RESUMEN
INTRODUCTION: We investigated the potential role of human papillomaviruses (HPVs) in potentially malignant oral disorders, oral leukoplakia (OL) and oral lichen planus (OLP), and in oral squamous cell cancer (OSCC) in an Eastern Hungarian population with a high incidence of OSCC. METHODS: Excised tumor samples (65 OSCC patients) and exfoliated cells from potentially malignant lesions (from 44 and 119 patients with OL and OLP, respectively) as well as from healthy controls (72 individuals) were analysed. OLPs were classified based on clinical appearance, 61 patients had erosive-atrophic lesions (associated with higher malignancy risk, EA-OLP) and 58 had non-erosive non-atrophic lesions (with lower risk of becoming malignant, non-EA-OLP), respectively. Exfoliated cells collected from apparently healthy mucosa accompanied each lesion sample. HPV was detected by MY/GP polymerase chain reaction (PCR) and genotyped by restriction analysis of amplimers. Copy numbers in lesions were determined using real-time PCR. Prevalence rates, copy number distributions, and association with risk factors and diseases were analysed using chi-square test, t-test, and logistic regression, respectively. RESULTS: We detected HPVs significantly more frequently in lesions than in controls (P < or = 0.001 in all comparisons). HPV prevalence increased gradually with increasing severity of lesions (32.8, 40.9, and 47.7% in OLP, OL, and OSCC, respectively). Copy number distribution patterns roughly corresponded to prevalence rates, but OLP and OL were comparable. HPV prevalence differed significantly between EA-OLP and non-EA-OLP groups (42.6 vs. 22.4%); EA-OLP group showed a prevalence similar to that found in OL. CONCLUSION: HPVs may be involved in the development or progression of not only OSCC but also of potentially malignant oral lesions.
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Carcinoma de Células Escamosas/virología , Leucoplasia Bucal/virología , Liquen Plano Oral/virología , Mucosa Bucal/virología , Neoplasias de la Boca/virología , Papillomaviridae/aislamiento & purificación , Adulto , Anciano , Anciano de 80 o más Años , Estudios de Casos y Controles , Transformación Celular Neoplásica , Femenino , Humanos , Hungría , Modelos Logísticos , Masculino , Persona de Mediana Edad , Reacción en Cadena de la Polimerasa/métodos , Factores de Riesgo , Adulto JovenRESUMEN
In this study molecular markers linked to the Rysto gene, which originates from the wild potato species Solanum stoloniferum and confers extreme resistance against PVY, were identified and the applicability of recently published Rysto, markers was analyzed. Three RAPD markers covering a total distance of 8.60 cM were detected in this experiment. The closest of these markers was located 0.53 cM from the gene. From among the published markers only one had diagnostic value in the experimental plant material, and mapped 2.95 cM from the gene, on the side opposite the RAPD markers developed in the present study. All the markers analyzed were present in Solanum stoloniferum accessions, irrespective of their resistance, indicating that these sequences are linked to the locus and not exclusively to the dominant allele of the Rysto gene in the wild species. The inapplicability of several published markers indicates that the genetic background is decisive in this tetraploid and highly heterozygous species. This means that it may be necessary to develop markers from the breeding material itself, until the resistance gene is not cloned and cannot be used as a selection marker in marker-assisted selection.
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Marcadores Genéticos , Solanum tuberosum/genética , Cruzamiento , Cruzamientos Genéticos , Cartilla de ADN , Predisposición Genética a la Enfermedad , Inmunidad Innata/genética , Reacción en Cadena de la Polimerasa , Polimorfismo Genético , Solanum tuberosum/inmunologíaRESUMEN
A competitive crop utilizes resources before they are available to the weeds. The essential steps of developing a competitive crop begin with good stand establishment. A vigorously growing crop is also important towards establishing a competitive stand. Components of establishing a good and vigorous crop stand include crop rotation, seedbed preparation, crop type and variety selection, seed quality and treatment, seeding rate (stand density), seeding date, fertilizer rate and placement, pest and disease control, etc. Failure to properly manage these components leads to poor germination, week seedlings with poor grows and vigor therefore promotes weed competition with the crop. Biomass production and density of weeds and winter wheat plants was studied in a seeding time and nitrogen application small-plot field trial. This trial was a perfect example of how the proper management practices help us to decrease weediness and increase competition of winter wheat. The trial included 3 planting date treatments (early, optimum and late) and 2 nitrogen rate treatments (56 kg N ha-1 and 110 kg N ha-1) in spring top-dressing application. The influence of treatments on the weed infestation and crop plant vs. weed competition was studied at beginning of steam extension (BBCH 32-33, two visible nodes on the steam) and after harvest on the stubble-field. The competitiveness of weeds and crop plants were evaluated by biomass production and also by nutrient content of plant samples. Biomass forming of weeds in wheat canopy was negligible compared to that of weeds, but it was strong on the stubble. Delayed planting Leaded to poorer wheat growth and better weed biomass production. The higher rate of nitrogen resuited in a less weediness on early and optimum time seeded plots, but the tendency was opposite in the late seeded treatment.
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Agricultura/métodos , Productos Agrícolas/crecimiento & desarrollo , Productos Agrícolas/metabolismo , Nitrógeno/metabolismo , Control Biológico de Vectores/métodos , Biomasa , Relación Dosis-Respuesta a Droga , Fertilizantes , Nitrógeno/farmacología , Estaciones del Año , Semillas/crecimiento & desarrollo , Suelo/análisis , Suelo/normas , Factores de Tiempo , Triticum/crecimiento & desarrollo , Triticum/metabolismoRESUMEN
Both chronic venous insufficiency (CVI) and fatty liver may develop at the same time. Hesperidin and diosmin are used for the treatment CVI. There is no information, however, on the effect of these flavonoids in the redox state of fatty liver. In this study, male Wistar albino rats were fed a lipid-rich diet with or without 450 mg diosmin-50 mg hesperidin-containing drug (60 mg kg(-1) body weight/day, per os) for 9 days to determine the impact of treatment on antioxidant defence system of the fatty liver. We detected free SH-group concentration (SHC), hydrogen-donating ability (HDA), and natural scavenger capacity were decreased and hepatic malonaldehyde content and dien conjugate (DC) content in rats with fatty liver were increased compared to the control. After treatment in fatty liver, these parameters (except DC) significantly improved and approached the control value. Our results indicate that diosmin-hesperidin-containing drug may be a useful agent in improving the antioxidant defensive system in alimentary-induced fatty liver disease.
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Citrus/química , Hígado Graso/inducido químicamente , Hígado Graso/metabolismo , Flavonoides/farmacología , Alanina Transaminasa/sangre , Fosfatasa Alcalina/metabolismo , Animales , Aspartato Aminotransferasas/sangre , Colesterol/metabolismo , HDL-Colesterol/metabolismo , Dieta , Grasas de la Dieta , Hígado Graso/patología , Hepatocitos/patología , Homeostasis/efectos de los fármacos , L-Lactato Deshidrogenasa/metabolismo , Pruebas de Función Hepática , Masculino , Oxidación-Reducción , Estrés Oxidativo/efectos de los fármacos , Ratas , Ratas Wistar , Triglicéridos/metabolismoRESUMEN
Aims Labyrinthectomized rats are suitable models to test consequences of vestibular lesion and are widely used to study neural plasticity. We describe a combined microsurgical-chemical technique that can be routinely performed with minimum damage. Methods Caudal leaflet of the parotis is elevated. The tendinous fascia covering the bulla is opened frontally from the sternomastoid muscle's tendon while sparing facial nerve branches. A 4 mm diameter hole is drilled into the bulla's hind lower lateral wall to open the common (in rodents) mastoid-tympanic cavity. The cochlear crista (promontory) at the lower posterior part of its medial wall is identified as a bony prominence. A 1 mm diameter hole is drilled into its lower part. The perilymphatic/endolymphatic fluids with tissue debris of the Corti organ are suctioned. Ethanol is injected into the hole. Finally, 10 µL of sodium arsenite solution (50 µM/mL) is pumped into the labyrinth and left in place for 15 min. Simple closure in two layers (fascia and skin) is sufficient. Results and conclusion All rats had neurological symptoms specific for labyrinthectomy (muscle tone, body position, rotatory movements, nystagmus, central deafness). Otherwise, their behavior was unaffected, drinking and eating normally. After a few days, they learned to balance relying on visual and somatic stimuli (neuroplasticity).
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Oído Interno/cirugía , Procedimientos Quirúrgicos Otológicos/métodos , Animales , Procedimientos Quirúrgicos Otológicos/efectos adversos , Procedimientos Quirúrgicos Otológicos/normas , Ratas , Ratas Sprague-Dawley , Estándares de ReferenciaRESUMEN
Earlier, substantial increases in the intramural sympathetic innervation density of rat hind-limb blood vessels were found after 2 weeks of experimental orthostasis with tubular 45 degrees head-up tilt cages. In the present study, we presumed that chronic head-down tilting induces opposite changes in the innervation density. Tilted rats were kept 45 degrees head-down in long tubular cages for either 2 or 4 weeks (HDT2, HDT4), and the control animals were maintained in horizontal tilt cages for the same period (HOR2, HOR4). Segments of the saphenous and brachial veins and arteries were used for quantitative electron microscopic examinations. Intramural innervation density was defined by nerve terminal density (NTD) and synaptic microvesicle count (SVC) within the vascular adventitia. Neither HDT2 nor HDT4 resulted in a decrease of NTD or SVC of the saphenous and brachial veins or arteries; instead, a tendency to increase was observed in some cases. Thus in contrast to the large increases we found earlier in hind-limb vascular innervation density after 2 weeks of head-up tilting, head-down tilting of the same duration-or even twice as long-did not decrease the adventitial innervation density in our model. We assume that the quasi-free locomotor exercise the tilted animals in the long tubular cages were allowed may counteract a possible suppressive effect of chronic head-down tilt on hind-limb vascular innervation density.
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Vasos Sanguíneos/inervación , Extremidades/irrigación sanguínea , Extremidades/inervación , Inclinación de Cabeza/fisiología , Vena Safena/inervación , Animales , Peso Corporal , Ingestión de Líquidos , Ingestión de Alimentos , Extremidad Inferior/irrigación sanguínea , Extremidad Inferior/inervación , Masculino , Ratas , Ratas Sprague-Dawley , Vena Safena/ultraestructura , Factores de TiempoRESUMEN
OBJECTIVE: The aim was to determine the presynaptic modulation of noradrenaline (NA) release from the sympathetic nerve terminals in human isolated papillary muscle. METHODS: Papillary muscle and the right atrial appendage were obtained from operations on 22 patients (10 men and 12 women). The papillary muscle preparations were preincubated with [3H]NA and the release of [3H] at rest and in response to field stimulation was measured. RESULTS: Using an immunohistochemical method dopamine-beta-hydroxylase-positive neurones were found in the papillary muscle and right atrial appendage sample. The release of noradrenaline from the papillary muscle, associated with axonal activity, was enhanced by 7,8(methylenedioxy)-14-alpha-hydroxyalloberbane HCl (CH-38083), a selective alpha 2 adrenoceptor antagonist, and inhibited by xylazine, an alpha 2 adrenoceptor agonist, indicating that negative feedback modulation was functioning. In addition, the release of [3H]NA was enhanced by atropine, pancuronium, and 4-diphenylacetoxy-N-methylpiperidine methiodide (4-DAMP), a selective M3 muscarinic receptor antagonist, and reduced by oxotremorine, a selective muscarinic receptor agonist, indicating that acetylcholine released from the parasympathetic nerve ending was able to reach the varicose noradrenergic axon terminals that are equipped with inhibitory M3 muscarinic receptors. CONCLUSIONS: These findings, obtained for the first time in human papillary muscle, indicate that the release of noradrenaline is modulated by alpha 2 autoreceptors activated by noradrenaline and M3 muscarinic heteroreceptors. Thus during parasympathetic stimulation the release of noradrenaline from the sympathetic axon terminals is presynaptically controlled through muscarinic receptors.
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Norepinefrina/biosíntesis , Músculos Papilares/metabolismo , Terminales Presinápticos/metabolismo , Receptores Muscarínicos/metabolismo , Sistema Nervioso Simpático/metabolismo , Antagonistas Adrenérgicos beta/farmacología , Adulto , Anciano , Atropina/farmacología , Berberina/análogos & derivados , Berberina/farmacología , Cromatografía Líquida de Alta Presión , Técnicas de Cultivo , Dopamina beta-Hidroxilasa/análisis , Estimulación Eléctrica , Retroalimentación , Femenino , Atrios Cardíacos/metabolismo , Humanos , Inmunohistoquímica , Masculino , Persona de Mediana Edad , Oxotremorina/farmacología , Pancuronio/farmacología , Músculos Papilares/efectos de los fármacos , Piperidinas/farmacología , Tritio/metabolismo , Xilazina/farmacologíaRESUMEN
OBJECTIVES: Leg and arm human veins are exposed to different gravitational stresses. We investigated if there is difference in the amount and geometry of secretory vesicles in their endothelium. METHODS: Superficial small vein segments were removed during vascular operations for electromicroscopic analysis. Vesicular area/total endothelial cross-sectional area was determined by computer-based morphometry. Long and short axes of granule cross sections were measured by image analyzing software. RESULTS: Vesicular density in all samples was 2.26 ± 0.34%. There was no significant difference between the vesicular densities of upper extremity and leg. The shape of the vesicles was more frequently elongated in leg than in arm sections (p < 0.01). CONCLUSIONS: The density of the vesicles does not depend on vascular region or orthostatic load. Ellipticity of these granules is significantly different in areas exposed to different gravitational stresses. This might contribute to the differences of thrombotic and hemodynamic properties of leg and upper body veins.
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Endotelio Vascular , Extremidades/irrigación sanguínea , Vesículas Secretoras , Venas , Cuerpos de Weibel-Palade , Adulto , Endotelio Vascular/metabolismo , Endotelio Vascular/ultraestructura , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Masculino , Vesículas Secretoras/metabolismo , Vesículas Secretoras/ultraestructura , Venas/metabolismo , Venas/ultraestructura , Cuerpos de Weibel-Palade/metabolismo , Cuerpos de Weibel-Palade/ultraestructuraRESUMEN
Bocaparvovirus is a newly established genus within the family Parvoviridae and has been identified as a possible cause of enteric, respiratory, reproductive/neonatal and neurological disease in humans and several animal species. In this study, metagenomic analysis was used to identify and characterise a novel bocaparvovirus in the faeces of rabbits with enteric disease. To assess the prevalence of the novel virus, rectal swabs and faecal samples obtained from rabbits with and without diarrhoea were screened with a specific PCR assay. The complete genome sequence of the novel parvovirus was reconstructed. The virus was distantly related to other bocaparvoviruses; the three ORFs shared 53%, 53% and 50% nucleotide identity, respectively, to homologous genes of porcine bocaparvoviruses. The virus was detected in 8/29 (28%) and 16/95 (17%) samples of rabbits with and without diarrhoea, respectively. Sequencing of the capsid protein fragment targeted by the diagnostic PCR identified two distinct bocaparvovirus populations/sub-types, with 91.7-94.5% nucleotide identity to each other. Including these novel parvoviruses in diagnostic algorithms of rabbit diseases might help inform their potential pathogenic role and impact on rabbit production and the virological profiles of laboratory rabbits.
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Infecciones por Parvoviridae/veterinaria , Parvoviridae , Conejos , Animales , Genoma Viral , Parvoviridae/genética , Infecciones por Parvoviridae/virología , Filogenia , Cultivo de VirusRESUMEN
It has been suggested that the Mini-Mental State examination can be used to examine a patient's cognitive profile. We therefore examined the validity of Mini-Mental State subtests and individual items. The memory item, attention-concentration items, and constructional item had satisfactory sensitivity-specificity and correlated significantly with scores on neuropsychological tests. In contrast, four of the five Mini-Mental State language items had very low sensitivity, and three of five failed to correlate with neuropsychological test scores. These findings establish limits with regard to the ability of the Mini-Mental State to generate a cognitive profile. Our data also provide information regarding validity, difficulty level, and optimal cutoff scores for widely used mental status tasks.
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Demencia/diagnóstico , Escala del Estado Mental , Adulto , Anciano , Atención , Femenino , Humanos , Lenguaje , Masculino , Memoria , Persona de Mediana Edad , Pruebas Neuropsicológicas , Escalas de Wechsler , EscrituraRESUMEN
Vasoactive intestinal polypeptide nerve processes and cell bodies were identified by electron microscopic immunocytochemistry in the rat small intestine. Labeled nerve processes were numerous in the inner circular smooth muscle coat and mainly in the mucosa, but were absent in the longitudinal muscle layer. Submucosal blood vessels were often surrounded by immunoreactive vasoactive intestinal polypeptide positive nerves, in close associations (distance less than 40 mn) to blood vessel basement membranes and to smooth muscle cells. In the ganglia of the myenteric and submucous plexuses, labeled fibers surrounded unstained neural cell bodies. The synaptic vesicles of vasoactive intestinal polypeptide positive terminals were 35-40 nm in diameter and some dense core vesicles (80-120 nm in diameter) were also observed in the same profiles. These observations suggest that vasoactive intestinal polypeptide nerves may participate in regulating smooth muscle activity and local blood flow in the small intestine.
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Intestino Delgado/análisis , Péptido Intestinal Vasoactivo/análisis , Animales , Histocitoquímica , Técnicas Inmunológicas , Intestino Delgado/inervación , Intestino Delgado/ultraestructura , Microscopía Electrónica , Fibras Nerviosas/análisis , Neuronas/análisis , RatasRESUMEN
We have examined the possible origin of vasoactive intestinal polypeptide (VIP) and substance P-containing axons and the synapses formed by these axons in the celiac ganglion of the cat, by means of ultrastructural immunohistochemistry combined with various surgical lesions. Axons containing VIP as well as those immunopositive for substance P, formed axo-dendritic and axosomatic synapses with principal ganglion cells. After transection of the superior mesenteric nerve numerous degenerated axonal profiles could be found in the celiac ganglion. Some of these contained VIP immunoreactivity. By contrast in alternate sections stained with substance P antibody only intact axons were labelled. Bilateral vagotomy resulted in the appearance of degenerating axonal profiles in the celiac ganglion, some of which could be stained with substance P antiserum but not with VIP antiserum. Following removal of dorsal root ganglia (Th6-Th12) from both sides, a large number of degenerated axons were found, many of which were immunopositive for substance P but not for VIP. We conclude that the peripheral input to the celiac ganglion contains VIP fibers which form synapses with principal ganglion cells. Substance P-containing fibers reach the celiac ganglion via the vagal nerve as well as from the dorsal root ganglia, and they form synapses with the principal ganglion cells. It is proposed that the VIP and the substance P-containing axons are involved in two different peripheral reflex loops.
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Axones/fisiología , Ganglios Simpáticos/fisiología , Sustancia P/fisiología , Sinapsis/fisiología , Péptido Intestinal Vasoactivo/fisiología , Animales , Gatos , Femenino , Ganglios Simpáticos/ultraestructura , Histocitoquímica , Técnicas para Inmunoenzimas , Masculino , Microscopía ElectrónicaRESUMEN
We investigated the distribution of FMRF amide-like immunoreactivity in the small intestine of the guinea pig. Immunoreactive nerve fibers were found mainly in the myenteric and submucous plexuses and in the inner circular muscle layer. The labeled processes contained variable proportions of small clear vesicles 30-40 nm in diameter and large granular vesicles 80-120 nm in diameter. The large granular vesicles showed heavy immunoreactivity. The antisera against FMRF amide crossreact with peptides belonging to the pancreatic polypeptide family; it has therefore been suggested that the FMRF amide immunoreactivity demonstrated in the small intestine is caused by a peptide that is biosynthetically related to, but not necessarily a member of, the pancreatic polypeptide family.
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Intestino Delgado/inervación , Fibras Nerviosas/inmunología , Neuropéptidos/inmunología , Animales , FMRFamida , Cobayas , Inmunohistoquímica , Intestino Delgado/citología , Intestino Delgado/metabolismo , Masculino , Microscopía Electrónica , Fibras Nerviosas/metabolismo , Fibras Nerviosas/ultraestructura , Neuropéptidos/metabolismoRESUMEN
1. Excessive production of nitric oxide (NO), and the generation of peroxynitrite have been implicated in various proinflammatory conditions. In the present study, using mercaptoethylguanidine (MEG), a selective inhibitor of iNOS and a peroxynitrite scavenger, we investigated the role of iNOS and peroxynitrite in a rat model of periodontitis. 2. Periodontitis was produced in rat by a ligature of 2/0 braided silk placed around the cervix of the lower left 1st molar. Animals were then divided into two groups: one group of rats was treated with MEG (30 mg kg(-1), i.p., 4 times per day for 8 days), animals in the other group received vehicle. At day 8, the gingivomucosal tissue encircling the mandibular 1st molars was removed on both sides from ligated and sham operated animals for inducible nitric oxide synthase (iNOS) activity assay and for immunocytochemistry with anti-iNOS serum. Plasma extravasation was measured with the Evans blue technique. Alveolar bone loss was measured with a videomicroscopy. 3. Ligation caused a significant, more than 3 fold increase in the gingival iNOS activity, whereas it did not affect iNOS activity on the contralateral side, when compared to sham-operated animals. Immunohistochemical analysis revealed iNOS-positive macrophages, lymphocytes and PMNs in the connective tissue and immunoreactive layers of epithelium on side of the ligature, and only a few iNOS reactive connective tissue cells on the contralateral side [corrected]. Ligation significantly increased Evans blue extravasation in gingivomucosal tissue and alveolar bone destruction compared to the contralateral side. MEG treatment significantly reduced the plasma extravasation and bone destruction. 4. The present results demonstrated that ligature-induced periodontitis increases local NO production and that MEG treatment protects against the associated extravasation and bone destruction. Based on the present data, we propose that enhanced formation of NO and peroxynitrite plays a significant role in the pathogenesis of periodontitis.
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Inhibidores Enzimáticos/farmacología , Guanidinas/farmacología , Óxido Nítrico Sintasa/antagonistas & inhibidores , Periodontitis/tratamiento farmacológico , Animales , Permeabilidad Capilar/efectos de los fármacos , Modelos Animales de Enfermedad , Inhibidores Enzimáticos/uso terapéutico , Depuradores de Radicales Libres/farmacología , Guanidinas/uso terapéutico , Inmunohistoquímica , Lipopolisacáridos/farmacología , Masculino , Óxido Nítrico Sintasa/metabolismo , Óxido Nítrico Sintasa de Tipo II , Periodontitis/enzimología , Periodontitis/fisiopatología , Ratas , Ratas WistarRESUMEN
The effect of 2-mercaptoethanol (2-ME) treatment on the nerve elements of the small intestine has been investigated in old mice. In control animals only a few synapses and a very small number of vesicles were found in the nerve terminals. Some of the nerve fibers were observed to be degenerating. After drinking 2-ME daily for 17 months, both the number of synapses and vesicles within the nerve terminals increased. No degenerated fibers were observed. It is assumed that 2-ME has a beneficial influence on the peripheral intestinal nervous system increasing the number of synapses and the vesicle population in the nerve terminals.
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Envejecimiento/fisiología , Antioxidantes/farmacología , Intestino Delgado/efectos de los fármacos , Mercaptoetanol/farmacología , Plexo Mientérico/efectos de los fármacos , Terminaciones Nerviosas/efectos de los fármacos , Animales , Intestino Delgado/ultraestructura , Masculino , Ratones , Ratones Endogámicos CBA , Plexo Mientérico/fisiología , Plexo Mientérico/ultraestructura , Terminaciones Nerviosas/ultraestructuraRESUMEN
This research evaluated Grodzinsky's (1984, 1986a) syntactic loss and Kolk and van Grunsven's (1985) working memory impairment explanations of syntactic comprehension deficits in agrammatic aphasics. Four aphasic patients were evaluated who showed different patterns of impairment on morphological and structural aspects of production. The comprehension tasks compared performance on full and truncated passive sentences. The syntactic loss hypothesis predicted worse performance on truncated than full passives, while the working memory deficit hypothesis predicted the reverse. Neither hypothesis was supported, as the patients performed at a similar level on both types of passives. In addition, there was little relation between the patients' production indices and their comprehension level. The results argue against any global theory of agrammatism that attempts to attribute all agrammatic speech and co-occurring syntactic comprehension deficits to the same source.
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Afasia de Broca/psicología , Afasia/psicología , Lingüística , Memoria a Corto Plazo , Anciano , Humanos , Persona de Mediana Edad , Teoría Psicológica , HablaRESUMEN
OBJECTIVE: The validity of the Geriatric Depression Scale (GDS) in cognitively impaired patients has been questioned. We investigated possible factors (memory loss, dementia severity, unawareness of illness) attenuating the validity of the GDS in patients with dementia. PATIENTS: Eighty-three patients who met research diagnostic criteria for "probable Alzheimer's disease." Subjects with major depressive disorder were excluded. Dementia severity ranged from mild to moderate. SETTING: Outpatient clinics, including institutional settings and private research settings. MEASUREMENTS: Depression--GDS; Hamilton Depression Scale. Memory--Wechsler Memory Scale; Benton Visual Retention Test. Dementia severity--Mini-Mental State Examination. Self-awareness of cognitive deficits--Difference score between a self-report memory questionnaire and an informant-rated memory questionnaire. RESULTS: Multiple regression analysis revealed that Hamilton scores were the major predictor of GDS scores. Memory scores and self-awareness scores were also significant predictors. Dementia severity scores were not a significant predictor. CONCLUSIONS: The GDS is a valid measure of mild-to-moderate depressive symptoms in Alzheimer patients with mild-to-moderate dementia. However, Alzheimer patients who disavow cognitive deficits also tend to disavow depressive symptoms, and the GDS should be used with caution in such patients. Finally, the argument that memory impairment precludes accurate self-report of recent mood is negated by our finding that many patients accurately reported depressive symptoms and that worse memory was associated with more self-reported depressive symptoms.
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Enfermedad de Alzheimer/psicología , Trastorno Depresivo/diagnóstico , Inventario de Personalidad/estadística & datos numéricos , Anciano , Enfermedad de Alzheimer/diagnóstico , Atención Ambulatoria , Trastorno Depresivo/psicología , Femenino , Evaluación Geriátrica/estadística & datos numéricos , Humanos , Masculino , Escalas de Valoración Psiquiátrica/estadística & datos numéricos , Psicometría , Análisis de Regresión , Reproducibilidad de los Resultados , Índice de Severidad de la EnfermedadRESUMEN
Electron microscopic immunocytochemistry was used to identify somatostatin-immunoreactive nerve profiles around the capillary system of the small intestine in the rat and cat. The highest density of somatostatin-immunoreactive nerve profiles was seen in the mucosa, and 25-30% of all immunoreactive profiles were found immediately adjacent to the endothelial cells of capillary blood vessels. About half of the capillary endothelial cells were fenestrated. The majority of the immunoreactive nerve profiles were varicosities, containing synaptic vesicles. These observations suggest that somatostatin might be released from varicose nerve fibers and may contribute to the elevated levels of the peptide measured in portal blood as compared to peripheral blood.
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Intestino Delgado/inervación , Fibras Nerviosas/análisis , Somatostatina/análisis , Animales , Capilares/inervación , Gatos , Endotelio Vascular/inervación , Femenino , Técnicas para Inmunoenzimas , Mucosa Intestinal/inervación , Intestino Delgado/irrigación sanguínea , Masculino , Microscopía Electrónica , Ratas , Ratas EndogámicasRESUMEN
The neuropeptide galanin has species-dependent effects on intestinal motility. It has a contractile effect on rat jejunal muscle while it relaxes guinea-pig ileum by inhibiting cholinergic transmission. Its effect on human gut motility has been unknown. Extensive work led to the discovery of selective galanin analogues such as M15 [galanin(1-12)-Pro-substance-P(5-11)], M35 [galanin(1-12)-Pro-bradykinin(2-9)-amide] that competitively inhibit various actions of galanin in the central nervous system. The present study was designed to examine the effect of galanin, M15 and M35 on longitudinal jejunal smooth muscle strips isolated from humans and rats, and to localize galanin-immunoreactivity in human jejunum. Galanin and ACh were equally effective in stimulating contractions of the isolated jejunal muscle: sigmoid curve fitting showed that maximal contractile response to galanin and ACh were 25.7+/-11.1 mN and 23.7+/-9.7 in humans, while 8.0+/-0.6 and 8.1+/-0.3 mN in rats, respectively. These effects of galanin were not inhibited by either atropine (5 x 10(-6) M) or tetrodotoxin (3 x 10(-6) M). The potency of galanin inducing the contractile actions were similar in humans and rats. Interestingly, neither M15 nor M35 (up to 10(-7) M) were able to inhibit the responses of the smooth muscle to galanin. However, both putative galanin receptor antagonists showed agonist effects in our experimental models. In accordance with the functional studies, both the longitudinal and the circular muscle layers were abundant in nerve fibers and varicosities showing galanin immunoreactivity. Our data suggest that galanin is a potent physiological regulator of jejunal contractions in humans. Its action on the jejunum, however, is mediated by galanin receptors that are different from those located in the central nervous system.
Asunto(s)
Bradiquinina/análogos & derivados , Galanina/fisiología , Motilidad Gastrointestinal/fisiología , Yeyuno/fisiología , Acetilcolina/farmacología , Animales , Bradiquinina/farmacología , Galanina/farmacología , Motilidad Gastrointestinal/efectos de los fármacos , Humanos , Inmunohistoquímica , Técnicas In Vitro , Yeyuno/efectos de los fármacos , Yeyuno/inervación , Masculino , Microscopía Electrónica , Músculo Liso/efectos de los fármacos , Músculo Liso/fisiología , Fibras Nerviosas/metabolismo , Fibras Nerviosas/ultraestructura , Fragmentos de Péptidos/farmacología , Ratas , Ratas Wistar , Sustancia P/farmacologíaRESUMEN
The captopril-inhibited enzyme which forms [Met5]-enkephalin from [Met5]-enkephalin-Arg6,Phe7 in isolated rabbit ear artery was characterized further by using various natural substrate candidates/analogues ([Met5]-enkephalin-Arg6,Phe7 and its amide, [Met5]-enkephalin, angiotensin I and bradykinin), peptidase inhibitors such as captopril, enalaprilate and thiorphan and by endothelial removal. 10(-5) and 10(-4) M but not 10(-6) M captopril reduced the effectiveness of [Met5]-enkephalin-Arg6,Phe7 and potentiated the effect of bradykinin but did not affect markedly the action of the other peptides. Of the inhibitors, enalaprilate was less effective than captopril, and thiorphan had no effect. The [Met5]-enkephalin-Arg6,Phe7-->[Met5]-enkephalin conversion was not affected by endothelial removal. The substrate and inhibitor spectrum of this non-endothelial enzyme activity bears no relationship in other, hitherto characterized dipeptidylcarboxypeptidases/endopeptidases known to be involved in the metabolism of the tested peptides.