RESUMEN

The chemical warfare agents such as VX represent a threat for both military and civilians, which involves an immediate need of effective decontamination systems. Since human scalp is usually unprotected compared to other body regions covered with clothes, it could be a preferential site of exposure in case of terrorist acts. The purpose of this study was to determine if skin decontamination could be efficient when performed more than 1h after exposure. In addition, the impact of hairs in skin contamination was investigated. By using in vitro skin models, we demonstrated that about 75% of the applied quantity of VX was recovered on the skin surface 2h after skin exposition, which means that it is worth decontaminating even if contamination occurred 2h before. The stratum corneum reservoir for VX was quickly established and persistent. In addition, the presence of hairs modified the percutaneous penetration of the nerve agent by binding of VX to hairs. Hair shaft has thus to be taken into account in the decontamination process. Reactive Skin Decontamination Lotion (RSDL) and Fuller's Earth (FE) were active in the skin decontamination 45min post-exposure, but RSDL was more efficient in reducing the amount of VX either in the skin or in the hair.

Asunto(s)

Sustancias para la Guerra Química/farmacología , Descontaminación/métodos , Cabello , Compuestos Organotiofosforados/farmacología , Piel/metabolismo , Compuestos de Aluminio/farmacología , Animales , Humanos , Técnicas In Vitro , Compuestos de Magnesio/farmacología , Cuero Cabelludo/metabolismo , Silicatos/farmacología , Absorción Cutánea , Porcinos , Factores de Tiempo

RESUMEN

The use of chemical warfare agents such as VX in terrorism act might lead to contamination of the civilian population. Human scalp decontamination may require appropriate products and procedures. Due to ethical reasons, skin decontamination studies usually involve in vitro skin models, but human scalp skin samples are uncommon and expensive. The purpose of this study was to characterize the in vitro permeability to VX of human scalp, and to compare it with (a) human abdominal skin, and (b) pig skin from two different anatomic sites: ear and skull roof, in order to design a relevant model. Based on the VX skin permeation kinetics and distribution, we demonstrated that (a) human scalp was significantly more permeable to VX than abdominal skin and (b) pig-ear skin was the most relevant model to predict the in vitro human scalp permeability. Our results indicated that the follicular pathway significantly contributed to the skin absorption of VX through human scalp. In addition, the hair follicles and the stratum corneum significantly contributed to the formation of a skin reservoir for VX.

Asunto(s)

Sustancias para la Guerra Química/metabolismo , Modelos Animales , Compuestos Organotiofosforados/metabolismo , Cuero Cabelludo , Absorción Cutánea , Porcinos , Abdomen , Adulto , Animales , Oído , Femenino , Humanos , Masculino , Persona de Mediana Edad , Permeabilidad , Piel/metabolismo , Cráneo , Adulto Joven

RESUMEN

Against highly toxic chemicals that are quickly absorbed in the skin, topical formulations could adequately complement specific protective suits and equipments. In this work, we evaluated in vitro and compared the skin protection efficacy against the nerve agent VX of four different topical formulations: oil-in-water and water-in-oil emulsions, a perfluorinated-based cream and a hydrogel. Semi-permeable silicone membrane, pig-ear and human abdominal split-thickness skin samples mounted in diffusion cells were compared as in vitro permeation tests. The results showed that silicone membrane could be used instead of skin samples to screen for potentially effective formulations. However, the results indicated that due to potentially significant interactions between formulations and skin, relevant ranking of formulations according to their protective efficacy could require tests with skin samples. The main phase of emulsions, water or oil, was not found to be critical for skin protective efficacy against VX. Instead, specific film-forming ingredients such as perfluorinated-based polymers and silicones could significantly affect the skin protective efficacy of formulations. We showed that a hydrogel containing specific hydrophilic polymers was by far the most effective of the formulations evaluated against VX skin permeation in vitro.

Asunto(s)

Sustancias para la Guerra Química/toxicidad , Hidrogeles/farmacología , Fármacos Neuroprotectores/farmacología , Compuestos Organotiofosforados/toxicidad , Piel/efectos de los fármacos , Administración Tópica , Animales , Humanos , Hidrogeles/química , Hidrogeles/clasificación , Técnicas In Vitro , Membranas Artificiales , Fármacos Neuroprotectores/química , Fármacos Neuroprotectores/clasificación , Reproducibilidad de los Resultados , Siliconas/química , Piel/patología , Porcinos

RESUMEN

Prevention of exposure to the neurotoxic organophosphorus compounds (OP) is a major concern both for pesticide users and soldiers. Skin barrier creams are being developed to complement or replace uncomfortable chemical protective suits. Quick evaluation of formulations efficacy mainly relies on in vitro tests which lead to consistent, complementary and relevant results. The objectives of this work were to determine the consistency of results from in vitro tests and importance of the formulation composition in the skin protective efficacy. The efficacy of three formulations, i.e. oil-in-water and water-in-oil emulsions and perfluorinated compounds-based cream, was evaluated against the OP paraoxon in vitro. Our results indicated that the least effective formulations could be quickly identified by performing in vitro permeation tests with silicone membrane and by evaluating interfacial interactions between formulations and OP. Among the tested formulations, the perfluorinated compounds-based cream could have a broader spectrum of efficacy than emulsions against OP and other toxic chemicals.

Asunto(s)

Fármacos Dermatológicos/farmacología , Neurotoxinas/toxicidad , Paraoxon/toxicidad , Plaguicidas/toxicidad , Sustancias Protectoras/farmacología , Piel/efectos de los fármacos , Administración Tópica , Sustancias para la Guerra Química/farmacocinética , Sustancias para la Guerra Química/toxicidad , Fármacos Dermatológicos/química , Emulsiones/química , Emulsiones/farmacología , Fluorocarburos/química , Fluorocarburos/farmacología , Técnicas In Vitro , Membranas Artificiales , Neurotoxinas/farmacocinética , Exposición Profesional , Paraoxon/farmacocinética , Permeabilidad/efectos de los fármacos , Plaguicidas/farmacocinética , Sustancias Protectoras/química , Reproducibilidad de los Resultados , Siliconas/química , Piel/metabolismo

RESUMEN

This study determined and compared the percutaneous penetration and absorption of an organophosphorus (OP) pesticide, parathion (PA), using three experimental skin models: namely the human abdominal- and pig-ear skin in vitro models and the Human Skin grafted onto a nude mouse (HuSki) in vivo model. The percentage of topically applied dose absorbed and the doses present in the stratum corneum and skin were systematically determined at 24 h under similar experimental conditions. The three experimental skin models were first compared. Then, the advantages of the HuSki model for in vivo PA skin absorption studies were evaluated compared with the pig in vivo model previously used by others. Lastly, the relevance of each skin model to predict the permeability of human skin to PA in vivo was assessed by comparing our results with previously published in vivo human volunteer values. It was demonstrated that (a) pig-ear skin is relevant for predicting the in vitro human abdominal skin absorption taking into account a 2-3 times higher skin permeability to PA, (b) using ethanol as the vehicle, the absorption of PA was 4-5 times higher in the HuSki model than in the pig model but supports the usefulness of the HuSki model to easy mass balance studies, (c) both human in vitro and HuSki models closely predict the in vivo human volunteer absorption at 24 h when acetone is used as a vehicle but the HuSki model overcomes the known limitations of in vitro models for studying the fate of PA in the different skin layers after topical application.

Asunto(s)

Insecticidas/farmacocinética , Paratión/farmacocinética , Absorción Cutánea/fisiología , Trasplante de Piel/fisiología , Acetona , Animales , Interpretación Estadística de Datos , Etanol , Humanos , Técnicas In Vitro , Membranas/metabolismo , Ratones , Ratones Desnudos , Radiofármacos/farmacocinética , Piel/patología , Solventes , Porcinos , Trasplante Heterólogo

RESUMEN

Organophosphorus compounds (OPs), such as pesticides and chemical warfare agents like sarin (GB), soman (GD) and VX, are highly toxic compounds. The OP vapours and their liquid forms are readily absorbed through the skin, therefore, protecting the skin of people who are potentially exposed to these agents is crucial. The development of effective countermeasures relies on a better knowledge of the percutaneous penetration of such molecules. The purpose of this present study is to determine the in vitro percutaneous penetration parameters of two pesticides DSM and DFP, as potential simulants of V and G agents, respectively, using four in vitro systems: full-thickness and split-thickness human abdominal and pig-ear skin membranes mounted on static diffusion cells. Based on the toxicokinetic parameters of the percutaneous penetration of DSM and DFP, we demonstrated that (a) pig-ear skin is a relevant model to predict the in vitro human skin permeability taking into account a 2-fold difference between these two species (b) both full and split-thickness skin membranes could be used indiscriminately, (c) DSM and DFP would be appropriate surrogates for V and G agents to perform skin permeation studies.

Asunto(s)

Isoflurofato/metabolismo , Organotiofosfatos/metabolismo , Plaguicidas/metabolismo , Piel/metabolismo , Abdomen , Adulto , Animales , Sustancias para la Guerra Química/metabolismo , Inhibidores de la Colinesterasa/metabolismo , Oído , Femenino , Humanos , Técnicas In Vitro , Persona de Mediana Edad , Absorción Cutánea , Porcinos

RESUMEN

Human plasma paraoxonase (PON1) is a calcium-dependent organophosphate-hydrolase. In plasma, PON1 is bound to high-density lipoproteins (HDL). PON1 prevents the oxidation of LDL and scavenges oxidized phospholipids, thus protecting from atherogenesis. Improving the prophylaxis and treatment of organophosphate (OP) poisoning is a public health concern that also interests the civilian safety and the military. In this context, engineering and formulation of enzymes able to scavenge or hydrolyze OPs, such as PON1, are widely studied. Determination of the PON1 three-dimensional structure is a key step toward improvement of the enzyme functional properties.

Asunto(s)

Arteriosclerosis/prevención & control , Esterasas/sangre , Lipoproteínas HDL/sangre , Organofosfatos/farmacocinética , Arildialquilfosfatasa , Esterasas/química , Esterasas/genética , Humanos , Intoxicación por Organofosfatos , Oxidación-Reducción , Fosfolípidos/sangre , Especificidad por Sustrato

RESUMEN

Ideally we would like to treat people exposed to nerve agents with an enzyme that rapidly destroys nerve agents. The enzymes considered for such a role include human butyrylcholinesterase (BChE), acetylcholinesterase (AChE), carboxylesterase and paraoxonase (PON1). Success has been achieved in endowing BChE with the ability to hydrolyze organophosphates. The G117H mutant of BCHE hydrolyzes sarin and VX, whereas the double mutant G117H/E197Q hydrolyzes soman (Millard et al. Biochemistry 1995; 34: 15925-15933; 1998; 37: 237-247). However, the rates of organophosphate hydrolysis are slow and a faster organophosphate hydrolase is being sought. Native PON1 hydrolyzes paraoxon with a catalytic efficiency, of 2.4 x 10(6) M(-1) x min(-1), and our goal is to improve the organophosphate hydrolase activity of PON1. To achieve this we need to identify the amino acids in the active site of PON1. Using site-directed mutagenesis and expression in human 293T cells, we have identified the following eight amino acids as being essential to PON1 activity: W280, H114, H133, H154, H242, H284, E52 and D53. Fluorescence of PON1 complexed to terbium ion shows that at least one tryptophan is close to the calcium binding site.

Asunto(s)

Sustancias para la Guerra Química/metabolismo , Esterasas/farmacología , Neurotoxinas/metabolismo , Aminoácidos/análisis , Arildialquilfosfatasa , Butirilcolinesterasa/farmacología , Sustancias para la Guerra Química/efectos adversos , Esterasas/química , Esterasas/genética , Humanos , Hidrólisis , Mutagénesis Sitio-Dirigida , Neurotoxinas/efectos adversos

RESUMEN

Functional electro-optic polymer thin films embedded in microcavity structures have been poled by an all-optical procedure based on the interference of multiphoton absorption processes. The photoinduced X((2)) tensor was then further addressed at modal resonance for the fundamental wavelength, leading to significant enhancement of the second-harmonic-generation efficiency. An order-of-magnitude enhancement, which is due to electric field resonant conditions inside the microcavity, has been probed by an optical parametric oscillator, in comparison with a single-path thin-film configuration. This configuration opens new perspectives in the realm of nonlinear photonic device processing.

RESUMEN

Serum paraoxonase (PON1, EC 3.1.8.1.) is a high density lipid- (HDL)-associated, calcium-dependent enzyme whose 3D structure, active site residues and physiological substrates are not known. The kinetic parameters k(cat) and Km (relative to k(cat) and Km of the wild-type), determined with four substrates (phenylacetate, paraoxon, diazoxon and chlorpyrifosoxon) were less than 1, and more than 100% for the W280A and W280F mutant enzymes, respectively. These results indicated that the aromatic/hydrophobic character of the amino acid in position 280 is essential for PON1 activity. In this study, we investigated whether this aromatic residue is in the PON1 active site. Group-specific labelling studies with N-bromosuccinimide, an oxidative agent of tryptophan, strongly suggested that one or several Trp could be in the active site of PON1 but we could not conclude either on the specificity of the labelling reaction or on the number of oxidized Trp. However, although PON activity was not altered by the hydrophilic tryptophan-modifying reagent 2-hydroxy-5-nitrobenzyl chloride (NBC), it was significantly reduced by the p-nitrophenylacetate analog 2-acetoxy-5-nitrobenzyl chloride (ANBC), whose hydrolysis by PON1 generated NBC in the active site. Moreover, since at least one calcium ion is present in the PON catalytic site, we attempted to probe the metal local environment using the calcium analog terbium. The luminescence spectrum of the PON terbium complex exhibited an emission peak at 545 nm characteristic of an aromatic residue (Trp and/or Tyr)-terbium interaction. In conclusion, both the results obtained with the mechanism-based inhibitor of PON1 (ANBC) and the calcium-binding site luminescent probe terbium support the hypothesis of the presence of at least one Trp residue in the PON1 active site. Trp residue(s) may be involved in the binding of aromatic substrates.

Asunto(s)

Esterasas/sangre , Triptófano/metabolismo , Acetatos/farmacología , Arildialquilfosfatasa , Sitios de Unión , Cloropirifos/análogos & derivados , Cloropirifos/metabolismo , Inhibidores Enzimáticos/farmacología , Esterasas/antagonistas & inhibidores , Esterasas/química , Esterasas/genética , Fluorometría , Humanos , Insecticidas/metabolismo , Cinética , Mutagénesis Sitio-Dirigida , Nitrobencenos/farmacología , Compuestos Organofosforados/metabolismo , Fenilacetatos/metabolismo , Fenilalanina/genética , Fenilalanina/metabolismo , Terbio/farmacología , Triptófano/química , Triptófano/genética

RESUMEN

Human serum paraoxonase/arylesterase (PON1, EC 3.1.8.1.) is a calcium-dependent enzyme which hydrolyzes a wide variety of organophosphates, including paraoxon, DFP, sarin and soman. Although the 3-D structure of PON has not yet been determined and its sequence shows no similarity with any other crystallized proteins, we undertook to identify some of its essential amino acid residues by two complementary approaches: group-specific labelling and site-directed mutagenesis. Group-specific labelling studies, performed on the purified native enzyme, indicated that one or more Trp, His and Asp/Glu are potentially important residues for PON activity. Based on these results, we identified some of these residues, conserved in the sequenced mammalian PON1, by site-directed mutagenesis. PON1 mutants were transiently expressed in 293T cells. The catalytic constants k(cat) and Km (relative to k(cat) and Km of the wild-type) determined with four different substrates (phenylacetate, paraoxon, diazoxon, chlorpyrifos oxon), were not significantly changed for the following mutants: W193A, W201A, W253A, H160N, H245N, H250N, H347N, E32A, E48A, D88A, D107A, D121A, D273A. By contrast, k(cat) was less than 1% for eight mutants: W280A, H114N, H133N, H154N, H242N, H284N, E52A and D53A. The essential amino acid residues identified in this work could be part of the PON1 active site, acting either as calcium ligands (E52 and D53?) or as substrate binding (W280?) or nucleophilic (His residues?) sites. However, we cannot rule out that the effects of mutations on catalytic properties resulted from a remote conformational change and/or misfolding of mutant proteins.

Asunto(s)

Aminoácidos Esenciales/sangre , Aminoácidos Esenciales/genética , Esterasas/sangre , Esterasas/genética , Aminoácidos Esenciales/metabolismo , Arildialquilfosfatasa , Bromosuccinimida/farmacología , Diciclohexilcarbodiimida/farmacología , Dietil Pirocarbonato/farmacología , Activación Enzimática , Esterasas/antagonistas & inhibidores , Humanos , Cinética , Mutagénesis Sitio-Dirigida , Conformación Proteica , Espectrometría de Fluorescencia , Espectrofotometría Ultravioleta

RESUMEN

Human serum paraoxonase (PON1) is a calcium-dependent organophosphatase. To identify residues essential for PON1 activity, we adopted complementary approaches based on chemical modification and site-directed mutagenesis. To detect 45Ca2+ binding to native and chemically modified PON1, we performed nondenaturating gel electrophoresis. The environment of calcium-binding sites was probed using the Ca2+ analogue, terbium. Tb3+ binds to calcium-binding sites as shown by displacement of 45Ca2+ by Tb3+. Binding of Tb3+ is accompanied by a complete loss of enzyme activity. PON1 chemical modification with the Trp-selective reagent, N-bromosuccinimide, and the Asp/Glu-selective, dicyclohexylcarbodiimide, established that Trp and Asp/Glu residues are components of the PON1 active center and calcium-binding sites. Additional evidence for the presence of a Trp residue in the PON1 calcium-binding sites was a characteristic fluorescence emission at 545 nm from the PON1-Tb3+ complex and abolishment of that fluorescence upon modification by N-bromosuccinimide. The importance of aromatic/hydrophobic character of the residue 280 was demonstrated by site-directed mutagenesis: the W280F mutant was fully active while the W280A and W280L mutants had markedly reduced activity. Twelve amino acids among conserved His and Asp/Glu residues were found essential for PON1 arylesterase and organophosphatase activities: H114, H133, H154, H242, H284, D53, D168, D182, D268, D278, E52, and E194. Finally, the cysteines constituting the PON1 disulfide bond (C41 and C352) were essential, but the glycan chains linked to Asn 252 and 323 were not essential for PON1 secretion and activity.

Asunto(s)

Aminoácidos/química , Aminoácidos/metabolismo , Esterasas/química , Esterasas/metabolismo , Aminoácidos/genética , Animales , Arildialquilfosfatasa , Ácido Aspártico/genética , Sitios de Unión , Bromosuccinimida/farmacología , Radioisótopos de Calcio/metabolismo , Línea Celular , Diciclohexilcarbodiimida/farmacología , Dietil Pirocarbonato/farmacología , Activación Enzimática/efectos de los fármacos , Activación Enzimática/genética , Inhibidores Enzimáticos/farmacología , Esterasas/antagonistas & inhibidores , Esterasas/genética , Ácido Glutámico/genética , Glicosilación , Histidina/genética , Humanos , Indicadores y Reactivos , Riñón , Cinética , Mutagénesis Sitio-Dirigida , Conformación Proteica/efectos de los fármacos , Conejos , Proteínas Recombinantes/antagonistas & inhibidores , Proteínas Recombinantes/biosíntesis , Proteínas Recombinantes/química , Espectrometría de Fluorescencia , Terbio , Triptófano/genética

RESUMEN

Enzymes hydrolyzing organophosphates could be used as catalytic scavengers for treatment of organophosphate poisoning and for decontamination. Two organophosphorus hydrolases (OPH) were selected: the Flavobacterium sp/Pseudomonas diminuta phosphotriesterase (PTE) and human paraoxonase (HuPON). Genes encoding these enzymes were cloned and functional recombinant enzymes expressed. PTE was expressed in E. coli. Natural HuPON was purified from human plasma; recombinant HuPON was expressed in human embryonic kidney 293 T cells. Although HuPON displays interesting catalytic properties, a site-directed mutagenesis program was undertaken to improve its catalytic efficiency. PTE has high efficiency in hydrolysis of organophosphates, including nerve agents. PTE injected in rat has a half-life of 100 min. However, to overcome pharmacokinetic problems of injected OPH and/or immunological incompatibility, the model enzyme (recombinant PTE) was immobilized onto a hollow-fiber reactor. This reactor designed for extracorporeal blood circulation is under experimentation for post-exposure detoxification.

Asunto(s)

Terapia Enzimática , Enzimas/metabolismo , Intoxicación por Organofosfatos , Compuestos Organofosforados/metabolismo , Animales , Catálisis , Humanos , Hidrólisis

RESUMEN

The aim of this study was to assess the reliability of immuno-nephelemetric assay (INA) of lipoprotein (Lp(a)) compared with immuno-radiometric (IRMA) and immuno-enzymologic (ELISA) assays in a coronary (P1) and a non-coronary (P2) populations. The serums of 66 coronary subjects (P1) with an average age of 61.5 +/- 10 years and 137 non-coronary subjects (P2) with an average age of 54 +/- 12 years were analysed by the 3 techniques. The technical characteristics of the INA were: negligeable interference with plasminogen (PLG) (< 1/100) for PLG < 375 mg/l; excellent repeatability and reproducibility at low, medium and high concentrations, respectively 12.3 and 7.5%. 1.2 and 1.2%, 1.3 and 1.1%, low dependance on sample conservation (stable 5 days at +4 degrees C), excellent practicability (simple and quick automised analysis: 10 min). The linear correlations with the concentrations of Lp(a) were: excellent with INA/IRMA P1 and P2: 0.99; very good with INA/ELISA P1: 0.88 and P2: 0.85; very good between IRMA/ELISA P1: 0.91 and P2: 0.87. The average values of Lp(a) were 386 mg/l (INA), 339 mg/l (IRMA), 316 mg/l (ELISA) for P1, and 231 mg/l (INA), 212 mg/l (IRMA) and 153 mg/l (ELISA) for P2, with a significant difference between P1 and P2 with all three techniques: 0.0138 (INA), 0.0207 (IRMA) and 0.0001 (ELISA). The authors concluded that measuring Lp(a) by INA is reliable with respect to IRMA and ELISA techniques, as accurate, quicker, automatised and cheaper, compensating for a lower sensitivity, a calculated risk of a non-specific reaction and the necessity of a shorter delay of analysis. The comparative results in two populations demonstrate it to be an excellent marker of coronary risk for epidemiological studies, independant of other risk factors.

Asunto(s)

Enfermedad Coronaria/sangre , Lipoproteína(a)/análisis , Adulto , Anciano , Anciano de 80 o más Años , Estudios de Cohortes , Análisis Costo-Beneficio , Ensayo de Inmunoadsorción Enzimática , Femenino , Humanos , Inmunoensayo , Ensayo Inmunorradiométrico , Lipoproteína(a)/inmunología , Masculino , Persona de Mediana Edad , Nefelometría y Turbidimetría , Reproducibilidad de los Resultados , Medición de Riesgo , Sensibilidad y Especificidad

RESUMEN

The surface glycoproteins of enveloped viruses bind to target cell receptors and trigger membrane fusion for infection. The human immunodeficiency virus 1 (HIV-1) envelope glycoprotein gp120 (CD4 binding protein) and gp41 (transmembrane fusion protein) are initially synthesized as a gp160 precursor. The intracellular cleavage of gp160 by a host cell protease during transit through the secretory pathway is essential for viral activities such as infectivity, membrane fusion, and T-cell syncytium formation. We report that gp160 biogenesis, protein processing, and cell-surface expression have been successfully reproduced in the yeast Saccharomyces cerevisiae. Genetic and biochemical approaches are used for defining that the unique cellular protease, Kex2p, is directly responsible for HIV-gp160 processing in yeast, in vivo and in vitro. The yeast system described in this report represents a powerful strategy for identifying, characterizing and inhibiting the host T-cell protease essential for HIV infectivity and AIDS.

Asunto(s)

Productos del Gen env/biosíntesis , VIH-1/metabolismo , Proproteína Convertasas , Precursores de Proteínas/biosíntesis , Procesamiento Proteico-Postraduccional , Proteínas de Saccharomyces cerevisiae , Saccharomyces cerevisiae/enzimología , Subtilisinas/metabolismo , Membrana Celular/metabolismo , Clonación Molecular , Expresión Génica , Productos del Gen env/aislamiento & purificación , Proteínas gp160 de Envoltorio del VIH , Plásmidos , Reacción en Cadena de la Polimerasa , Precursores de Proteínas/aislamiento & purificación , Proteínas Recombinantes/biosíntesis , Proteínas Recombinantes/aislamiento & purificación , Proteínas del Envoltorio Viral/biosíntesis , Proteínas del Envoltorio Viral/aislamiento & purificación , Proteínas del Envoltorio Viral/metabolismo

RESUMEN

This study examines the reactions of 14 women to the birth of triplets. Home interviews and observations were conducted at 4 months and 1 year after the birth. The findings indicate that the triplet situation constitutes a real source of psychological stress for the women in this study. Reactions depend on two factors: individual makeup, in that some women become depressed whereas others develop defenses, and amount of support from family and friends. These variables, along with mothers' ability to overcome phantasms of abnormality generated by the exceptionality of a multiple maternity, serve to define a set of predictors of good/poor prognosis for the establishment of triplet-mother relationships.

Asunto(s)

Madres/psicología , Trillizos , Adaptación Psicológica , Adulto , Familia/psicología , Femenino , Humanos , Lactante , Relaciones Madre-Hijo , Estrés Psicológico

RESUMEN

A survey questionnaire of 200 families with 2-month-old twins assesses the economic, social and psychological impact of the arrival of twins on family life. The study shows the extent of material difficulties mothers of twins are confronted with, and the ways they cope with them--recourse to mother's helpers, assistance from the father and other members of the family (analyzed in terms of parity and socioeconomic/cultural status), twincare organization strategies, and impact on the decision to stop working. The findings provide an overall picture of the real situation, a necessary prerequisite to an understanding of psychological problems.

Asunto(s)

Familia , Gemelos , Adulto , Cuidadores , Familia/psicología , Padre , Femenino , Humanos , Lactante , Cuidado del Lactante , Masculino , Madres , Factores Socioeconómicos , Mujeres Trabajadoras

RESUMEN

The components of a research program focusing on early mother-twin interaction is described. Preliminary data obtained from a questionnaire at two months post term, cross-sectional observations at the age of one year, a follow-up study involving home observation and parental interviews from birth to the age of 3, point to the specificity of this triadic situation. During the first months of life, the burden of material tasks and the increase in baby care leave little time for starting a relationship based on pleasure or play. The impossibility of responding simultaneously to the needs of two babies and the difficulty of forming relationships on an individual basis foster early concerns for egalitarianism. The degree of physical resemblance between the babies creates the problem of differentiating them. To tell twins apart, mothers rapidly tend to rely on behavioral characteristics to which they attribute a genetic basis. In contrast, differences in development between the babies that introduce the eventuality of the dominance of one of the twins are often denied. In this highly specific situation, mothers arrive at personal solutions of adjustment over the first 3 years, manifest in a certain number of psychological and educational attitudes. Analysis of these maternal attitudes may help to shed light on some of the features of later psychoemotional development in twins.

Asunto(s)

Conducta Materna , Gemelos , Adaptación Psicológica , Preescolar , Femenino , Estudios de Seguimiento , Humanos , Lactante , Cuidado del Lactante , Masculino , Relaciones Madre-Hijo , Conducta Paterna

Asunto(s)

Desarrollo del Lenguaje , Conducta Materna , Relaciones Madre-Hijo , Conducta Verbal , Nivel de Alerta , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Semántica , Medio Social