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1.
Neurosci Biobehav Rev ; 122: 1-17, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33421544

RESUMO

Social rewards or punishments motivate human learning and behaviour, and alterations in the brain circuits involved in the processing of these stimuli have been linked with several neuropsychiatric disorders. However, questions still remain about the exact neural substrates implicated in social reward and punishment processing. Here, we conducted four Anisotropic Effect Size Signed Differential Mapping voxel-based meta-analyses of fMRI studies investigating the neural correlates of the anticipation and receipt of social rewards and punishments using the Social Incentive Delay task. We found that the anticipation of both social rewards and social punishment avoidance recruits a wide network of areas including the basal ganglia, the midbrain, the dorsal anterior cingulate cortex, the supplementary motor area, the anterior insula, the occipital gyrus and other frontal, temporal, parietal and cerebellar regions not captured in previous coordinate-based meta-analysis. We identified decreases in the BOLD signal during the anticipation of both social reward and punishment avoidance in regions of the default-mode network that were missed in individual studies likely due to a lack of power. Receipt of social rewards engaged a robust network of brain regions including the ventromedial frontal and orbitofrontal cortices, the anterior cingulate cortex, the amygdala, the hippocampus, the occipital cortex and the brainstem, but not the basal ganglia. Receipt of social punishments increased the BOLD signal in the orbitofrontal cortex, superior and inferior frontal gyri, lateral occipital cortex and the insula. In contrast to the receipt of social rewards, we also observed a decrease in the BOLD signal in the basal ganglia in response to the receipt of social punishments. Our results provide a better understanding of the brain circuitry involved in the processing of social rewards and punishment. Furthermore, they can inform hypotheses regarding brain areas where disruption in activity may be associated with dysfunctional social incentive processing during disease.


Assuntos
Encéfalo , Motivação , Punição , Recompensa , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico , Humanos , Imageamento por Ressonância Magnética , Neuroimagem
2.
Respir Med Case Rep ; 24: 135-137, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29977781

RESUMO

Infections with Raoultella ornithinolytica have recently been reported more frequently in the medical literature. This pathogen has the potential to cause many types of infections, including pneumonia. Here, we report the first two cases of ventilator-associated pneumonia (VAP) in trauma patients caused by Raoultella ornithinolytica. Both of these infections were successfully treated with antibiotics based on susceptibilities and the patients were able to be transferred out of the intensive care unit.

3.
J Neurosci ; 21(13): 4931-41, 2001 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-11425921

RESUMO

Several taste transduction mechanisms have been demonstrated in mammals, but little is known about their distribution within and across receptor cells. We recorded whole-cell responses of 120 taste cells of the rat fungiform papillae and soft palate maintained within the intact epithelium in a modified Ussing chamber, which allowed us to flow tastants across the apical membrane while monitoring the activity of the cell with a patch pipette. Taste stimuli were: 0.1 m sucrose, KCl, and NH(4)Cl, 0.032 m NaCl, and 3.2 mm HCl and quinine hydrochloride (QHCl). When cells were held at their resting potentials, taste stimulation resulted in conductance changes; reversible currents >5 pA were considered reliable responses. Sucrose and QHCl produced a decrease in outward current and membrane conductance, whereas NaCl, KCl, NH(4)Cl, and HCl elicited inward currents accompanied by increased conductance. Combinations of responses to pairs of the four basic stimuli (sucrose, NaCl, HCl, and QHCl) across the 71-84 cells tested with each pair were predictable from the probabilities of responses to individual stimuli, indicating an independent distribution of sensitivities. Of 62 cells tested with all four basic stimuli, 59 responded to at least one of the stimuli; 16 of these (27.1%) responded to only one, 20 (33.9%) to two, 15 (25.4%) to three, and 8 (13.6%) to all of the basic stimuli. Cells with both inward (Na(+)) and outward (K(+)) voltage-activated currents were significantly more broadly tuned to gustatory stimuli than those with only inward currents.


Assuntos
Papilas Gustativas/fisiologia , Paladar/fisiologia , Cloreto de Amônio/farmacologia , Animais , Células Quimiorreceptoras/efeitos dos fármacos , Células Quimiorreceptoras/fisiologia , Ácido Cítrico/farmacologia , Cultura em Câmaras de Difusão , Epitélio/efeitos dos fármacos , Epitélio/fisiologia , Ácido Clorídrico/farmacologia , Técnicas In Vitro , Potenciais da Membrana/efeitos dos fármacos , Potenciais da Membrana/fisiologia , Palato Mole/citologia , Palato Mole/fisiologia , Técnicas de Patch-Clamp/métodos , Potássio/metabolismo , Cloreto de Potássio/farmacologia , Quinina/farmacologia , Ratos , Ratos Sprague-Dawley , Sensibilidade e Especificidade , Sódio/metabolismo , Cloreto de Sódio/farmacologia , Estimulação Química , Sacarose/farmacologia , Papilas Gustativas/citologia , Papilas Gustativas/efeitos dos fármacos , Língua/citologia , Língua/fisiologia
4.
5.
J Neurophysiol ; 84(2): 628-38, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10938291

RESUMO

One mechanism of salt taste transduction by gustatory receptor cells involves the influx of cations through epithelial sodium channels that can be blocked by oral application of amiloride. A second mechanism is less clearly defined but seems to depend on electroneutral diffusion of the salt through the tight junctions between receptor cells; this paracellular pathway is insensitive to amiloride. Because the first mechanism is more sensitive to sodium salts and the second to nonsodium salts, these peripheral events could underlie the ability of rats to discriminate sodium from nonsodium salts on the basis of taste. Behavioral experiments indicate that amiloride, at concentrations that are tasteless to rats, impairs a rat's ability to discriminate NaCl from KCl and may do so by making both salts taste like KCl. In the present study, we examined the neural representation of NaCl and KCl (0.05-0.2 M), and mixtures of these salts with amiloride (0, 3, and 30 microM), to explore the neural correlates of this behavioral result. NaCl and KCl were represented by distinct patterns of activity in the nucleus of the solitary tract. Amiloride, in a concentration-dependent manner, changed the pattern for NaCl to one more characteristic of KCl, primarily by reducing activity in neurons responding best to NaCl and sucrose. The effect of amiloride concentration on the response to 0.1 M NaCl in NaCl-best neurons was virtually identical to its effect on behavioral discrimination performance. Modeling the effects of blocking the amiloride-insensitive pathway also resulted in highly similar patterns of activity for NaCl and KCl. These results suggest that activity in both the amiloride-sensitive and -insensitive pathways is required for the behavioral discrimination between NaCl and KCl. In the context of published behavioral data, the present results suggest that amiloride-sensitive activity alone is not sufficient to impart a unique signal for the taste of sodium salts.


Assuntos
Aprendizagem por Discriminação/fisiologia , Cloreto de Potássio , Cloreto de Sódio na Dieta , Núcleo Solitário/citologia , Núcleo Solitário/fisiologia , Paladar/fisiologia , Potenciais de Ação/fisiologia , Amilorida/farmacologia , Animais , Comportamento Animal/efeitos dos fármacos , Comportamento Animal/fisiologia , Aprendizagem por Discriminação/efeitos dos fármacos , Diuréticos/farmacologia , Eletrofisiologia , Masculino , Neurônios Aferentes/química , Neurônios Aferentes/fisiologia , Ratos , Ratos Sprague-Dawley , Bloqueadores dos Canais de Sódio , Estimulação Química , Paladar/efeitos dos fármacos
6.
Physiol Behav ; 69(1-2): 77-85, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10854919

RESUMO

Over the past 25 years, there have been two opposing views of how taste information is represented in the activity of gustatory neurons. One view, the across-fiber pattern (AFP) theory, postulates that taste quality is represented by the pattern of activity across the afferent population. Stimuli with similar tastes produce similar patterns of activity. The other view is that activity in a few distinct neuron types codes taste quality in a "labeled-line" fashion. Neurons responding best to sucrose, for example, would represent "sweetness," and those responding best to NaCl would code "saltiness." Some of these neuron types appear to have a biological significance, such as the NaCl-best cells, which receive input about sodium stimuli exclusively from an amiloride-sensitive epithelial ion channel. However, the relatively broad tuning of these neurons makes it unlikely that they are capable of unambiguously coding information about taste quality. Rather, these neuron types play a critical role in establishing unique AFPs that distinguish among taste stimuli. The relative activity across these cell types represent taste quality, much like the patterns of activity across broadly tuned photoreceptors code information about stimulus wavelength.


Assuntos
Fenômenos Fisiológicos do Sistema Nervoso , Neurônios Aferentes/fisiologia , Paladar/fisiologia , Animais , Humanos , Vias Neurais/citologia , Vias Neurais/fisiologia
7.
Brain Res ; 858(2): 408-15, 2000 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-10708694

RESUMO

The nucleus of the solitary tract (NST) receives descending connections from several forebrain targets of the gustatory system, including the insular cortex. Many taste-responsive cells in the NST are inhibited by gamma-aminobutyric acid (GABA). In the present study, we investigated the effects of cortical stimulation on the activity of gustatory neurons in the NST. Multibarrel glass micropipettes were used to record the activity of NST neurons extracellularly and to apply the GABA(A) antagonist bicuculline methiodide (BICM) into the vicinity of the cell. Taste stimuli were 0.032 M sucrose (S), 0.032 M NaCl (N), 0.00032 M citric acid (H), and 0.032 M quinine hydrochloride (Q), presented to the anterior tongue. Each of 50 NST cells was classified as S-, N-, H-, or Q-best on the basis of its response to chemical stimulation of the tongue. The ipsilateral insular cortex was stimulated both electrically (0.5 mA, 100 Hz, 0.2 ms) and chemically (10 mM DL-homocysteic acid, DLH), while the spontaneous activity of each NST cell was recorded. The baseline activity of 34% of the cells (n=17) was modulated by cortical stimulation: eight cells were inhibited and nine were excited. BICM microinjected into the NST blocked the cortical-induced inhibition but had no effect on the excitatory response. Although the excitatory effects were distributed across S-, N-, and H-best neurons, the inhibitory effects of cortical stimulation were significantly more common in N-best cells. These data suggest that corticofugal input to the NST may differentially inhibit gustatory afferent activity through GABAergic mechanisms.


Assuntos
Córtex Cerebral/citologia , Inibição Neural/fisiologia , Núcleo Solitário/citologia , Paladar/fisiologia , Ácido gama-Aminobutírico/fisiologia , Animais , Bicuculina/análogos & derivados , Bicuculina/farmacologia , Córtex Cerebral/fisiologia , Ácido Cítrico , Cricetinae , Eletrofisiologia , Masculino , Mesocricetus , Microinjeções , Relaxantes Musculares Centrais , Inibição Neural/efeitos dos fármacos , Neurônios Aferentes/fisiologia , Quinina , Cloreto de Sódio , Núcleo Solitário/fisiologia , Estimulação Química , Sacarose , Paladar/efeitos dos fármacos
8.
J Comp Neurol ; 415(2): 230-9, 1999 Dec 13.
Artigo em Inglês | MEDLINE | ID: mdl-10545162

RESUMO

An afferent nerve fiber supplying a taste bud receives input from several taste receptor cells, yet is predominantly responsive to one of the classic taste qualities (salt, acid, sweet, or bitter). This specificity requires recognition between taste receptor cells and nerve fibers that may be mediated by surface markers correlating with function. In an effort to identify potential markers, we used immunofluorescence and confocal microscopy to examine expression of the oligosaccharide blood-group antigens Lewis(b), A, and H type 2 in taste buds of the rat oral cavity. We compared the distributions of these antigens with that of alpha-gustducin, a G-protein subunit implicated in responses to sweet- and bitter-tasting substances. The A and Lewis(b) antigens were present only on spindle-shaped cells whose apical processes reached the taste pore. These antigens were not present on epithelial cells surrounding taste buds, and Lewis(b) was not found elsewhere in the digestive tract. Lewis(b) and A were not removed by lipid extraction, suggesting that they are present on glycoproteins rather than glycolipids. All Lewis(b)-positive cells expressed alpha-gustducin, but only a fraction of alpha-gustducin-positive cells expressed Lewis(b). The fraction of taste-bud cells expressing Lewis(b) decreased in the order: vallate papillae > foliate papillae > nasoincisor duct. The epiglottis had almost no taste-bud cells that expressed Lewis(b). The A antigen appeared on taste-bud cells that also expressed alpha-gustducin in the order: foliate and vallate papillae > nasoincisor duct and epiglottis > fungiform papillae. In addition, the A antigen was present on many cells that lacked alpha-gustducin in foliate and vallate papillae. In vallate papillae, cells expressed either A or Lewis(b), but not both. Lewis(b) appears to be restricted to differentiated light cells that also express alpha-gustducin and may be involved in intercellular interactions of these cells.


Assuntos
Metabolismo dos Carboidratos , Antígenos do Grupo Sanguíneo de Lewis/metabolismo , Papilas Gustativas/metabolismo , Transducina/metabolismo , Animais , Feminino , Imuno-Histoquímica , Masculino , Microscopia Confocal , Ratos , Papilas Gustativas/citologia
9.
Curr Opin Neurobiol ; 9(4): 427-35, 1999 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10448155

RESUMO

The nervous system encodes information relating chemical stimuli to taste perception, beginning with transduction mechanisms at the receptor and ending in the representation of stimulus attributes by the activity of neurons in the brain. Recent studies have rekindled the long-standing debate about whether taste information is coded by the pattern of activity across afferent neurons or by specifically tuned 'labeled lines'. Taste neurons are broadly tuned to stimuli representing different qualities and are also responsive to stimulus intensity and often to touch and temperature. Their responsiveness is also modulated by a number of physiological factors. In addition to representing stimulus quality and intensity, activity in taste neurons must code information about the hedonic value of gustatory stimuli. These considerations suggest that individual gustatory neurons contribute to the coding of more than one stimulus parameter, making the response of any one cell meaningful only in the context of the activity of its neighbors.


Assuntos
Transdução de Sinais/fisiologia , Papilas Gustativas/fisiologia , Paladar/fisiologia , Ácidos/administração & dosagem , Amilorida/administração & dosagem , Animais , Diuréticos/administração & dosagem , Sais/administração & dosagem , Transdução de Sinais/efeitos dos fármacos , Sacarose/administração & dosagem , Paladar/efeitos dos fármacos , Papilas Gustativas/efeitos dos fármacos
10.
J Neurophysiol ; 81(6): 2636-46, 1999 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10368384

RESUMO

NaCl and KCl are monovalent salts that can be discriminated behaviorally by hamsters on the basis of their tastes. We examined the effects of the passive Na+ channel blocker amiloride on responses to both of these salts in 34 taste-responsive neurons of the nucleus of the solitary tract (NST) in the hamster. The effects of amiloride were assessed with two different, commonly employed stimulus protocols. Additionally, concentration-response functions for each salt were measured in 37 neurons. Cells were characterized by their best response to (in M) 0. 03 NaCl, 0.1 sucrose, 0.003 HCl, 0.001 quinine hydrochloride, and 0. 1 KCl. In neurons classified as NaCl-best, amiloride reversibly blocked responses to both NaCl and KCl. In neurons classified as HCl-best, amiloride had no effect on either stimulus. In sucrose-best neurons, amiloride blocked the response to NaCl but not KCl. These results support the hypothesis that both salts are transduced by at least two different receptor mechanisms. In the NST, information arising from these different inputs is maintained in discrete populations of neurons. In addition to differences in amiloride sensitivity, the cell types also differed in their responses to the salts across concentration. At midrange salt concentrations, NaCl-best neurons were far more responsive to NaCl than KCl, whereas HCl- and sucrose-best neurons responded equivalently to the two salts at all concentrations. Because NaCl- and HCl-best cells cannot by themselves distinguish NaCl from KCl, it is the relative activity across these cell types that comprises the code for taste discrimination.


Assuntos
Neurônios/efeitos dos fármacos , Cloreto de Potássio/farmacologia , Cloreto de Sódio/farmacologia , Núcleo Solitário/efeitos dos fármacos , Paladar/fisiologia , Potenciais de Ação/efeitos dos fármacos , Amilorida/farmacologia , Animais , Cricetinae , Estimulação Elétrica , Masculino , Mesocricetus , Microeletrodos , Neurônios/fisiologia , Núcleo Solitário/citologia , Núcleo Solitário/fisiologia
11.
Curr Biol ; 9(12): R453-5, 1999 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-10375517

RESUMO

Two G-protein-coupled receptors have been identified that are present in the apical membranes of rat and mouse taste cells and differentially distributed across the tongue and palate. They are strong candidates for being taste receptors and their discovery has provided new tools for research into gustatory processing.


Assuntos
Receptores Acoplados a Proteínas G , Paladar/fisiologia , Animais , Proteínas de Ligação ao GTP/fisiologia , Humanos , Camundongos , Ratos , Receptores de Superfície Celular/fisiologia , Papilas Gustativas/fisiologia
12.
J Comp Neurol ; 409(1): 118-30, 1999 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-10363715

RESUMO

Although taste buds are trophically dependent on their innervation, cross-reinnervation experiments have shown that their gustatory sensitivities are determined by the local epithelium. Both the gustatory G-protein, alpha-gustducin, and the cell-surface carbohydrate, the A blood group antigen, are expressed by significantly fewer fungiform than vallate taste cells in the rat. In these experiments, one side of the anterior portion of the tongue was cross-reinnervated by the IXth nerve in order to determine whether the molecular expression of taste bud cells is determined by the epithelium from which they arise or by the nerve on which they are trophically dependent. The proximal portion of the IXth nerve was anastomosed to the distal portion of the chorda tympani (CT) nerve using fibrin glue (IX-CT rats). Control animals had the CT cut and reanastomosed using the same technique (CT-CT rats), or had the CT avulsed from the bulla and resected to prevent regeneration (CTX rats). The animals survived for 12 weeks postoperatively, and the tongues were removed, stained with methylene blue, and the fungiform taste pores counted on both sides. Tissue from the anterior 5 mm of the tongue was cut into 50-microm sections, which were incubated with antibodies against alpha-gustducin and the human blood group A antigen. In both CT-CT and IX-CT rats, there was regeneration of fungiform taste buds, although in both groups there were significantly fewer taste buds on the operated side of the tongue. The normal vallate papilla had a mean of 8.37 alpha-gustducin-expressing cells and 5.22 A-expressing cells per taste bud, whereas the fungiform papillae contained 3.06 and 0.23 cells per taste bud, respectively. In both CT-CT and IX-CT rats there was a normal number of cells expressing alpha-gustducin or the A antigen in regenerated taste buds; in the CTX animals there was a significant decrease in the expression of these markers. These results demonstrate that the molecular phenotype of taste bud cells is determined by the local epithelium from which they arise and not by properties of the innervating nerve.


Assuntos
Sistema ABO de Grupos Sanguíneos/imunologia , Nervo Glossofaríngeo/fisiologia , Isoantígenos/metabolismo , Ratos/fisiologia , Papilas Gustativas/metabolismo , Transducina/metabolismo , Animais , Humanos , Imuno-Histoquímica , Masculino , Ratos Sprague-Dawley , Regeneração/fisiologia , Papilas Gustativas/fisiologia
13.
J Neurophysiol ; 80(3): 1362-72, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9744945

RESUMO

Biophysical studies of isolated taste receptor cells show that one mechanism of Na+ salt transduction involves the inward movement of Na+ through amiloride-blockable ion channels on the apical receptor cell membrane, which leads to a direct depolarization. Hamster taste receptor cells with amiloride-blockable Na+ responses also show an amiloride-sensitive H+ current. Thus one mechanism for the transduction of acid taste involves the amiloride-sensitive channel. We investigated the effects of amiloride on responses to acids in neurons of the nucleus of the solitary tract (NST) of the hamster. The responses of 47 NST neurons were recorded extracellularly while the anterior tongue was stimulated with solutions representing the four taste qualities (NaCl, sucrose, HCl, quinine), which were used to characterize each cell on the basis of its best stimulus. The effects of amiloride on responses to 10 mM HCl, 10 mM citric acid, 100 mM NaCl, and 100 mM sucrose were then investigated. Stimuli were presented alone for 30 s (control trials) and also presented for 10 s, followed by a mixture of the stimulus with 10 microM amiloride for 10 s, followed by the stimulus alone again for 10 s (amiloride trials). The effects of amiloride were assessed by comparing the responses of cells with the stimulus + amiloride with that of the stimulus alone. In neurons classified as NaCl-best, amiloride reversibly blocked responses to NaCl, HCl, and citric acid. In HCl-best neurons, amiloride had no effect on responses to any of these stimuli. In sucrose-best neurons, amiloride blocked the response to NaCl but not to sucrose or to either acid. These results support the hypothesis that acids are transduced by at least two different receptor mechanisms in the hamster, amiloride sensitive and amiloride insensitive. At the NST, these inputs are tightly maintained in two separate populations of neurons. Sucrose-best neurons, which show amiloride effects on NaCl but not acids, appear to receive converging inputs from both amiloride-sensitive (N-best) and amiloride-insensitive (H-best) chorda tympani nerve fibers.


Assuntos
Amilorida/farmacologia , Diuréticos/farmacologia , Cloreto de Sódio/farmacologia , Núcleo Solitário/fisiologia , Paladar/fisiologia , Potenciais de Ação/efeitos dos fármacos , Potenciais de Ação/fisiologia , Animais , Ácido Cítrico/farmacologia , Cricetinae , Eletrofisiologia , Ácido Clorídrico/farmacologia , Masculino , Fibras Nervosas/efeitos dos fármacos , Fibras Nervosas/fisiologia , Núcleo Solitário/citologia , Sacarose/farmacologia
14.
Chem Senses ; 23(2): 159-69, 1998 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9589164

RESUMO

The effects of gamma-aminobutyric acid (GABA) and the GABAA receptor antagonist bicuculline methiodide (BICM) on the activity of taste-responsive neurons in the nucleus of the solitary tract (NST) were examined electrophysiologically in urethane-anesthetized hamsters. Single neurons in the NST were recorded extracellularly and drugs (21 nl) were microinjected into the vicinity of the cell via a multibarrel pipette. The response of each cell was recorded to lingual stimulation with 0.032 M NaCl, 0.032 M sucrose, 0.0032 M citric acid and 0.032 M quinine hydrochloride (QHCl). Forty-six neurons were tested for the effects of GABA; the activity of 29 cells (63%) was inhibited by 5 mM GABA. Whether activity was elicited in these cells by repetitive anodal current stimulation (25 microA, 0.5 s, 0.1 Hz) of the tongue (n = 13 cells) or the cells were spontaneously active (n = 13 cells), GABA produced a dose-dependent (1, 2 and 5 mM) decrement in activity. Forty-seven NST neurons were tested for the effects of BICM on their responses to chemical stimulation of the tongue; the responses of 28 cells (60%) were enhanced by 10 mM BICM. The gustatory responses of 26 of these cells were tested with three concentrations (0.2, 2 and 10 mM) of BICM, which produced a dose-dependent increase in both spontaneous activity and taste-evoked responses. Nine of these neurons were sucrose-best, seven were NaCl-best, eight were acid-best and two responded best to QHCl. The responses to all four tastants were enhanced, with no difference among neuron types. For 18 cells that were tested with two or more gustatory stimuli, BICM increased their breadth of responsiveness to their two most effective stimuli. These data show that approximately 60% of the taste-responsive neurons in the rostral NST are inhibited by GABA and/or subject to a tonic inhibitory influence, which is mediated by GABAA receptors. The modulation of these cells by GABA provides a mechanism by which the breadth of tuning of the cell can be sharpened. Modulation of gustatory activity following a number of physiological changes could be mediated by such a GABAergic circuit.


Assuntos
Bicuculina/análogos & derivados , Neurônios Aferentes/efeitos dos fármacos , Núcleo Solitário/efeitos dos fármacos , Paladar/fisiologia , Ácido gama-Aminobutírico/farmacologia , Animais , Bicuculina/farmacologia , Cricetinae , Antagonistas GABAérgicos/farmacologia , Masculino , Neurônios Aferentes/fisiologia , Núcleo Solitário/citologia , Núcleo Solitário/fisiologia
15.
J Surg Oncol ; 67(3): 168-73, 1998 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9530887

RESUMO

BACKGROUND AND OBJECTIVES: To characterize both atypical hyperplasia (AH) and the malignancies typically present at open surgical biopsy in women diagnosed with AH by stereotactic core needle biopsy (SCNB). METHODS: Patients with AH diagnosed by SCNB were advised to undergo surgical biopsy to rule out an associated malignancy. Mammography findings, pathology reports and follow-up data were analyzed. RESULTS: AH was identified by SCNB in 38 of 893 (4.3%) patients. Carcinoma was identified in 12 of 33 (36.4%) patients who went on to surgical biopsy. Ductal carcinoma in situ (DCIS) was present in 11 of the 12 patients with malignancy. There were no characteristic mammographic findings which would identify patients with carcinoma. CONCLUSIONS: When SCNB returns a diagnosis of AH there is a substantial risk of an associated malignancy in the breast. There appear to be no definitive criteria to distinguish which patients harbor a malignancy, and surgical biopsy should always serve as an adjunct diagnostic procedure.


Assuntos
Biópsia por Agulha/métodos , Neoplasias da Mama/diagnóstico , Mama/patologia , Carcinoma in Situ/diagnóstico , Carcinoma Ductal de Mama/diagnóstico , Neoplasias da Mama/patologia , Carcinoma in Situ/patologia , Carcinoma Ductal de Mama/patologia , Feminino , Humanos , Hiperplasia/patologia , Mamografia
16.
Ann N Y Acad Sci ; 855: 450-6, 1998 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-9929638

RESUMO

The rostral portion of the nucleus of the solitary tract (NST) contains second-order gustatory neurons, sends projections to the parabrachial complex and brainstem reticular formation, and receives descending projections from several nuclei of the ascending gustatory pathway. Electrophysiological responses of NST neurons can be modulated by several factors, including blood glucose and insulin levels and taste aversion conditioning. We are using extracellular electrophysiological recording in vivo, combined with local microinjection of neurotransmitter agonists and antagonists, to study the mechanisms by which taste responses of cells in the hamster NST can be modulated. Afferent fibers of the chorda tympani (CT) nerve make excitatory synaptic contact with NST neurons; this excitation is probably mediated by the excitatory amino acid glutamate. Microinjection of kynurenic acid, a nonspecific glutamate receptor antagonist, into the NST completely and reversibly blocks afferent input from the CT nerve, produced by either anodal electrical or chemical stimulation of the anterior tongue. The non-NMDA ((RS)-alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA)/kainate) receptor antagonist 6-cyano-7-nitroquinoxaline-2, 3-dione (CNQX) also completely blocks gustatory input to these cells, whereas the N-methyl-D-aspartate (NMDA) antagonist DL-2-amino-5-phosphonovalerate (APV) produces only a small effect. There are many gamma-aminobutyric acid (GABA)-containing neurons within the NST and taste-responsive NST cells are maintained under a tonic GABAergic inhibition. Microinjection of the GABAA receptor antagonist bicuculline methiodide increases the taste responsiveness of NST neurons, whereas application of GABA inhibits taste responses in these cells. Preliminary data show that GABAergic inhibition can be produced by stimulation of the gustatory cortex. There are both intrinsic substance P (SP)-containing neurons and extrinsic SP-immunoreactive fibers in the rostral NST. Microinjection of SP into the NST enhances the responses of many NST cells to gustatory stimulation; NaCl-best neurons are preferentially excited by SP.


Assuntos
Tronco Encefálico/fisiologia , Paladar/fisiologia , Animais , Cricetinae , Eletrofisiologia , Neurotransmissores/agonistas , Neurotransmissores/antagonistas & inibidores , Neurotransmissores/fisiologia
17.
Somatosens Mot Res ; 15(4): 276-86, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9875546

RESUMO

The mechanisms by which cortical neurons perform spatial and temporal integration of synaptic inputs are dependent, in large part, on the numbers, types, and distributions of their synapses. To further our understanding of these integrative mechanisms, we examined the distribution of synapses on identified classes of cortical neurons. Pyramidal cells in the cat motor cortex projecting either to the ipsilateral somatosensory cortex or to the spinal cord were labeled by the retrograde transport of horseradish peroxidase. Entire soma of selected corticocortical and corticospinal cells were examined using serial-section electron microscopy. The profiles of these somata and the synapses formed with each of these profiles were reconstructed from each thin section with a computer-aided morphometry system. All somatic synapses were of the symmetrical, presumably inhibitory type. For both cell types, these synapses were not homogeneously distributed over the somatic membrane, but were clustered at several discrete zones. The number and density of synapses on the somata of different corticocortical and corticospinal neurons were not significantly different. However, the density of these synapses was inversely correlated with the size of their postsynaptic somata. We discuss the significance of these findings to the integrative properties of cortical neurons.


Assuntos
Córtex Motor/citologia , Células Piramidais/ultraestrutura , Sinapses/ultraestrutura , Animais , Gatos , Feminino , Masculino , Microscopia Eletrônica , Propriedades de Superfície
18.
Chem Senses ; 23(6): 735-42, 1998 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9915120

RESUMO

The G protein subunit alpha-gustducin is expressed in a subset of light (Type II) but not in dark (Type I) cells in rat vallate taste buds. The thymidine analogue 5-bromo-2'-deoxyuridine (BrdU) is incorporated into DNA during the S-phase of the cell cycle and can be used to determine the time of origin of a cell. In this study, 31 rats were injected with BrdU (50 mg/kg i.p.) and perfused at various times, from 2.5 to 10.5 days, following BrdU administration. Vallate papillae were embedded in polyester wax, cut into 4 microm transverse sections, and characterized with antibodies to BrdU and alpha-gustducin. Sections were processed for indirect immunofluorescence or with an immunoperoxidase procedure. From immunoperoxidase material on 21 rats, counts of alpha-gustducin- and BrdU-labeled cells were obtained from 300-800 taste bud profiles at each survival time; a total of 4122 taste bud profiles were examined. Cells with nuclei immunoreactive for BrdU occurred within the taste buds at 2.5 days and double-labeled cells were clearly evident at 3.5 days; a small number of double-labeled cells were seen as early as 2.5 days. Double-labeled cells reached a peak at 6.5 days and did not decline significantly by 10.5 days. Cells labeled for BrdU but not alpha-gustducin peaked at 5.5 days and showed a significant decline by 8.5 days. These latter cells included light cells not expressing alpha-gustducin and dark cells, which have previously been shown to have a shorter life span than light cells. These data suggest that expression of alpha-gustducin appears very early in a cell's life span and that these cells are longer lived than many of the cells that do not express this G protein.


Assuntos
Papilas Gustativas/citologia , Papilas Gustativas/metabolismo , Transducina/metabolismo , Análise de Variância , Animais , Bromodesoxiuridina/metabolismo , Contagem de Células , Diferenciação Celular , Imunofluorescência , Técnicas Imunoenzimáticas , Masculino , Microscopia Confocal , Ratos , Estimulação Química , Paladar , Transducina/imunologia
19.
Chem Senses ; 22(3): 267-75, 1997 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-9218139

RESUMO

Although there is compelling evidence that amiloride reduces the intensity of Na+ and Li+ salts in humans, its effects on saltiness are conflicting. Many salts elicit not only a salty taste but also one or more side tastes (sweetness, sourness or bitterness). Some studies have shown a suppression of saltiness by amiloride; others show no effect on saltiness but a significant reduction in sourness. In the experiments demonstrating a reduction of saltiness, subjects estimated only saltiness; in those showing an amiloride effect on sourness and not saltiness, subjects estimated all qualities on each trial. The present study examines the role of the psychophysical method in these conflicting results. We have investigated the effects of amiloride on taste quality by modifying only the instructions to the subjects, keeping all other variables constant. One group of subjects (intensity-only) gave magnitude estimates of the overall intensity of a LiCl concentration series. A second group (salty-only) was instructed to estimate the saltiness of the stimuli, and a third group (sour-only) estimated their sourness. Finally, a fourth group (profile) rated all of the taste qualities on each stimulus presentation, using a modified taste profile method. The ratings of all groups were made comparable by the use of 0.1 mM quinine-HCl as a modulus. When subjects used only one response category, amiloride reduced their estimates (of intensity, saltiness or sourness), but if subjects attended to all four qualities, amiloride specifically reduced the sourness of LiCl and had no significant effect on its saltiness. Comparison of the saltiness estimates of the salty-only group to the sum of the salty and sour estimates of the profile group demonstrated that subjects combined these sensations when presented with only one response alternative. To reveal the effect of amiloride on a specific quality of a salt, the psychophysical method must allow subjects to attend to all qualities on each trial. These data and previous results suggest that apical Na+ channels on the taste receptor cell membrane mediate the sourness but not the saltiness of Na+ and Li+ salts.


Assuntos
Amilorida/farmacologia , Paladar/efeitos dos fármacos , Humanos , Ácido Clorídrico , Cloreto de Lítio , Quinina , Sódio
20.
Neuroreport ; 8(7): 1723-7, 1997 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-9189921

RESUMO

The effects of substance (SP) microinjections on the electrophysiological response of gustatory neurons within the nucleus of the solitary tract (NST) were examined in hamsters following either anodal electrical or NaCl stimulation of the anterior tongue. For both types of stimulation, SP produced excitatory and suppressive effects on the activity of gustatory NST neurons, with excitatory effects being more common. In response to repetitive anodal stimulation of the tongue, the modulatory effect of SP lasted 30-400 s. In the presence of SP, the firing rate of 48% of the neurons was increased and that of 9% was decreased following NaCl stimulation. This dual action of SP could be due to direct excitation of teste-responsive neurons and to excitation of inhibitory local circuit neurons which, in turn, decrease the responsiveness of gustatory neurons.


Assuntos
Núcleo Solitário/efeitos dos fármacos , Substância P/farmacologia , Paladar/efeitos dos fármacos , Animais , Cricetinae , Estimulação Elétrica , Masculino , Cloreto de Sódio/farmacologia
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