Characterisation of aluminium release by the enFlow® fluid-warming system in crystalloids and blood products.

The use of uncoated aluminium-heated plates in an intravenous fluid-warming system has been shown to produce high levels of aluminium in Sterofundin 1/1E, a balanced crystalloid solution. However, the effect of this fluid-warming device on other balanced crystalloid solutions and blood products has not been studied. Using mass spectrometry we measured aluminium levels in Plasma-Lyte 148, compound sodium lactate solution, 4% human albumin solution, expired resuspended packed red cells and fresh frozen plasma that were pumped through an enFlow® fluid-warming system at 2 ml.min-1 . Samples were taken at baseline before heating and then at 10-min intervals up to 60 min with the system set to warm the fluids to 40 °C. High concentrations of aluminium were found for Plasma-Lyte 148 and compound sodium lactate solutions (mean (SD) 223 (0.6) µmol.l-1 and 163 (0.2) µmol.l-1 at 60 min, respectively); both concentrations were significantly greater than the United States Food and Drug Administration recommended maximum limit for aluminium in intravenous nutrition of 25 µg.l-1 (0.9 µmol.l-1 ). Lower aluminium levels were found in 4% human albumin solutions, expired resuspended red cells and fresh frozen plasma at 60 min (mean (SD) 5.7 (0.1) µmol.l-1 , 2.7 (0.0) µmol.l-1 and 2.3 (0.4) µmol.l-1 , respectively). The process allowing addition of aluminium to be added to Sterofundin 1/1E by the enFlow fluid warmer also occurs in Plasma-Lyte 148 and compound sodium lactate solutions and to a lesser degree in blood products. The exact mechanism facilitating this process and its clinical significance remain unclear.

Tributyltin and copper effects on encystment and in vitro excystment of Parorchis acanthus larvae.

Effects of tributyltin (TBT) and copper (Cu) on cercariae and metacercariae of the trematode Parorchis acanthus (Digenea: Philophthalmidae) were investigated. Cercariae released by the dogwhelk, Nucella lapillus were maintained in natural seawater (SW) or solutions of TBT or Cu ranging from 0.001-100 microg l(-1) and 1-6 mg l(-1) respectively before they encysted. Over 79% of the cercariae encysted in control and test solutions. Low concentrations of TBT reduced encystment success more than low concentrations of Cu. The percentage of cercariae that formed cysts in the highest concentrations of both pollutants was higher than in the controls, perhaps representing an 'emergency response' to the pollutants. Before being induced to excyst in vitro, metacercariae were left in the heavy metal solutions for 3 weeks. Metacercariae exposed as cercariae to TBT and Cu achieved lower percentage excystment success than those that had encysted in SW. Cyst walls provided greater protection against Cu than TBT. It was concluded that TBT and Cu had a detrimental effect on the larval stages of P. acanthus at the higher concentrations used but the cyst wall afforded an element of protection if formed in unpolluted seawater before the larval stages were subjected to the pollutants.

Metacercarial encystment and in vivo cultivation of Cercaria lebouri Stunkard 1932 (Digenea: Notocotylidae) to adults identified as Paramonostomum chabaudi Van Strydonck 1965.

Cercariae found occurring in naturally infected gastropod molluscs, Littorina littorea, were identified as Cercaria lebouri Stunkard 1932. They were induced to form metacercarial cysts on the surface of glass Petri dishes. Each cercaria became attached by its oral sucker and adopted a disc-like shape before discarding its tail. A transparent cyst wall was secreted over and around each organism, inside which developmental changes were observed for up to 4 weeks. Six-week-old metacercariae were fed to 1-day-old chickens which yielded adult worms 12 days later. The worms were measured, photographed and described. Initially, attempts to identify the adult worms using a key and catalogue proved ineffective. However, comparison of the adult flukes grown from C. lebouri with the definitive description of Paramonostomum chabaudi van Strydonck 1965 indicated that the two organisms are synonymous. The larval stages of P. chabaudi had not, until now, been identified.

Effects of ammonia and beta-methylene-DL-aspartate on the oxidation of glucose and pyruvate by neurons and astrocytes in primary culture.

Both ammonia and beta-methylene-DL-aspartate (beta-MA), an irreversible inhibitor of aspartate aminotransferase activity and thus of the malate-aspartate shuttle, were found previously to decrease oxidative metabolism in cerebral cortex slices. In the present work, the possibility that ammonia and beta-MA affect energy metabolism by a common mechanism (i.e., via inhibition of the malate-aspartate shuttle) was investigated using primary cultures of neurons and astrocytes. Incubation of astrocytes for 30 min with 5 mM beta-MA resulted in a decreased production of 14CO2 from [U-14C]glucose, but did not affect 14CO2 production from [2-14C]pyruvate. Conversely, incubation of astrocytes with 3 mM ammonium chloride resulted in decreased 14CO2 production from [2-14C]pyruvate, but 14CO2 production from [U-14C]glucose was not significantly affected. Ammonium chloride had no significant effect on 14CO2 production from either [U-14C]glucose or [2-14]pyruvate by neurons. However, incubation of neurons with beta-MA or beta-MA plus ammonium chloride resulted in a approximately 45% decrease of 14CO2 production from both [U-14C]glucose and [2-14C]pyruvate. A 2-h incubation of astrocytes with beta-MA resulted in no change in ATP levels, but a 35% decrease in phosphocreatine. Similar treatment of neurons resulted in greater than 50% decrease in ATP, but had little effect on phosphocreatine. beta-MA also caused a decrease in glutamate and aspartate content of neurons, but not of astrocytes. The different metabolic responses of neurons and astrocytes towards beta-MA were probably not due to a differential inhibition of aspartate aminotransferase which was inhibited by approximately 45% in astrocytes and by approximately 55% in neurons.