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This study was undertaken primarily to investigate the plasma protein system in infants with IRDS, as compared with healthy premature infants, as it had previously been reported that the plasma protein concentration in affected infants was abnormally low. It was attempted further to establish biochemical and/or immunological criteria for diagnosis of the disease and to discover reasons for the low IgG concentrations and raised α-fetoprotein concentrations found in the sera of these infants. Maternal serum proteins were also studied during pregnancy and at and after delivery of the infant. Interrelationships between α-fetoprotein, Human Growth Hormone and other proteins, in immunochemical systems were investigated. In summary, the main conclusions reached were as follows: (i) The total serum-protein concentration in affected infants is much reduced, as compared with healthy premature infants of the same gestational age. (ii) In IRDS infants, the relative and absolute concentration, of IgG is extremely low, whereas concentrations of other immune globulins, as far as could be determined, are within normal limits. (iii) Mothers of affected infants have significantly lower concentrations both of serum IgG and of IgM, than mothers of healthy premature infants. These changes in the serum-proteins are present throughout pregnancy. By six weeks post-partum, the IgG level has returned to normal, but the IgM level remains low. Concentrations of IgA and total serum-protein are normal at all times. (iv) Examination of oedema fluid, urine, faeces and amniotic fluid for γ-globulin content, has excluded the possibility that IgG is being lost from the circulation by these routes. (v) IRDS infants have, in their serum, agglutinins of the IgM type directed against the intact maternal IgG molecule. Similar agglutinins are present in a minority of healthy premature infants. Both IRDS and healthy infants have agglutinins against IgG fragments, in approximately 50% of cases. Agglutinin titres against these are similar in the two groups, but the incidence of agglutinins against Bence Jones protein type Lis raised in IRDS. (vi) Affected infants have an elevated serum concentration of α-fetoprotein, which disappears from the serum during the: first week of post-natal life. (vii) The majority of pregnant women examined have been observed to have serum agglutinins directed against α-fetoprotein. These cross-react with albumin prepared from sera of healthy adult males α-fetoprotein has been found in the serum of many pregnant women, especially during the second trimester. (viii) Immunological interrelationships between α-fetoprotein human serum albumin, Human Growth Hormone and human IgG have been demonstrated. (ix) Infants suffering from Rh-isoimmunization exhibit a serum- protein pattern similar to that seen in IRDS. Biochemical and immunological criteria for the diagnosis of IRDS have thus been established. The data to be presented indicate the presence of an immunological factor in the aetiology of the disease.

The investigations to be presented in this thesis arose from studies on the respiration of mitochondria isolated from pig skeletal muscle. These animals developed the syndrome of Malignant Hypermedia after exposure to halothane - a halogenated hydrocarbon used as an inhalation anesthetic agent.

Cadmium, one of the trace metals, has, in the last two to three decades, become increasingly important in both industrial and biological fields. The recognition of cadmium as a serious health hazard has led to a closer examination of its properties and biochemical effects. Cadmium, an element of ata:nic number 48, atomic weight 112.41 and valency 2, is a soft 'White lustrous metal belonging to the second sub-group of the Periodic Table. It has a boiling point of 768°c, melting point of 321°0, is remarkably volatile for a heavy metal, and exists naturaly as a mixture of eight isotopes, constituting 2 x 10-5% of the earth's crust. Extraction of cadmium is by distillation from zinc ores. The electron configuration of cadmium is 4d105s2, and it forms simple bipositive cations only. There are no ligand field stabilization effects in cadmium ions, and the stereochemistry is, therefore, determined solely by size and electrostatic and covalent bonding forces.s Cadmium chloride shows octahedral co-ordination.