Scaling the temperature-dependent boson peak of vitreous silica with the high-frequency bulk modulus derived from Brillouin scattering data.

The position and strength of the boson peak in silica glass vary considerably with temperature T. Such variations cannot be explained solely with changes in the Debye energy. New Brillouin-scattering measurements are presented which allow determining the T dependence of unrelaxed acoustic velocities. Using a velocity based on the bulk modulus, scaling exponents are found which agree with the soft-potential model. The unrelaxed bulk modulus thus appears to be a good measure for the structural evolution of silica with T and to set the energy scale for the soft potentials.

Direct determination of blood recirculation rate in hemodialysis by a conductivity method.

Blood recirculation is one of the key factors of decreasing dialysis efficiency. Determination of recirculation rate (R) is necessary to optimize effective dialysis delivery and to monitor vascular access function. R can be directly measured by a conductivity method in paired filtration dialysis (PFD), a double-compartment hemodiafiltration system that permits direct access to plasma water via the ultrafiltration stream. Measurement of R, in this system, involves the first of two conductivity sensors integrated in a urea monitor (UMS, BelIco-Sorin, Mirandola, Italy), and two saline injections. The rise in conductivity (deltaC1) induced by a 2.7 ml bolus of hypertonic saline 20% (mg/dl) in the arterial line serves for calibration, and is followed by an equivalent injection into the venous line, giving rise to deltaC2. The ratio deltaC2/deltaC1 equals R. A comparison between R values obtained with this method and with the low-flow technique in 31 chronic dialysis patients during 138 PFD sessions is reported. Mean R+/-SD by the conductivity method was 5.1+/-2.0 and 5.7+/-2.0% after 65 and 155 minutes of PFD (correlation coefficient, r = 0.75), whereas it was 6.4+/-4.9% and 5.5+/-4.6% after 30 sec of low blood pump flow for urea and creatinine markers, respectively (r = 0.35). After 120 sec of low flow, mean R increased to 9.0+/-5.1 and 8.8+/-4.6% for urea and creatinine, respectively (r = 0.45). Considerable discrepancies were found in R values measured simultaneously with the two blood markers. Statistically significant differences were found between the two measurement modalities (blood-side and conductivity); the correlation coefficients (r) varied between 0.28 and 0.41. The observed differences in mean R results do not seem considerable from a clinical perspective. The best agreement between blood-side and conductivity R measurements was obtained with Rcreat after 30 sec of low flow. Overall, a wider distribution was found in R values from blood-side determinations, most likely consequent to variability in the dosing method. The conductivity method appears more accurate and simple in assessing total R, and can be readily automated and integrated into the dialysis machine. The authors, therefore, recommend evaluation of R using methods not based on chemical blood concentration values.

Olmsted syndrome: report of two new cases and literature review.

Olmsted syndrome is a rare keratinization disorder; 18 cases have been published so far. It associates a mutilating cogenital palmoplantar keratoderma with periorificial erythematokeratotic lesions. We report herein two new unrelated male children with Olmsted syndrome (OS), one of whom was studied by light and electron microscopy. Our histological, immunohistochemical, and ultrastructural findings suggest that this disease is related to epidermal hyperproliferation. We present herein a review of the twenty cases published so far and discuss the major clinicopathological and genetic features of this disease.

Reversal of selenium and zinc deficiencies in chronic hemodialysis patients by intravenous sodium selenite and zinc gluconate supplementation. Time-course of glutathione peroxidase repletion and lipid peroxidation decrease.

In six chronic dialyzed uremic patients, an intravenous sodium selenite (Se 50 micrograms during 5 wk and then 100 micrograms) and zinc gluconate (Zn 5 mg) supplementation was performed during 20 wk at each dialysis session three times weekly. Before supplementation, plasma Se and Zn, plasma and erythrocytes (RBC) antioxidant metallo-enzymes glutathione peroxidase (GPX), and superoxide dismutase (SOD) were significantly decreased, whereas lipid peroxidation (as thiobarbituric acid reactants TBARs) was increased. To obtain a significative change in plasma selenium, we had to use an Se dose of 100 micrograms/dialysis session. Then, treatment-increased plasma Se (from 0.58 +/- 0.09 to 0.89 +/- 0.16 mumol/L) led to a repletion of RBC-GPX (from 29.6 +/- 6 to 43 +/- 5.8 U/g Hb) and increased plasma GPX levels (from 62 +/- 13 to 151 +/- 43 U/L). Plasma Zn and RBC-SOD did not vary significantly. The change of TBARs was not observed between wk 1 and 4. They decreased significantly between wk 4 (4.80 +/- 0.21 mumol/L) and wk 20 (4.16 +/- 0.26 mumol/L). We noted a low correlation between TBARs and plasma GPX. A strong correlation was observed between Se and plasma GPX. The reversal of Se deficiencies should reduce oxidative damage observed in these patients.

[Dialysis in octagenarians: search for mortality risk factors. Consecutive series of 30 patients]. / La dialyse des octogénaires: recherche de facteurs de risque de mortalité. Série consécutive de 30 patients.

OBJECTIVE: To assess renal replacement therapy in elderly subjects aged 80 years or more in order to depict factors predicting mortality. PATIENTS AND METHODS: We retrospectively studied 30 consecutive patients at the time of starting dialysis from January 1995 to August 1995 and followed this population though March 1996. RESULTS: Only past ischemic heart disease and emergency situations were emphasized as predictor factors of mortality risk. No difference according to mortality between hemodialysis and peritoneal dialysis subgroups was found. CONCLUSION: Excepting usual contraindications for uremic populations, no objective medical criteria are at present time sufficient for excluding chronic renal replacement therapy in very old patients. However, its effect on quality of life must be estimated in order to determine the cost/benefit ratio.

[Mesenteric ischemia in hemodialyzed patients]. / L'ischémie mésentérique chez le sujet dialysé.

OBJECTIVES: Mesenteric ischemia is uncommon in the general population but is frequently encountered in chronic hemodialysis patients. We present here four cases which occurred in our unit within one year while only six cases had been observed in the preceding twenty years. OBSERVATIONS: Four chronic hemodialysis patients (age: 57 to 76 years) with renal failure due to diffuse atheromatous disease, presented non-occlusive mesenteric ischemia. One patient died and one underwent resection of the colon. For the final two patients, prophylactic therapy was initiated. DISCUSSION: Mesenteric ischemia is a severe condition which appears to occur more frequently in end-stage renal disease. In the chronic hemodialysis patient excessive ultrafiltration or a too rapid filtration rate can favor ischemia. Prophylactic measures must be taken at the first sign of ischemia, especially since clinical and biological features of mesenteric ischemia remain largely non-specific.

Effects of phenols on growth rate and adenosine uptake of CHO cells.

The use of Chinese hamster ovary (CHO) cells as a test system for predicting the toxicity of xenobiotics is described. Compared to eukaryotic microorganisms this system is two to three times more sensitive but needs more care in handling. In the study of the effects of various phenol derivatives on CHO cell growth and on an important functional membrane protein, the nucleoside transport system, a good correlation was observed. In addition, in both cases the effects correlated very well with the octanol/water partition coefficient, making quantitative structure-activity predictions possible. The results suggest that there is a common mechanism of action of these lipophilic xenobiotics. They are accumulated in the hydrophobic region of the lipid bilayer of the plasma membrane, where enzymes and transport systems are located, which are important for cell viability. These high concentrations of the chemicals lead to an inhibition of functional membrane proteins, with the consequence that cell growth stops.

Interconversion and uptake of nucleotides, nucleosides, and purine bases by the marine bacterium MB22.

Whole cells and isolated membranes of the marine bacterium MB22 converted nucleotides present in the external medium rapidly into nucleosides and then into bases. Nucleosides and purine bases formed were taken up by distinct transport systems. We found a high-affinity common transport system for adenine, guanine, and hypoxanthine, with a Km of 40 nM. This system was inhibited noncompetitively by purine nucleosides. In addition, two transport systems for nucleosides were present: one for guanosine with a Km of 0.8 microM and another one for inosine and adenosine with a Km of 1.4 microM. The nucleoside transport systems exhibited both mixed and noncompetitive inhibition by different nucleosides other than those translocated; purine and pyrimidine bases had no effect. The transport of nucleosides and purine bases was inhibited by dinitrophenol or azide, thus suggesting that transport is energy dependent. Inside the cell all of the substrates were converted mainly into guanosine, xanthine, and uric acid, but also anabolic products, such as nucleotides and nucleic acids, could be found.

Interaction of xenobiotics on the glucose-transport system and the Na+/K(+)-ATPase of human skin fibroblasts.

The effects of individual and combined xenobiotics on functional properties of the plasma membrane of human skin fibroblasts were investigated. Good correlations between toxic effects on the D-glucose transport system or the Na+/K(+)-ATPase and the lipophilicity of the substances could be observed. The linear regression coefficients plotting log EC20 values (doses, leading to 20% inhibition) versus log Pow (octanol/water partition coefficient) were r = 0.95 (P less than 0.05). The combination of lipophilic with less lipophilic xenobiotics, such as pentachlorophenol with 4-chloroaniline, leads to additional effects. However, when the detergent sodium dodecyl benzenesulfonate was combined with the herbicide 2,4-dichlorophenoxyacetate (2,4-D), the toxic effect of 2,4-D on the Na+/K(+)-ATPase decreased considerably. The results support in general the assumption that the inhibition of integral functional proteins is based on an accumulation of xenobiotics in the plasma membrane, probably due to the enhanced membrane fluidity. Thus, the basic toxicity of xenobiotics can be predicted by their physicochemical properties.

On the mechanism of substrate binding to the purine-transport system of Saccharomyces cerevisiae.

The yeast Saccharomyces cerevisiae takes up adenine, guanine, hypoxanthine, and cytosine via a common energy-dependent transport system. The apparent affinity of the transport system to these and other purines and pyrimidines is correlated with their capability to be protonated to the positively charged form. Further organic molecules are competitive inhibitors when they are cationic, e.g. guanidine and octylguanidine in contrast to urea, or hexadecyltrimethylammonium in contrast to dodecylsulfate and Triton X-100. The influence of the pH on the kinetic constants of hypoxanthine transport points to a stoichiometry of one proton being associated to the transport system together with one substrate molecule. The pKa values of two ionizable groups that are involved in substrate binding are revealed; one of which (pKa = 1.8) may be attributed to the substrate, the other (pKa = 5.1) to an amino acid residue in the recognition site of the transport system. Studies with group-specific inhibitors indicate that this amino acid residue contains a carboxyl group. The results are in accordance with the assumption that a carboxyl group of the transport system, a proton and a substrate molecule arrange to an uncharged ternary complex.

Does 2H2O also protect membrane-bound enzymes?

Thermal inactivation studies performed with several membrane-bound enzymes such as chitin synthase, cytochrome c oxidase, nucleotidase, as well as bacterial, mitochondrial and plasma membrane ATPases from yeast in H2O and 2H2O indicated that most of these enzymes could not be protected by 2H2O against thermal inactivation. Only the Escherichia coli ATPase, which is located at the surface of the membrane, and the cytochrome c oxidase were stabilized by heavy water.

Improved microscale assay for purine phosphoribosyltransferase activities.

We describe an improved and rapid filter-type assay for purine phosphoribosyltransferase activities. 14C-labeled purine bases are used as substrates, and the equipment includes a sampling manifold and glass-fiber filters coated with polyethyleneimine-cellulose. The method is especially suited for assay of a large number of samples, and may be useful for other enzyme activity measurements.

Mechanisms of hypersensitivity reactions during hemodialysis.

We suggest that many severe hypersensitivity reactions during dialysis are IgE mediated (classical anaphylaxis). Besides ETO there must be other substances involved which are not extractable from the dialyzer (e.g. heparin). Some severe reactions are not explained by high IgE levels in the serum. However, in vitro complement activation gives no indication of an anaphylatoxin mediated reaction mechanism, at least in the severe cases of hypersensitivity.

[Aggravation of anemia in a hypertensive hemodialysis patient by captopril treatment]. / Aggravation de l'anémie chez un sujet hémodialysé hypertendu par un traitement au captopril.

We report here the case of an hypertensive chronic hemodialysis patient treated by captopril. Captopril treatment has been effective in normalizing blood pressure but induced a severe anemia necessitating frequent transfusions. Captopril withdrawal eliminated transfusion needs.