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1.
Oecologia ; 190(4): 783-797, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31267237

RESUMEN

Predation on parasites is an important ecological process, but few experimental studies have examined the long-term impacts on the prey. Cleaner fish prey upon large numbers and selectively feed on the larger individuals of the ectoparasitic stage of gnathiid isopods. Removal of cleaner fish Labroides dimidiatus for 1.5-12.5 years negatively affects coral reef fishes, but the mechanism is unclear. A reduction in local parasite populations or the size of individual parasites would benefit all susceptible fishes. We tested whether cleaner presence reduces local gnathiid populations using 18 patch-reefs distributed between two sites (both at Lizard Island, Great Barrier Reef) which were maintained cleaner-free or undisturbed for 12 years. Using emergence traps (1 m2), free-living gnathiid stages were sampled before and after cleaner fish were removed during the day and night, up to 11 times over the course of the experiment. There were effects of the removal in the predicted direction, driven largely by the response at one site over the other involving 200% more gnathiids, but manifested only in the daytime sampling after 4 months. There was also a main effect (36%) for the shared sample dates at both sites after 12 years. Gnathiid size occasionally differed with cleaner presence, but in no consistent way over time. Contrary to our predictions, changes in free-living gnathiid population numbers and their size structure rarely reflected the changes in fish populations and individuals observed on cleaner-free reefs. Therefore, evidence that this predator alone regulates gnathiids remains limited, suggesting other contributing processes are involved.


Asunto(s)
Isópodos , Parásitos , Perciformes , Animales , Arrecifes de Coral , Peces
2.
Oecologia ; 184(1): 139-149, 2017 05.
Artículo en Inglés | MEDLINE | ID: mdl-28342012

RESUMEN

In terrestrial systems it is well known that the spatial patterns of grazing by herbivores can influence the structure of primary producer communities. On coral reefs, the consequences of varied space use by herbivores on benthic community structure are not well understood, nor are the relative influences of bottom-up (resource abundance and quality), horizontal (competition), and top-down (predation risk) factors in affecting spatial foraging behaviors of mobile herbivorous fishes. In the current study we quantified space use and feeding rates of the parrotfish, Chlorurus spilurus, across a strong gradient of food resources and predator and competitor abundance across two islands with drastically different fisheries management schemes. We found evidence that while feeding rates of this species are affected by direct interference competition and chronic predation risk, space use appears to be primarily related to exploitative competition with the surrounding herbivore community. We found no evidence that predation risk influences diurnal foraging space use in this small bodied parrotfish species. Additionally, we found the influence of chronic predation risk on feeding rates of this species to be less dramatic than the results of recent studies that used model predators to measure acute behavioral responses of other species of herbivorous fishes. Our results indicate that the non-consumptive effects of predators on the foraging behaviors of coral reef herbivores may be less dramatic than previously thought.


Asunto(s)
Arrecifes de Coral , Conducta Predatoria , Animales , Peces , Herbivoria , Conducta Social
3.
Proc Natl Acad Sci U S A ; 107(43): 18266-71, 2010 Oct 26.
Artículo en Inglés | MEDLINE | ID: mdl-20181570

RESUMEN

Marine reserve theory suggests that where large, productive populations are protected within no-take marine reserves, fished areas outside reserves will benefit through the spillover of larvae produced in the reserves. However, empirical evidence for larval export has been sparse. Here we use a simple idealized coastline model to estimate the expected magnitude and spatial scale of larval export from no-take marine reserves across a range of reserve sizes and larval dispersal scales. Results suggest that, given the magnitude of increased production typically found in marine reserves, benefits from larval export are nearly always large enough to offset increased mortality outside marine reserves due to displaced fishing effort. However, the proportional increase in recruitment at sites outside reserves is typically small, particularly for species with long-distance (on the order of hundreds of kilometers) larval dispersal distances, making it very difficult to detect in field studies. Enhanced recruitment due to export may be detected by sampling several sites at an appropriate range of distances from reserves or at sites downcurrent of reserves in systems with directional dispersal. A review of existing empirical evidence confirms the model's suggestion that detecting export may be difficult without an exceptionally large differential in production, short-distance larval dispersal relative to reserve size, directional dispersal, or a sampling scheme that encompasses a broad range of distances from the reserves.


Asunto(s)
Conservación de los Recursos Naturales , Peces/crecimiento & desarrollo , Biología Marina , Animales , Biomasa , Ecosistema , Explotaciones Pesqueras , Larva/crecimiento & desarrollo , Modelos Biológicos , Dinámica Poblacional
4.
Proc Natl Acad Sci U S A ; 105(26): 8974-9, 2008 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-18577590

RESUMEN

Many nearshore fish and invertebrate populations are overexploited even when apparently coherent management structures are in place. One potential cause of mismanagement may be a poor understanding and accounting of stochasticity, particularly for stock recruitment. Many of the fishes and invertebrates that comprise nearshore fisheries are relatively sedentary as adults but have an obligate larval pelagic stage that is dispersed by ocean currents. Here, we demonstrate that larval connectivity is inherently an intermittent and heterogeneous process on annual time scales. This stochasticity arises from the advection of pelagic larvae by chaotic coastal circulations. This result departs from typical assumptions where larvae simply diffuse from one site to another or where complex connectivity patterns are created by transport within spatially complicated environments. We derive a statistical model for the expected variability in larval settlement patterns and demonstrate how larval connectivity varies as a function of different biological and physical processes. The stochastic nature of larval connectivity creates an unavoidable uncertainty in the assessment of fish recruitment and the resulting forecasts of sustainable yields.


Asunto(s)
Peces/crecimiento & desarrollo , Invertebrados/crecimiento & desarrollo , Animales , Larva/crecimiento & desarrollo , Larva/fisiología , Estadios del Ciclo de Vida , Modelos Biológicos , Océanos y Mares , Procesos Estocásticos , Factores de Tiempo
5.
J Cell Biol ; 64(1): 54-74, 1975 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-1109237

RESUMEN

Calcium transport in small intestine of rat and chick has been studied at the cellular level using the electron probe X-ray microanalyzer. Tissues were examined directly after removal as well as after incubation in a calcium solution. In both preparations, discrete calcium localizations were found associated with intracellular and extracellular goblet cell mucus. The in vitro preparations showed calcium in transit across the absorptive epithelium in discrete localizations. Although the primary path of transport was along lateral cell borders, some localizations were found in the cytoplasm in a supranuclear position. The effect of vitamin D depletion and repletion was to decrease and increase, respectively, the number of calcium localizations in transit across the epithelium. These results suggest that calcium is transported while in a sequestered form and indicate that goblet cell mucus plays a role in this transport process.


Asunto(s)
Calcio/metabolismo , Absorción Intestinal , Intestino Delgado/metabolismo , Envejecimiento , Animales , Transporte Biológico , Radioisótopos de Calcio , Núcleo Celular/metabolismo , Núcleo Celular/ultraestructura , Pollos , Duodeno/metabolismo , Electrones , Estudios de Evaluación como Asunto , Íleon/metabolismo , Intestino Delgado/crecimiento & desarrollo , Yeyuno/metabolismo , Masculino , Métodos , Especificidad de Órganos , Ratas , Especificidad de la Especie , Deficiencia de Vitamina D/metabolismo
6.
Science ; 293(5530): 629-37, 2001 Jul 27.
Artículo en Inglés | MEDLINE | ID: mdl-11474098

RESUMEN

Ecological extinction caused by overfishing precedes all other pervasive human disturbance to coastal ecosystems, including pollution, degradation of water quality, and anthropogenic climate change. Historical abundances of large consumer species were fantastically large in comparison with recent observations. Paleoecological, archaeological, and historical data show that time lags of decades to centuries occurred between the onset of overfishing and consequent changes in ecological communities, because unfished species of similar trophic level assumed the ecological roles of overfished species until they too were overfished or died of epidemic diseases related to overcrowding. Retrospective data not only help to clarify underlying causes and rates of ecological change, but they also demonstrate achievable goals for restoration and management of coastal ecosystems that could not even be contemplated based on the limited perspective of recent observations alone.


Asunto(s)
Ecosistema , Peces , Biología Marina , Animales , Arqueología , Bacterias , Cnidarios , Conservación de los Recursos Naturales , Eutrofización , Sedimentos Geológicos , Humanos , Algas Marinas , Mariscos , Factores de Tiempo
7.
J Gen Physiol ; 79(4): 709-35, 1982 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-7069399

RESUMEN

Volume, osmolality, and concentrations for Na, Cl, and raffinose have been measured as a function of time in standing droplets within rat intermediate and late proximal tubules. Standing droplet reabsorption proceeds without the development of a measurable osmotic difference across the epithelium. After 140 s of tubular exposure, droplet-to-plasma concentration differences are observed for raffinose, Na, and Cl with the observed Na concentration difference, usually referred to as limiting gradient, being approximately 9 mM. It is possible that a smaller or even no limiting difference would be attained with longer exposure times. Previous values measured for the limiting Na concentration in the rat proximal tubule were determined before the attainment of constant concentrations. Assuming that the Na concentration we measured is the limiting value, we estimate that active NaCl transport accounts for a very small fraction, less than 6%, of the volume reabsorption; using an alternative approach of fitting a theoretical model to our experimental data, active NaCl transport is again estimated to account for only 6% of the total reabsorbate. The previous interpretation that a limiting Na concentration gradient constitutes the most direct evidence for active Na transport may be in error; the gradient we measure can be modeled without incorporating active NaCl transport.


Asunto(s)
Agua Corporal/análisis , Túbulos Renales Proximales/análisis , Animales , Cloro/análisis , Cloro/sangre , Femenino , Tasa de Filtración Glomerular , Concentración Osmolar , Rafinosa/análisis , Ratas , Ratas Endogámicas , Sodio/análisis , Sodio/sangre , Ultrafiltración
8.
J Gen Physiol ; 76(5): 559-86, 1980 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-7441196

RESUMEN

A theoretical model incorporation both active and passive forces has been developed for fluid reabsorption from split oil droplets in rat intermediate and late proximal tubule. Of necessity, simplifying assumptions have been introduced; we have assumed that the epithelium can be treated as a single membrane and that the membrane "effective" HCO3 permeability is near zero. Based on this model with its underlying assumptions, the following conclusions are drawn. Regardless of the presence or absence of active NaCl transport, fluid reabsorption from the split oil droplet is isosmotic. The reabsorbate osmolarity can be affected by changes in tubular permeability parameters and applied forces but is not readily altered from an osmolarity essentially equal to that of plasma. In a split droplet, isosmotic flow need not be a special consequence of active Na transport, is not the result of a particular set of permeability properties, and is not merely a trivial consequence of a very high hydraulic conductivity; isosmotic flow can be obtained with hydraulic conductivity nearly an order of magnitude lower than that previously measured in the rat proximal convoluted tubule. Isosmotic reabsorption is, in part, the result of the interdependence of salt and water flows, their changing in parallel, and thus their ratio, the reabsorbate concentration being relatively invariant. Active NaCl transport can cause osmotic water flow by reducing the luminal fluid osmolarity. In the presence of passive forces the luminal fluid can be hypertonic to plasma, and active NaCl transport can still exert its osmotic effect on volume flow. There are two passive forces for volume flow: the Cl gradient and the difference in effective osmotic pressure; they have an approximately equivalent effect on volume flow. Experimentally, we have measured volume changes in a droplet made hyperosmotic by the addition of 50 mM NaCl; the experimental results are predicted reasonably well by our theoretical model.


Asunto(s)
Túbulos Renales Proximales/fisiología , Agua/metabolismo , Animales , Femenino , Matemática , Modelos Biológicos , Concentración Osmolar , Ratas
9.
Endocr Relat Cancer ; 10(4): 489-96, 2003 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-14713263

RESUMEN

The rationale underlying an aggressive approach in the management of some carcinoid patients is explained and illustrated by the presented case of a middle-aged man with advanced classic typical midgut carcinoid. The patient exhibited somatostatin receptor scintigraphy-positive massive liver metastases, carcinoid syndrome, severe tricuspid and pulmonic cardiac valve disease with congestive heart failure, ascites and malnutrition. He had been treated for several years with supportive medications and biotherapy including octreotide and alpha interferon but his tumor eventually progressed and his overall condition was markedly deteriorated when he first sought more aggressive treatment. This consisted of prompt replacement of both tricuspid and pulmonic valves, followed by hepatic artery chemoembolus (HACE) injection and then surgical tumor debulking including excision of the primary tumor in the small intestine. In addition, radiofrequency ablation was utilized to reduce the volume of metastases in the liver. Prophylactic cholecystectomy was also performed and a biopsy of tumor was submitted for cell culture drug resistance testing. This was followed by systemic chemotherapy utilizing the drug (docetaxel) which the in vitro studies suggested as most likely to be effective. His excellent response to this succession of treatments exemplifies the successful application of aggressive sequential multi-modality therapy.


Asunto(s)
Cardiopatía Carcinoide/patología , Cardiopatía Carcinoide/terapia , Neoplasias Intestinales/patología , Neoplasias Intestinales/terapia , Neoplasias Hepáticas/secundario , Neoplasias Hepáticas/terapia , Antineoplásicos Hormonales/farmacología , Quimioembolización Terapéutica , Terapia Combinada , Docetaxel , Implantación de Prótesis de Válvulas Cardíacas , Humanos , Neoplasias Hepáticas/patología , Masculino , Persona de Mediana Edad , Octreótido/farmacología , Válvula Pulmonar/patología , Válvula Pulmonar/cirugía , Taxoides/farmacología , Insuficiencia de la Válvula Tricúspide/patología , Insuficiencia de la Válvula Tricúspide/cirugía
10.
J Invest Dermatol ; 90(2): 218-24, 1988 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-3339263

RESUMEN

The water concentration profile across rapidly frozen human epidermis has been measured using electron probe analysis and analytical electron microscopy. Determinations were made within the cytoplasm of individual cells. From the basal layer, the water content remained relatively constant or decreased slightly across the viable tissue and decreased approximately linearly across the stratum corneum. A considerable discontinuity in water content occurred between these two regions over the stratum corneum-stratum granulosum junction and the last granular cell layer. The dominance of the water profile by a discontinuity suggests water loss is governed by a partitioning process, presumably a partitioning into the lipid domain. A water discontinuity offers important functional advantages in the conservation of substances within the body and in protection from intruding molecules.


Asunto(s)
Agua Corporal/análisis , Piel/análisis , Agua Corporal/metabolismo , Microanálisis por Sonda Electrónica , Epidermis/metabolismo , Humanos , Masculino , Microscopía Electrónica , Permeabilidad , Conservación de Tejido
11.
J Invest Dermatol ; 90(1): 78-85, 1988 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-3335792

RESUMEN

Concentration profiles for the major biological inorganic elements Na, P, S, Cl, and K were measured across human skin using electron probe analysis and analytical electron microscopy. Determinations were made within the cytoplasm of individual cells. Uniform element concentrations were present throughout the viable tissue, whereas element profiles in the stratum corneum were considerably diverse. Phosphorus was practically absent from the stratum corneum. Sulfur (per unit volume) continuously increased from the inner to the outer cell layers of the stratum corneum largely as a result of cytoplasmic water loss as cells migrate to the surface. Potassium was essentially excluded from the inner stratum corneum. Very large gradients for K, Na, and Cl occurred from the middle of the stratum corneum to its outer surface; these gradients are likely the result of the inward diffusion of salts from sweat and could play a variety of physiological roles. The paucity of K and P within the inner stratum corneum suggests these important intracellular solutes (and perhaps others, including water) are recycled within the viable tissue, thus providing a virtual nutrient supply immediately underneath the stratum corneum. Alterations in this recirculation could have a regulatory function in the physiology of this tissue.


Asunto(s)
Piel/análisis , Cloro/análisis , Microanálisis por Sonda Electrónica , Humanos , Fósforo/análisis , Potasio/análisis , Sodio/análisis , Azufre/análisis
12.
J Invest Dermatol ; 104(4): 530-6, 1995 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-7706772

RESUMEN

Using analytical electron microscopy of freeze-dried cryosections, physiologic elements were visualized within individual cells across the human inner stratum corneum. Human corneocytes undergo systematic changes in element composition as they advance through this region. Phosphorus is largely excluded from the stratum corneum, undergoing a precipitous drop in concentration at the granular/stratum corneum interface. The cellular potassium concentration has a profile similar to that of phosphorus but with a slower decline, thus migrating further into the stratum corneum. In contrast, the cellular chloride concentration increases in the innermost corneocyte layer, increases further in the subsequent layer or two (as potassium declines), and then decreases to values comparable to those in the innermost corneocyte. The cellular sodium concentration (per unit volume of tissue) is relatively unaltered in transit across the inner stratum corneum. The initial potassium and chloride movements are oppositely directed and have the appearance of creating an electrical charge imbalance. The position-dependent alterations in corneocyte elemental composition may reflect sequential stages of chemical maturation occurring intracellularly during stratum corneum transit, an example of which is the breakdown of filaggrin that occurs over this same region of the inner stratum corneum.


Asunto(s)
Epidermis/química , Cloro/análisis , Microanálisis por Sonda Electrónica , Epidermis/ultraestructura , Proteínas Filagrina , Humanos , Fósforo/análisis , Potasio/análisis , Sodio/análisis , Azufre/análisis
13.
J Invest Dermatol ; 115(5): 875-81, 2000 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-11069626

RESUMEN

Recent studies have prompted interest in the use of epidermal barrier creams as protective biofilms for very low birthweight preterm infants. The key to understanding the role of epidermal barrier films is an elucidation of their interaction with water and a basic knowledge of their composition. In this study, we investigated the morphologic properties and elemental composition of the naturally occurring biofilm, vernix caseosa. This biofilm is typically lacking in preterm infants and its production coincides in utero with terminal differentiation of the epidermis and formation of the stratum corneum. Significantly, vernix (80.5+/-1.0% H2O) had a much higher water content than other barrier creams (Eucerin: 17.1+/-0.6%, Aquaphor: 0.33+/-0.03%, Ilex: 0.19+/-0.02%, petrolatum: 0.03+/-0.01%; all p<0.05). Phase contrast microscopy of vernix showed multiple cellular elements with nucleic "ghosts" embedded in a putative lipid matrix. Transmission electron microscopy revealed flattened structures approximately 1-2 microm in thickness with distinct cellular envelopes indicative of differentiated corneocytes. Compared with mature corneocytes in adult stratum corneum, vernix corneocytes appeared swollen, the density of the keratin filaments was less, and there was a relative lack of tonofilament orientation. Cryofractured specimens were examined by cryoscanning electron microscopy with subsequent elemental localization by X-ray beam analysis. The findings indicate the high water content of vernix is largely compartmentalized within fetal corneocytes. These results are consistent with the novel view of vernix as a "fluid phase" stratum corneum consisting of a hydrophobic lipid matrix with embedded fetal corneocytes possessing unique biomechanical and water-binding properties.


Asunto(s)
Vernix Caseosa , Elementos Químicos , Humanos , Recién Nacido , Cinética , Microscopía Electrónica , Fotomicrografía/métodos , Vernix Caseosa/química , Vernix Caseosa/citología , Agua/análisis , Agua/química
14.
J Invest Dermatol ; 113(6): 960-6, 1999 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-10594737

RESUMEN

Using electron microscopy, we investigated the effect of (i) a dilute surfactant and of water alone on the ultrastructure of stratum corneum lipids in pig skin exposed in vitro at 46 degrees C, and (ii) of water alone on human skin exposed in vivo at ambient temperature. For pig skin, the surfactant sodium dodecyl sulfate disrupts stratum corneum intercellular lamellar bilayers, leading to bilayer delamination and "roll-up" in a water milieu after 1 h, extensive bilayer disruption after 6 h, and nearly complete dissociation of corneocytes after 24 h. Corneodesmosomes show progressive degradation with exposure time. Water alone also disrupts the stratum corneum, but with a slower onset. Alterations in intercellular lamellar bilayers, but not intercellular lamellar bilayer roll-up, are detected after 2 h. Intercellular lamellar bilayer roll-up occurs after 6 h. Extensive dissociation of corneocytes occurs after 24 h of water exposure. Unlike sodium dodecyl sulfate, water exposure results in the formation of amorphous intercellular lipid. Corneodesmosome degradation parallels intercellular lamellar bilayer disruption; calcium appears to offer some protection. Similar disruption of intercellular lamellar bilayers occurs in human skin in vivo at ambient temperature. Our studies show that water can directly disrupt the barrier lipids and are consistent with surfactant-induced intercellular lamellar bilayer disruption being due at least in part to the deleterious action of water. Intercellular lamellar bilayer disruption by water would be expected to enhance permeability and susceptibility to irritants; accordingly, increased attention should be given to the potential dangers of prolonged water contact. For common in vitro procedures, such as skin permeation studies or isolation of stratum corneum sheets, exposure to water should also be minimized.


Asunto(s)
Epidermis/efectos de los fármacos , Lípidos/análisis , Dodecil Sulfato de Sodio/farmacología , Tensoactivos/farmacología , Agua/farmacología , Animales , Epidermis/ultraestructura , Humanos , Microscopía Electrónica , Permeabilidad , Porcinos , Factores de Tiempo
15.
Proc Biol Sci ; 263(1377): 1683-8, 1996 Dec 22.
Artículo en Inglés | MEDLINE | ID: mdl-9025314

RESUMEN

It is an axiom of vertebrate behavioural endocrinology that full expression of a male behavioural phenotype depends on testicular influences during development, in adulthood, or both. Sex change in fishes challenges this necessity: behavioural changes are often rapid and greatly precede gonadal changes. However, steroid hormones can have fast actions on the nervous system, so gonadal influences on behavioural sex change cannot be excluded based solely on the speed of these changes. We report that surgical gonad removal does not prevent or discernibly alter female-to-male behavioural sex change in a protogynous coral reef fish. Male behaviour assumption is instead purely dependent on attaining social dominance. This is the first example of a vertebrate fully expressing a male behavioural phenotype without current or previous exposure to a functioning testis or testicular products.


Asunto(s)
Peces/fisiología , Organismos Hermafroditas , Procesos de Determinación del Sexo , Conducta Sexual Animal/fisiología , Animales , Femenino , Masculino , Orquiectomía , Ovariectomía , Ovario/fisiología , Fenotipo , Testículo/fisiología
16.
Proc Biol Sci ; 262(1364): 135-9, 1995 Nov 22.
Artículo en Inglés | MEDLINE | ID: mdl-8524908

RESUMEN

In natural populations of a coral reef fish (the bluehead wrasse, Thalassoma bifasciatum), males with the highest daily mating success produce the fewest sperm per mating, and this is reflected in significantly lower fertilization rates. The average amount released by males in pair-mating was 3.3 x 10(6) spermatozoa, resulting in a fertilization rate of 96%. Sperm released per spawn declined with increasing mating success, so that females mating with the most successful males had less than 93% of their eggs fertilized. It is unlikely that high mating-success males are physiologically incapable of increasing sperm production, because younger males with different mating strategies have absolutely larger testes and higher daily sperm output. Feeding experiments suggest that high-success males are diverting energy from gamete production to other fitness-enhancing activities such as mate guarding. Females incur the cost of low sperm release by having fewer of their eggs fertilized. There are no obvious compensatory benefits to females from mating with high-success males.


Asunto(s)
Peces/fisiología , Conducta Sexual Animal , Animales , Femenino , Masculino
17.
Chest ; 90(1): 87-9, 1986 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-2424676

RESUMEN

Deficiency of tryptophan with elevated serum serotonin and liver dysfunction are the prerequisites for the experimental production of cardiac lesions in the guinea pig model of carcinoid syndrome. To apply the above principles in human subjects with carcinoid disease, various indole markers were compared in patients with or without heart involvement, to a group of normal subjects. In the present study, plasma tryptophan (T), serotonin (5HT), and urinary 5 hydroxyindoleacetic acid (5HIAA) measurements were made in 18 (group 1) patients with carcinoid syndrome and 24 normal individuals (group 2). Of the 18 patients, seven (group 1A) had valvular involvement and 11 (group 1B) had none, as determined by clinical, roentgenographic, and echocardiographic (M-mode and 2-D) techniques. Analysis of the above data shows that unlike animal models, there is no difference in serum tryptophan, serum serotonin, and urinary 5 hydroxyindoleacetic acid levels, in patients with carcinoid syndrome with or without cardiac involvement (p greater than 0.05). Furthermore, the data confirm that serum tryptophan, a substrate in carcinoid syndrome, is decreased and in serum serotonin and urinary 5 hydroxyindoleacetic acid, the metabolites are elevated.


Asunto(s)
Cardiopatía Carcinoide/diagnóstico , Indoles/análisis , Síndrome Carcinoide Maligno/diagnóstico , Adulto , Anciano , Válvula Aórtica , Cardiopatía Carcinoide/metabolismo , Femenino , Enfermedades de las Válvulas Cardíacas/diagnóstico , Humanos , Ácido Hidroxiindolacético/orina , Masculino , Persona de Mediana Edad , Válvula Mitral , Serotonina/sangre , Válvula Tricúspide , Triptófano/sangre
19.
Mt Sinai J Med ; 61(4): 349-55, 1994 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-7969229

RESUMEN

In the severe crisis of carcinoid syndrome the flush is usually accompanied by hypotension and occasionally shock. Injection of octreotide, the long-acting analog of somatostatin, usually prevents or aborts this vasomotor reaction. A small minority of carcinoid syndrome patients manifest hypertension during their crises and little has been reported in the literature on their management. We present the first case reports of the response of patients with hypertensive carcinoid crisis to treatment with octreotide. The world literature contains reports of 20 prior cases of hypertensive carcinoid crises occurring in association with the stress of surgery and anesthesia. Review of these cases reveals no common feature, other than hypertension, that might clearly distinguish them from the typical hypotensive carcinoid syndrome patient. It is hypothesized that the mechanism of action of octreotide correcting the blood pressure changes in all carcinoid crises is via its known inhibition of vasomotor product release from the tumor and blocking receptors for these substances. We suggest that hypertensive as well as hypotensive carcinoid crises respond to octreotide and that this agent should be considered for prophylactic and emergency use in all carcinoid syndrome patients prior to and during anesthesia and surgery.


Asunto(s)
Hipertensión/tratamiento farmacológico , Hipertensión/fisiopatología , Síndrome Carcinoide Maligno/tratamiento farmacológico , Síndrome Carcinoide Maligno/fisiopatología , Octreótido/uso terapéutico , Femenino , Humanos , Hipertensión/complicaciones , Masculino , Persona de Mediana Edad
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