Workshop II: Oncofetal and Placental Antigens

ABSTRACT: A simple procedure for detection of antisperm antibodies of IgA class in human cervical mucus is described and the results of its application to samples from 102 patients are presented. The results suggest that the IgA immunobead test (IgA-IBT) is a specific and clinically useful test for sperm antibodies. There was a strong correlation between the IgA-IBT and the presence of complement-dependent sperm immobilization in serum (Spearman's, r = 0.92, p < 0.001). Positive IgA-IBT results occurred only in mucus samples that showed poor penetration by normal sperm. An added advantage of the IgA-IBT is that both the immunoglobulin class and the site of binding to the sperm surface can be determined simultaneously.     

Predictive Factors in Recurrent Spontaneous Aborters—A Multicenter Study

PROBLEM : Compare data from several centers relating to success rates in recurrent spontaneous miscarriage and assess the significance of indicators of subsequent pregnancy loss. METHOD : Data from 777 couples with unexplained recurrent spontaneous abortion from independent studies at seven centers were analyzed using logistic regression analysis. The following covariates were considered: age of patient, number of previous spontaneous abortions, length of previous abortions history, sub-fertility index (defined as the product of the number of spontaneous abortions and the abortion history), whether a patient was a primary or secondary aborter, and whether a patient had received leukocyte immunotherapy. RESULTS : There was a highly significant difference between the seven centers in success rates in the subsequent pregnancy and a highly significant association between success rate and each of the following covariates: the number of previous abortions, the length of the previous abortion history and the sub-fertility index. In particular, for each increase of 10 units in the value of the sub-fertility index, up to a value of 30, the odds in favor of a successful pregnancy decreased by a factor of 0.6, i.e., 40%. There was, however, little evidence of an association between the success rate in the subsequent pregnancy and age, parity, or immunization with cells from the husband. CONCLUSIONS : The sub-fertility index may be a useful measure of likelihood of success in a subsequent pregnancy.     

Quantitative aspects of red cell size variation during pregnancy

Summary Red cell volume distribution curves may be readily obtained using electronic cell counters, and the proportion of cells that deviate from the normal population may be determined. In this study, we report the results of red cell volume distribution analyses in pregnant and non-pregnant females. The relationship between red cell volume distribution and other red cell indices is also studied. Statistical analysis showed good correlation between various Channelyzer parameters and red cell indices including Hb, RCC, MCV, MCH, and MCHC. A significant proportion of pregnant patients showed abnormal red cell volume distribution curves particularly in the latter half of pregnancy. During the latter half of pregnancy there was an increased proportion of microcytic cells in 8% of patients and evidence for macrocytosis was found in 67% of patients. In general there was good correlation between stages of gestation and Channelyzer parameters associated with macrocytosis. It is suggested that analysis of red cell size, which may be simply performed with minimal quantities of blood and inconvenience using the Channelyzer, could give insight into those conditions associated with variation in red cell size including iron deficiency and folate deficiency in pregnancy and it is conceivable that repeated estimations of these parameters could obviate the need for blanket administration of haematinics to the pregnant patient.     

Immunolocalization of fibroblast growth factor-1 and -2 in the embryonic rat kidney

Summary: Fibroblast growth factors (FGF) regulate cell proliferation, migration, differentiation and angiogenesis during morphogenesis in many different tissues. Recent evidence indicates that exogenous FGF-2 stimulates mesenchymal condensation in cultured rat metanephroi, a crucial epithelial-mesenchymal induction event in the developing nephron. the aim of the present investigation was to determine the in vivo distribution of FGF-1 and FGF-2 in developing rat metanephroi at embryonic days 14, 15, 16, 18 and 20. Avidin-biotin enhanced indirect immunohistochemistry was used to demonstrate that both FGF-1 and FGF-2 were co-localized in metanephroi at all ages studied. High levels of FGF-1 and FGF-2 were present in ureteric bud branches and in developing distal tubules. Fibroblast growth factor-1 and FGF-2 were colocalized in developing nephron elements, from vesicles to S-shaped bodies, and in the mesangium of capillary loop and maturing stage glomeruli. Both growth factors were present in the mesenchyme of the nephrogenic zone and in the interstitium of the developing cortex. However, immunostaining for FGF was not evident in mesenchymal condensates, endothelial cells, medullary interstitial cells, or in the thin undifferentiated epithelium of the immature loop of Henle. These findings indicate that the expression of both FGF-1 and FGF-2 is tightly regulated in the embryonic kidney and suggest a role for these molecules in kidney development.     

Quantitative aspects of red cell size variation during pregnancy

Summary Red cell volume distribution curves may be readily obtained using electronic cell counters, and the proportion of cells that deviate from the normal population may be determined. In this study, we report the results of red cell volume distribution analyses in pregnant and non-pregnant females. The relationship between red cell volume distribution and other red cell indices is also studied. Statistical analysis showed good correlation between various Channelyzer parameters and red cell indices including Hb, RCC, MCV, MCH, and MCHC. A significant proportion of pregnant patients showed abnormal red cell volume distribution curves particularly in the latter half of pregnancy. During the latter half of pregnancy there was an increased proportion of microcytic cells in 8% of patients and evidence for macrocytosis was found in 67% of patients. In general there was good correlation between stages of gestation and Channelyzer parameters associated with macrocytosis. It is suggested that analysis of red cell size, which may be simply performed with minimal quantities of blood and inconvenience using the Channelyzer, could give insight into those conditions associated with variation in red cell size including iron deficiency and folate deficiency in pregnancy and it is conceivable that repeated estimations of these parameters could obviate the need for blanket administration of haematinics to the pregnant patient.     

Correlation between cytoplasmic steroid receptors and tumour differentiation and invasion in endometrial carcinoma

Summary. The incidence and levels of cytoplasmic steroid receptors were studied in 155 endometrial carcinomas: oestrogen receptors (ER) were measured in all samples, progesterone receptors (PR) in 148 and androgen receptors (AR) in 118. Well-differentiated adenocarcinomas were significantly more likely to contain ER, PR and AR than were poorly-differentiated tumours, and mean values of ER and PR content were significantly higher in well-differentiated adenocarcinomas than in less-differentiated tumours. Receptor profiles in adenosquamous carcinomas and clear-cell carcinomas were similar to those in adenocarcinomas. Deeply invasive tumours were significantly less likely to be ER, PR or AR positive and, even when positive, such tumours had significantly lower mean levels of ER and PR. Poorly-differentiated tumours were significantly more likely to be ER-negative PR-positive than well-differentiated adenocarcinomas and adenosquamous carcinomas.     

Reference ranges for haematology parameters in pregnancy derived from patient populations

Summary Reference ranges for several haematology parameters in pregnancy were determined by the mathematical detection of Gaussian and Gamma distributions in partitioned but unselected patient data. For each trimester, red cell parameters were shown to be well described by Gaussian distributions. Platelet and white cell parameters were best described by Gamma distributions with the exception of eosinophil and basophil counts for which neither distribution was applicable. The reference ranges derived for each trimester are compared.