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1.
J Anim Sci ; 95(2): 980-988, 2017 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-28380578

RESUMEN

The objectives of this study were to evaluate degradation of ergovaline in a tall fescue [ (Schreb.) Darbysh.] seed extract by rumen microbiota ex vivo and to identify specific bacteria capable of ergovaline degradation in vitro. Rumen cell suspensions were prepared by harvesting rumen fluid from fistulated wether goats ( = 3), straining, and differential centrifugation. Suspensions were dispensed into anaerobic tubes with added Trypticase with or without extract (∼10 µg kg ergovaline). Suspensions were incubated for 48 h at 39°C. Samples were collected at 0, 24, and 48 h for ergovaline analysis and enumeration of hyper-ammonia producing (HAB) and tryptophan-utilizing bacteria. Ergovaline values were analyzed by repeated measures using the mixed procedure of SAS. Enumeration data were log transformed for statistical analysis. When suspensions were incubated with extract, 11 to 15% of ergovaline disappearance was observed over 48 h ( = 0.02). After 24 h, suspensions with added extract had 10-fold less HAB than controls ( = 0.04), but treatments were similar by 48 h ( = 1.00). However, after 24 h and 48 h, suspensions with extract had 10-fold more tryptophan-utilizing bacteria ( < 0.01) that were later isolated and identified by their 16S RNA gene sequence as . The isolates and other known rumen pure cultures ( JB1, B159, HD4, B, F, MD1, SR) were evaluated for the ability to degrade ergovaline in vitro. Pure culture cell suspensions were incubated as described above and samples were taken at 0 and 48 h for ergovaline analysis. Data were analyzed using the ANOVA procedure of SAS. All HAB, including the isolates, tested degraded ergovaline (54 to 75%; < 0.05). B14 was also able to degrade ergovaline but to a lesser capacity (12%; < 0.05), but all other bacteria tested did not degrade ergovaline. The results of this study indicate which rumen bacteria may play an important role in ergovaline degradation and that microbiological strategies for controlling their activity could have ramifications for fescue toxicosis and other forms of ergotism in ruminants.


Asunto(s)
Bacterias/metabolismo , Ergotaminas/metabolismo , Festuca/microbiología , Extractos Vegetales/química , Semillas/química , Triptófano/metabolismo , Animales , Líquidos Corporales/microbiología , Ergotaminas/química , Ergotismo , Cabras , Masculino , Rumen/microbiología , Semillas/microbiología
2.
QJM ; 101(6): 475-7, 2008 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-18337285

RESUMEN

Vitamin B12 deficiency may be an independent risk factor for neural tube defects (NTD). We determined the prevalence of biochemical B12 deficiency (<125 pmol/l) among 10 622 Ontarian women aged 15-46 years who underwent concomitant testing of serum bhCG and B12 9 years after the implementation of Canadian folic acid flour fortification. The overall prevalence of biochemical B12 deficiency was 7.4%. Relative to non-pregnant women, the adjusted odds ratio (95% confidence interval) of biochemical B12 deficiency was 0.78 (0.60-1.0) among women pregnant 28 days gestation or less and was 1.4 (1.1-1.8) after 28 days gestation. About 1 in 20 women may be deficient in B12 in early pregnancy. The impact on maternal and fetal well-being, including preventable NTD, should be considered.


Asunto(s)
Deficiencia de Ácido Fólico/epidemiología , Ácido Fólico/administración & dosificación , Alimentos Fortificados , Defectos del Tubo Neural/epidemiología , Complicaciones del Embarazo/epidemiología , Deficiencia de Vitamina B 12/epidemiología , Adolescente , Adulto , Canadá/epidemiología , Estudios Transversales , Femenino , Ácido Fólico/sangre , Deficiencia de Ácido Fólico/sangre , Estudios de Seguimiento , Humanos , Recién Nacido , Persona de Mediana Edad , Defectos del Tubo Neural/diagnóstico por imagen , Defectos del Tubo Neural/prevención & control , Embarazo , Complicaciones del Embarazo/sangre , Resultado del Embarazo , Medición de Riesgo , Ultrasonografía Prenatal , Deficiencia de Vitamina B 12/sangre
3.
Endocrinology ; 148(1): 92-102, 2007 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-17008398

RESUMEN

Thyroid hormones are necessary for brain development. gamma-Amino-butyric acid (GABA)ergic interneurons comprise the bulk of local inhibitory circuitry in brain, many of which contain the calcium binding protein, parvalbumin (PV). A previous report indicated that severe postnatal hypothyroidism reduces PV immunoreactivity (IR) in rat neocortex. We examined PV-IR and GABA-mediated synaptic inhibition in the hippocampus of rats deprived of thyroid hormone from gestational d 6 until weaning on postnatal d 30. Pregnant dams were exposed to propylthiouracil (0, 3, 10 ppm) via the drinking water, which decreased maternal serum T(4) by approximately 50-75% and increased TSH. At weaning, T(4) was reduced by approximately 70% in offspring in the low-dose group and fell below detectable levels in high-dose animals. PV-IR was diminished in the hippocampus and neocortex of offspring killed on postnatal d 21, an effect that could be reversed by postnatal administration of T(4). Dose-dependent decreases in the density of PV-IR neurons were observed in neocortex and hippocampus, with the dentate gyrus showing the most severe reductions (50-75% below control counts). Altered staining persisted to adulthood despite the return of thyroid hormones to control levels. Developmental cross-fostering and adult-onset deprivation studies revealed that early postnatal hormone insufficiency was required for an alteration in PV-IR. Synaptic inhibition of the perforant path-dentate gyrus synapse evaluated in adult offspring, in vivo, revealed dose-dependent reductions in paired pulse depression indicative of a suppression of GABA-mediated inhibition. These data demonstrate that moderate degrees of thyroid hormone insufficiency during the early postnatal period permanently alters interneuron expression of PV and compromises inhibitory function in the hippocampus.


Asunto(s)
Giro Dentado/embriología , Giro Dentado/metabolismo , Hipotiroidismo/metabolismo , Inhibición Neural/fisiología , Parvalbúminas/metabolismo , Hormonas Tiroideas/deficiencia , Factores de Edad , Animales , Antitiroideos/farmacología , Femenino , Hipotiroidismo/inducido químicamente , Inmunohistoquímica , Interneuronas/metabolismo , Neocórtex/embriología , Neocórtex/metabolismo , Embarazo , Efectos Tardíos de la Exposición Prenatal , Propiltiouracilo/farmacología , Ratas , Ratas Long-Evans , Transmisión Sináptica/fisiología , Hormonas Tiroideas/farmacología
4.
Carcinogenesis ; 28(3): 685-90, 2007 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-17052997

RESUMEN

Red and processed meat (PM) consumption increases the risk of large bowel cancer and it has been demonstrated that haem in red meat (RM) stimulates the endogenous production of N-nitroso compounds (NOCs) within the human intestine. To investigate whether N-nitrosation occurs in the upper gastrointestinal tract, 27 ileostomists were fed diets containing no meat, or 240 g RM or 240 g PM in a randomly assigned crossover intervention design carried out in a volunteer suite. Endogenous NOC were assessed as apparent total N-nitroso compounds (ATNC) in the ileostomy output. ATNC concentration in the diets was 22 microg ATNC/kg (RM) and 37 microg ATNC/kg (PM), and 9 microg ATNC/kg in the no meat diet. Levels significantly increased to 1175 microg ATNC/kg SEM = 226 microg ATNC/kg) following the RM (P=0.001) and 1832 microg ATNC/kg (SEM=294 microg ATNC/kg) following PM (P<0.001) compared to the no meat diet (283 microg ATNC/kg, SEM=74 microg ATNC/kg). ATNC concentrations in the ileal output were equivalent to those measured in faeces in similarly designed feeding studies. Supplementation with either 1 g ascorbic acid or 400 IU alpha-tocopherol had no effect on the concentration of ATNC detected in the ileal output. In in vitro experiments, N-nitrosomorpholine (NMor) was formed in the presence of nitrosated haemoglobin, at pH 6.8 but not in the absence of nitrosated haemoglobin. These findings demonstrate that haem may facilitate the formation of NOC in the absence of colonic flora in the upper human gastrointestinal tract.


Asunto(s)
Hemo/farmacología , Ileostomía , Productos de la Carne/análisis , Carne/análisis , Compuestos Nitrosos/metabolismo , Animales , Ácido Ascórbico/farmacología , Mucosa Gástrica/metabolismo , Hemo/aislamiento & purificación , Humanos , Íleon/metabolismo , Cinética , Vitamina E/farmacología
5.
Pathol Int ; 55(8): 514-9, 2005 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-15998381

RESUMEN

A case of intracerebral schwannoma (ICS) occurring in a 33-year-old woman is presented. The patient's history of headache, numbness, tingling and the recent development of weakness of the right upper extremity with right facial droop began during pregnancy. Magnetic resonance imaging (MRI) showed a 4 x 2 x 2 cm heterogeneous, gadolinium-enhanced mass at the left frontoparietal junction, with peritumoral edema and a dural-based attachment. During her pregnancy, the mass increased in size. The surgically resected specimen consisted of lobulated, somewhat gelatinous soft tissue. Microscopically, the tumor demonstrated classic biphasic Antoni type A and B patterns, admixed with degenerative changes. Immunohistochemically, the neoplastic cells were positive for S-100 protein (diffuse and strong), CD34 (primarily in Antoni B areas), glial fibrillary acidic protein (GFAP; weak and diffuse) and calretinin (mainly in Antoni A areas), while none was positive for CD31, estrogen and progesterone receptors, bcl-2, or epithelial membrane antigen (EMA). Ultrastructurally, basal laminae and Luse bodies were identified. The differential diagnosis includes fibrous meningioma, solitary fibrous tumor, and ICS. Twenty-seven cases of ICS were reviewed in which the histological diagnosis was confirmed immunohistochemically or ultrastructually, and the cases were summarized (including the present case). A combined use of immunostains (S-100 protein, EMA, CD34, and maybe calretinin) is of great help in distinguishing ICS from its histological mimickers.


Asunto(s)
Neoplasias Encefálicas/patología , Neoplasias Meníngeas/patología , Meningioma/patología , Neurilemoma/patología , Adulto , Antígenos CD34/análisis , Neoplasias Encefálicas/metabolismo , Neoplasias Encefálicas/ultraestructura , Calbindina 2 , Diagnóstico Diferencial , Femenino , Lóbulo Frontal/química , Lóbulo Frontal/patología , Lóbulo Frontal/ultraestructura , Proteína Ácida Fibrilar de la Glía/análisis , Humanos , Inmunohistoquímica , Imagen por Resonancia Magnética , Neoplasias Meníngeas/metabolismo , Neoplasias Meníngeas/ultraestructura , Meningioma/metabolismo , Meningioma/ultraestructura , Neurilemoma/metabolismo , Neurilemoma/ultraestructura , Lóbulo Parietal/química , Lóbulo Parietal/patología , Lóbulo Parietal/ultraestructura , Embarazo , Complicaciones Neoplásicas del Embarazo , Proteína G de Unión al Calcio S100/análisis , Proteínas S100/análisis
6.
Toxicol Lett ; 149(1-3): 197-207, 2004 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-15093265

RESUMEN

Natural flavour complexes (NFCs) are chemical mixtures obtained by applying physical separation methods to botanical sources. Many NFCs are derived from foods. In the present paper, a 12-step procedure for the safety evaluation of NFCs, 'the naturals paradigm', is discussed. This procedure, which is not intended to be viewed as a rigid check list, begins with a description of the chemical composition of the commercial product, followed by a review of the data on the history of dietary use. Next, each constituent of an NFC is assigned to one of 33 congeneric groups of structurally related substances and to one of three classes of toxic potential, each with its own exposure threshold of toxicological concern. The group of substances of unknown structure is placed in the class of greatest toxic potential. In subsequent steps, for each congeneric group the procedure determines the per capita intake, considers metabolic pathways and explores the need and availability of toxicological data. Additional toxicological and analytical data may be required for a comprehensive safety evaluation. The procedure concludes with an evaluation of the NFC in its entirety, also considering combined exposure to congeneric groups. The first experiences with the use of this procedure are very promising. Future safety evaluations of larger numbers of NFCs will indicate the usefulness of the system, either in its present form or in a form modified on the basis of experience.


Asunto(s)
Factores Biológicos/toxicidad , Aromatizantes/toxicidad , Animales , Factores Biológicos/efectos adversos , Factores Biológicos/química , Factores Biológicos/normas , Mezclas Complejas/efectos adversos , Mezclas Complejas/química , Mezclas Complejas/normas , Mezclas Complejas/toxicidad , Elettaria/toxicidad , Aromatizantes/efectos adversos , Aromatizantes/química , Aromatizantes/normas , Humanos , Aceites de Plantas/toxicidad
7.
Neurosci Lett ; 311(2): 137-41, 2001 Sep 28.
Artículo en Inglés | MEDLINE | ID: mdl-11567797

RESUMEN

In the present study, we have used in situ hybridisation to examine the distribution of calcium channel subunits in rat dorsal root ganglion (DRG) neurons. Within DRG neurons, the calcium channel alpha subunit mRNAs alpha(1A), alpha(1B), alpha(1C), alpha(1D), alpha(1E), alpha(1I) and alpha(1S) were readily detected in small (<25 microm), medium (25-45 microm) and large (>45 microm) diameter neurons. alpha(1F) was present at very low levels in these neurons whilst alpha(1G) was virtually undetectable. The calcium channel auxiliary subunits alpha(2)delta(1) and alpha(2)delta(2) showed a complementary pattern of distribution to that of alpha(2)delta(3) in DRG neurons. alpha(2)delta(1) and alpha(2)delta(2) transcripts were expressed predominantly in small c-type sensory neurons and were present at lower levels in large Abeta-type sensory neurons. In contrast, alpha(2)delta(3) mRNA was present in high quantities in the large-diameter cells but was expressed at lower levels in small-diameter neurons of the DRG. The present study provides an insight into the molecular profile of calcium channel alpha(1) and alpha(2)delta subunits in the neurons responsible for transmitting sensory information.


Asunto(s)
Canales de Calcio/química , Canales de Calcio/genética , Ganglios Espinales/citología , Neuronas/fisiología , Animales , Expresión Génica/fisiología , Hibridación in Situ , Masculino , ARN Mensajero/análisis , Ratas , Ratas Wistar
8.
Bioorg Med Chem Lett ; 11(8): 977-80, 2001 Apr 23.
Artículo en Inglés | MEDLINE | ID: mdl-11327604

RESUMEN

The program DOCK3.5 was used to search the Cambridge Structural Database for novel inhibitors of Leishmanial dihydrofolate reductase. A number of compounds were obtained and screened against the enzyme and against the intact parasite Leishmania donovani and the related organisms Trypanosoma brucei and Trypanosoma cruzi. The compounds screened showed weak activity in both the enzyme assays and the in vitro assays.


Asunto(s)
Leishmania donovani/efectos de los fármacos , Oxadiazoles/farmacología , Pirimidinas/farmacología , Tetrahidrofolato Deshidrogenasa/efectos de los fármacos , Tripanocidas/farmacología , Trypanosoma brucei brucei/efectos de los fármacos , Trypanosoma cruzi/efectos de los fármacos , Animales , Cristalografía por Rayos X , Bases de Datos como Asunto , Evaluación Preclínica de Medicamentos , Inhibidores Enzimáticos/farmacología , Humanos , Concentración 50 Inhibidora , Leishmania donovani/enzimología , Ratones , Estructura Molecular , Parásitos/efectos de los fármacos , Ratas , Proteínas Recombinantes
9.
Neurosurgery ; 47(3): 608-21; discussion 621-2, 2000 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-10981748

RESUMEN

OBJECTIVE: The purpose of this study was to obtain tumor and normal brain tissue biodistribution data and pharmacokinetic profiles for sodium borocaptate (Na2B12H11SH) (BSH), a drug that has been used clinically in Europe and Japan for boron neutron capture therapy of brain tumors. The study was performed with a group of 25 patients who had preoperative diagnoses of either glioblastoma multiforme (GBM) or anaplastic astrocytoma (AA) and were candidates for debulking surgery. Nineteen of these patients were subsequently shown to have histopathologically confirmed diagnoses of GBM or AA, and they constituted the study population. METHODS: BSH (non-10B-enriched) was infused intravenously, in a 1-hour period, at doses of 15, 25, and 50 mg boron/kg body weight (corresponding to 26.5, 44.1, and 88.2 mg BSH/kg body weight, respectively) to groups of 3, 3, and 13 patients, respectively. Multiple samples of tumor tissue, brain tissue around the tumors, and normal brain tissue were obtained at either 3 to 7 or 13 to 15 hours after infusion. Blood samples for pharmacokinetic studies were obtained at times up to 120 hours after termination of the infusion. Sixteen of the patients underwent surgery at the Beijing Neurosurgical Institute and three at The Ohio State University, where all tissue samples were subsequently analyzed for boron content by direct current plasma-atomic emission spectroscopy. RESULTS: Blood boron values peaked at the end of the infusion and then decreased triexponentially during the 120-hour sampling period. At 6 hours after termination of the infusion, these values had decreased to 20.8, 29.1, and 62.6 microg/ml for boron doses of 15, 25, and 50 mg/kg body weight, respectively. For a boron dose of 50 mg/kg body weight, the maximum (mean +/- standard deviation) solid tumor boron values at 3 to 7 hours after infusion were 17.1+/-5.8 and 17.3+/-10.1 microg/g for GBMs and AAs, respectively, and the mean tumor value averaged across all samples was 11.9 microg/g for both GBMs and AAs. In contrast, the mean normal brain tissue values, averaged across all samples, were 4.6+/-5.1 and 5.5+/-3.9 microg/g and the tumor/normal brain tissue ratios were3.8 and 3.2 for patients with GBMs and AAs, respectively. The large standard deviations indicated significant heterogeneity in uptake in both tumor and normal brain tissue. Regions histopathologically classified either as a mixture of tumor and normal brain tissue or as infiltrating tumor exhibited slightly lower boron concentrations than those designated as solid tumor. After a dose of 50 mg/kg body weight, boron concentrations in blood decreased from 104 microg/ml at 2 hours to 63 microg/ml at 6 hours and concentrations in skin and muscle were 43.1 and 39.2 microg/g, respectively, during the 3- to 7-hour sampling period. CONCLUSION: When tumor, blood, and normal tissue boron concentrations were taken into account, the most favorable tumor uptake data were obtained with a boron dose of 25 mg/kg body weight, 3 to 7 hours after termination of the infusion. Although blood boron levels were high, normal brain tissue boron levels were almost always lower than tumor levels. However, tumor boron concentrations were less than those necessary for boron neutron capture therapy, and there was significant intratumoral and interpatient variability in the uptake of BSH, which would make estimation of the radiation dose delivered to the tumor very difficult. It is unlikely that intravenous administration of a single dose of BSH would result in therapeutically useful levels of boron. However, combining BSH with boronophenylalanine, the other compound that has been used clinically, and optimizing their delivery could increase tumor boron uptake and potentially improve the efficacy of boron neutron capture therapy.


Asunto(s)
Astrocitoma/radioterapia , Borohidruros/farmacocinética , Terapia por Captura de Neutrón de Boro , Neoplasias Encefálicas/radioterapia , Glioblastoma/radioterapia , Compuestos de Sulfhidrilo/farmacocinética , Adulto , Anciano , Astrocitoma/sangre , Astrocitoma/cirugía , Disponibilidad Biológica , Encéfalo/metabolismo , Encéfalo/efectos de la radiación , Neoplasias Encefálicas/sangre , Neoplasias Encefálicas/cirugía , Terapia Combinada , Femenino , Glioblastoma/sangre , Glioblastoma/cirugía , Humanos , Masculino , Persona de Mediana Edad , Fantasmas de Imagen , Radiometría , Radioterapia Adyuvante , Distribución Tisular , Resultado del Tratamiento
10.
Biol Psychiatry ; 46(7): 941-54, 1999 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-10509177

RESUMEN

BACKGROUND: Schizophrenia is characterized by subcortical and cortical brain abnormalities. Evidence indicates that some nonpsychotic relatives of schizophrenic patients manifest biobehavioral abnormalities, including brain abnormalities. The goal of this study was to determine whether amygdala-hippocampal and thalamic abnormalities are present in relatives of schizophrenic patients. METHODS: Subjects were 28 nonpsychotic, and nonschizotypal, first-degree adult relatives of schizophrenics and 26 normal control subjects. Sixty contiguous 3 mm coronal, T1-weighted 3D magnetic resonance images of the brain were acquired on a 1.5 Tesla magnet. Cortical and subcortical gray and white matter and cerebrospinal fluid (CSF) were segmented using a semi-automated intensity contour mapping algorithm. Analyses of covariance of the volumes of brain regions, controlling for expected intellectual (i.e., reading) ability and diagnosis, were used to compare groups. RESULTS: The main findings were that relatives had significant volume reductions bilaterally in the amygdala-hippocampal region and thalamus compared to control subjects. Marginal differences were noted in the pallidum, putamen, cerebellum, and third and fourth ventricles. CONCLUSIONS: Results support the hypothesis that core components of the vulnerability to schizophrenia include structural abnormalities in the thalamus and amygdala-hippocampus. These findings require further work to determine if the abnormalities are an expression of the genetic liability to schizophrenia.


Asunto(s)
Amígdala del Cerebelo/anomalías , Predisposición Genética a la Enfermedad/genética , Hipocampo/anomalías , Imagen por Resonancia Magnética , Esquizofrenia/genética , Trastorno de la Personalidad Esquizotípica/genética , Tálamo/anomalías , Adulto , Algoritmos , Amígdala del Cerebelo/patología , Mapeo Encefálico , Dominancia Cerebral/fisiología , Femenino , Hipocampo/patología , Humanos , Procesamiento de Imagen Asistido por Computador , Masculino , Persona de Mediana Edad , Valores de Referencia , Esquizofrenia/diagnóstico , Trastorno de la Personalidad Esquizotípica/diagnóstico , Tálamo/patología
11.
Soc Sci Med ; 49(9): 1215-25, 1999 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-10501642

RESUMEN

The drug taxol has been hailed by many in the cancer community as a major breakthrough in the treatment of cancer. It has already been approved in use against ovarian and advanced breast cancer in many countries worldwide. Taxol has also promoted profound debates in the policy arena not, as one might expect, because of the characteristics or purposes of the drug itself, but because of other far-reaching effects. Taxol is a complex compound found in the bark of the Pacific yew tree, primarily in Oregon and Washington in the USA. The bark was first collected in 1962 and cytotoxicity demonstrated in 1964. Yet it was not until 1989 that the first results of clinical trials were reported. In the US taxol was then rushed through the Food and Drug Administration's regulatory procedures, approval being granted for use in refractory ovarian cancer in 1992. The controversies surrounding taxol surfaced in 1989 and grew substantially over the next few years. In this paper we examine two principal controversies concerning taxol, the first of which focused on apparent conflicts between the needs of environmental protection and those of cancer chemotherapy. Although the media portrayed this as a clash of interests between the environment and people with cancer, we argue that it was an attempt to increase lay participation in biomedical decision making and policy formulation. The second controversy was between health policy and the transfer of public scientific property to the corporate sector. The pharmaceutical company Bristol-Myers Squibb was given exclusive rights to provide taxol from Pacific yew trees under a Co-operative Research and Development Agreement signed in 1991. While this was seen to be in the US Government's (as well as the company's) interest, it provoked a public reaction questioning the terms and consequences of the transfer of publicly generated scientific knowledge to the private sector.


Asunto(s)
Antineoplásicos Fitogénicos/uso terapéutico , Industria Farmacéutica , Ecosistema , Política de Salud , Paclitaxel/uso terapéutico , Fitoterapia , Sector Privado , Transferencia de Tecnología , Industria Farmacéutica/legislación & jurisprudencia , Humanos , Propiedad Intelectual , Oregon , Árboles , Estados Unidos
12.
Clin Excell Nurse Pract ; 2(1): 10-22, 1998 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-12675072

RESUMEN

Cardiovascular disease (CVD), particularly in the form of coronary artery disease, is the leading cause of death in the United States. Research in the past 10 years links pathogenic low-density lipoprotein (LDL) modification to oxidation damage by free radicals. This review summarizes the major findings of CVD-related epidemiologic research and clinical trials conducted in the past 5 years on vitamins A, C, and E. Vitamin supplementation behaviors are discussed. In prospective studies, the intake of vitamins A, C, and E has been correlated with lower mortality rates. When recent clinical trials and oxidation studies are analyzed, the weight of evidence suggests that 100-400 IU of daily vitamin E over 2 years or more may be most efficacious in reducing low-density lipoprotein oxidation and positively influencing mortality rates from CVD in primary care. Research also supports vitamin E supplementation in patients with known CAD or a history of transient ischemic attacks. Persons with diabetes or hypertension as well as smokers may benefit from supplemental vitamin C intake. Targeted antioxidant vitamin intake should be included in CVD risk assessment and primary preventive counseling efforts.


Asunto(s)
Antioxidantes/uso terapéutico , Ácido Ascórbico/uso terapéutico , Enfermedades Cardiovasculares/prevención & control , Vitamina A/uso terapéutico , Vitamina E/uso terapéutico , Adulto , Enfermedades Cardiovasculares/epidemiología , Enfermedades Cardiovasculares/metabolismo , Niño , LDL-Colesterol/metabolismo , Consejo , Suplementos Dietéticos , Ingestión de Energía , Femenino , Humanos , Masculino , Política Nutricional , Oxidación-Reducción , Estrés Oxidativo , Educación del Paciente como Asunto , Prevención Primaria/métodos , Medición de Riesgo , Factores de Riesgo , Estados Unidos/epidemiología
14.
Neurochem Res ; 22(1): 75-9, 1997 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-9021766

RESUMEN

We have previously shown in animal models that enhanced segmental glycine release is produced by neuroaugmentation techniques commonly used to control pain in humans. Our current hypothesis is that glycine administered intrathecally reduces the pain response evoked by the hotplate analgesia meter method. Neuropathic rats created by unilateral partial ligation of the sciatic nerve were treated with intrathecal infusion of glycine, strychnine, MK-801, or 5-7 DKA at 0.1 mumol for 2 hours at a rate of 10 microliters/min. Time required for limb withdrawal at 42 degrees C was significantly increased after glycine administration but not altered by strychnine, a specific glycine receptor antagonist. Administration of the NMDA receptor antagonist, MK-801, blocked the influence of glycine, with a less obvious antagonistic response from 5.7 DKA. Our results provide evidence that glycine and related compounds significantly modify thermal hyperalgesia, and may operate primarily through the NMDA receptor complex.


Asunto(s)
Analgesia Epidural , Antagonistas de Aminoácidos Excitadores/uso terapéutico , Glicinérgicos/uso terapéutico , Glicina/uso terapéutico , Hiperalgesia/tratamiento farmacológico , Neuralgia/tratamiento farmacológico , Animales , Evaluación Preclínica de Medicamentos , Calor , Infusiones Parenterales , Masculino , Ratas , Ratas Sprague-Dawley
15.
Pediatr Dent ; 18(7): 465-8, 1996.
Artículo en Inglés | MEDLINE | ID: mdl-8970210

RESUMEN

A case of trisomy for the short arm of chromosome 9 in a 13-year-old boy is described. Particular emphasis is placed upon a number of abnormal dental findings, which include enamel hypoplasia, hypodontia, and severe dental crowding. The difficulties of providing comprehensive dental treatment in cases such as these is discussed.


Asunto(s)
Anodoncia/patología , Cromosomas Humanos Par 9 , Hipoplasia del Esmalte Dental/patología , Maloclusión/patología , Trisomía , Adolescente , Atención Odontológica Integral , Caries Dental/patología , Gingivitis/patología , Humanos , Masculino , Atrición Dental/patología , Fracturas de los Dientes/patología
16.
Neurochem Res ; 21(10): 1221-6, 1996 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-8923484

RESUMEN

We have previously reported that enhanced glycine release is produced by epidural spinal cord stimulation, a clinical method for treating neuropathic pain. Our current hypothesis is that glycine administered intrathecally reduces neuropathic pain as measured by the Randall-Selitto method. Neuropathic rats created by unilateral partial ligation of the sciatic nerve were treated with intrathecal infusion of glycine, strychnine, MK-801, or 5,7-DKA at 0.1 mumol, or artificial CSF for 2 hours at a rate of 10 microliters/min. Force required to produce the pain response was significantly increased after glycine administration and reduced using strychnine, a specific glycine receptor (Gly l) antagonist. Strychnine blocked the response to glycine when infused together. Administration of the non-specific NMDA receptor MK-801 antagonist and 5,7-DKA, a specific glycine-NMDA receptor (Gly 2) antagonist, however, failed to block the response to glycine. Our results provide evidence for the use of glycine and related compounds to treat neuropathic pain.


Asunto(s)
Glicina/uso terapéutico , Mecanorreceptores/efectos de los fármacos , Neuralgia/tratamiento farmacológico , Nociceptores/efectos de los fármacos , Nervio Ciático/fisiología , Animales , Líquido Cefalorraquídeo/fisiología , Maleato de Dizocilpina/uso terapéutico , Antagonistas de Aminoácidos Excitadores/uso terapéutico , Glicinérgicos/uso terapéutico , Inyecciones Espinales , Ácido Quinurénico/análogos & derivados , Ácido Quinurénico/uso terapéutico , Masculino , Ratas , Ratas Sprague-Dawley , Estricnina/uso terapéutico , Estimulación Eléctrica Transcutánea del Nervio
17.
J Spinal Cord Med ; 19(4): 215-24, 1996 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-9237788

RESUMEN

Suppression of increased muscle tone by epidural spinal cord stimulation, an invasive method for treating spasticity, increases segmental concentrations of inhibitory amino acid neurotransmitters, particularly glycine. The role of glycine in spasticity and spinal shock was explored further in rabbits with ischemic spinal cord injuries that produced spastic paraparesis or flaccid paraplegia. H-reflexes were monitored following posterior tibial nerve stimulation and plantar surface recording. Spasticity was quantified by using H/M ratios. Spastic animals were intrathecally infused with 100 mmol/l solutions of glycine and related compounds. Glycine agonists suppressed tone whereas glycine antagonists increased tone. In addition, microdialysis sampling from the cord was done in injured, non-infused animals and aspartate, GABA, glutamate, glycine and taurine were measured. Flaccid animals had glycine levels two-three times higher than spastic or control animals. High concentrations of glycine within spinal cord segments is associated with spinal shock. Glycine and related compounds may be useful as treatment for excessive tone.


Asunto(s)
Glicina/fisiología , Reflejo H/fisiología , Traumatismos de la Médula Espinal/fisiopatología , Médula Espinal/fisiopatología , Aminoácidos/metabolismo , Animales , Electromiografía , Potenciales Evocados , Glicina/agonistas , Glicina/antagonistas & inhibidores , Microdiálisis , Corteza Motora/fisiopatología , Espasticidad Muscular/etiología , Espasticidad Muscular/fisiopatología , Neurotransmisores/metabolismo , Conejos , Médula Espinal/irrigación sanguínea
18.
Photodermatol Photoimmunol Photomed ; 10(3): 118-25, 1994 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-7947191

RESUMEN

Undercompliance with sunscreen reapplication recommendations is a probable factor in suboptimal childhood ultraviolet radiation (UVR) protection. However, improving on the ability of sunscreens to absorb UVR without requiring frequent reapplication is difficult because the models most frequently used to develop and evaluate photoprotectants have only a limited ability to incorporate behavioral and environmental variables that are primarily responsible for loss of sunscreen efficacy. Hence, the objective of the present work was to develop a method to evaluate the efficacy of various regimens of sunscreen reapplication in children, under conditions of unrestricted behavior and exposure to ambient sunlight. Ninety-eight children, ages 7-12, Fitzpatrick skin types I-III, were divided between two study groups. The majority were types I-II, and all types were approximately equally represented between the groups. The children received single or multiple applications of a sun protection factor 25 sunscreen to preassigned lateral halves of the body and engaged in unrestricted activities throughout a 6- (group I) or 8-h (group II) period of sun exposure at a seaside location. The end measurement for these studies was incidence and severity of erythema 18 to 22 h after peak UV exposure. The results obtained showed that 1 or 4 sunscreen applications yielded comparable erythema protection after a 6-hour sun exposure, totaling 13 minimal erythema doses (MED). However, after an 8-h, 21 MED exposure, incidence and severity of erythema was greater at body sites treated with 1 compared with 5 sunscreen applications.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Exposición a Riesgos Ambientales , Quemadura Solar/prevención & control , Luz Solar/efectos adversos , Protectores Solares/uso terapéutico , Acrilatos/administración & dosificación , Acrilatos/uso terapéutico , Niño , Cinamatos/administración & dosificación , Cinamatos/uso terapéutico , Esquema de Medicación , Eritema/prevención & control , Femenino , Humanos , Inmersión , Masculino , Proyectos Piloto , Protectores Solares/administración & dosificación , Factores de Tiempo , Titanio/administración & dosificación , Titanio/uso terapéutico , Agua
19.
Stroke ; 23(4): 564-8, 1992 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-1561690

RESUMEN

BACKGROUND AND PURPOSE: Conventional diets may cause hyperglycemia in patients with neurological injuries. The purpose of this study was to examine the effect on the severity of cerebral infarction of replacing carbohydrates as the primary dietary source of nonprotein calories. METHODS: Sixty-nine Long-Evans rats were either fasted for 24 hours, fed isocaloric amounts of a control diet containing 51.5% of the calories as carbohydrates, or fed one of five experimental diets before middle cerebral artery occlusion for 45 minutes. In the experimental diets, 60% of the carbohydrate calories were replaced with one or more of the following substrates: 1,3-butanediol, triacetin, tributyrin, and long- and medium-chain triglycerides. RESULTS: The plasma glucose concentration in the fasted animals was 6.4 +/- 1.1 mumol/ml. In the animals receiving the control diet, which contained the greatest number of carbohydrate calories, plasma glucose was 9.1 +/- 1.4 mumol/ml. The 1,3-butanediol diet resulted in an intermediate plasma glucose concentration averaging 7.8 +/- 1.3 mumol/ml. Plasma beta-hydroxybutyrate levels were elevated in the fasted group and with the 1,3-butanediol diet. Plasma acetate levels were increased with the diets supplemented with triacetin. The smallest infarct volume (53 +/- 43 mm3) was found in the fasted group and the largest (162 +/- 56 mm3) in the control diet group. Infarct volumes that were significantly smaller were found with the 1,3-butanediol diet (98 +/- 41 mm3) and with the triacetin/tributyrin diet (105 +/- 53 mm3). The volume of the infarct was directly related to the plasma glucose concentration before ischemia (n = 69, r = 0.47, p less than 0.01), but not to plasma lactate, ketone body, or acetate levels. CONCLUSIONS: It may be possible to develop a diet for patients with neurological injuries using noncarbohydrate calorie sources, such as 1,3-butanediol, triacetin, or tributyrin, that would supply systemic caloric and protein requirements without the adverse effect of conventional diets.


Asunto(s)
Infarto Cerebral/patología , Dieta , Animales , Glucemia/análisis , Infarto Cerebral/metabolismo , Metabolismo Energético , Ayuno , Cuerpos Cetónicos/sangre , Concentración Osmolar , Ratas , Ratas Endogámicas
20.
Life Sci ; 49(17): PL113-8, 1991.
Artículo en Inglés | MEDLINE | ID: mdl-1682779

RESUMEN

The role of amino acid (AA) neurotransmitters in the spinal cord has been primarily studied using in vitro preparations and histochemical methods. The technology necessary to estimate AA levels in an intact animal has only recently become available. Such an investigation could yield valuable information regarding the segmental neurochemical environment. We measured the release of AAs into the rabbit lumbar spinal cord in response to sciatic nerve and transcranial stimulation with stereotaxically placed microdialysis catheters. Samples were obtained periodically during 90 minutes of continuous stimulation of either the left or right sciatic nerve, or motor cortex. Quantification of gamma-amino butyric acid (GABA), aspartate, glutamate, glycine, and taurine was performed using high pressure liquid chromatography (HPLC). Adequate neural excitation was verified by recording somatosensory evoked potentials (SSEPs) or corticomotor evoked potentials (CMEPs). Sensory activation at intensities sufficient to activate small and large diameter peripheral fibers of the ipsilateral (to the microdialysis probe) sciatic nerve produced a significant change only in segmental glycine levels. Contralateral sciatic nerve stimulation failed to evoke a significant elevation of AAs. In addition, a significant increase in the release of glycine and taurine was measured after 90 minutes of transcranial stimulation. SSEP and CMEP components repeatedly showed adequate activation of primary afferent, descending motor fiber pathways, and segmental interneuron pools during dialysis sampling. Our data are consistent with the hypothesis that suprasegmental influence over peripheral afferent and motor activity may be, in part, through these amino acid neurotransmitters in the rabbit lumbar spinal cord.


Asunto(s)
Aminoácidos/metabolismo , Neurotransmisores/metabolismo , Médula Espinal/química , Animales , Cromatografía Líquida de Alta Presión , Diálisis , Estimulación Eléctrica , Corteza Motora/fisiología , Conejos , Nervio Ciático/fisiología
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