Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 308
Filter
1.
J Appl Microbiol ; 124(3): 855-866, 2018 Mar.
Article in English | MEDLINE | ID: mdl-29314469

ABSTRACT

AIMS: The probiotic Bacillus amyloliquefaciens H57 increased weight gain, increased nitrogen retention and increased feed intake in ruminants when administered to the diet. This study aims to develop a better understanding of this probiotic effect by analysing changes in the rumen prokaryotic community. METHODS AND RESULTS: Sequencing the 16S rRNA gene PCR amplicons of the rumen microbiome, revealed that ewes fed H57 had a significantly different rumen microbial community structure to Control sheep. In contrast, dairy calves showed no significant differences in rumen community structure between treatment groups. In both instances, H57 was below detection in the rumen community profile and was only present at low relative abundance as determined by qPCR. CONCLUSIONS: The altered rumen microbial community in sheep likely contributes to increased weight gain through more efficient digestion of plant material. As no change occurred in the rumen community of dairy calves it is suggested that increased weight gain may be due to changes in community function rather than structure. The low relative abundance of H57 as determined by qPCR, suggests that weight gain was not directly mediated by the probiotic, but rather by influencing animal behaviour (feed consumption) and/or altering the native rumen community structure or function. SIGNIFICANCE AND IMPACT OF THE STUDY: This study provides a novel look at the rumen prokaryotic community in both sheep and dairy calves when fed H57. These findings improve our understanding for the potential rumen community involvement in H57-enabled weight gain. The study reveals that the probiotic B. amyloliquefaciens H57 is capable of benefiting ruminants without colonizing the rumen, suggesting an indirect mechanism of action.


Subject(s)
Animal Feed/microbiology , Bacillus amyloliquefaciens/physiology , Bacteria/isolation & purification , Gastrointestinal Microbiome/drug effects , Probiotics/administration & dosage , Rumen/microbiology , Animal Feed/analysis , Animals , Bacteria/classification , Bacteria/genetics , Cattle/metabolism , Cattle/microbiology , Diet/veterinary , Digestion , Female , Male , RNA, Ribosomal, 16S/genetics , Rumen/drug effects , Rumen/metabolism , Sheep/metabolism , Sheep/microbiology , Weight Gain
2.
Proc Natl Acad Sci U S A ; 107(33): 14793-8, 2010 Aug 17.
Article in English | MEDLINE | ID: mdl-20668243

ABSTRACT

Metagenomic and bioinformatic approaches were used to characterize plant biomass conversion within the foregut microbiome of Australia's "model" marsupial, the Tammar wallaby (Macropus eugenii). Like the termite hindgut and bovine rumen, key enzymes and modular structures characteristic of the "free enzyme" and "cellulosome" paradigms of cellulose solubilization remain either poorly represented or elusive to capture by shotgun sequencing methods. Instead, multigene polysaccharide utilization loci-like systems coupled with genes encoding beta-1,4-endoglucanases and beta-1,4-endoxylanases--which have not been previously encountered in metagenomic datasets--were identified, as were a diverse set of glycoside hydrolases targeting noncellulosic polysaccharides. Furthermore, both rrs gene and other phylogenetic analyses confirmed that unique clades of the Lachnospiraceae, Bacteroidales, and Gammaproteobacteria are predominant in the Tammar foregut microbiome. Nucleotide composition-based sequence binning facilitated the assemblage of more than two megabase pairs of genomic sequence for one of the novel Lachnospiraceae clades (WG-2). These analyses show that WG-2 possesses numerous glycoside hydrolases targeting noncellulosic polysaccharides. These collective data demonstrate that Australian macropods not only harbor unique bacterial lineages underpinning plant biomass conversion, but their repertoire of glycoside hydrolases is distinct from those of the microbiomes of higher termites and the bovine rumen.


Subject(s)
Adaptation, Physiological/physiology , Glycoside Hydrolases/metabolism , Macropodidae/physiology , Plants/metabolism , Adaptation, Physiological/genetics , Animals , Bacteria/classification , Bacteria/genetics , Bacteria/metabolism , Cellulosomes/metabolism , Gastrointestinal Tract/microbiology , Glycoside Hydrolases/classification , Glycoside Hydrolases/genetics , Macropodidae/genetics , Macropodidae/microbiology , Metagenome/genetics , Metagenomics/methods , Molecular Sequence Data , Phylogeny , RNA, Ribosomal, 16S/genetics , Seasons , Sequence Analysis, DNA
3.
Sci Rep ; 10(1): 7769, 2020 05 08.
Article in English | MEDLINE | ID: mdl-32385378

ABSTRACT

Microorganisms employ quorum sensing (QS) mechanisms to communicate with each other within microbial ecosystems. Emerging evidence suggests that intraspecies and interspecies QS plays an important role in antimicrobial resistance in microbial communities. However, the relationship between interkingdom QS and antimicrobial resistance is largely unknown. Here, we demonstrate that interkingdom QS interactions between a bacterium, Pseudomonas aeruginosa and a yeast, Candida albicans, induce the resistance of the latter to a widely used antifungal fluconazole. Phenotypic, transcriptomic, and proteomic analyses reveal that P. aeruginosa's main QS molecule, N-(3-Oxododecanoyl)-L-homoserine lactone, induces candidal resistance to fluconazole by reversing the antifungal's effect on the ergosterol biosynthesis pathway. Accessory resistance mechanisms including upregulation of C. albicans drug-efflux, regulation of oxidative stress response, and maintenance of cell membrane integrity, further confirm this phenomenon. These findings demonstrate that P. aeruginosa QS molecules may confer protection to neighboring yeasts against azoles, in turn strengthening their co-existence in hostile polymicrobial infection sites.


Subject(s)
Antifungal Agents/pharmacology , Candida albicans/drug effects , Candida albicans/physiology , Drug Resistance, Fungal , Fluconazole/pharmacology , Pseudomonas aeruginosa/physiology , Quorum Sensing , Biosynthetic Pathways , Ergosterol/biosynthesis , Gene Expression Regulation, Fungal/drug effects , Microbial Interactions
4.
Sci Total Environ ; 747: 141189, 2020 Dec 10.
Article in English | MEDLINE | ID: mdl-32799020

ABSTRACT

The importance of grass pollen to the global burden of allergic respiratory disease is well established but exposure to subtropical and temperate pollens is difficult to discern. Current monitoring of airborne pollen relies on light microscopy, limiting identification of taxa to family level. This informs seasonal fluctuations in pollen aerobiology but restricts analysis of aerobiological composition. We aimed to test the utility of DNA metabarcoding to identify specific taxa contributing to the aerobiome of environmental air samples, using routine pollen and spore monitoring equipment, as well as assess temporal variation of Poaceae pollen across an entire season. Airborne pollen concentrations were determined by light microscopy over two pollen seasons in the subtropical city of Brisbane (27°32'S, 153°00E), Australia. Thirty daily pollen samples were subjected to high throughput sequencing of the plastid rbcL amplicon. Amplicons corresponded to plants observed in the local biogeographical region with up to 3238 different operational taxonomic units (OTU) detected. The aerobiome sequencing data frequently identified pollen to genus levels with significant quantitative differences in aerobiome diversity between the months and seasons detected. Moreover, multiple peaks of Chloridoideae and Panicoideae pollen were evident over the collection period confirming these grasses as the dominant Poaceae pollen source across the season. Targeted high throughput sequencing of routinely collected airborne pollen samples appears to offer utility to track temporal changes in the aerobiome and shifts in pollen exposure. Precise identification of the composition and temporal distributions of airborne pollen is important for tracking biodiversity and for management of allergic respiratory disease.


Subject(s)
Poaceae , Pollen , Allergens , Australia , Cities , Seasons
5.
Appl Environ Microbiol ; 75(9): 2841-9, 2009 May.
Article in English | MEDLINE | ID: mdl-19270133

ABSTRACT

Organisms of the candidate phylum termite group 1 (TG1) are regularly encountered in termite hindguts but are present also in many other habitats. Here, we report the complete genome sequence (1.64 Mbp) of "Elusimicrobium minutum" strain Pei191(T), the first cultured representative of the TG1 phylum. We reconstructed the metabolism of this strictly anaerobic bacterium isolated from a beetle larva gut, and we discuss the findings in light of physiological data. E. minutum has all genes required for uptake and fermentation of sugars via the Embden-Meyerhof pathway, including several hydrogenases, and an unusual peptide degradation pathway comprising transamination reactions and leading to the formation of alanine, which is excreted in substantial amounts. The presence of genes encoding lipopolysaccharide biosynthesis and the presence of a pathway for peptidoglycan formation are consistent with ultrastructural evidence of a gram-negative cell envelope. Even though electron micrographs showed no cell appendages, the genome encodes many genes putatively involved in pilus assembly. We assigned some to a type II secretion system, but the function of 60 pilE-like genes remains unknown. Numerous genes with hypothetical functions, e.g., polyketide synthesis, nonribosomal peptide synthesis, antibiotic transport, and oxygen stress protection, indicate the presence of hitherto undiscovered physiological traits. Comparative analysis of 22 concatenated single-copy marker genes corroborated the status of "Elusimicrobia" (formerly TG1) as a separate phylum in the bacterial domain, which was so far based only on 16S rRNA sequence analysis.


Subject(s)
Bacteria/genetics , Bacteria/isolation & purification , DNA, Bacterial/chemistry , DNA, Bacterial/genetics , Genome, Bacterial , Isoptera/microbiology , Animals , Gastrointestinal Tract/microbiology , Gene Order , Molecular Sequence Data , Phylogeny , Sequence Analysis, DNA
6.
Science ; 294(5543): 789-90, 2001 Oct 26.
Article in English | MEDLINE | ID: mdl-11679651

ABSTRACT

Database protection laws in Europe may have produced a modest, one-time growth spurt for commercial providers. Unfortunately, Europe's new database laws have also produced significant problems including overprotection of low-value data (e.g., telephone books), new barriers to database integration, and further erosion of the public domain. The authors of this Policy Forum caution that these problems could cripple commercial and academic science.


Subject(s)
Databases, Factual/legislation & jurisprudence , Intellectual Property , Europe , European Union , Internet , United States
7.
Nucleic Acids Res ; 34(Web Server issue): W394-9, 2006 Jul 01.
Article in English | MEDLINE | ID: mdl-16845035

ABSTRACT

Microbiologists conducting surveys of bacterial and archaeal diversity often require comparative alignments of thousands of 16S rRNA genes collected from a sample. The computational resources and bioinformatics expertise required to construct such an alignment has inhibited high-throughput analysis. It was hypothesized that an online tool could be developed to efficiently align thousands of 16S rRNA genes via the NAST (Nearest Alignment Space Termination) algorithm for creating multiple sequence alignments (MSA). The tool was implemented with a web-interface at http://greengenes.lbl.gov/NAST. Each user-submitted sequence is compared with Greengenes' 'Core Set', comprising approximately 10,000 aligned non-chimeric sequences representative of the currently recognized diversity among bacteria and archaea. User sequences are oriented and paired with their closest match in the Core Set to serve as a template for inserting gap characters. Non-16S data (sequence from vector or surrounding genomic regions) are conveniently removed in the returned alignment. From the resulting MSA, distance matrices can be calculated for diversity estimates and organisms can be classified by taxonomy. The ability to align and categorize large sequence sets using a simple interface has enabled researchers with various experience levels to obtain bacterial and archaeal community profiles.


Subject(s)
Genes, Archaeal , Genes, Bacterial , RNA, Ribosomal, 16S/genetics , Sequence Alignment/methods , Sequence Analysis, DNA/methods , Software , Algorithms , Genes, rRNA , Internet , User-Computer Interface
8.
Circulation ; 104(5): 533-8, 2001 Jul 31.
Article in English | MEDLINE | ID: mdl-11479249

ABSTRACT

BACKGROUND: Our aims were to compare coronary artery bypass grafting (CABG) and stenting for the treatment of diabetic patients with multivessel coronary disease enrolled in the Arterial Revascularization Therapy Study (ARTS) trial and to determine the costs of these 2 treatment strategies. METHODS AND RESULTS: Patients (n=1205) were randomly assigned to stent implantation (n=600; diabetic, 112) or CABG (n=605; diabetic, 96). Costs per patient were calculated as the product of each patient's use of resources and the corresponding unit costs. Baseline characteristics were similar between the groups. At 1 year, diabetic patients treated with stenting had the lowest event-free survival rate (63.4%) because of a higher incidence of repeat revascularization compared with both diabetic patients treated with CABG (84.4%, P<0.001) and nondiabetic patients treated with stents (76.2%, P=0.04). Conversely, diabetic and nondiabetic patients experienced similar 1-year event-free survival rates when treated with CABG (84.4% and 88.4%). The total 1-year costs for stenting and CABG in diabetic patients were $12 855 and $16 585 (P<0.001) and in the nondiabetic groups, $10 164 for stenting and $13 082 for surgery. CONCLUSIONS: Multivessel diabetic patients treated with stenting had a worse 1-year outcome than patients assigned to CABG or nondiabetics treated with stenting. The strategy of stenting was less costly than CABG, however, regardless of diabetic status.


Subject(s)
Coronary Artery Bypass , Coronary Disease/surgery , Diabetes Complications , Stents , Cerebrovascular Disorders/etiology , Coronary Artery Bypass/adverse effects , Coronary Artery Bypass/economics , Coronary Disease/complications , Coronary Disease/therapy , Coronary Vessels/pathology , Coronary Vessels/surgery , Cost-Benefit Analysis , Female , Humans , Male , Middle Aged , Myocardial Infarction/etiology , Myocardial Revascularization , Postoperative Complications/mortality , Stents/adverse effects , Stents/economics , Survival Analysis , Survival Rate , Treatment Outcome
9.
J Am Coll Cardiol ; 9(6): 1375-84, 1987 Jun.
Article in English | MEDLINE | ID: mdl-3108346

ABSTRACT

Pump failure, ranging from ventricular dysfunction to acute cardiogenic shock, is now the leading cause of cardiac death. Efforts at temporary mechanical or pharmacologic support of the heart have been largely unsuccessful so that attention is now directed toward prevention of ventricular failure and limitation of myocardial infarct size or even outright prevention of infarction itself. In particular, attention has been refocused on earlier reperfusion efforts with streptokinase. The effect of thrombolysis in acute myocardial infarction on enzymatic infarct size, left ventricular function and early mortality was studied in subsets of patients in a randomized trial (Netherlands Interuniversity Cardiology Institute). Early thrombolytic therapy with intracoronary streptokinase (152 patients) or with intracoronary streptokinase preceded by intravenous streptokinase (117 patients) was compared with conventional treatment (264 patients). All 533 patients were admitted to the coronary care unit within 4 hours after onset of symptoms indicative of acute myocardial infarction. Of the patients eligible for this detailed analysis, 245 were allocated to thrombolytic therapy and 243 to conventional treatment. Early angiography was preformed in 212 of the 245 patients allocated to thrombolytic therapy. Patency of the infarct-related artery was achieved in 181 patients (85%). Enzymatic infarct size, measured from cumulative alpha-hydroxybutyrate dehydrogenase release, was smaller in patients allocated to thrombolytic therapy (median 760 versus 1,179 U/liter in control subjects, p = 0.0001). Left ventricular ejection fraction measured by radionuclide angiography before discharge was higher after thrombolytic therapy (median 50% versus 43% in control subjects, p = 0.0001). Twelve month mortality was lower in patients allocated to thrombolytic therapy (8% versus 16% in the control group, p less than 0.01). In multivariate regression analysis infarct size limitation, improvement of left ventricular ejection fraction and 3 month mortality were predicted by sigma ST, time from onset of symptoms to admission and Killip class at admission. Thrombolysis was most useful in patients admitted within 2 hours after onset of symptoms and in patients with a sigma ST segment of 1.2 mV or more. On the other hand, no beneficial effects of streptokinase on enzymatic infarct size, left ventricular function or mortality were observed in the subset of patients with sigma ST less than 1.2 mV, admitted 2 to 4 hours after onset of symptoms.


Subject(s)
Coronary Disease/etiology , Fibrinolytic Agents/therapeutic use , Myocardial Infarction/complications , Acute Disease , Angina, Unstable/complications , Angina, Unstable/drug therapy , Cardiology/trends , Coronary Circulation , Coronary Disease/drug therapy , Coronary Thrombosis/complications , Humans , Injections, Intravenous , Myocardial Infarction/drug therapy , Myocardial Infarction/etiology , Myocardial Infarction/mortality , Myocardial Revascularization , Tissue Plasminogen Activator/therapeutic use
10.
J Am Coll Cardiol ; 15(2): 491-8, 1990 Feb.
Article in English | MEDLINE | ID: mdl-2299089

ABSTRACT

With the high initial success rates for coronary angioplasty that are reported regularly, it has become increasingly difficult to demonstrate methods or techniques that are able to provide more beneficial early results than can be achieved by conventional angioplasty. On the other hand, the incidence of late restenosis has remained much the same over the 10 years that angioplasty has been part of clinical practice, and there is still no proved intervention that modifies the restenosis process. Therefore, the problem of restenosis has assumed increasing relevance in determining the clinical value of coronary angioplasty and, accordingly, studies that address the problem of restenosis need to become more exacting. Although numerous articles have addressed the problem of restenosis in the clinical setting, many defining certain factors associated with restenosis and possible interventions to reduce the incidence of restenosis, there is surprisingly little consensus. Most of the discrepancies can be attributed to three factors: 1) the selection of patients, 2) the method of analysis, and 3) the definition of restenosis employed. This review shows how these three factors influence the outcome and conclusions of restenosis studies.


Subject(s)
Angioplasty, Balloon, Coronary , Coronary Disease/therapy , Angiography , Coronary Disease/diagnostic imaging , Coronary Disease/epidemiology , Densitometry , Humans , Incidence , Methods , Recurrence , Risk Factors , Television
11.
J Am Coll Cardiol ; 5(4): 856-61, 1985 Apr.
Article in English | MEDLINE | ID: mdl-3156174

ABSTRACT

The ability of preoperative M-mode echocardiography to predict the clinical course and the decrease in left ventricular size was assessed in 42 patients after uncomplicated valve replacement for isolated aortic insufficiency. During follow-up study, one patient died of chronic heart failure. The New York Heart Association functional class of the 41 survivors improved from 2.4 to 1.2. All patients had a preoperative M-mode echocardiogram. Serial echocardiographic measurements, available in 33 patients, showed a sustained decrease in left ventricular end-diastolic dimension after the first postoperative year from 73 +/- 8 to 57 +/- 9 mm at 6 to 12 months and to 53 +/- 9 mm at 3 years postoperatively (p less than 0.01). Left ventricular cross-sectional area decreased from 31 +/- 8 to 26 +/- 7 cm2 and then to 23 +/- 5 cm2 at the latest follow-up study (p less than 0.01). At 3 years postoperatively, M-mode echocardiograms were available in 37 patients: 24 had a normal left ventricular dimension (group 1), while 13 still had an enlarged left ventricle (group 2). The clinical course in these two groups was similar. The best preoperative predictor of persistent left ventricular enlargement was the end-diastolic dimension (p less than 0.05), whereas fractional shortening and the end-diastolic radius/thickness ratio were not predictive.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Aortic Valve Insufficiency/surgery , Echocardiography , Adult , Aged , Aortic Valve Insufficiency/physiopathology , Cardiomegaly/physiopathology , Female , Follow-Up Studies , Heart Valve Prosthesis , Heart Ventricles/physiopathology , Humans , Male , Middle Aged , Postoperative Period , Preoperative Care , Prognosis , Time Factors
12.
J Am Coll Cardiol ; 6(3): 612-20, 1985 Sep.
Article in English | MEDLINE | ID: mdl-4031272

ABSTRACT

This study evaluated the myocardial contrast effect and safety of polygelin colloid solution selectively injected into the coronary arteries in 25 patients during two-dimensional echocardiography. Six patients (group I) had selective intracoronary injections of nonagitated and 19 (group II) of hand-agitated polygelin colloid solution. Myocardial contrast was seen on two-dimensional echocardiographic cross sections in three patients of group I and in all patients of group II; in 16 patients it was also seen on M-mode echocardiograms. The contrast effect lasted for 15 to 60 seconds. The intensity of myocardial opacification was not significantly influenced by the amount of polygelin colloid solution injected, heart rate or cardiac size. The total number of contrast-enhanced segments after right and left coronary artery injections delineated the entire cross-sectional area in any given view. None of the patients developed symptoms during or immediately after the injections. One patient had transient second degree atrioventricular block after a right coronary wedge injection, one patient showed a QRS axis shift and two others had transient T wave changes. There were no aortic blood pressure changes and no significant serum enzyme (creatine kinase [CK], CK-MB fraction, glutamic oxaloacetic transaminase) elevation or alterations of left ventricular function assessed echocardiographically. It is concluded that hand-agitated polygelin colloid solution is a useful and safe intracoronary contrast agent for delineating myocardial perfusion areas on two-dimensional echocardiography in humans.


Subject(s)
Coronary Disease/diagnosis , Echocardiography/methods , Polygeline , Polymers , Adolescent , Adult , Aspartate Aminotransferases/blood , Blood Pressure/drug effects , Colloids , Creatine Kinase/blood , Electrocardiography , Female , Heart Rate/drug effects , Humans , Isoenzymes , Male , Middle Aged , Polygeline/toxicity
13.
J Am Coll Cardiol ; 7(3): 455-63, 1986 Mar.
Article in English | MEDLINE | ID: mdl-2936788

ABSTRACT

The effect of repeated (3 to 10 second) and transient (15 to 75 second) abrupt coronary occlusion on the global and regional chamber stiffness was studied in nine patients undergoing angioplasty of a single proximal left anterior descending coronary artery stenosis. The left ventricular high fidelity pressure and volume relation was obtained before and after the procedure as well as during coronary occlusion, after 20 seconds (n = 9) and after 50 seconds (n = 5). During ischemia, there was an upward shift of the pressure-volume relation. The nonlinear simple elastic constant of chamber stiffness increased from 0.0273 +/- 0.017 before angioplasty (mean +/- SD) to 0.0621 +/- 0.026 after 20 seconds of occlusion (p less than 0.05) and 0.0605 +/- 0.015 after 50 seconds of occlusion (p less than 0.01). In five patients, the postangioplasty value remained higher than the control value, but at the group level the mean value (0.0529 +/- 0.037) was not statistically different. The regional stiffness was determined from the changes in the length of six segmental radii during diastole, from the lowest diastolic to the end-diastolic pressure. The regional constant of elastic stiffness was unaffected in the nonischemic zone. In the adjacent and ischemic zones, the regional stiffness was increased during occlusion (p less than 0.05). These regional abnormalities in diastolic function persisted at the time of postangioplasty measurements, 12 minutes after the end of the procedure. This suggests that recovery of normal diastolic function after repeated ischemic injuries is delayed after restoration of normal blood flow and systolic function.


Subject(s)
Angioplasty, Balloon , Arterial Occlusive Diseases/physiopathology , Blood Pressure , Coronary Disease/physiopathology , Diastole , Myocardial Contraction , Cardiac Volume , Coronary Circulation , Coronary Disease/therapy , Elasticity , Female , Heart Ventricles/physiopathology , Humans , Male , Time Factors
14.
J Am Coll Cardiol ; 8(1): 40-9, 1986 Jul.
Article in English | MEDLINE | ID: mdl-3711530

ABSTRACT

The relative value of predischarge clinical variables, bicycle ergometry, radionuclide ventriculography and 24 hour ambulatory electrocardiographic monitoring for predicting survival during the first year in 351 hospital survivors of acute myocardial infarction was assessed. Discriminant function analysis showed that in patients eligible for stress testing the extent of blood pressure increase during exercise slightly improved the predictive accuracy beyond that of simple clinical variables (history of previous myocardial infarction, persistent heart failure after the acute phase of infarction and use of digitalis at discharge), whereas radionuclide ventriculography and 24 hour electrocardiographic monitoring did not. The predictive value for mortality was 12% with clinical variables alone and 15% with the stress test added. Radionuclide ventriculography and 24 hour electrocardiographic monitoring were slightly additive to clinical information in the whole group of patients independent of the eligibility for stress testing (predictive value for mortality 24% with clinical variables alone and 26% with radionuclide ejection fraction and 24 hour electrocardiographic monitoring added). It is concluded that the appropriate use of simple clinical variables and stress testing is sufficient for risk stratification in postinfarction patients, whereas radionuclide ventriculography and 24 hour electrocardiographic monitoring should be limited to patients not eligible for stress testing.


Subject(s)
Myocardial Infarction/mortality , Aged , Electrocardiography , Exercise Test , Female , Heart Ventricles/diagnostic imaging , Humans , Male , Middle Aged , Monitoring, Physiologic , Myocardial Infarction/diagnostic imaging , Myocardial Infarction/physiopathology , Prognosis , Radionuclide Imaging , Time Factors
15.
J Am Coll Cardiol ; 7(2): 317-26, 1986 Feb.
Article in English | MEDLINE | ID: mdl-3944351

ABSTRACT

In this study the hypothesis is tested that the motion pattern of small anatomic landmarks, recognizable at the left ventricular endocardial border in the contrast angiocardiogram, reflects the motion of the endocardial wall. To verify this, minute metal markers were inserted in the endocardium of eight pigs with a novel retrograde transvascular approach. Marker motion was subsequently recorded with roentgen cinematography and compared with the motion of the landmarks on the endocardial contours detected from the contrast ventriculogram with an automated contour detection system. Linear regression analysis of the directions of the systolic metal marker and endocardial landmark pathways yielded a correlation coefficient of 0.86 and a standard error of the estimate of 10.3 degrees. Landmark pathways were also measured in 23 normal human left ventriculograms. Normal left ventricular endocardial wall motion during systole, as observed in the 30 degrees right anterior oblique view, is characterized by a dominant inward transverse motion of the opposite anterior and inferoposterior walls and a descent of the base toward the apex. The apex itself is almost stationary. On the basis of these observations, a widely applicable model for the assessment of left ventricular wall motion is described in mathematical terms.


Subject(s)
Endocardium/anatomy & histology , Ventricular Function , Animals , Cineangiography , Diastole , Endocardium/physiology , Heart Ventricles/anatomy & histology , Heart Ventricles/diagnostic imaging , Humans , Models, Cardiovascular , Movement , Statistics as Topic , Swine , Systole
16.
J Am Coll Cardiol ; 26(2): 380-7, 1995 Aug.
Article in English | MEDLINE | ID: mdl-7608438

ABSTRACT

OBJECTIVES: This study was performed to evaluate the effects of L-carnitine administration on long-term left ventricular dilation in patients with acute anterior myocardial infarction. BACKGROUND: Carnitine is a physiologic compound that performs an essential role in myocardial energy production at the mitochondrial level. Myocardial carnitine deprivation occurs during ischemia, acute myocardial infarction and cardiac failure. Experimental studies have suggested that exogenous carnitine administration during these events has a beneficial effect on function. METHODS: The L-Carnitine Ecocardiografia Digitalizzata Infarto Miocardico (CEDIM) trial was a randomized, double-blind, placebo-controlled, multicenter trial in which 472 patients with a first acute myocardial infarction and high quality two-dimensional echocardiograms received either placebo (239 patients) or L-carnitine (233 patients) within 24 h of onset of chest pain. Placebo or L-carnitine was given at a dose of 9 g/day intravenously for the first 5 days and then 6 g/day orally for the next 12 months. Left ventricular volumes and ejection fraction were evaluated on admission, at discharge from hospital and at 3, 6 and 12 months after acute myocardial infarction. RESULTS: A significant attenuation of left ventricular dilation in the first year after acute myocardial infarction was observed in patients treated with L-carnitine compared with those receiving placebo. The percent increase in both end-diastolic and end-systolic volumes from admission to 3-, 6- and 12-month evaluation was significantly reduced in the L-carnitine group. No significant differences were observed in left ventricular ejection fraction changes over time in the two groups. Although not designed to demonstrate differences in clinical end points, the combined incidence of death and congestive heart failure after discharge was 14 (6%) in the L-carnitine treatment group versus 23 (9.6%) in the placebo group (p = NS). Incidence of ischemic events during follow-up was similar in the two groups of patients. CONCLUSIONS: L-Carnitine treatment initiated early after acute myocardial infarction and continued for 12 months can attenuate left ventricular dilation during the first year after an acute myocardial infarction, resulting in smaller left ventricular volumes at 3, 6 and 12 months after the emergent event.


Subject(s)
Carnitine/therapeutic use , Hypertrophy, Left Ventricular/prevention & control , Myocardial Infarction/drug therapy , Adult , Aged , Analysis of Variance , Carnitine/administration & dosage , Double-Blind Method , Drug Administration Schedule , Echocardiography , Female , Follow-Up Studies , Humans , Hypertrophy, Left Ventricular/diagnostic imaging , Hypertrophy, Left Ventricular/etiology , Male , Middle Aged , Myocardial Infarction/complications , Myocardial Infarction/diagnostic imaging , Reproducibility of Results , Treatment Outcome , Ventricular Function, Left/drug effects
17.
J Am Coll Cardiol ; 12(2): 324-33, 1988 Aug.
Article in English | MEDLINE | ID: mdl-2969019

ABSTRACT

Two hundred patients (mean age 56 years, range 36 to 74) with unstable angina (chest pain at rest, associated with ST-T changes) underwent coronary angioplasty. In 65 patients with multivessel disease, only the "culprit" lesion was dilated. The initial success rate was 89.5% (179 of 200 patients). At least one major procedure-related complication occurred in 21 patients (10.5%): (death in 1, myocardial infarction in 16 and urgent surgery in 18). All patients were followed up for 2 years. Five patients died late; 8 had a late nonfatal myocardial infarction and 52 had recurrence of angina pectoris. The restenosis rate was 32% (51 of 158) in the patients with initial successful angioplasty who had repeat angiography. At the 2 year follow-up, after attempted coronary angioplasty in all 200 patients, the total incidence rate of death was 3% (one procedure related; five late deaths), of nonfatal myocardial infarction 12% (16 procedure related and 8 late after angioplasty), and 13% (26 patients) were still symptomatic although they had improved in functional class. Multivariate analysis showed that variables indicating an increased risk 1) for major procedure-related complications were: ST segment elevation, persistent negative T wave and stenosis greater than or equal to 65% (odds ratio 3.7, 3.7 and 3.3, respectively); 2) for angiographic restenosis were: presence of collateral vessels, ST segment depression, multivessel disease, left anterior descending coronary artery stenosis and history of recent onset of symptoms (odds ratio: 2.2, 2.0, 1.9, 1.9 and 0.54, respectively); and 3) for late coronary events (recurrence of angina, late myocardial infarction or late death) were: multivessel disease, total occluded vessel and ST segment elevation (odds ratio 3.7, 2.8 and 0.44, respectively). Thus, coronary angioplasty for unstable angina can be performed with a high initial success rate, but at an increased risk of major complications. The prognosis is favorable after initial successful coronary angioplasty.


Subject(s)
Angina Pectoris/therapy , Angina, Unstable/therapy , Angioplasty, Balloon , Adult , Aged , Angina, Unstable/complications , Angina, Unstable/diagnostic imaging , Angina, Unstable/pathology , Angioplasty, Balloon/adverse effects , Coronary Angiography , Coronary Vessels/pathology , Female , Humans , Male , Middle Aged , Myocardial Infarction/complications , Prognosis , Recurrence , Risk Factors
18.
Cardiovasc Res ; 11(4): 317-23, 1977 Jul.
Article in English | MEDLINE | ID: mdl-890709

ABSTRACT

The effect of intravenously administered aprindine (AC1802) as a prophylactic agent against ventricular arrhythmias was studied in pigs. During the first 30 min of ischaemia 5 of the 22 untreated animals died because of ventricular fibrillation against 1 of the 23 animals pretreated with aprindine (P=0.09). Ventricular tachycardias were observed in 10 untreated animals and in none of the aprindine group (P=0.0002). The incidence of other arrhythmias was significantly less in the aprindine group compared with the untreated group (P less than 0.02).


Subject(s)
Aprindine/administration & dosage , Arrhythmias, Cardiac/prevention & control , Indenes/administration & dosage , Animals , Carbon Dioxide/blood , Coronary Disease/complications , Swine , Ventricular Fibrillation/prevention & control
19.
Trends Biotechnol ; 14(6): 190-7, 1996 Jun.
Article in English | MEDLINE | ID: mdl-8663938

ABSTRACT

Our knowledge of microbial biodiversity has been severely limited by relying on microorganisms that have been cultured; these represent only a tiny fraction of the microbial diversity in the environment. Recently, however, recombinant DNA and molecular phylogenetic techniques have provided methods for characterizing natural microbial communities without the need to cultivate organisms. These techniques have allowed a glimpse of the complexity of microbial communities and the huge, largely untapped, biotechnological resource that they represent.


Subject(s)
Biotechnology/trends , Environmental Microbiology , Genetic Variation , Phylogeny , Molecular Biology
20.
Am J Clin Nutr ; 46(2): 258-66, 1987 Aug.
Article in English | MEDLINE | ID: mdl-3303898

ABSTRACT

Purified mackerel-oil extract or lard fat (9.1% wt/wt) was added to a basal diet of young pigs for 8 wk. Effects on plasma lipids, glucose and insulin, cardiac membrane phospholipids, cardiovascular performance, and morphology were studied. A time-dependent reduction of plasma triglyceride (62%), total cholesterol (41%), and HDL cholesterol (47%) was found in the mackerel-oil-fed pigs. The postprandial glucose and insulin response may indicate a mackerel-oil-induced resistance of insulin receptors. Although the polyunsaturated fatty acid composition of cardiac sarcolemma widely differed between the two groups, all determined indices of heart function were equal. It is concluded that consumption of a fish-oil diet with a low content of monoenes and supplemented with antioxidants reduces plasma lipid levels without producing pathological side effects.


Subject(s)
Dietary Fats/administration & dosage , Fish Oils/administration & dosage , Hemodynamics , Lipids/blood , Membrane Lipids/metabolism , Phospholipids/metabolism , Swine/growth & development , Animals , Blood Glucose/metabolism , Dietary Fats/pharmacology , Female , Fish Oils/pharmacology , Insulin/blood , Male , Myocardium/metabolism , Sarcolemma/metabolism , Selenium/administration & dosage , Vitamin E/administration & dosage
SELECTION OF CITATIONS
SEARCH DETAIL