Impairment of ocular blood flow during regional orbital anesthesia.

BACKGROUND: Regional anesthesia for ophthalmic surgery has been associated with ischemic complications, such as central retinal vascular occlusion, optic atrophy and ischemic optic neuropathy. Impairment of pulsatile ocular blood flow (POBF) may occur with regional orbital anesthesia. In this study we quantified POBF in patients undergoing regional orbital anesthesia. METHODS: Eleven patients (12 eyes) with a mean age of 76.5 years having regional orbital anesthesia for cataract or retinal surgery at a private refractive surgical centre in Calgary had POBF monitoring before, during and 15 minutes after induction of anesthesia. RESULTS: There were no significant changes in intraocular pressure or heart rate during the induction phase or 15 minutes after induction of regional orbital anesthesia. However, ocular blood flow indices, including pulse amplitude, pulse volume and POBF, were significantly reduced following attainment of regional orbital blockade (p < 0.05). With time there was recovery in these variables, but they all remained significantly reduced from baseline 15 minutes later. INTERPRETATION: Ocular blood flow appears to be significantly impaired during regional orbital anesthesia, induced as described. There could be benefit in monitoring POBF to reveal otherwise undetectable deleterious effects on retinal circulation in patients having retrobulbar injections, orbital compression or digital manipulation of the globe.

Parallel streams for the relay of vibrissal information through thalamic barreloids.

This study investigated the organization of a vibrissal pathway that arises from the interpolar division of the spinal trigeminal complex (SP5i), transits through the ventral posterior medial nucleus (VPM), and innervates the somatosensory cortical areas in the rat. Using Fluoro-Gold and biotinylated dextran amine, respectively, as retrograde and anterograde tracers, the following organization plan was disclosed. The SP5i projection arises from a population of small-sized neurons that selectively innervate the ventral lateral part of VPM. In cytochrome oxidase-stained material, this region does not display any barreloid arrangement, but Fluoro-Gold injections in single barrel columns labeled rods of cells that extend caudally into the ventral lateral division of VPM. Thus, on the basis of retrograde labeling, barreloids were divided into core and tail compartments, which correspond to the rod segments running across the dorsal and ventral lateral parts of VPM, respectively. Double-labeling experiments revealed that SP5i afferents innervate the tail of barreloids. The anterograde labeling of thalamocortical axons show that most "core cells" project to a single barrel column, whereas some "tail cells" give rise to branching axons that innervate the second somatosensory area and the dysgranular zone of the barrel field. Injections that straddled the transition zone between the core and tail regions disclosed cells projecting to a single barrel column and to the surrounding dysgranular zone. These results suggest that the projection of "barreloids cells" to the granular and/or dysgranular zones relates to the class of prethalamic input(s) they receive.

Corticothalamic projections from layer 5 of the vibrissal barrel cortex in the rat.

This study bears on the projections of layer 5 cells of the vibrissal sensory cortex to the somatosensory thalamus in rats. Small groups of cells were labeled with biotinylated dextran amine (BDA), and their axonal arborizations were individually reconstructed from horizontal sections counterstained for cytochrome oxidase. Results show that the vast majority ( approximately 95%) of layer 5 axons that innervate the somatosensory thalamus are collaterals of corticofugal fibers that project to the brainstem. The anterior pretectal nucleus, the deep layers of the superior colliculus, and the pontine nuclei are among the structures most often coinnervated. In the thalamus, layer 5 axons terminate exclusively in the dorsal part of the posterior group (Po), where they form clusters of large terminations. Because dorsal Po projects to multiple cortical areas, we sought to determine whether all recipient areas return a layer 5 projection to this part of the thalamus. Additional experiments using fluoro-gold and BDA injections provided evidence that the primary somatosensory area is the sole source of layer 5 projections to dorsal Po but that this thalamic region receives convergent layer 6 projections from the primary and second somatosensory areas and from the motor and insular cortices. These results show that layer 5 projections do not overlap in associative thalamic nuclei, thus defining area-related subdivisions. Furthermore, the coinnervation of brainstem nuclei by layer 5 CT axons suggests that this pathway conveys to the thalamus a copy of the cortical output aimed at brainstem structures.

Thalamic projections from the whisker-sensitive regions of the spinal trigeminal complex in the rat.

This study investigated the axonal projections of whisker-sensitive cells of the spinal trigeminal subnuclei (SP5) in rat oral, interpolar, and caudal divisions (SP5o, SP5i, and SP5c, respectively). The labeling of small groups of trigeminothalamic axons with biotinylated dextran amine disclosed the following classes of axons. 1) Few SP5o cells project to the thalamus: They innervate the caudal part of the posterior group (Po) and the region intercalated between the anterior pretectal and the medial geniculate nuclei. These fibers also branch profusely in the tectum. 2) Two types of ascending fibers arise from SP5i: Type I fibers are thick and distribute to the Po and to other regions of the midbrain, i.e., the prerubral field, the deep layers of the superior colliculus, the anterior pretectal nucleus, and the ventral part of the zona incerta. Type II fibers are thin; branch sparsely in the tectum; and form small-sized, bushy arbors in the ventral posterior medial nucleus (VPM). Accordingly, a statistical analysis of the distribution of antidromic invasion latencies of 96 SP5i cells to thalamic stimulation disclosed two populations of neurons: fast-conducting cells, which invaded at a mean latency of 1.23 +/- 0. 62 msec, and slow-conducting cells, which invaded at a mean latency of 2.97 +/- 0.62 msec. 3) The rostral part of SP5c contains cells with thalamic projections similar to that of type II SP5i neurons, whereas the caudal part did not label thalamic fibers in this study. A comparison of SP5i projections and PR5 projections in the VPM revealed that the former are restricted to ventral-lateral tier of the nucleus, whereas the latter terminate principally in the upper two tiers of the VPM. These results suggest a functional compartmentation of thalamic barreloids that is defined by the topographic distribution of PR5 and type II SP5i afferents.

The organization of corticothalamic projections: reciprocity versus parity.

All neocortical areas receive inputs from and project back to the thalamus. It is often said that the corticothalamic projections are organized in a way that reciprocates the spatial distribution of thalamocortical pathways. The present review examines to what extent this rule of reciprocity is actually supported by the most recent neuroanatomical data, particularly those relating to the central organization of the vibrissal sensory system in the rat. A critical survey of previous studies is made and new results are presented concerning the fine-grained organization of corticothalamic projections in this sensory system. Together, prior results and the present set of new data confirm the existence of both, reciprocal and nonreciprocal patterns of corticothalamic connectivity. This conclusion leads us to propose that the spatial organization of corticothalamic connections complies with a more fundamental rule, the rule of parity, from which reciprocity follows as a general, but not obligatory consequence. The rule of parity states that the distribution of corticothalamic projections across and within the thalamic nuclei is determined by the branching patterns of the different classes of prethalamic afferents. The anatomical, developmental and physiological consequences of this rule are discussed. The rule of parity suggests that, according to the behavioral context, both prethalamic and corticothalamic pathways may function in a feedback mode.

Anatomical evidence for a mechanism of lateral inhibition in the rat thalamus.

The aim of this study was to determine whether or not thalamic reticular nucleus (Rt) neurons form synaptic connections with the thalamocortical (TC) neurons from which they receive synaptic contacts. Therefore, we examined, in adult rats, the relationships between single TC and Rt neurons, which had been marked simultaneously with an anterograde/retrograde tracer (biocytin or Neurobiotin), using the extracellular or juxtacellular technique. (i) From 30 successful extracellular microapplications of marker into the Rt, 22 gave retrogradely marked TC somatodendritic arbors at the fringe of or clear outside the anterogradely darkly stained Rt axon terminal fields. Following biocytin application into the thalamus, few cells were retrogradely stained in the Rt at the periphery of the anterogradely labelled axon terminal field. (ii) The juxtacellular filling of a single Rt cell was accompanied by the back-filling of a single TC neuron (n = 4 pairs), which presumably formed synaptic contacts with the former cell. The somatodendritic complex of the back-filled TC neuron was located outside the Rt cell's axonal arbor. These anatomical data provide clear evidence that Rt and thalamic neurons predominantly form between themselves open rather than closed loop connections. Because TC neurons make glutamatergic synapses onto Rt cells, which are GABAergic, and are the first elements synaptically activated by prethalamic afferents into the TC-Rt network, the present results strongly support the hypothesis that Rt neurons principally generate a mechanism of lateral inhibition in the thalamus.

Projections to layer VI of the posteromedial barrel field in the rat: a reappraisal of the role of corticothalamic pathways.

The present study bears on afferents that terminate in layer VI of the posteromedial barrel field in the rat. Their origin was determined by the retrograde transport of cholera toxin, and their axonal arborizations were revealed by targeting injections of biotinylated dextran amine in regions that contained retrogradely labeled neurons. Afferents to lamina VI arise from the thalamus (the ventral posteromedial, the posterior group and the intralaminar nuclei), the claustrum and the infragranular layers of other somatomotor regions of the neocortex (the motor, second somatosensory and perirhinal cortices). Among these afferent systems, corticocortical axons, particularly those issuing from the motor cortex, give rise to the most profuse projections in layer VI, whereas thalamic and claustral afferents form sparse terminal fields. Because corticothalamic cells represent approximately 50% of the neuronal population in lamina VI and 73% of their dendritic processes are deployed locally, it seems likely that afferents arising from the infragranular layers of the motor cortex may directly influence the firing of these neurons. These anatomical data suggest that the role of corticothalamic pathways should be studied from the viewpoint that sensory perception is an active process which operates under the guidance of motor activities.

A single-cell study of the axonal projections arising from the posterior intralaminar thalamic nuclei in the rat.

Thalamostriatal projections arising from the posterior intralaminar nuclei (P1; the parafascicular nucleus and the adjacent caudalmost part of the posterior thalamic group) were studied in rats by tracing the axons of small pools of neurons labelled anterogradely with biocytin. Thirteen P1 cells were also stained by juxta cellular application of the tracer. Relay cells of P1 nuclei have a morphology that differs radically from the classical descriptions of the bushy cells which represent the main neuronal type of the sensory thalamic relay nuclei. P1 cells have ovoid or polygonal somata of approximately 20-25 microm, from which emerge four or five thick, long and poorly branched dendrites bearing spines and filamentous appendages; their dendritic domains extend for up to 1.5 mm. Before leaving the nucleus 20% of axons give off collaterals that ramify locally. All axons course through the thalamic reticular nucleus, where they also distribute collaterals, and arborize massively in the striatum and sparsely in the cerebral cortex. At the striatal level four or five collaterals leave the main axon and terminate in patches scattered dorsoventrally within a rostrocaudally oriented slab. As revealed by calbindin D-28k immunohistochemistry, only the matrix compartment receives terminations from P1 axons. The cortical branch form small terminal puffs centred upon layer VI of the motor cortex. Before entering the striatum some axons of the parafascicular nucleus give rise to descending collaterals that arborize in the entopeduncular nucleus, in the subthalamic nucleus and in the vicinity of the red nucleus. Other axons arising from the caudal part of the posterior group send descending branches only to the entopeduncular nucleus. These findings show that P1 cells belong to a distinct category of thalamic relay neurons which, beside their massive projection to the striatum, also distribute collaterals to other components of the basal ganglia. Moreover, these results provide the first direct evidence that virtually all P1 cells project to both striatum and cerebral cortex. Finally, it is proposed on the basis of morphological, histochemical and hodological criteria that the caudal part of the posterior thalamic group in the rat is homologous to the suprageniculate-limitans nuclei of cats and primates.

Corticostriatal projections from layer V cells in rat are collaterals of long-range corticofugal axons.

Corticostriatal projections arising from the infragranular layers of the motor and second somatosensory cortices were studied in rats after labeling small pools of neurons with biocytin. Camera lucida reconstruction of 263 fibers arising from laminae V and VI revealed that all corticostriatal projections derive from collaterals of lamina V cells whose main axons descend into the cerebral peduncle. In contrast, lamina VI cells do not branch upon the striatum, but upon the thalamus. Together with the results obtained in previous tracing studies, the present data raise the possibility that no neuron is exclusively corticostriatal. We therefore propose that all corticostriatal projections are collaterals given off by the axons of two types of neurons: layer V cells whose main axon project to the brainstem and/or spinal cord, and layer III cells that project to the contralateral hemisphere.

Two different types of thalamic fibers innervate the rat striatum.

Thalamostriatal projections were studied in rats by tracing the axons of small pools of thalamic neurons labeled anterogradely with biocytin. Single-cell mapping of these projections revealed two types of thalamostriatal fibers. The first type arises from the bushy relay cells of the central lateral and associative thalamic nuclei which arborize sparsely in the striatum by means of long varicose axon collaterals. The second type of fiber arises from large, reticular-like, relay cells located in the parafascicular and ethmoid nuclei. These latter fibers form dense clusters of terminations within the striatum and they also send branches to other components of the basal ganglia. These different morphological features suggest that the two types of fibers subserve different functions.

Toxic megacolon complicating pseudomembranous enterocolitis.

PURPOSE: Toxic megacolon is a rare complication of pseudomembranous enterocolitis. We reviewed our recent experience with this complication. METHODS: The first five patients of the series were studied retrospectively, and six others were followed prospectively. RESULTS: Between June 1992 and May 1994, 11 patients (8 male, 3 female) developed toxic megacolon secondary to pseudomembranous enterocolitis. Mean age was 60.7 +/- 11.8 (range, 40-79) years. Presenting symptoms and signs included diarrhea, 100 percent; malaise, 91 percent; abdominal pain, 82 percent; abdominal distention, 82 percent; abdominal tenderness, 72 percent; anemia less than 12 gm, 72 percent; albumin less than 3 gm, 64 percent; tachycardia greater than 100, 55 percent; fever greater than 38.5 degrees celsius, 45 percent; shock or hypotension, 45 percent. Predisposing factors included antibiotics, 64 percent; immunosuppressants or chemotherapy, 36 percent; antidiarrheals, 27 percent; and barium enema in one patient. Five patients (45 percent) had more than one predisposing factor. X-rays showed transverse colon dilation and loss of haustrations in eight patients (72 percent), with a mean diameter of 9.9 +/- 3.4 cm. Flexible proctosigmoidoscopy showed pseudomembranes in all scoped patients, and toxin assay for Clostridium difficile was positive in all patients. One patient had emergency surgery. Ten patients were initially treated medically with nasogastric suction and intravenous resuscitation (90 percent) and antibiotics (100 percent), usually in the intensive care unit (80 percent). Four patients did not respond and underwent surgery; two others improved, then deteriorated, and also underwent surgery. Altogether, 7 of 11 patients (64 percent) underwent surgery. Three patients (27 percent) responded well to medical treatment. One patient was deemed too ill to undergo surgery and died. Mean delay to surgery was 3.0 +/- 1.3 days. No sealed or overt perforation was found at laparotomy. All patients who underwent surgery had a subtotal colectomy, with either a Hartmann's stump (71 percent) or a mucous fistula (29 percent). Eventually, five of seven patients who were operated on and two of four medically treated patients died (overall mortality, 64 percent). Only one patient underwent closure of ileostomy and anastomosis. CONCLUSION: Toxic megacolon complicating pseudomembranous enterocolitis is a serious problem that carries a high morbidity and mortality rate, regardless of treatment.

Corticothalamic projections from the primary visual cortex in rats: a single fiber study using biocytin as an anterograde tracer.

This study investigates the pattern of axonal projections of single corticothalamic neurons from the rat primary visual cortex. Microiontophoretic injections of biocytin were made in cortical laminae V and VI to label small pools of corticothalamic cells and their intrathalamic axonal projections. After a survival period of 48 h, the animals were perfused and the tissue was processed for biocytin histochemistry. On the basis of the intrathalamic distribution of axonal fields and the types of terminations found in the thalamus, three types of corticothalamic projections were identified. (1) Cells of the upper part of lamina VI projected to the dorsal lateral geniculate nucleus where they arborized in rostrocaudally oriented bands or "rods" parallel to the lines of projection of retinal afferents. (2) Cells of the lower part of lamina VI projected to the lateral part of the lateral posterior nucleus and they also sent collaterals to the dorsal lateral geniculate nucleus where they participated in the formation of rods. (3) The corticothalamic projection of lamina V cells originated from collaterals of corticofugal cells whose main axons reached the tectum and/or the pontine nuclei. These collaterals never terminated within the dorsal lateral geniculate nucleus; they arborized in the lateral posterior, lateral dorsal and ventral lateral geniculate nuclei. All corticothalamic cells from lamina VI displayed the same type of axonal network made of long branches decorated by terminal boutons emitted "en passant" at the tip of fine stalks. Corticothalamic fibers arising from lamina V, however, generated varicose endings in restricted regions of their target nuclei. All corticothalamic axons derived from lamina VI cells, but not those derived from lamina V cells, gave off collaterals as they traversed the thalamic reticular complex. These results demonstrate that corticothalamic fibers arising from the rat primary visual cortex display a lamina-dependent projection pattern. In the light of previous studies on the topographical organization of corticothalamic projections, it is proposed that a similar organizational plan characterizes corticothalamic relationships in other sensory systems in the rat and in other species.

Thalamic reticular input to the rat visual thalamus: a single fiber study using biocytin as an anterograde tracer.

This study describes the axonal projections of single thalamic reticular (TR) neurons within the visual thalamus in rats. Experiments were performed under urethane anesthesia and reticular cells were labeled by extracellular or juxtacellular microiontophoretic applications of biocytin. The axonal arborizations of 19 TR cells projecting to the dorsal lateral geniculate nucleus (DLG) or to the lateral dorsal/lateral posterior complex (LD/LP) were reconstructed from serial horizontal sections. It was found that single TR cells projected within the limits of a single thalamic nucleus, either the DLG or the LD/LP complex, where their terminal fields formed rostrocaudally oriented rods (length: approximately 800 microns; diameter: approximately 100 microns) densely packed with grape-like boutons and varicosities. In addition, none of the labeled TR cells possessed recurrent axonal collaterals that ramified within the reticular complex itself. The functional implications of these morphological data for the synchronization of thalamic oscillations are discussed.

The axonal arborization of single thalamic reticular neurons in the somatosensory thalamus of the rat.

This study describes the axonal projections of single neurons of the thalamic reticular complex within the somatosensory thalamic nuclei in rats. Experiments were performed under urethane anaesthesia and reticular cells were labelled by extracellular microiontophoretic applications of biocytin. The axonal arborization of 25 thalamic reticular cells projecting to the ventrobasal (VB) nucleus and/or to the posterior thalamic (Po) complex were reconstructed from serial horizontal sections. Reticular cells labelled with biocytin display somatodendritic features similar to those reported previously. Their cell body is fusiform and their dendrites bear few spines and show a high degree of streaming along the horizontal curved axis of the nucleus. In most cells, axon-like beaded processes stem out from dendrites but, contrary to previous descriptions, no intrareticular axonal collateral was observed. The axonal arborization of most thalamic reticular cells is confined within the limits of a single thalamic nucleus; only two neurons were seen projecting to both the VB and the Po nuclei. In VB, termination fields form short rods (diameter approximately 150 microns, length approximately 200-300 microns) densely packed with grape-like boutons and varicosities; termination fields in Pro are larger, much less dense, and they are contained within a horizontal slab of tissue (thickness approximately 200 microns, mediolateral width approximately 400 microns, rostrocaudal length approximately 1 mm. By charting the position of all labelled cells within the thickness of the thalamic reticular complex, a strip-like arrangement was revealed. Cells projecting to Po occupy the innermost portion of the nucleus whereas those projecting to the ventral-posteromedial and ventral-posterolateral nuclei are located respectively in the middle and in the outer tiers of the nucleus. This strip-like reciprocity was confirmed by separate biocytin injections performed in VB and in Po. These results show that inhibition of reticular origin is distributed within the rat dorsal thalamus in a highly specific manner, most likely according to a principle of reciprocity within the somatotopic representation of the body.

Corticothalamic projections from the cortical barrel field to the somatosensory thalamus in rats: a single-fibre study using biocytin as an anterograde tracer.

This study investigated the pattern of axonal projections of single corticothalamic neurons from the cortical barrel field representing the vibrissae in the rat. Microiontophoretic injections of biocytin were performed in cortical layers V and VI to label small pools of corticothalamic cells and their intrathalamic axonal projections. After a survival period of 48 h, the animals were perfused and the tissue was processed for biocytin histochemistry. On the basis of the intrathalamic distribution of axonal fields and of the types of terminations found in the thalamus, four types of corticothalamic projections were identified. (i) Cells of the upper part of layer VI projected exclusively to the ventral posteromedial (VPm) nucleus, where they arborized in long rostrocaudally oriented bands or 'rods'. (ii) All cells of the lower part of layer VI projected to the medial part of the thalamic posterior group (Pom) but the vast majority of them also collateralized in VPm where they participated in the formation of rods. (iii) A minority of corticothalamic cells in the lower portion of layer VI, possibly located under the interbarrel spaces (septae), arborized exclusively in Pom. (iv) The corticothalamic projection of layer V cells originated from collaterals of corticofugal cells whose main axons ran caudally towards the brainstem. These collaterals arborized exclusively in Pom or in the central lateral nucleus. All corticothalamic cells from layer VI displayed the same type of axonal network, made of long branches decorated by terminal buttons emitted en passant at the tip of fine stalks. Corticothalamic fibres arising from layer V pyramids, however, remained smooth as they ran across the lateral thalamus and they generated in Pom one or two clusters of large boutons. All corticothalamic axons derived from layer VI cells, but not those derived from layer V cells, gave off collaterals as they traversed the thalamic reticular complex. These observations are discussed in the light of previous studies bearing on the topological organization and function of corticothalamic projections to VPm and Pom in rats. The possibility that a similar cellular specificity and a similar organizational plan may characterize corticothalamic relationships in other sensory systems is also considered.

Dietary supplementation and improved anaerobic performance.

In the present study, the effects of an increased daily dose of a dietary supplement (ATP-E, 0.2 g.kg-1.day-1) on Wingate test performance were examined in 12 men (21 +/- 1.6 years) prior to and following 14 days of supplement and placebo ingestion. A double-blind and counterbalanced design was used. Results revealed higher (p < .007) preexercise blood ATP (95.4 +/- 10.5 mumol.dl-1) for the entire group following 14 days of ATP-E ingestion compared to placebo measures (87.6 +/- 10.9 mumol.dl-1). Mean power (667 +/- 73 W) was higher (p < .008) after 14 days of ATP-E ingestion versus placebo (619 +/- 67 W). Peak plasma lactate was lower (p < .07) after 14 days of ATP-E ingestion (14.9 +/- 2.8 mmol.L-1) compared to placebo (16.3 +/- 1.6 mmol.L-1). These data suggested that the improvement in 30-s Wingate test performance in this group may be related to the increased dose of ATP-E.

The electroretinogram during orbital compression following intraorbital regional block for cataract surgery.

The electroretinogram (ERG) is a transient biopotential that reflects the electrical response of the distal retina to photostimulation. Disturbances in retinal circulation produce characteristic abnormalities in the ERG wave form. The objective of this study was to investigate the changes in the ERG produced by combined retrobulbar and peribulbar injections of a large volume (8 ml) of local anaesthetic, followed by ocular compression. Electroretinogram recordings were obtained from skin electrodes placed on the infero orbital ridge in response to stroboscopic flash stimulation in 34 adult patients undergoing cataract surgery: (a) prior to regional anaesthesia (baseline condition); (b) within one minute after regional anaesthesia of the orbit (block condition); (c) after ten minutes of orbital compression with a Honan's device at 30 mmHg. (compression condition); (d) and five minutes after removal of orbital compression (recovery condition). The ERG implicit times of both a- and b-wave increased (P < 0.001) after anaesthetic block. The amplitude of the a- and b-waves also decreased (P < 0.001) immediately following anaesthetic block and continued to decrease following application of the compression device (P < 0.01). Following removal of ocular compression the amplitude of the b-wave increased (P < 0.01). Only the a-wave implicit time (P < 0.005) decreased with release of ocular compression. These findings are compatible with the ERG changes of transient retinal ischaemia produced by ocular compression.

Muscarinic inhibition of reticular thalamic cells by basal forebrain neurones.

Pressure injections of a Ringer's solution containing glutamate (10 or 20 mM) into the nucleus basalis of Meynert inhibited the tonic firing of reticular thalamic (RT) neurones which were recorded in rats under deep urethane anaesthesia. When the inhibition was strong enough to stop the discharges, a burst firing mode was induced in RT cells before the recovery of tonic discharges. This glutamate-induced inhibition of RT cells was completely abolished following the systemic administration of the muscarinic antagonist, scopolamine (150 micrograms kg-1, i.v.). These results indicate that the cholinergic cells of the nucleus basalis of Meynert can control the mode of discharges of RT neurones through the activation of muscarinic receptors.

Anaerobic power responses to amino acid nutritional supplementation.

To examine the effect of a nutritional supplement (ATP-E) on high intensity exercise performance, 23 physically active males volunteered to perform six Wingate Anaerobic Power tests. Tests were performed prior to and at 14 and 21 days during ATP-E or placebo ingestion. The experiment followed a double-blind and random-order design. Twelve subjects (responders, R) showed an increase in preexercise blood ATP on Day 14 of ATP-E ingestion compared to control measures. The remaining 11 subjects (nonresponders, NR) had no change in preexercise blood ATP. Peak power and mean power were unchanged for both R and NR subjects across the exercise tests, but R experienced a decrease (p < 0.05) in immediate post-exercise plasma lactate on Day 14 of ATP-E testing compared to their control measures. NR had no change in peak plasma lactate at any time during the study. The results suggest that short-term high intensity exercise performance was maintained in R with less reliance on anaerobic metabolism, and that response was evident following 14 days of ATP-E ingestion.

Membrane resistance increase induced in thalamic neurons by stimulation of brainstem cholinergic afferents.

The synaptic response induced in thalamic relay cells by stimulation of peribrachial cholinergic afferents was studied in cats maintained under urethane anesthesia. Recordings were performed in the ventral lateral nucleus after destruction of the reticular thalamic complex and cortical lesion. Some animals were also pretreated with reserpine (1.2 mg/kg) 24 h before recording sessions. Repetitive stimulation (25-60 Hz for 200-600 ms) of the peribrachial area produced a slow depolarization and tonic firing in thalamic cells. The depolarization was associated with an increase in membrane resistance and its amplitude decreased during membrane hyperpolarization. The reactivity of thalamic relay cells to a corticothalamic volley was also increased during the slow depolarization. Similar results were obtained in reserpinized animals. On the basis of previous data obtained in vitro, it is concluded that the slow depolarization resulted from the activation of muscarinic receptors by brainstem cholinergic afferents.