Rose E. Lee

Nipple aspirate fluids in adult nonlactating women--lactose content, cationic Na+, K+, Na+/K+ ratio, and coloration.

SummaryThe presence of lactose in nipple secretions is considered biochemical evidence of breast secretory activity, and has been reported to occur more frequently in white compared to brownish or green colored breast fluid. We studied lactose, Na+, and K+ concentrations, the Na+/K+ ratio, and the coloration of nipple aspirate fluid (NAF) from 49 nonpregnant women.A significant relationship was found between the concentrations of lactose, Na+, and K+, and age and the coloration of NAF. Lactose was present in 22/49 (44.8%) of the NAF samples and declined with age from 100% positivity in women ≤29 years to 29% in those ≤35 years. In NAF of deep yellow, brown and green colorations, only traces of lactose were found. Na+ and K+ increased with age and with darker colorations compared to white, pale yellow, or colorless NAF.Lactose was present in NAF samples from both parous and nulliparous younger women, indicating that the breasts of many nonpregnant women respond to prolactin stimulation; hence, lactose may provide a simple marker indicating active physiologic secretory activity of the breast.As reported previously, NAF of darker coloration, containing elevated levels of cholesterol, cholesterol oxidation products, and other substances, suggests retention and impaired reabsorption of these and other products of secretion. Because of the secretion and temporary retention by the breast glands of chemical substances of exogenous and endogenous origin, including mutagens and carcinogens, lactose concentration and coloration of NAF may be useful as markers of secretion and reabsorption in future physiologically based clinical and epidemiologic studies of the pathogenesis of breast disease.

Immunoglobulin levels in breast fluids of women with breast cancer.

Abstract Investigations were made of the immunoglobulin levels of nipple aspirates of breast fluid and plasma of women with normal breasts, with benign breast disease, and with breast cancer by using rocket immunoelectrophoresis. We found that concentrations of immunoglobulin (Ig) M are markedly increased in breast fluids of many women with breast cancer and prior mastectomy (33%), but in few women with normal and benigndisease breasts (5%). In addition, many women with breast cancer (33%) lacked IgA in their breast fluids. In view of numerous reports of immune disturbances associated with breast cancer, the present findings may have diagnostic and etiologic significance.

An experimental analysis of factors affecting the localization of embryonic bone marrow

SummaryThe present investigations have been concerned with factors which determine and influence the localization and development of hemopoietic bone marrow in the embryo mouse and the adult. These studies, which have employed organ cultures and the transplantation of mouse embryo femur and tail rudiments, indicate that the surrounding mesenchyme is required for the normal development of the cartilage rudiment and its ossification, and for the formation and colonization of the marrow cavity. It was suggested that hemopoiesis results from the colonization of the “prepared” marrow cavity by stem cells arising from sources external to the rudiment. The addition of erythropoietin and L-thyroxine produced distinct erythropoietic differentiation in the normally myelocytic embryonic marrow cavity. The significance of the microenvironment present in developing bone rudiments and the initiation of hemopoiesis in stem cells was discussed.A hypothesis was developed to explain marrow localization in adults based on the colonization of bone rudiments which are developing their marrow sites at a time when the blood contains large numbers of colony-forming units.

Stimulation of S-9 fraction metabolism in rat liver and breast by vital dyes.

The vital dyes neutral red (NR), methylene blue (MB) and trypan blue (TB) induced microsomal enzymes that metabolize the chemical carcinogens 2-aminoanthracene (2AA), 6-aminochrysene (6AC) and diaminofluorene (DAF). The Ames test was used as a method of assessing the amount of microsomal enzyme activity that occurred in rat breast and liver when treated with NR, MB, and TB. Livers were more readily induced than mammary glands of midpregnant rats. Liver S-9 fraction from rats treated with vital dyes showed an increase in revertant colonies for 2AA, DAF, and 6AC over that from untreated rats whereas breast S-9 fraction from rats treated with vital dyes showed an increase in revertant colonies for 2AA over untreated.