    Objective To investigate the relationship between the degree and duration of meconium-stained amniotic fluid (MSAF) and pathological changes of the placenta. Methods The pathological findings of 356 pregnant woman with MSAF were retrospectively analyzed, and the incidence of placenta pathological changes in different degree of MSAF (including degreeⅠ,Ⅱ,Ⅲ) was observed, the difference of pathological changes rate and type was compared in the long duration and short duration MSAF group. Results The incidence of placenta pathological changes in degreeⅠ, Ⅱ and Ⅲ MSAF groups were 38.2%, 49.5% and 72.0% respectively, the difference was statistical (P<0.01). The incidence of placenta pathological changes in long duration MSAF group was significantly higher than that in short duration MSAF group, the incidence of chorioamnionitis in long duration MSAF group was significantly lower than that in short duration MSAF group, the incidence of villus interstitial fibrosis and syncytiotrophoblast proliferation were significantly higher than that in short duration MSAF group, all the difference was statistical (P<0.05). Conclusions The degree and duration of MSAF have positive correlation with pathological changes of the placenta. The most common type of pathological changes in short duration MSAF is acute inflammatory exudation, and the common type of pathological changes in long duration MSAF are chronic inflammation, villus interstitial fibrosis and syncytiotrophoblast proliferation.%目的:探讨羊水胎粪污染程度和持续时间与胎盘病理改变的关系。方法回顾性分析356例羊水胎粪污染产妇的胎盘病理结果,观察Ⅰ度、Ⅱ度和Ⅲ度羊水污染后胎盘病变发生率,对比长时间和短时间粪染组胎盘病变发生率和病变类型之间的差异。结果Ⅰ度、Ⅱ度、Ⅲ度羊水污染组的胎盘病变发生率分别为38.2%,49.5%和72.0%,三组间存在显著差异(P<0.01)。长时间粪

  18. Correlation between meconium-stained amniotic gluid and amniotic infections%羊水粪染及与羊膜腔感染的关系

    Institute of Scientific and Technical Information of China (English)

    郑俊虎; 郑骆颖; 王大化; 吴方春; 何根华; 翁小芳; 舒雪梅; 高国慧

    2013-01-01

    OBJECTIVE To evaluate the clinical effect of cleaning up respiratory with Ⅲ degree meconium-stained amniotic fluid of the full-term newborns without vigor by using disposable suction tube inserted into the trachea under direct vision of laryngoscope so as to validate the correlation between the meconium-stained amniotic fluid and amniotic infection. METHODS A total of 120 full term newborns without vigor born who were delivered in the obstetrics department from Nov 2010 to Sep 2012 were enrolled in the study. The newborns with Ⅲ degree meconium-stained amniotic fluid were divided into the test group and the control group with 60 cases in each. The time to complete suction, the apgar score at five minutes after birth, ventilation of recovery capsule-mask positive pressure ventilation rate, and recurrence rate of endotracheal intubation were compared between the two groups. RESULTS The time required for completion of once suction was (16. 88 ± 2. 11) s in the test group and (20. 70± 3. 02) s in the control group; the time of concurrent MAS of use of oxygen was (54. 25 ± 21. 23) h and was (99. 75 ± 36. 87) h in the control group; the reoccurrence rate of endotracheal intubation and the incidence of meconium aspiration syndrome (MAS) were lower in the test group than in the control group, the difference was statistically significant(P<0. 05) ; the difference in the apgar score at five minutes after birth or the rate of chest compression between the two groups was statistically significant; the difference in the IL-6 content in amniotic fluid or inflammatory cell infiltration between the test group and the amniotic fluid group was not statistically significant. CONCLUSION Cleaning up respiratory by using disposable suction tube inserted into the trachea under direct vision of laryngoscope could be faster and more effective and reduce the reoccurrence rate of endotracheal intubation and the incidence of meconium aspiration syndrome (MAS). There is almost no

  19. Cytocompatibility of Three Corneal Cell Types with Amniotic Membrane

    Institute of Scientific and Technical Information of China (English)

    CHENJian-su; CHENRui; XUJin-tang; DINGYong; ZHAOSong-bin; LISui-lian

    2004-01-01

    Rabbit limbal corneal epithelial cells, corneal endothelial cells and keratocytes were cultured on amniotic membrane. Phase contrast microscope examination was performed daily. Histological and scan electron microscopic examinations were carried out to observe the growth, arrangement and adhesion of cultivated cells. Results showed that three corneal cell types seeded on amniotic membrane grew well and had normal cell morphology. Cultured cells attached firmly on the surface of amniotic membrane. Corneal epithelial cells showed singular layer or stratification. Cell boundaries were formed and tightly opposed. Corneal endothelial cells showed cobblestone or polygonal morphologic characteristics that appeared uniform in size. The cellular arrangement was compact. Keratocytes elongated and showed triangle or dendritic morphology with many intercellular joints which could form networks. In conclusion, amniotic membrane has good scaffold property, diffusion effect and compatibility with corneal cells. The basement membrane side of amniotic membrane facilitated the growth of corneal epithelial cells and endothelial cells and cell junctions were tightly developed. The spongy layer of amniotic membrane facilitated the growth of keratocytes and intercellular joints were rich. Amniotic membrane is an ideal biomaterial for layering tissue engineered cornea.

  20. Effect of Gestation and Maternal Copper on the Fetal Fluids and Tissues Copper Concentrations in Sheep

    Directory of Open Access Journals (Sweden)

    Abd E. Hefnawy

    2011-01-01

    Full Text Available Problem statement: Samples of allantoic, amniotic fluid, fetal liver, kidney, maternal plasma and liver were collected from 30 ewes and classified into either early or late gestation and copper concentrations were measured. Approach: The Cu concentrations in the maternal plasma, allantoic, amniotic fluid, fetal liver and kidney increased significantly (pResults: Significant positive relationships were recorded between age of the fetus and Cu concentrations in the allantoic and amniotic fluid (r = 0.71-0.83, pConclusion: A significant negative correlation was recorded between the Cu concentrations in the maternal liver and fetal age (r = -0.74, p<0.01. Strong fetal-maternal relationships in Cu concentration were evident throughout the gestational period and dams seem to sacrifice Cu levels in order to maintain that in the fetus. Cu concentrations in the amniotic and allantoic fluids could be used as a possible indicator of the Cu status of the fetus throughout gestation.

  1. Atypical presentation of amniotic band sequence.

    Science.gov (United States)

    Bodamer, O A; Popek, E J; Bacino, C

    2001-04-22

    Amniotic Band Sequence (ABS) is a disruption sequence that results in a variable group of abnormalities secondary to the disruption process and subsequent deformations. The incidence of ABS ranges from 1:1,200 to 1:15,000 live-born, and is even higher in still-born [Froster and Baird, 1993: Am J Med Genet 46:497-500]. The pathophysiology of ABS remains controversial, but a close look to critical periods of embryogenesis and/or organogenesis has helped in understanding pathogenetic mechanisms leading to the ABS disruption. The abnormalities are typically limited to external structures; however, associated internal malformations as seen in the case reported here may occur [Hunter and Carpenter, 1986: Am J Med Genet 24:691-700]. The prognosis depends on the severity of the abnormalities and the involvement of internal organs [Froster and Baird; 1993: Am J Med Genet 46:497-500; Levy, 1998: Ped Rev 19:249].

  2. Amniotic Membrane Transplantation for Conjunctival Tumor

    Institute of Scientific and Technical Information of China (English)

    Zhicong Chen; Jianhua Yan; Huasheng Yang; Zhongyao Wu; Youjian Pang; Shiming Ai; Yuxiang Mao

    2003-01-01

    Purpose: To evaluate the possibility of amniotic membrane transplantation (AMT) for the treatment of conjunctival tumor.Methods: Preserved AMT was performed in 26 patients (26 eyes) with conjunctival tumor, including 9 eyes (34.62%) with malignant tumor (conjunctival malignant melanoma,corneal and conjunctival squamous cell carcinoma, conjunctival lymphoma), 17 eyes(65.38%) with benign tumor(conjunctival papilloma, conjunctival dermoid tumor, conjunctival nevus, hemangioma etc.).Result: All the patients are followed up for 1 ~53 months. No acute rejection was observed after preserved AMT. Ideal healing was found in conjunctiva wound.Conclusion: Preserved AMT is a very effective method to repair wound after giant conjunctival tumor operation. Complete removal of tumor and perfect fixation are the key of ocular surface reconstruction.

  3. Oral Rehabilitation for Amniotic Band Syndrome: An Unusual Presentation

    OpenAIRE

    Hotwani, Kavita; Sharma, Krishna

    2015-01-01

    ABSTRACT Amniotic band syndrome (ABS) is a congenital disorder caused by entrapment of fetal parts in fibrous amniotic bands while in utero. The syndrome is underdiagnosed and its presentation is variable. The syndrome has been well described in the pediatric, orthopedic and obstetric literature; however, despite the discernable craniomaxillofacial involvement, ABS has not been reported in the dental literature very often. The present report describes a case of a patient with ABS and concomit...

  4. Periostin as a Biomarker of the Amniotic Membrane

    Directory of Open Access Journals (Sweden)

    Mariya P. Dobreva

    2012-01-01

    Full Text Available Tracing the precise developmental origin of amnion and amnion-derived stem cells is still challenging and depends chiefly on analyzing powerful genetic model amniotes like mouse. Profound understanding of the fundamental differences in amnion development in both the disc-shaped primate and human embryo and the cup-shaped mouse embryo is pivotal in particular when sampling amniotic membrane from nonprimate species for isolating candidate amniotic stem cells. The availability of molecular marker genes that are specifically expressed in the amniotic membrane and not in other extraembryonic membranes would be instrumental to validate unequivocally the starting material under investigation. So far such amniotic markers have not been reported. We postulated that bone morphogenetic protein (BMP target genes are putative amniotic membrane markers mainly because deficiency in one of several components of the BMP signaling cascade in mice has been documented to result in defective development of the early amnion. Comparative gene expression analysis of acknowledged target genes for BMP in different extraembryonic tissues, combined with in situ hybridization, identified Periostin (Postn mRNA enrichment in amnion throughout gestation. In addition, we identify and propose a combination of markers as transcriptional signature for the different extraembryonic tissues in mouse.

  5. HUMAN AMNIOTIC MEMBRANE GRAFTING: A BOON IN OCULAR CHEMICAL INJURIES

    Directory of Open Access Journals (Sweden)

    Shashikala

    2013-03-01

    Full Text Available INTRODUCTION: Amniotic membrane is the innermost layer of the f etal membranes. It has a stromal matrix, a collagen layer, and an overlying basement membrane with a single layer of epithelium. (1 Amniotic membrane has unique properties including an ti-adhesive effects, bacterio-static properties, wound protection, pain redu ction, and epithelialisation effects. Another characteristic of amniotic membrane is the lack of imunogenicity. (2 Amniotic membranes have been used as a dressing to promote he aling of chronic ulcers of the leg and as a biological dressing for burned skin and skin woun ds. (3, 4 It has also been used in surgical reconstruction of artificial vagina, for repairing o mphaloceles, and to prevent tissue adhesion in surgeries of the abdomen, head, or pelvis. (5, 6 Amniotic membrane has been successfully used in ocular conditions like persistent epithelial defects (7, pterygium, (8 Symblepharon (9 and for ocular surface reconstruction. (10, 11 The purpose of this study was to evaluate the use of cryo- preserved Human amniotic membrane graft( HAMT, with or without limbal autograft transplantation (LAT in patients with previous and fr esh chemical eye injuries respectively. Institutional ethical committee approval was obtained .

  6. Thyroid hormones and postembryonic development in amniotes.

    Science.gov (United States)

    Holzer, Guillaume; Laudet, Vincent

    2013-01-01

    In chordates, metamorphosis is a developmental event well described in amphibians in which thyroid hormone triggers this event. Interestingly, among amphibians, several variations upon the eggs/tadpole/frog developmental sequence are observed such as direct development or neoteny. The fact that TH-regulated metamorphosis is conserved in invertebrate chordates such as amphioxus implies that this event is an ancient feature of all vertebrates. This allows us to propose that TH may play an important role in coordinating the postembryonic development of apparently nonmetamorphosing vertebrates such as mammals or sauropsids. Indeed, the observations of thyroid hormone levels in mammals and sauropsids draw interesting parallels with what is observed during amphibian metamorphosis. At the physiological level, the increase of thyroid hormone signaling is required for the normal development particularly for the intestine and the brain. At the behavioral level, a peak of TH often precedes the autonomy of the young from parental care. At the ecological level, offspring with a TH peak close to birth/hatching tends to be precocial young whereas offspring with a TH peak long after birth/hatching tends to be altricial young. Taken together, these observations in amniotes, which are not considered as undergoing metamorphosis during their development, are consistent with the idea of a late developmental step controlled by TH and allowing the accession to the adult ecological niche. Thus, according to this view, at the molecular level all vertebrates undergo a period of remodeling controlled by TH that is reminiscent of metamorphosis. PMID:23347527

  7. Fighting Prior Review.

    Science.gov (United States)

    Bowen, John

    1990-01-01

    Reviews arguments for and against prior administrative review and censorship of student expression. Suggests that prior review strips any pretense of democracy from many American educational institutions. Argues that prior review is journalistically inappropriate, educationally unsound, and practically illogical. (KEH)

  8. Effects of intra-amniotic lipopolysaccharide and maternal betamethasone on brain inflammation in fetal sheep.

    Directory of Open Access Journals (Sweden)

    Elke Kuypers

    Full Text Available RATIONALE: Chorioamnionitis and antenatal glucocorticoids are common exposures for preterm infants and can affect the fetal brain, contributing to cognitive and motor deficits in preterm infants. The effects of antenatal glucocorticoids on the brain in the setting of chorioamnionitis are unknown. We hypothesized that antenatal glucocorticoids would modulate inflammation in the brain and prevent hippocampal and white matter injury after intra-amniotic lipopolysaccharide (LPS exposure. METHODS: Time-mated ewes received saline (control, an intra-amniotic injection of 10 mg LPS at 106d GA or 113d GA, maternal intra-muscular betamethasone (0.5 mg/kg maternal weight alone at 113d GA, betamethasone at 106d GA before LPS or betamethasone at 113d GA after LPS. Animals were delivered at 120d GA (term=150d. Brain structure volumes were measured on T2-weighted MRI images. The subcortical white matter (SCWM, periventricular white matter (PVWM and hippocampus were analyzed for microglia, astrocytes, apoptosis, proliferation, myelin and pre-synaptic vesicles. RESULTS: LPS and/or betamethasone exposure at different time-points during gestation did not alter brain structure volumes on MRI. Betamethasone alone did not alter any of the measurements. Intra-amniotic LPS at 106d or 113d GA induced inflammation as indicated by increased microglial and astrocyte recruitment which was paralleled by increased apoptosis and hypomyelination in the SCWM and decreased synaptophysin density in the hippocampus. Betamethasone before the LPS exposure at 113d GA prevented microglial activation and the decrease in synaptophysin. Betamethasone after LPS exposure increased microglial infiltration and apoptosis. CONCLUSION: Intra-uterine LPS exposure for 7d or 14d before delivery induced inflammation and injury in the fetal white matter and hippocampus. Antenatal glucocorticoids aggravated the inflammatory changes in the brain caused by pre-existing intra-amniotic inflammation

  9. A Study on the Preservation of Fresh Amniotic Membrane

    Institute of Scientific and Technical Information of China (English)

    Liying Xu; Shiyou Zhou; Jiaqi Chen; Longshan Chen; Mei Zhang

    2001-01-01

    Objective: To establish the standard preservation methods of fresh amniotic membranefor clinical use.Methods: Human placentas were collected aseptically from selective caesarean sectionsin normal women in time. Amniotic or placental membrane were peeled and preserved inN.S, P.B. SorDMEM at4°C or cultured in DMEM at 37°C, 5% CO2. Trypan-bluestaining, light and electronic microscopy were observed every six hours after preservation.Results: Seventy percent of amniotic epithelial cells survived after preservation in N. Sfor 6 hours, PBS 12 hours, DMEM 24 hours and 1 week in tissue culture. The amountof living epithelial cells maintained in placental membrane preservation was less thanthat in amniotic membrane preservation at the same time (t-test, P < 0. 01) . Nocollagen degeneration was found during preservation.Conclusion: Preservative solution and time will affect the maintenance time of freshamniotic membrane greatly. Fresh amniotic membrane should be preserved within 6hours in N.S, 12 hours in P.B.S, 24 hours in DMEM at 4 °C and 1 week in tissteculture for clinical use.

  10. Therapeutic effect of human amniotic epithelial cell transplantation into the lateral ventricle of hemiparkinsonian rats

    Institute of Scientific and Technical Information of China (English)

    YANG Xin-xin; XUE Shou-ru; DONG Wan-li; Kong Yan

    2009-01-01

    cells in the substantia nigra of the HAEC group and the NS group were decreased compared to the untreated group (P <0.01).Dopamine and DOPAC levels in the striatum of the HAECs group increased significantly compared to the NS group (P <0.05). Homovanillic acid (HVA) levels in the striatum of the HAECs group increased significantly compared to the NS group (P<0.01). In addition dopamine, DOPAC, and HVA levels in the striatum and dopamine levels in the cerebrospinal fluid of the HAECs group and the NS group were decreased compared to the untreated group (P <0.05).Conclusions Human amniotic epithelial cells could be used to ameliorate the rotational asymmetry induced by apomorphine of the PD models. This could have been due to the increased content of dopamine and its metabolic products, DOPAC and HVA, in the striatum in the PD models.

  11. Elaboration of amniotic membrane dressing dried by air and irradiated - Peruvian experience

    International Nuclear Information System (INIS)

    The purpose of this work is to prepare dressings from the amniotic membrane to be used in cases of skin damage principally due to superficial and intermediate second-degree burns. The amnion is a transparent membrane that lines the chorion. It is resistant and rich in collagen. Due to these characteristics it can be well used as biological dressing as it diminishes the loss of fluids, electrolytes and proteins, it also protects the growing epithelium and adheres well to the surface of the wound, improves mobility of the patient, diminishing pain and stimulating neovascularization. The ISN-IPEN Tissue Bank promoted by IAEA has processed amniotic membrane since July 1997. Initially dressings were prepared using antibiotics, after IAEA training at the MINT of Malaysia, it is processed dried by air, lyophylized and in both presentations, sterilized by gamma-rays. Amniotic membranes are procured from Lima Maternity. Tissues must comply with VDRL, HIV, Hepatitis B and C exclusion tests. The process is held in a laminar flow hood and amnion already separated from the chorion is washed with sterile distilled water, a solution of 0.05% sodium hypochlorite, and normal saline. Then it is cut into appropriate sizes and double packed in PE films. The dressings are then carried to the Peruvian Institute of Nuclear Energy for irradiation, depending on the number of samples either irradiated with gamma-rays at the Gammacell 220 or at the Irradiation Facility located in Santa Anita. The delivered dose is 25 kGy. The product is only released if it complies with the end product quality controls. Meanwhile, microbiological tests are carried out during all the processing stages, in order to monitor the microbial load during production. In conclusion we can state that dressings prepared as above mentioned have the following advantages: not complicated preparation; reliable and safe for clinical use; diminish infection rates and days spent in the hospital; easy to storage; and can be

  12. Karyotype analysis of 12 841 cases of amniotic fluid cells and risk assessment of missed diagnosis in molecular techniques%12841例羊水染色体核型分析与分子技术应用漏诊风险分析

    Institute of Scientific and Technical Information of China (English)

    朱宇宁; 吕时铭; 陈雁; 李帅; 周丽琴; 马裕

    2015-01-01

    karyotype ( fetal cell collected from amniotic fluid ) in Prenatal Diagnosis Center of Zhejiang Province between 2001 and 2010 were retrospectively analyzed on distribution according to 7 different referral indication:positive screening for trisomy 21, trisomy 18, advanced maternal age , abnormal history of pregnancies , abnormal family history , fetal structural abnormalities and others.The combination of trisomy 21, trisomy 18 and trisomy 13 ( T21/18/13 Group) and the aneuploidies of chromosome 21, 18, 13, X, Y (21/18/13/X/Y Group) were further analyzed based on the current molecular target detection range.Results There were 462 cases out of 12 481 with chromosomal abnormality (3.60%, 462/12 841), with 215 cases of high risk (detection rate 1.67%, 215/12 841) and 247 cases of low risk (detection rate 1.92%, 247/12 841).Under different indications , the detection rate on abnormal chromosome of high risk (high-risk CA) is different,“abnormal fetal ultrasound” is the highest(27.27%,24/88).Among the high-risk CA, T21/18/13 Group accounted for 72.56%(156/215), while the 21/18/13/X/Y Group accounted for 94.88%(204/215).For the 7 regular indications , the high-risk CA distribute different;Except the T21/18/13 Group and 21/18/13/X/Y Group, the rates of other abnormal chromosome karyotype in the high risk CA were 0.28%( 2/719 )-12.5%( 11/88 ) and 0.06%( 4/6 915 )-1.14%( 1/88 ) according to different indication, respectively.Conclusions The distribution of abnormal karyotype were different under different referral indication;the detection power and possible misdiagnosis risks were varied under different indication for each molecular technique.It was suggested that doctors should select suitable molecular technique according to different clinical indications and each molecular method has its own limitations .

  13. Amniotic membrane allografts: development and clinical utility in ophthalmology

    Directory of Open Access Journals (Sweden)

    Rizzuti A

    2014-12-01

    Full Text Available Allison Rizzuti,1,2 Adam Goldenberg,1 Douglas R Lazzaro1,2 1SUNY Downstate Medical Center, 2Kings County Hospital Center, Brooklyn, NY, USA Abstract: Amniotic membrane, the innermost layer of the placenta, is a tissue that promotes epithelialization, while decreasing inflammation, neovascularization, and scarring. It is used in the surgical management of a wide variety of ophthalmic conditions where it functions as a graft or patch in ocular surface reconstruction. The development of new preservation techniques, as well as a sutureless amniotic membrane, has allowed for easier, in-office placement, without the disadvantages of an operating room procedure. The purpose of this review is to describe the historical development of amniotic membrane in ophthalmology and to describe its current clinical applications, particularly focusing on recent advances. Keywords: ocular surface, cornea, stem cells, prokera, allograft, patch, transplantation

  14. Endocrine activity of extraembryonic membranes extends beyond placental amniotes.

    Directory of Open Access Journals (Sweden)

    Lori C Albergotti

    Full Text Available BACKGROUND: During development, all amniotes (mammals, reptiles, and birds form extraembryonic membranes, which regulate gas and water exchange, remove metabolic wastes, provide shock absorption, and transfer maternally derived nutrients. In viviparous (live-bearing amniotes, both extraembryonic membranes and maternal uterine tissues contribute to the placenta, an endocrine organ that synthesizes, transports, and metabolizes hormones essential for development. Historically, endocrine properties of the placenta have been viewed as an innovation of placental amniotes. However, an endocrine role of extraembryonic membranes has not been investigated in oviparous (egg-laying amniotes despite similarities in their basic structure, function, and shared evolutionary ancestry. In this study, we ask whether the oviparous chorioallantoic membrane (CAM of chicken (Gallus gallus has the capability to synthesize and receive signaling of progesterone, a major placental steroid hormone. METHODOLOGY/PRINCIPAL FINDINGS: We quantified mRNA expression of key steroidogenic enzymes involved in progesterone synthesis and found that 3beta-hydroxysteroid dehydrogenase, which converts pregnenolone to progesterone exhibited a 464 fold increase in the CAM from day 8 to day 18 of embryonic development (F(5, 68 = 89.282, p<0.0001. To further investigate progesterone synthesis, we performed explant culture and found that the CAM synthesizes progesterone in vitro in the presence of a steroid precursor. Finally, we quantified mRNA expression and performed protein immunolocalization of the progesterone receptor in the CAM. CONCLUSIONS/SIGNIFICANCE: Collectively, our data indicate that the chick CAM is steroidogenic and has the capability to both synthesize progesterone and receive progesterone signaling. These findings represent a paradigm shift in evolutionary reproductive biology by suggesting that endocrine activity of extraembryonic membranes is not a novel characteristic of

  15. Overcoming priors anxiety

    OpenAIRE

    D'Agostini, G

    1999-01-01

    The choice of priors may become an insoluble problem if priors and Bayes' rule are not seen and accepted in the framework of subjectivism. Therefore, the meaning and the role of subjectivity in science is considered and defended from the pragmatic point of view of an ``experienced scientist''. The case for the use of subjective priors is then supported and some recommendations for routine and frontier measurement applications are given. The issue of reference priors is also considered from th...

  16. 羊膜带综合征相关畸形的相关因素、诊断及处理结果分析%Amniotic band syndrome deformity related factors, diagnosis, and treatment results

    Institute of Scientific and Technical Information of China (English)

    梁莉; 黄桂芳; 黄贞; 陆启升

    2013-01-01

    , abdominal wall defect edge for amniotic membrane gradually to cutaneous squamous epithelial migration ( amniotic - ectoderm transition zone). Another example is a simple meningoencephalocele malformations, all cases of B ultrasound imaging in amniotic fluid can be seen floating band echo, the part attached to the fetus; amniotic band adhesions of fetal limb portion of visible deformity deformity, often to scan the amniotic band echo & the adhesion. Conclusion: ABS mainly for outer surface of tissue and organ defects; involvement of tissue and organ because of its occurrence in the critical period, because of the amniotic sac and amniotic membrane rupture with adhesions interference and teratogenicity j the severity of the deformity and range depends on the amnion rupture time and site. ABS prevention, pregnancy trimester routine ultrasound screening, early diagnosis, early intervention.

  17. Overcoming priors anxiety

    CERN Document Server

    D'Agostini, Giulio

    1999-01-01

    The choice of priors may become an insoluble problem if priors and Bayes' rule are not seen and accepted in the framework of subjectivism. Therefore, the meaning and the role of subjectivity in science is considered and defended from the pragmatic point of view of an ``experienced scientist''. The case for the use of subjective priors is then supported and some recommendations for routine and frontier measurement applications are given. The issue of reference priors is also considered from the practical point of view and in the general context of ``Bayesian dogmatism''.

  18. Transplante de membrana amniótica Amniotic membrane transplantation

    Directory of Open Access Journals (Sweden)

    Hamilton Moreira

    2000-08-01

    Full Text Available O transplante de membrana amniótica tem sido utilizado como alternativa para a reconstrução da superfície ocular em substituição ao tecido conjuntival nos casos de doenças cicatriciais da córnea ou conjuntiva. Tem sido descrito na literatura para o tratamento de defeitos epiteliais persistentes, pterígio recidivado, Síndrome de Stevens-Johnson e Penfigóide cicatricial, queimaduras químicas e ceratopatia bolhosa.Amniotic membrane transplantation has been used as an alternative for ocular surface reconstruction. Indications for amniotic membrane transplantation include persistent epithelial defects, pterygium, Stevens-Johnson syndrome, ocular cicatricial pemphigoid, chemical burns and pseudo-phakik bullous keratopathy.

  19. Amniotic membrane as a battlefield dressing for the ocular surface

    OpenAIRE

    Clare, Gerald Arthur

    2013-01-01

    The use of amniotic membrane (AM) as a dressing for ocular surface injuries has attracted the interest of the military ophthalmological community. First applied in the 1930s, the tissue is widely used today, although clinical indications for treatment are incompletely defined. While AM is most commonly stored frozen and thawed before use, dried AM is preferred for logistical reasons. Optimal preservation of the tissue is necessary to preserve its quality. The effect of drying on the physical ...

  20. Major complication after intrauterine vesico-amniotic shunting

    Directory of Open Access Journals (Sweden)

    Springer Alexander

    2010-01-01

    Full Text Available Bilateral foetal uropathy is the leading cause of chronic renal failure in childhood. Vesico-amniotic shunting (VAS is a simple, feasible, and widely used procedure for decompressing the foetal urinary system. We report a case of a boy with bilateral foetal uropathy who underwent VAS at a gestational age of 29 weeks. Vesico-abdominal shunt dislodgement occurred and led to urinary ascites and anhydramnios. Postpartal laparotomy showed a shunt perforation between the urinary bladder and the peritoneal cavity.

  1. Radiosensitivity of angiogenic and mitogenic factors in human amniotic membrane

    International Nuclear Information System (INIS)

    Amniotic membrane as a temporary biological dressing remains as a beneficial and cost-effective means of treating burns in developing countries. This medical application is attributed mainly to placental structural and biochemical features that are important for maintaining proper embryonic development. Since fresh amnions are nevertheless for straightforward clinical use and for preservation, radiation-sterilization is been performed to improve the safety of this placental material. However, like any other sterilization method, gamma-radiation may induce physical and chemical changes that may influence the biological property of the material. Thus, the aim of this study is to compare the effects of various levels of radiation-sterilization protocols for human amnions on angiogenic (neovascularization) and epithelial-mitogenic activities, both of which are physiological processes fundamental to wound healing. Water-soluble extract of non-irradiated amnions demonstrates a strong stimulatory effect on both cell proliferation and angiogenesis. No change in biological activity is seen in amnions irradiated at 25 kGy, the sterilization dose used by the Philippine Nuclear Research Institute (PNRI) for the production of radiation-sterilized human amniotic membranes (RSHAM). However, it appears that amniotic angiogenic factors are more radiosensitive than its mitogenic components, evident from the depressed vascularization of the chorioallantoic membrane (CAM) exposed to 35 kGy-irradiated amnions. The dose of 35 kGy is at present the medical sterilization dose used at the Central Tissue Bank in Warsaw (Poland) for the preparation of their amnion allografts. (Authors)

  2. Immunomodulatory effects of amniotic membrane matrix incorporated into collagen scaffolds.

    Science.gov (United States)

    Hortensius, Rebecca A; Ebens, Jill H; Harley, Brendan A C

    2016-06-01

    Adult tendon wound repair is characterized by the formation of disorganized collagen matrix which leads to decreases in mechanical properties and scar formation. Studies have linked this scar formation to the inflammatory phase of wound healing. Instructive biomaterials designed for tendon regeneration are often designed to provide both structural and cellular support. In order to facilitate regeneration, success may be found by tempering the body's inflammatory response. This work combines collagen-glycosaminoglycan scaffolds, previously developed for tissue regeneration, with matrix materials (hyaluronic acid and amniotic membrane) that have been shown to promote healing and decreased scar formation in skin studies. The results presented show that scaffolds containing amniotic membrane matrix have significantly increased mechanical properties and that tendon cells within these scaffolds have increased metabolic activity even when the media is supplemented with the pro-inflammatory cytokine interleukin-1 beta. Collagen scaffolds containing hyaluronic acid or amniotic membrane also temper the expression of genes associated with the inflammatory response in normal tendon healing (TNF-α, COLI, MMP-3). These results suggest that alterations to scaffold composition, to include matrix known to decrease scar formation in vivo, can modify the inflammatory response in tenocytes. © 2016 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 104A: 1332-1342, 2016.

  3. To research application of the reforming of amniotic cells culture on the methods in prenatal diagnosis%改良羊水细胞培养方法在产前诊断中的应用研究

    Institute of Scientific and Technical Information of China (English)

    向文秀

    2011-01-01

    目的 研究改良羊水细胞培养法在产前诊断中的应用.方法 采用改良多种处理方式的经典羊水细胞培养法和原位培养法对280例孕16-32周的孕妇进行羊水产前诊断.结果 成功率99.7%,培养收获时间5-7天,最短收获5天,最长7天.有效的细胞染色体核型>60个/例,发现异常核型15例,染色体异常栓出率5.4%.结论 两种改良羊水细胞培养技术,培养成功率高,细胞培养时间短,可供分析染色体核型多,培养适用范围宽,可满足临床产前诊断的需要.%objective: To research application of the reforming of amniotic fluid cells culture in different methods in prenatal diagnosis. Methods: 280 samples of amniotic fluid from pregnant women during 16 -32th -week gestation were cultured in the reforming of diverse ways to deal with of amniotic cell culture in classical method of amniotic fluid cell culture and method of situ cultivation. Results: The successful rate was 99. 7%. Culture Collection time: 5 -7days, the shortest time: 5 days, The most time: 7days. Effective karyotypes in each case were more than the 60. Discovered 15 cases of abnormal karyotype. 5.4% rate of chromosomal abnormalities detected. Conclusion: The reforming of two amniotic fluid cell culture techniques were superior than the classical method of amniotic fluid cell culture in training success rate, cell culture time, providing the number of analysis of karyotype and training scope. They can meet the needs of clinical prenatal diagnosis.

  4. Responses of Preterm Pigs to an Oral Fluid Supplement During Parenteral Nutrition

    DEFF Research Database (Denmark)

    Berding, Kirsten; Makarem, Patty; Hance, Brittany;

    2016-01-01

    Background: Nutrients and electrolytes in amniotic fluid swallowed by fetuses are important for growth and development. Yet, preterm infants requiring parenteral nutrition (PN) receive minimal or no oral inputs. With the limited availability of amniotic fluid, we evaluated the responses of preterm...... enterally (n = 10) or intravenously (n = 8). Outcome measures after 96 hours were weight gain, blood chemistry, organ weights, and small intestine mass and brush-border membrane carbohydrases. Results: The OFS did not improve weight gain compared with providing lactated Ringer’s orally or intravenously...

  5. Intra-amniotic Candida albicans infection induces mucosal injury and inflammation in the ovine fetal intestine.

    Science.gov (United States)

    Nikiforou, Maria; Jacobs, Esmee M R; Kemp, Matthew W; Hornef, Mathias W; Payne, Matthew S; Saito, Masatoshi; Newnham, John P; Janssen, Leon E W; Jobe, Alan H; Kallapur, Suhas G; Kramer, Boris W; Wolfs, Tim G A M

    2016-01-01

    Chorioamnionitis is caused by intrauterine infection with microorganisms including Candida albicans (C.albicans). Chorioamnionitis is associated with postnatal intestinal pathologies including necrotizing enterocolitis. The underlying mechanisms by which intra-amniotic C.albicans infection adversely affects the fetal gut remain unknown. Therefore, we assessed whether intra-amniotic C.albicans infection would cause intestinal inflammation and mucosal injury in an ovine model. Additionally, we tested whether treatment with the fungistatic fluconazole ameliorated the adverse intestinal outcome of intra-amniotic C.albicans infection. Pregnant sheep received intra-amniotic injections with 10(7) colony-forming units C.albicans or saline at 3 or 5 days before preterm delivery at 122 days of gestation. Fetuses were given intra-amniotic and intra-peritoneal fluconazole treatments 2 days after intra-amniotic administration of C.albicans. Intra-amniotic C.albicans caused intestinal colonization and invasive growth within the fetal gut with mucosal injury and intestinal inflammation, characterized by increased CD3(+) lymphocytes, MPO(+) cells and elevated TNF-α and IL-17 mRNA levels. Fluconazole treatment in utero decreased intestinal C.albicans colonization, mucosal injury but failed to attenuate intestinal inflammation. Intra-amniotic C.albicans caused intestinal infection, injury and inflammation. Fluconazole treatment decreased mucosal injury but failed to ameliorate C.albicans-mediated mucosal inflammation emphasizing the need to optimize the applied antifungal therapeutic strategy. PMID:27411776

  6. Sutureless fixation of amniotic membrane for therapy of ocular surface disorders.

    Directory of Open Access Journals (Sweden)

    Ilya Kotomin

    Full Text Available Amniotic membrane is applied to the diseased ocular surface to stimulate wound healing and tissue repair, because it releases supportive growth factors and cytokines. These effects fade within about a week after application, necessitating repeated application. Generally, amniotic membrane is fixed with sutures to the ocular surface, but surgical intervention at the inflamed or diseased site can be detrimental. Therefore, we have developed a system for the mounting of amniotic membrane between two rings for application to a diseased ocular surface without surgical intervention (sutureless amniotic membrane transplantation. With this system, AmnioClip, amniotic membrane can be applied like a large contact lens. First prototypes were tested in an experiment on oneself for wearing comfort. The final system was tested on 7 patients in a pilot study. A possible influence of the ring system on the biological effects of amniotic membrane was analyzed by histochemistry and by analyzing the expression of vascular endothelial growth factor-A (VEGF-A, hepatocyte growth factor (HGF, fibroblast growth factor 2 (FGF 2 and pigment epithelium-derived factor (PEDF from amniotic membranes before and after therapeutic application. The final product, AmnioClip, showed good tolerance and did not impair the biological effects of amniotic membrane. VEGF-A and PEDF mRNA was expressed in amniotic membrane after storage and mounting before transplantation, but was undetectable after a 7-day application period. Consequently, transplantation of amniotic membranes with AmnioClip provides a sutureless and hence improved therapeutic strategy for corneal surface disorders.Trial Registration:ClinicalTrials.gov NCT02168790

  7. Maternal-fetal fluid balance and aquaporins: from molecule to physiology

    Institute of Scientific and Technical Information of China (English)

    Xiao-yan SHA; Zheng-fang XIONG; Hui-shu LIU; Xiao-dan DI; Tong-hui MA

    2011-01-01

    Maternal-fetal fluid balance is critical during pregnancy, and amniotic fluid is essential for fetal growth and development. The placenta plays a key role in a successful pregnancy as the interface between the mother and her fetus. Aquaporins (AQPs) form specific water channels that allow the rapid transcellular movement of water in response to osmotic/hydrostatic pressure gradients. AQPs expression in the placenta and fetal membranes may play important roles in the maternal-fetal fluid balance.

  8. Arthur Prior and 'Now'

    DEFF Research Database (Denmark)

    Blackburn, Patrick Rowan; Jørgensen, Klaus Frovin

    2015-01-01

    ’s search led him through the work of Castaneda, and back to his own work on hybrid logic: the first made temporal reference philosophically respectable, the second made it technically feasible in a modal framework. With the aid of hybrid logic, Prior built a bridge from a two-dimensional UT calculus...

  9. Fetal antigen 2: an amniotic protein identified as the aminopropeptide of the alpha 1 chain of human procollagen type I

    DEFF Research Database (Denmark)

    Teisner, B; Rasmussen, H B; Højrup, P;

    1992-01-01

    -PAGE analysis gave an M(r) = 27 kDa under reducing and non-reducing conditions for both forms, whereas the exact M(r) determined by mass spectrometry was 14,343 +/- 3 Da. FA2 was N-terminally blocked and after tryptic digestion the amino acid composition and sequences of the peptides showed identity...... with the aminopropeptide of the alpha 1 chain of human procollagen type I as determined by nucleotide sequences. After oxidative procedures normally employed for radio-iodination (iodogen and chloramine-T), FA2 lost its immunoreactivity. An antigen which cross-reacted with polyclonal rabbit anti-human FA2 was demonstrated...... in fetal calf serum. Gel filtration with analysis of fractions by inhibition ELISA showed that the bovine homologue was present in the same molecular forms as those in human amniotic fluid, and immunohistochemical analysis with anti-human FA2 showed that its distribution in bovine skin was identical...

  10. 四川汶川8.0级地震地下流体异常分析%Analysis of Underground Fluid Anomalies Prior to the Wenchuan MS8.0 Earthquake

    Institute of Scientific and Technical Information of China (English)

    王小娟; 李旭升; 牛延平; 田野

    2014-01-01

    汶川8.0级地震引起了社会广泛地关注,产生了地震能否预测的疑问以及汶川地震前是否出现了异常的讨论,震后一些学者对前兆资料进行了研究总结,本文在前人研究的基础上仅对地下流体异常进行了分析,认为汶川地震前存在着一些地下流体异常,本文从中期异常、短临异常、同震及震后调整这几个方面对水氡、水位、水温、流量资料进行了分析研究。通过对中期异常的识别及提取,认为采用从属函数方法定量提取异常效果较为理想。%The Wenchuan MS8.0 earthquake caused widespread attention.To determine whether earthquakes can be predicted and whether anomalies are present before earthquakes,several scholars have previously studied a summary of the precursory data of the Wenchuan earthquake. On the basis of such previous research,the present study analyzes the anomalies of underground fluid present before the earthquake.By using the methods of medium-term anomaly,short term and imminent abnormalities,co-seismic variation,and the adjustment after the earthquake,this study analyzes the data of water radon,water level,water temperature,and flow.Using the sub-ordinate function extraction for recognition and extraction of the medium-term anomaly proved to be effective.The Wenchuan MS8.0 earthquake,with intensity up to XI,caused inestimable hu-man and economic losses in the affected areas involving 125,500 km2 in 247 counties,cities,and districts.69,180 people died,374,008 were injured,and 17,406 were reported missing.More than 10 million people were affected.785.88 million houses collapsed,and 2,421.54 million were severely damaged.The direct economic damage could substantially exceed RMB 845.1 billion. This disaster occurred for four main reasons.First,the earthquake had a large magnitude,high energy,and shallow focus.Fracturing lasted up to 90 s,and the earthquake excitation was more powerful in the fracture zones

  11. Amniotic membrane transplantation for porous sphere orbital implant exposure

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Objective: This study is aimed at describing the clinical outcome ofamniotic membrane transplantation for exposure of porous sphere implants. Methods: A retrospective review of consecutive cases of porous sphere orbital implant exposure was carried out. Eight cases were presented between May 2004 and Oct. 2006 (5 males, 3 females; mean age 44.5 years). Six had enucleation and two had evisceration. Exposure occurred in two primary and six secondary. Orbital implant diameter was 22 mm in seven cases and 20 mm in one case. Six patients are with hydroxyapatite and two with high-density porous polyethylene (Medpor) orbital implants. The mean time from implantation to exposure was 1.1 months (range 0.8~2 months). All patients required surgical intervention. Results: The time of follow-up ranged from 3.0 to 28.0 months (mean 16.5 months). Amniotic membrane grafting successfully closed the defect without re-exposure in all of these patients. The grafts were left bare with a mean time to conjunctiva of about 1 month (range 0.8~1.5 months). Conclusion: Exposed porous sphere implants were treated successfully with amniotic membrane graft in all of patients. The graft is easy to harvest. This technique is useful, dose not lead to prolonged socket inflammation and infection, and it is valuable application extensively.

  12. Autologous nerve anastomosis versus human amniotic membrane anastomosis A rheological comparison following simulated sciatic nerve injury

    Institute of Scientific and Technical Information of China (English)

    Guangyao Liu; Qiao Zhang; Yan Jin; Zhongli Gao

    2011-01-01

    The sciatic nerve is biological viscoelastic solid, with stress relaxation and creep characteristics. In this study, a comparative analysis of the stress relaxation and creep characteristics of the sciatic nerve was conducted after simulating sciatic nerve injury and anastomosing with autologous nerve or human amniotic membrane. The results demonstrate that, at the 7 200-second time point, both stress reduction and strain increase in the human amniotic membrane anastomosis group were significantly greater than in the autologous nerve anastomosis group. Our findings indicate that human amniotic membrane anastomosis for sciatic nerve injury has excellent rheological characteristics and is conducive to regeneration of the injured nerve.

  13. Distribution of chicken cathepsins B and L, cystatin and ovalbumin in extra-embryonic fluids during embryogenesis.

    Science.gov (United States)

    Cirkvenčič, N; Narat, M; Dovč, P; Benčina, D

    2012-01-01

    1. Concentrations of chicken cathepsin B, cathepsin L, cystatin and ovalbumin were determined in the allantoic fluid, amniotic fluid and extracts of chorioallantoic membranes during days 6 to 12 of embryogenesis. 2. Similar trends for cystatin and ovalbumin were observed in the allantoic fluid with maximum concentrations of cystatin on day 7 (12 ± 4 µg/ml) and ovalbumin on day 8 (∼19 ± 2.5 µg/ml) of embryonic development. The highest concentrations of cathepsin B was found on day 7 and of cathepsin L on day 10, but were significantly lower than those of cystatin and ovalbumin. 3. In the allantoic fluid, especially on day 7, considerable proportions of cystatin and ovalbumin were phosphorylated and contained phosphorylated serine. 4. Concentrations of cathepsin B and L, cystatin and ovalbumin in the amniotic fluid were variable but were comparable to those in allantoic fluid.

  14. Optimizing amniotic membrane tissue banking protocols for ophthalmic use.

    Science.gov (United States)

    Hettiarachchi, D; Dissanayake, V H W; Goonasekera, H W W

    2016-09-01

    Amniotic membrane (AM) due to its anti-inflammatory, anti-scarring and anti-angiogenic properties is used as corneal and wound grafts. When developing AM tissue banks, cell viability, membrane morphology and genomic stability should be preserved following cryopreservation. To analyze the changes rendered to the AM during the process of cryopreservation by comparing different combinations of standard cryopreservation media; fetal bovine serum (FBS), dimethyl sulfoxide (DMSO), Dulbecco's modified eagle's medium (DMEM) and glycerol at -80 °C and at -196 °C for a period of 6 weeks and at 4 °C in 70 % alcohol for 6 weeks. Following informed consent, placentae of healthy term pregnancies delivered by elective Cesarean section were collected and AM separated into 5 × 5 cm size sections and under sterile conditions stored in 9:1 DMSO:FBS and 1:1 DMEM:Glycerol at -196 and -80 °C for 6 weeks. Similar sections were also stored at 4 °C in 70 % alcohol for 6 weeks. After storage periods following were assessed; AM epithelial cell viability by trypan blue vital stain, epithelial cell proliferation capacity by cell doubling time, membrane morphology by haematoxylin and eosin (H&E) stain and genomic stability by conventional G-banded karyotyping. Human amniotic epithelial cells were cultured in DMEM and 10 % FBS in humidified atmosphere of 5 % carbon dioxide at 37 °C and were characterized using RT-PCR for Octamer-binding protein 4 (Oct-4) and glucose-6-phosphate dehydrogenase (G6PD) genes. All the above parameters were also assessed in fresh AM. AM obtained from 4 term placentae. Mean cell count and mean cell doubling times in days respectively; for fresh AM 3.8 × 10(6); 1.59, after 6 weeks in DMSO:FBS at -196 °C 3.0 × 10(6); 2.38 and at -80 °C 2.1 × 10(6); 1.60, in DMEM:Glycerol at -196 °C 3.6 × 10(6); 2.33 at -80 °C 23 × 10(6); 1.66 and at 4 °C 3.3 × 10(6); 2.14. Histology analysis of the fresh AM showed an intact epithelial

  15. Optimizing amniotic membrane tissue banking protocols for ophthalmic use.

    Science.gov (United States)

    Hettiarachchi, D; Dissanayake, V H W; Goonasekera, H W W

    2016-09-01

    Amniotic membrane (AM) due to its anti-inflammatory, anti-scarring and anti-angiogenic properties is used as corneal and wound grafts. When developing AM tissue banks, cell viability, membrane morphology and genomic stability should be preserved following cryopreservation. To analyze the changes rendered to the AM during the process of cryopreservation by comparing different combinations of standard cryopreservation media; fetal bovine serum (FBS), dimethyl sulfoxide (DMSO), Dulbecco's modified eagle's medium (DMEM) and glycerol at -80 °C and at -196 °C for a period of 6 weeks and at 4 °C in 70 % alcohol for 6 weeks. Following informed consent, placentae of healthy term pregnancies delivered by elective Cesarean section were collected and AM separated into 5 × 5 cm size sections and under sterile conditions stored in 9:1 DMSO:FBS and 1:1 DMEM:Glycerol at -196 and -80 °C for 6 weeks. Similar sections were also stored at 4 °C in 70 % alcohol for 6 weeks. After storage periods following were assessed; AM epithelial cell viability by trypan blue vital stain, epithelial cell proliferation capacity by cell doubling time, membrane morphology by haematoxylin and eosin (H&E) stain and genomic stability by conventional G-banded karyotyping. Human amniotic epithelial cells were cultured in DMEM and 10 % FBS in humidified atmosphere of 5 % carbon dioxide at 37 °C and were characterized using RT-PCR for Octamer-binding protein 4 (Oct-4) and glucose-6-phosphate dehydrogenase (G6PD) genes. All the above parameters were also assessed in fresh AM. AM obtained from 4 term placentae. Mean cell count and mean cell doubling times in days respectively; for fresh AM 3.8 × 10(6); 1.59, after 6 weeks in DMSO:FBS at -196 °C 3.0 × 10(6); 2.38 and at -80 °C 2.1 × 10(6); 1.60, in DMEM:Glycerol at -196 °C 3.6 × 10(6); 2.33 at -80 °C 23 × 10(6); 1.66 and at 4 °C 3.3 × 10(6); 2.14. Histology analysis of the fresh AM showed an intact epithelial

  16. Bronchial stump closure with amniotic membrane in animal model

    Directory of Open Access Journals (Sweden)

    Gholamreza Mohajeri

    2014-01-01

    Full Text Available Background: Coverage of the bronchial stumps (BSs with adjacent tissues can improve healing and reduce bronchial complications in complex thoracic surgery. There is no evidence for the application of human amnion allograft for prevention of air leak from the BS. The comparison of the amniotic membrane (AM and pleural patch for BS healing after lobectomy in dogs was our aim in this study. Materials and Methods: A total of eight males and females 12-24-month-old dogs between 17 and 22 kg body-weight were used in this study in 2010, Isfahan University of Medical Sciences. Animals were separated into two groups: group A (n = 4; amniotic membrane and group P (n = 4; pleural patch according to the BS closure technique performed. After lobectomy of the right middle lobe, the BS was closed, while a small bronchopleural fistula (BPF was created by inserting a catheter via edges of closed stump. Then, it was covered with a piece of AM3 × 3 cm in group A and with a pedicle graft of pleura in group P. Rethoracotomy was performed after 15 days of observation, and the BS was removed for histological examination. Histological healing was classified as complete or incomplete healing. Neoangiogenesis was measured by Von Willebrand expression using immunohistochemistry (IHC. Data were analyzed by SPSS version 15 using Fisher′s exact test, Mann-Whitney test, and T tests. Results: BPF complications were not seen during observation period. There was no significant difference in histological healing between two groups. Similarly, no significant difference was observed between the groups in terms of neoangiogenesis based on IHC examination (P value = 0.69. Conclusion: Human amnion allograft could be as effective as pleural patch for BS wrapping following pulmonary resections.

  17. Molecular decay of enamel matrix protein genes in turtles and other edentulous amniotes

    OpenAIRE

    Meredith Robert W; Gatesy John; Springer Mark S

    2013-01-01

    Abstract Background Secondary edentulism (toothlessness) has evolved on multiple occasions in amniotes including several mammalian lineages (pangolins, anteaters, baleen whales), birds, and turtles. All edentulous amniote clades have evolved from ancestors with enamel-capped teeth. Previous studies have documented the molecular decay of tooth-specific genes in edentulous mammals, all of which lost their teeth in the Cenozoic, and birds, which lost their teeth in the Cretaceous. By contrast wi...

  18. Egg shape changes at the theropod–bird transition, and a morphometric study of amniote eggs

    OpenAIRE

    Deeming, D Charles; Ruta, Marcello

    2014-01-01

    The eggs of amniotes exhibit a remarkable variety of shapes, from spherical to elongate and from symmetrical to asymmetrical. We examine eggshell geometry in a diverse sample of fossil and living amniotes using geometric morphometrics and linear measurements. Our goal is to quantify patterns of morphospace occupation and shape variation in the eggs of recent through to Mesozoic birds (neornithe plus non-neornithe avialans), as well as in eggs attributed to non-avia...

  19. Case report of non-healing surgical wound treated with dehydrated human amniotic membrane

    OpenAIRE

    Riordan, Neil H; George, Ben A; Chandler, Troy B; McKenna, Randall W

    2015-01-01

    Introduction Non-healing wounds can pose a medical challenge as in the case of vasculopathic venostasis resulting in a surgical ulcer. When traditional approaches to wound care fail, an amniotic patch (a dehydrated tissue allograft derived from human amnion) can function as a biologic scaffold to facilitate and enhance tissue regeneration and rehabilitation. Background Amniotic AlphaPatches contain concentrated molecules of PGE2, WNT4, and GDF-11 which have angiogenic, trophic, and anti-infla...

  20. Amniotic band syndrome at 14 weeks of gestation: a case report and literature review

    OpenAIRE

    Lalitha N; Reena Abraham; Umamaheswari G

    2014-01-01

    Amniotic band syndrome comprises of a group of congenital anomalies involving the limbs, trunk, head and face characterised by asymmetry of involvement and varying severity. While mild variants have a good prognosis with normal life expectancy, severe cases may be incompatible with life. It is sporadic in occurrence with many theories postulated towards the pathogenesis. We report a case of amniotic band syndrome diagnosed at 14 weeks gestation in a 22 year old low risk primigravida-the foetu...

  1. EFFECT OF HUMAN AMNIOTIC MEMBRANE ON CORNEAL EPITHELIUM AND YAC-1 CELL

    Institute of Scientific and Technical Information of China (English)

    叶纹; 沈玺; 钟一声

    2003-01-01

    Objective To study the effect of the amniotic membrane on enhancing the proliferation of corneal epithelia and YAC 1 cell.MethodsAfter the primary culture of the rabbits corneal epithelia and YAC 1 cells, they were seeded on the upper surface or stromal matrix side of amniotic membrane respectively. The proliferation results were observed by MTT test.ResultsThe amniotic membrane was found significantly enhancing the proliferation of corneal epithelia on the d1,d3,and d5 after culture. The proliferation rate was 28.93%,23.32%,23.41%(P<0.05)respectively, but the d7 proliferation rate was 20.72%(P>0.05).On the d1,d3,d7 after culture,the YAC 1 cells proliferation rate was 34.87%,36.28%,33.86%(P<0.01)respectively.ConclusionOur results demonstrated that the amniotic membrane could enhance the prolifera tion of both corneal epithelia and YAC 1 cells significantly. Although amniotic membrane has been suggested as an ideal material for reconstruction of ocular surface, special attention should be paid during amniotic membrane transplantation for treating ocular surface lesion resulted from epibulbar tumors.

  2. Effect of Amniotic Membrane Combined with Ciprofloxacin in Curing the Primary Stages of Pseudomonal Keratitis

    Directory of Open Access Journals (Sweden)

    Mohammad Kazem Sharifi Yazdi

    2012-03-01

    Full Text Available Background: Keratitis caused by Pseudomonas aeruginosa is often resulted in severe corneal ulcers and perforation, which leads to losses of vision. Human amniotic membrane (HAM forms the inner wall of the membranous sac which surrounds and protects the embryo during gestation. The purpose of this study was to evaluate the effectiveness of the amniotic membrane's healing in rabbits with pseudomonas keratitis.Methods: In total 14 rabbits divided in 2 groups of: 1 as Control and 2 as experimental amniotic membrane combined with ciprofloxacin. A 0.05 ml suspension of Pseudomonas aeruginosa ATCC 27853 was injected into rabbit’s corneal stroma, with no interference in control group. In the second group, the amniotic membrane in pieces of 1.5 × 1.5 cm transplanted to the entire corneal surface by eight interrupted 10.0 nylon sutures. In the first day ciprofloxacin drop was injected to the second group every 30 minutes and through second to seventh days every 2 hours. The results of perforation in cornea and the amount of infiltration were registered.Results: The results showed that amniotic membrane transplantation (AMT + ciprofloxacin group had 0% perforation and the control group 85.6%. Average infiltrations were 5 mm in AMT + ciprofloxacin groups and 23.75 mm in control.Conclusion: The use of amniotic membrane with ciprofloxacin was effective in prevention of cornea perforation and controlling the process of pseudomonal keratitis remission. The improvement of inflammation rapidly happened in ciprofloxacin + AMT group.

  3. A new surgical technique to treat corneal perforations using amniotic membrane and surgical adhesive

    Directory of Open Access Journals (Sweden)

    K.C.S. Pontes

    2014-06-01

    Full Text Available The objectives of this study were to compare surgical techniques and the effects of using n-butyl 2-cyanoacrylate and bovine amniotic membrane to repair perforated lesions in corneas. Penetrating keratoplasty was performed in sixty New Zealand White rabbits under general anesthesia. Group 1 (G1 was treated with n-butyl 2-cyanoacrylate, group 2 (G2 received a fragment of amniotic membrane through the anterior chamber and application of n-butyl 2-cyanoacrylate over the lesion, group 3 (G3 was treated with the same technique as G2 with the addition of an amniotic membrane bandage covering the cornea and sutured in the limbus region, and group 4 (G4 was treated with an amniotic membrane sutured to the lesion and an amniotic membrane bandage sutured in the limbus region. Clinical, histological and histomorphometric examinations of the corneas were performed. The membrane acted as a barrier for aqueous humor in G2 and G3, thereby keeping the surface dry for adhesive application; it also prevented the adhesive from contacting intraocular structures. The groups treated with amniotic membrane and surgical adhesive showed better results than the groups treated with either material alone. Thus, the combination of the membrane with the adhesive is recommended for this type of lesion.

  4. Ureaplasma parvum serovar 3 multiple banded antigen size variation after chronic intra-amniotic infection/colonization.

    Directory of Open Access Journals (Sweden)

    James W Robinson

    Full Text Available Ureaplasma species are the microorganisms most frequently associated with adverse pregnancy outcomes. The multiple banded antigen (MBA, a surface-exposed lipoprotein, is a key virulence factor of ureaplasmas. The MBA demonstrates size variation, which we have shown previously to be correlated with the severity of chorioamnion inflammation. We aimed to investigate U. parvum serovar 3 pathogenesis in vivo, using a sheep model, by investigating: MBA variation after long term (chronic and short term (acute durations of in utero ureaplasma infections, and the severity of chorioamnionitis and inflammation in other fetal tissues. Inocula of 2 × 10(7 colony-forming-units (CFU of U. parvum serovar 3 (Up or media controls (C were injected intra-amniotically into pregnant ewes at one of three time points: day 55 (69d Up, n = 8; C69, n = 4; day 117 (7d Up, n = 8; C7, n = 2; and day 121 (3d Up, n = 8; C3, n = 2 of gestation (term = 145-150d. At day 124, preterm fetuses were delivered surgically. Samples of chorioamnion, fetal lung, and umbilical cord were: (i snap frozen for subsequent ureaplasma culture, and (ii fixed, embedded, sectioned and stained by haematoxylin and eosin stain for histological analysis. Selected fetal lung clinical ureaplasma isolates were cloned and filtered to obtain cultures from a single CFU. Passage 1 and clone 2 ureaplasma cultures were tested by western blot to demonstrate MBA variation. In acute durations of ureaplasma infection no MBA variants (3d Up or very few MBA variants (7d Up were present when compared to the original inoculum. However, numerous MBA size variants were generated in vivo (alike within contiguous tissues, amniotic fluid and fetal lung, but different variants were present within chorioamnion, during chronic, 69d exposure to ureaplasma infection. For the first time we have shown that the degree of ureaplasma MBA variation in vivo increased with the duration of gestation.

  5. Amniotic membrane can be a valid source for wound healing

    Directory of Open Access Journals (Sweden)

    ElHeneidy H

    2016-06-01

    Full Text Available Hossam ElHeneidy,1 Eman Omran,1 Ahmed Halwagy,1 Hesham Al-Inany,1 Mirvat Al-Ansary,2 Amr Gad3 1Department of Obstetrics & Gynecology, 2Department of Clinical Pathology, 3Department of Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt Abstract: Amniotic membrane (AM can promote proper epithelialization with suppression of excessive fibrosis by creating a supportive milieu for regeneration of chronic ulcer bed.Objective: The objective of this study is to investigate whether AM scaffold can modulate the healing of a wound by promoting tissue reconstruction rather than promoting scar tissue formation.Subjects and methods: AM was obtained and prepared and then applied to patients with chronic leg ulcers who were randomly divided into two different groups. Group I (control group included eleven patients in whom ulcers were treated with conventional wound dressings that were changed daily for 8 weeks. Group II (study group included 14 patients in whom the AM was placed in contact with the ulcer and held in place with a secondary dressing, which was changed daily. Follow-up was done to detect healing rate and detection of ulcer size, assessment of pain, and to take ulcer images (days 0, 7, 14, 21, 30, 45, and 60.Results: In group I, all ulcers showed no reduction in their size, and ulcer floor remained the same. Healthy granulations were present in two ulcers (18.2% and absent in nine ulcers (81.8%. There was no improvement of pain level in the eleven ulcers. In group II, complete healing of 14 ulcers occurred in 14–60 days with a mean of 33.3±14.7; healing rate range was 0.064–2.22 and the mean 0.896±0.646 cm2/day. Healthy granulations were present in 13 ulcers (92.9% and absent in one ulcer (7.1%. Three ulcers (21.4% were of mild severity (grade 1 ulcers while eleven ulcers (78.6% were of moderate severity (grade 2 ulcers. The healing rate was faster in ulcers of mild severity (1.7±0.438 cm2/day in comparison to ulcers of moderate

  6. Investigation of lithium forward scattering for the analysis of carbon and oxygen in human amniotic fluid

    International Nuclear Information System (INIS)

    Lithium forward elastic scattering is investigated as an additional method for Z 6,7Li beams and the elastically scattered beam is detected at 16.45 deg, 20.45 deg and 28.0 deg simultaneously. The quality of elastic spectra improves with sample dilution. The content of C and O in the backing is subtracted. Carbon and oxygen concentrations of the non-diluted AF sample are determined by assuming that elemental concentration varies linearly with dilution. (author)

  7. Perinatal outcome in oligohydramnios and borderline amniotic fluid index: a comparative study

    OpenAIRE

    Pradip R. Gaikwad; Mona S. Oswal; Manisha R. Gandhewar; Binti R. Bhatiyani

    2016-01-01

    Background: Oligohydramnios is associated with adverse perinatal outcome in the form of meconium staining, intrauterine growth restriction (IUGR), caesarean section for abnormal fetal heart rate tracing, low Apgar score and neonatal intensive care unit (NICU) admission. Methods: This was a prospective study of 100 singleton pregnancies beyond 28 weeks of gestation with AFI< 8 cm, delivered within seven days of admission. Patients were divided in two groups, those with AFI and #8804; 5 cm ...

  8. Insulin-like factor 3 levels in second-trimester amniotic fluid

    DEFF Research Database (Denmark)

    Bay, Katrine; Cohen, Arieh S; Jørgensen, Finn Stener;

    2008-01-01

    According to animal studies, the testicular Leydig cell hormone insulin-like factor 3 (Insl3) exerts a fundamental role in abdominal testis translocation, which occurs in the beginning of the second trimester in humans. Despite this, human prenatal INSL3 production has been poorly investigated....

  9. Use of Near-Infrared Spectroscopic Analysis of Second Trimester Amniotic Fluid to Assess Preterm Births

    Directory of Open Access Journals (Sweden)

    Kristin M. Power

    2011-01-01

    Full Text Available This pilot study investigated the possibility that metabolomic differences exist in second trimester of women delivering at term (≥37 weeks, n=216 and preterm (≤35 weeks, n=11. For this retrospective study, biobanked AF samples underwent near-infrared (NIR spectral analysis using wavelengths from 700 to 1050 nm. Spectral data was compressed then optimized by multilinear regression to create a calibration model. The resultant model was able to classify term and preterm births based on differing AF metabolomic profiles with a sensitivity and specificity of 100%. When groups were classified using a prematurity index (PI, there was a statistical difference (P<0.001 between the predicted preterm group (PI 0.77±0.08 and the term group (PI 1.00±0.02. In conclusion, the 2nd trimester AF samples showed distinct differences in metabolomic profiles between patients delivering preterm as compared to those at term in functional groups related to proteins, carbohydrates, fats, polyols, and water.

  10. Proteomic Profiling of the Amniotic Fluid to Detect Inflammation, Infection, and Neonatal Sepsis

    OpenAIRE

    Buhimschi, Catalin S; Vineet Bhandari; Benjamin D Hamar; Mert-Ozan Bahtiyar; Guomao Zhao; Anna K Sfakianaki; Pettker, Christian M.; Lissa Magloire; Edmund Funai; Errol R Norwitz; Michael Paidas; Copel, Joshua A.; Weiner, Carl P; Lockwood, Charles J.; Buhimschi, Irina A.

    2007-01-01

    Editors' Summary Background. A preterm delivery, or premature birth, is normally defined as one that occurs before 37 weeks after the last menstrual cycle (an average pregnancy lasts around 40 weeks). Premature birth is fairly common, with around 12% of births in the US fitting this definition. However, it has serious consequences, being responsible for around 70% of infant deaths and other adverse outcomes for the baby. It is not clear in all cases what directly causes premature birth or how...

  11. Reprogramming human amniotic fluid stem cells to functional pluripotency by manipulation of culture conditions.

    OpenAIRE

    sprotocols

    2015-01-01

    Authors: Dafni Moschidou & Pascale V Guillot ### Abstract Pluripotent stem cells have potential applications in regenerative medicine, disease modelling and drug screening. Induced pluripotent stem (iPS) cells have first been generated from fibroblasts using retroviral insertion of OCT4A, SOX2, c-MYC and KLF4. Since then, a number of methods have been developed to avoid the random integration of ectopic factors in the genome and the low efficiency of the process. Those include alt...

  12. Comparison of vaginal and transabdominal collection of amniotic fluid for fetal lung maturity tests

    NARCIS (Netherlands)

    L.D.E. Wijnberger; M. de Kleine; H.A.M. Voorbij; B. Arabin; H. Engel; H.W. Bruinse; G.H.A. Visser; B.W.J. Mol

    2010-01-01

    Backgrounds. The lecithin/spingomyelin (L/S) ratio and lamellar body count (LBC) are two tests that can be used to estimate the probability of the occurrence of respiratory distress syndrome (RDS). Our objective was to compare the prognostic capacity of the L/S ratio and the LBC in the prediction of

  13. Amniotic