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1.
Brain Cogn ; 101: 17-34, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26554843

RESUMO

The inhibition of impulsive response tendencies that conflict with goal-directed action is a key component of executive control. An emerging literature reveals that the proficiency of inhibitory control is modulated by expected or unexpected opportunities to earn reward or avoid punishment. However, less is known about how inhibitory control is impacted by the processing of task-irrelevant stimulus information that has been associated previously with particular outcomes (reward or punishment) or response tendencies (action or inaction). We hypothesized that stimulus features associated with particular action-valence tendencies, even though task irrelevant, would modulate inhibitory control processes. Participants first learned associations between stimulus features (color), actions, and outcomes using an action-valence learning task that orthogonalizes action (action, inaction) and valence (reward, punishment). Next, these stimulus features were embedded in a Simon task as a task-irrelevant stimulus attribute. We analyzed the effects of action-valence associations on the Simon task by means of distributional analysis to reveal the temporal dynamics. Learning patterns replicated previously reported biases; inherent, Pavlovian-like mappings (action-reward, inaction-punishment avoidance) were easier to learn than mappings conflicting with these biases (action-punishment avoidance, inaction-reward). More importantly, results from two experiments demonstrated that the easier to learn, Pavlovian-like action-valence associations interfered with the proficiency of inhibiting impulsive actions in the Simon task. Processing conflicting associations led to more proficient inhibitory control of impulsive actions, similar to Simon trials without any association. Fast impulsive errors were reduced for trials associated with punishment in comparison to reward trials or trials without any valence association. These findings provide insight into the temporal dynamics of task irrelevant information associated with action and valence modulating cognitive control. We discuss putative mechanisms that might explain these interactions.


Assuntos
Aprendizagem por Associação/fisiologia , Cognição/fisiologia , Função Executiva/fisiologia , Inibição Psicológica , Tempo de Reação/fisiologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Punição , Recompensa , Adulto Jovem
2.
Mol Psychiatry ; 17(5): 537-48, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-21468034

RESUMO

Synchronous recruitment of fast-spiking (FS) parvalbumin (PV) interneurons generates gamma oscillations, rhythms that emerge during performance of cognitive tasks. Administration of N-methyl-D-aspartate (NMDA) receptor antagonists alters gamma rhythms, and can induce cognitive as well as psychosis-like symptoms in humans. The disruption of NMDA receptor (NMDAR) signaling specifically in FS PV interneurons is therefore hypothesized to give rise to neural network dysfunction that could underlie these symptoms. To address the connection between NMDAR activity, FS PV interneurons, gamma oscillations and behavior, we generated mice lacking NMDAR neurotransmission only in PV cells (PV-Cre/NR1f/f mice). Here, we show that mutant mice exhibit enhanced baseline cortical gamma rhythms, impaired gamma rhythm induction after optogenetic drive of PV interneurons and reduced sensitivity to the effects of NMDAR antagonists on gamma oscillations and stereotypies. Mutant mice show largely normal behaviors except for selective cognitive impairments, including deficits in habituation, working memory and associative learning. Our results provide evidence for the critical role of NMDAR in PV interneurons for expression of normal gamma rhythms and specific cognitive behaviors.


Assuntos
Aprendizagem por Associação/fisiologia , Ondas Encefálicas/fisiologia , Neurônios GABAérgicos/fisiologia , Interneurônios/fisiologia , Memória de Curto Prazo/fisiologia , Receptores de N-Metil-D-Aspartato/fisiologia , Animais , Aprendizagem por Associação/efeitos dos fármacos , Ondas Encefálicas/efeitos dos fármacos , Condicionamento Psicológico/efeitos dos fármacos , Condicionamento Psicológico/fisiologia , Potenciais Pós-Sinápticos Excitadores/efeitos dos fármacos , Potenciais Pós-Sinápticos Excitadores/fisiologia , Antagonistas GABAérgicos/farmacologia , Neurônios GABAérgicos/metabolismo , Interneurônios/efeitos dos fármacos , Masculino , Aprendizagem em Labirinto/efeitos dos fármacos , Aprendizagem em Labirinto/fisiologia , Memória de Curto Prazo/efeitos dos fármacos , Camundongos , Camundongos Transgênicos , Parvalbuminas/metabolismo , Estimulação Luminosa/métodos , Picrotoxina/farmacologia , Receptores de N-Metil-D-Aspartato/antagonistas & inibidores , Receptores de N-Metil-D-Aspartato/genética , Filtro Sensorial/efeitos dos fármacos , Filtro Sensorial/fisiologia , Comportamento Estereotipado/efeitos dos fármacos , Comportamento Estereotipado/fisiologia
3.
Neuropsychologia ; 91: 407-414, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27613667

RESUMO

The current study aimed to shed more light on the role of dopamine in temporal attention. To this end, we pharmacologically manipulated dopamine levels in a large sample of Parkinson's disease patients (n=63) while they performed an attentional blink (AB) task in which they had to identify two targets (T1 and T2) presented in close temporal proximity among distractors. We specifically examined 1) differences in the magnitude of the AB between unmedicated Parkinson patients, who have depleted levels of striatal dopamine, and healthy controls, and 2) effects of two dopaminergic medications (l-DOPA and dopamine agonists) on the AB in the Parkinson patients at the group level and as a function of individual baseline performance. In line with the notion that relatively low levels of striatal dopamine may impair target detection in general, Parkinson patients OFF medications displayed overall poor target perception compared to healthy controls. Moreover, as predicted, effects of dopaminergic medication on AB performance critically depended on individual baseline AB size, although this effect was only observed for l-DOPA. l-DOPA generally decreased the size of the AB in patients with a large baseline AB (i.e., OFF medications), while l-DOPA generally increased the AB in patients with a small baseline AB. These findings may support a role for dopamine in the AB and temporal attention, more generally and corroborate the notion that there is an optimum dopamine level for cognitive function. They also emphasize the need for more studies that examine the separate effects of DA agonists and l-DOPA on cognitive functioning.


Assuntos
Antiparasitários/uso terapêutico , Atenção/efeitos dos fármacos , Intermitência na Atenção Visual/efeitos dos fármacos , Dopamina/metabolismo , Doença de Parkinson/tratamento farmacológico , Doença de Parkinson/fisiopatologia , Idoso , Análise de Variância , Antiparasitários/farmacologia , Atenção/fisiologia , Estudos de Casos e Controles , Transtornos Cognitivos/tratamento farmacológico , Transtornos Cognitivos/etiologia , Dopaminérgicos/farmacologia , Dopaminérgicos/uso terapêutico , Feminino , Humanos , Individualidade , Masculino , Pessoa de Meia-Idade
4.
J Neuropathol Exp Neurol ; 49(6): 610-20, 1990 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-2230839

RESUMO

A distinct triad of central nervous system (CNS) malformations (prosencephalic dysgenesis, occipital exencephalocele and rhombic roof dysgenesis) was present in seven cases of the Meckel-Gruber syndrome examined at autopsy. We compared our findings with those previously described. Microcephaly, sloping forehead, posterior occipital exencephalocele, cerebellar hypoplasia, Chiari malformation, hydrocephalus, polymicrogyria, arhinencephaly, holoprosencephaly and anencephaly constituted a broad spectrum of the reported CNS anomalies. Few reports contained a comprehensive description of the observed CNS malformations. In those reports, and in our cases, features of prosencephalic dysgenesis included agenesis of olfactory bulbs and tracts (arhinencephaly), hypoplasia of optic nerves and chiasm, agenesis of corpus callosum, fused thalami or complete holoprosencephaly. The occipital encephalocele has consisted of a displacement of rhombic roof elements, including caudal third ventricle, cerebellar vermis and fourth ventricle, extruded through an enlarged posterior fontanelle rather than through an occipital cranium bifidum and is thus more precisely labeled an exencephalocele. Different degrees of dysgenesis of posterior fossa structures, described by some as a variant of Dandy-Walker cyst with features of a Chiari malformation, were often associated with this occipital exencephalocele. This pattern of CNS anomalies represents a triad of malformations probably associated with defective ventral induction of the developing CNS by the prechordal mesoderm.


Assuntos
Anormalidades Múltiplas/patologia , Sistema Nervoso Central/anormalidades , Disostose Craniofacial/patologia , Autopsia , Diencéfalo/anormalidades , Feminino , Humanos , Recém-Nascido , Masculino , Rombencéfalo/anormalidades , Síndrome
5.
J Neuropathol Exp Neurol ; 49(3): 206-14, 1990 May.
Artigo em Inglês | MEDLINE | ID: mdl-2335781

RESUMO

The specific activity of antimycin A-insensitive nicotinamide adenine dinucleotide (NADH)-dependent cytochrome C reductase, an enzyme associated with endoplasmic reticulum, was determined in the superior temporal, entorhinal, and cerebellar cortex of 16 patients who died with Alzheimer's disease and eight nondemented controls. The specific activity of choline acetyltransferase was also measured to provide an index of presynaptic cholinergic dysfunction. Our results revealed reciprocal changes in these activities that were of similar magnitude across the three regions examined. Furthermore, cytochrome C reductase activity was positively correlated with the density of neurofibrillary tangles, especially in the superior temporal cortex. These results support the hypothesis that Alzheimer's disease may be associated with an alteration of endoplasmic reticulum and the functions related to this intracellular membrane system, including the post-translational modification and localization of essential proteins.


Assuntos
Doença de Alzheimer/enzimologia , Encéfalo/enzimologia , Redutases do Citocromo/metabolismo , NADH Desidrogenase/metabolismo , NAD/metabolismo , Córtex Cerebelar/enzimologia , Colina O-Acetiltransferase/metabolismo , Feminino , Hipocampo/enzimologia , Humanos , Masculino , Lobo Temporal/enzimologia
6.
Arch Neurol ; 48(6): 619-24, 1991 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-1710105

RESUMO

Neuropathologic and neurochemical correlates of psychosis were determined using brain tissue from 27 autopsy-confirmed cases of Alzheimer's disease. The densities of senile plaques and neurofibrillary tangles were determined in the middle frontal and superior temporal cortex, the prosubiculum, and the entorhinal cortex of the hippocampus. The concentrations of norepinephrine, dopamine, and serotonin, the metabolites of these biogenic amines, and the specific activity of choline acetyltransferase were also determined in these four cortical regions as well as in the substantia nigra, thalamus, amygdala, and caudate nucleus. Psychosis was associated with significantly increased densities of senile plaques and neurofibrillary tangles in the prosubiculum and middle frontal cortex, respectively, with trends toward increased densities of these lesions in the other areas examined. This finding is consistent with the increased rate of cognitive decline that accompanies this behavioral disorder. Psychosis was also associated with the relative preservation of norepinephrine in the substantia nigra, with trends in this direction for five of the remaining seven brain regions examined, and a significant reduction of serotonin in the prosubiculum that was accompanied by trends toward reduced levels of serotonin and 5 hydroxyindoleacetic acid in the remaining regions. The profile of neuropathologic and neurochemical changes associated with psychosis is distinct from that previously reported for major depression in the context of primary dementia.


Assuntos
Doença de Alzheimer/patologia , Idoso , Doença de Alzheimer/metabolismo , Doença de Alzheimer/psicologia , Córtex Cerebral/metabolismo , Córtex Cerebral/patologia , Feminino , Humanos , Ácido Hidroxi-Indolacético/metabolismo , Masculino , Neurofibrilas/patologia , Norepinefrina/metabolismo , Transtornos Psicóticos/metabolismo , Transtornos Psicóticos/patologia , Serotonina/metabolismo
7.
Pediatrics ; 93(6 Pt 1): 996-9, 1994 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-8190591

RESUMO

OBJECTIVE: This study was undertaken to determine the current prevalence of kernicterus in premature neonates and to relate the occurrence of kernicterus to 1) the categorization of the infant as "at risk" by National Institute of Child Health and Human Development (NICHD) Phototherapy Study exchange transfusion criteria, and 2) the clinical management of the infant's hyperbilirubinemia. DESIGN: Retrospective review of postmortem and clinical records. SETTING: Magee-Womens Hospital, a University of Pittsburgh Medical Center affiliated hospital with approximately 10,000 deliveries per year and a Level III Neonatal Intensive Care Unit with about 1400 admissions annually. SUBJECTS: All neonates autopsied between January 1, 1984 and June 30, 1993 who were < 34 weeks gestation and who lived at least 48 hours; a total of 81 infants. RESULTS: Three infants had kernicterus resulting in a prevalence rate of 4%. These cases included: 1) a 33-week newborn with nonimmune hydrops and a peak bilirubin of 26 mg/dl; 2) a 25-week newborn with asphyxia, hyaline membrane disease, grade IV intraventricular hemorrhage, necrotizing enterocolitis, meconium peritonitis, sepsis, prolonged acidosis, and a peak bilirubin of 11.3 mg/dl; and 3) a 24-week newborn with asphyxia, hyaline membrane disease, grade III intraventricular hemorrhage, and a peak serum bilirubin of 18.5 mg/dl. Of the remaining 78 infants who did not have kernicterus, peak bilirubin ranged from 3.6 to 22.5 mg/dl and 56% had bilirubin levels greater than that suggested as a criterion for exchange transfusion by NICHD Phototherapy Study guidelines; yet all but three were managed with phototherapy alone. CONCLUSIONS: We conclude that kernicterus is currently an uncommon event in preterm infants, even when bilirubin levels are allowed to rise above those previously thought to place the premature infant at risk.


Assuntos
Transfusão Total , Doenças do Prematuro/epidemiologia , Kernicterus/epidemiologia , Bilirrubina/sangue , Feminino , Humanos , Recém-Nascido , Doenças do Prematuro/terapia , Kernicterus/terapia , Masculino , National Institutes of Health (U.S.) , Fototerapia , Prevalência , Estudos Retrospectivos , Fatores de Risco , Estados Unidos
8.
Pediatrics ; 83(2): 228-34, 1989 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-2643800

RESUMO

Acute profound dystonia developed in three previously well infants who were found to have glutaryl-CoA dehydrogenase deficiency in cultured skin fibroblasts. Two patients had excessive urinary excretion of glutaric acid, but one did not. Neuroradiologic studies performed in all three patients at the onset of their illnesses revealed large CSF-containing spaces both within the sylvian fissures and anterior to the temporal lobes. Pathologic examination of the brain of one patient demonstrated cerebral and cerebellar atrophy, shrinkage of the putamen, and white matter vacuolation. Glutaric acidemia may be a common cause of acquired persistent dystonia or choreoathetosis in infancy.


Assuntos
Distonia/etiologia , Glutaratos/sangue , Oxirredutases atuantes sobre Doadores de Grupo CH-CH , Oxirredutases/deficiência , Atrofia , Encéfalo/patologia , Cerebelo/patologia , Glutaratos/urina , Glutaril-CoA Desidrogenase , Humanos , Lactente , Masculino
9.
J Appl Physiol (1985) ; 87(2): 732-42, 1999 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10444634

RESUMO

Frequency-domain analyses were used to determine the effect of cold stress on the relationships between the discharge bursts of sympathetic nerve pairs, sympathetic and aortic depressor nerve pairs, and sympathetic and phrenic nerve pairs in chloralose-anesthetized, baroreceptor-innervated rats. Sympathetic nerve discharge (SND) was recorded from the renal, lumbar, splanchnic, and adrenal nerves during decreases in core body temperature from 38 to 30 degrees C. The following observations were made. 1) Hypothermia produced nonuniform changes in the level of activity in regionally selective sympathetic nerves. Specifically, cold stress increased lumbar and decreased renal SND but did not significantly change the level of activity in splanchnic and adrenal nerves. 2) The cardiac-related pattern of renal, lumbar, and splanchnic SND bursts was transformed to a low-frequency (0-2 Hz) pattern during cooling, despite the presence of pulse-synchronous activity in arterial baroreceptor afferents. 3) Peak coherence values relating the discharges between sympathetic nerve pairs decreased at the cardiac frequency but were unchanged at low frequencies (0-2 Hz), indicating that the sources of low-frequency SND bursts remain prominently coupled during progressive reductions in core body temperature. 4) Coherence of discharge bursts in phrenic and renal sympathetic nerve pairs in the 0- to 2-Hz frequency band increased during mild hypothermia (36 degrees C) but decreased during deep hypothermia (30 degrees C). We conclude that hypothermia profoundly alters the organization of neural circuits involved in regulation of sympathetic nerve outflow to selected regional circulations.


Assuntos
Hipotermia/fisiopatologia , Estresse Fisiológico/fisiopatologia , Sistema Nervoso Simpático/fisiopatologia , Animais , Pressão Sanguínea , Temperatura Corporal , Temperatura Baixa , Eletrofisiologia , Frequência Cardíaca , Masculino , Condução Nervosa , Fenilefrina/farmacologia , Ratos , Ratos Sprague-Dawley , Estresse Fisiológico/etiologia
10.
AJNR Am J Neuroradiol ; 14(5): 1191-3, 1993.
Artigo em Inglês | MEDLINE | ID: mdl-8237702

RESUMO

We present the CT and MR findings of an intrasellar and suprasellar paraganglioma in a 17-year-old girl. Paragangliomas in this location are rare. The lesion had several imaging features characteristic of paragangliomas including marked enhancement after contrast and multiple vascular flow voids.


Assuntos
Imageamento por Ressonância Magnética , Paraganglioma Extrassuprarrenal/diagnóstico , Sela Túrcica , Tomografia Computadorizada por Raios X , Adolescente , Feminino , Humanos , Paraganglioma Extrassuprarrenal/diagnóstico por imagem , Sela Túrcica/diagnóstico por imagem , Sela Túrcica/patologia
11.
Neurosurgery ; 31(2): 271-9, 1992 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-1513433

RESUMO

Because limited histological information is available from clinical radiosurgical experience, animal investigations are needed to answer questions regarding the biological response of both normal and pathological tissues. To determine the radiosurgical dose-response relationship of normal brain, we irradiated the right frontal lobe of 18 rats with a single 4-mm isocenter of stereotactic irradiation using the 201-source 60Co gamma unit. Maximal single-fraction doses varied from 30 to 200 Gy (2 rats per dose). All animals were observed for 90 days, killed, and histologically examined. No animal developed neurological dysfunction during that interval, regardless of dose. Animals that received 30, 40, 50, or 60 Gy had no pathological changes. In those given 70 Gy, we found occasional shrunken neurons, and at 80 Gy, rare arteriolar wall thickening. One animal that received 100 Gy had marked capillary endothelial cell degeneration and protein extravasation in the target volume, and the other had a 4-mm diameter necrotic region. Circumscribed cerebral necrosis also was identified in all 4 rats treated with either 150 or 200 Gy; astrocytosis, edema, and microhemorrhage were noted within the surrounding 1 to 2 mm of adjacent brain, and tissue outside that volume had a more normal appearance. We constructed a dose-response relationship based on the cellular, spatial, and temporal effects of focused single-fraction irradiation of the rat brain. To determine the temporal evolution of a known necrotic lesion (200 Gy), 12 other animals were killed (2 each) 1, 7, 14, 21, 30, or 60 days after radiosurgery.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Encéfalo/cirurgia , Modelos Neurológicos , Radiocirurgia/instrumentação , Animais , Encéfalo/patologia , Encéfalo/efeitos da radiação , Relação Dose-Resposta à Radiação , Necrose , Lesões Experimentais por Radiação/patologia , Ratos
12.
Neurosurgery ; 31(2): 280-7; discussion 287-8, 1992 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-1325039

RESUMO

We developed an experimental animal model to evaluate the potential role of stereotactic radiosurgery for glial neoplasms. Rats were randomized to control or treatment groups after implantation of C6 glioma cells into the right frontal region; 14 days later, 19 rats underwent stereotactic radiosurgical treatment of the induced tumor, using the 4-mm collimator of the gamma unit. Both groups were observed for up to 65 days after implantation. Treated animals had a mean survival of 39.2 days; the 22 control animals lived a mean of 29.4 days before death from tumor growth (P = 0.07). Six treated animals (32%), but only one control animal, survived the full observation period (P = 0.07). The mean tumor diameter in the control group was 9.64 mm; in the radiosurgery group, it was 6.47 mm (P = 0.001). Compared with tumors in control animals, treated tumors had a hypocellular appearance (P less than 0.001) and demonstrated cellular edema (P less than 0.005) under light microscopy, indicating a direct cytotoxic response to treatment. No difference was identified in the amount of tumor necrosis, intratumor hemorrhage, or degree of brain invasion between the two groups. Variations in the maximum treatment dose (30, 40, 50, 70, or 100 Gy) did not result in observed differences in tumor response. This in vivo rat malignant glioma model is a valuable tool to evaluate the tumoricidal effects of single-fraction, focused irradiation. Additional studies are warranted to evaluate dose-response relationships, radiation sensitizers, and use of radiosurgery with other adjuvant treatments.


Assuntos
Neoplasias Encefálicas/cirurgia , Glioblastoma/cirurgia , Radiocirurgia , Animais , Encéfalo/patologia , Neoplasias Encefálicas/patologia , Divisão Celular/efeitos da radiação , Modelos Animais de Doenças , Glioblastoma/patologia , Masculino , Transplante de Neoplasias , Ratos , Ratos Endogâmicos
13.
J Neurosurg ; 73(2): 266-73, 1990 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-2366084

RESUMO

When the lateral striate arteries of the baboon are temporarily occluded for either 20 or 60 minutes, a near-cessation of blood flow is followed by a dramatic, transient local increase in blood flow values. These findings are evident from serial xenon (Xe)-computerized tomography (CT) measurement of cerebral blood flow (CBF). In this study, 20 minutes of vessel occlusion resulted in brief (less than 1 hour) hyperemia, with no subsequent CT alteration and minimal random neuronal injury. Sixty minutes of occlusion resulted in a more prolonged hyperemia, a low-density area on CT images within 3 hours of reperfusion, and infarction of all cellular elements within the anterior lentiform nucleus. The Xe-CT method provides a sensitive, noninvasive technique for examining sequential alterations of CBF in small regions deep within the brain. This method of recording CBF also permits correlative studies of cerebral infarction, both clinically and experimentally, and allows reasonable inference about the probabilities of neuronal tissue damage with or without reperfusion.


Assuntos
Encéfalo/irrigação sanguínea , Ataque Isquêmico Transitório/diagnóstico por imagem , Tomografia Computadorizada por Raios X/métodos , Xenônio , Animais , Circulação Cerebrovascular , Ataque Isquêmico Transitório/patologia , Ataque Isquêmico Transitório/fisiopatologia , Microscopia Eletrônica , Papio , Intensificação de Imagem Radiográfica , Fluxo Sanguíneo Regional
14.
J Neurosurg ; 82(4): 536-47, 1995 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-7897512

RESUMO

Low-grade gliomas constitute the largest group of cerebral hemispheric tumors in the pediatric population. Although complete tumor resection is generally the goal in the management of these lesions, this can prove difficult to achieve because tumor margins may blend into the surrounding brain. This raises several important questions on the long-term behavior of the residual tumor and the role of adjuvant therapy in the management of these lesions. To examine these issues, the authors reviewed their experience in 71 children with low-grade cerebral hemispheric gliomas who were treated at their institution between 1956 and 1991 and assessed the relationship between clinical, radiographic, pathological, and treatment-related factors and outcome. Only seven patients in the series died, one from perioperative complications, five from progressive disease, and one (a child with neurofibromatosis) from a second neoplasm. For the 70 patients who survived the perioperative period, overall actuarial survivals at 5, 10, and 20 years were 95%, 93%, and 85%, respectively; progression-free status was maintained in 88%, 79%, and 76%, respectively. On univariate analysis, the factor that was most strongly associated with both overall and progression-free survival was the extent of tumor resection (p = 0.013 and p = 0.015, respectively). A relationship between extent of resection and progression-free survival was present both in patients with pilocytic astrocytomas (p = 0.041) and those with nonpilocytic tumors (p = 0.037). Histopathological diagnosis was also associated with overall survival on univariate analysis; poorer results were seen in the patients with nonpilocytic astrocytoma compared to those with other low-grade gliomas, such as pilocytic astrocytoma, mixed glioma, and oligodendroglioma (p = 0.021). The use of radiotherapy was not associated with a significant improvement in overall survival (p = 0.6). All three patients who ultimately developed histologically confirmed anaplastic changes in the vicinity of the original tumor had received prior radiotherapy, 20, 46, and 137 months, respectively, before the detection of malignant progression. In addition, children who received radiotherapy had a significantly higher incidence of late cognitive and endocrine dysfunction than the nonirradiated patients (p < 0.01 and 0.05, respectively). The authors conclude that children with low-grade gliomas of the cerebral hemispheres have an excellent overall prognosis. Complete tumor resection provides the best opportunity for long-term progression-free survival. However, even with incomplete tumor excision, long-term progression-free survival is common.(ABSTRACT TRUNCATED AT 400 WORDS)


Assuntos
Neoplasias Encefálicas/mortalidade , Neoplasias Encefálicas/terapia , Glioma/mortalidade , Glioma/terapia , Análise Atuarial , Adolescente , Antineoplásicos/uso terapêutico , Neoplasias Encefálicas/patologia , Criança , Pré-Escolar , Terapia Combinada , Feminino , Glioma/patologia , Humanos , Incidência , Lactente , Masculino , Análise Multivariada , Recidiva Local de Neoplasia/patologia , Complicações Pós-Operatórias/epidemiologia , Radiocirurgia , Radioterapia Adjuvante , Taxa de Sobrevida , Resultado do Tratamento
15.
J Neurosurg ; 84(6): 1033-8, 1996 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-8847568

RESUMO

To identify histological changes and effects on survival in rats harboring C6 gliomas, the authors compared radiosurgery to different fractionated radiation therapy regimens including doses of calculated biological equivalence. Rats were randomized to control (54 animals) or treatment groups after implantation of C6 glioma cells into the right frontal brain region. At 14 days, treated rats underwent stereotactic radiosurgery (35 Gy to tumor margin; 22 animals), whole-brain radiation therapy (WBRT) (20 Gy in five fractions; 18 animals), radiosurgery plus WBRT (13 animals), hemibrain radiation therapy (85 Gy in 10 fractions; 16 animals) or single-fraction hemibrain irradiation (35 Gy; 10 animals). When compared to the control group (median survival 22 days), prolonged survival was identified after radiosurgery (p < 0.0001), radiosurgery plus WBRT (p < 0.0001), WBRT alone (p = 0.0002), hemibrain radiation therapy to 85 Gy (p < 0.0001), and 35-Gy hemibrain single-fraction irradiation (p = 0.004). Compared to the control group (mean tumor diameter, 6.8 mm), the tumor size was reduced in all treatment groups except WBRT alone. Reduced tumor cell density was exhibited in rats that underwent radiosurgery (p = 0.006) and radiosurgery plus WBRT (p = 0.009) when compared with rats in the control group, a finding not observed after any fractionated regimen. Increased intratumoral edema was identified after radiosurgery (p = 0.03) and combined treatment (p = 0.05), but not after fractionated radiation therapy or 35-Gy single-fraction hemibrain irradiation. In this animal model, the addition of radiosurgery significantly increased tumor cytotoxicity, potentially at the expense of radiation effects to regional brain. We found no difference in survival benefit or tumor diameter in animals that underwent radiosurgery compared to the calculated biologically equivalent regimen of 10-fraction radiation therapy to 85 Gy. The histological responses after radiosurgery were generally greater than those achieved with biologically equivalent doses of fractionated radiation therapy.


Assuntos
Neoplasias Encefálicas/radioterapia , Glioma/radioterapia , Radiocirurgia , Animais , Modelos Animais de Doenças , Masculino , Ratos , Ratos Sprague-Dawley
16.
Neurol Res ; 16(6): 456-9, 1994 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-7708137

RESUMO

Because pentobarbital has been shown to reduce cerebral toxicity to single-fraction whole brain irradiation in a rat model, we sought to evaluate its cerebral radioprotective effects for stereotactic radiosurgery. We hypothesized that concurrent high-dose pentobarbital anaesthesia (50 mg kg-1) during irradiation could delay or prevent the onset of radiation necrosis within the radiosurgical volume. Six rats were placed in pentobarbital or control groups, irradiated, and then evaluated at different intervals (60, 100, 150, 365 days; total = 48 animals studied). All rats had 100 Gy radiosurgery to the right frontal brain region (a threshold dose for focal necrosis at 90 days). The radioprotective effects of pentobarbital were compared to ketamine anaesthesia (control) and evaluated for observed focal necrosis, size of necrotic lesion, blood vessel alterations, and to changes in cell nuclei. There was no difference between groups in the numbers of rats with necrosis at 100 days (p = 0.72), at 150 days (p = 0.77), or at 365 days (p = 0.77); no necrosis was observed in either group at 60 days. There was no difference in the size of the necrotic lesion at 100 days (p = 1.0), at 150 days (p = 0.39), or at 365 days (p = 0.07). There was no difference between groups in observed blood vessel changes or nuclear changes at any time interval (p > 0.6). There was no animal morbidity related to radiosurgery.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Encéfalo/efeitos dos fármacos , Pentobarbital/farmacologia , Lesões Experimentais por Radiação/prevenção & controle , Protetores contra Radiação/farmacologia , Radiocirurgia , Animais , Encéfalo/efeitos da radiação , Necrose , Ratos , Ratos Sprague-Dawley , Fatores de Tempo
17.
Laryngoscope ; 94(5 Pt 1): 688-90, 1984 May.
Artigo em Inglês | MEDLINE | ID: mdl-6232437

RESUMO

Monoclonal antibodies reactive to distinct subclasses of lymphocytes were used to identify lymphocytes infiltrating tissue obtained from patients with squamous cell carcinoma of the head and neck. The majority of lymphocytes present were T-cells with very few B-lymphocytes and natural killer cells present. A variety of patterns of infiltration and relationship of T-helper to T-suppressor lymphocytes was noted. Long-term follow-up studies will be required to determine the clinical significance of infiltration by different T-lymphocyte subclasses.


Assuntos
Linfócitos B/classificação , Carcinoma de Células Escamosas/imunologia , Neoplasias de Cabeça e Pescoço/imunologia , Linfócitos T/classificação , Adulto , Idoso , Anticorpos Monoclonais/imunologia , Linfócitos B/imunologia , Carcinoma de Células Escamosas/patologia , Feminino , Neoplasias de Cabeça e Pescoço/patologia , Humanos , Células Matadoras Naturais/classificação , Células Matadoras Naturais/imunologia , Contagem de Leucócitos , Masculino , Pessoa de Meia-Idade , Linfócitos T/imunologia , Linfócitos T Auxiliares-Indutores/classificação , Linfócitos T Auxiliares-Indutores/imunologia , Linfócitos T Reguladores/classificação , Linfócitos T Reguladores/imunologia
18.
Pediatr Neurol ; 11(1): 18-22, 1994 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7986287

RESUMO

Nonimmune hydrops fetalis (NIHF) comprised 79% (45/57) of all infants with hydrops fetalis at our institution over a 6-year period. Thirty-seven infants with NIHF were liveborn. One or more electroencephalograms were performed on 40% of liveborn infants (15/37); the majority (87%) were moderately to markedly abnormal, including burst suppression, lack of background, multifocal sharp waves, excessive discontinuity, and disorganization reflecting significant neonatal encephalopathies. Postmortem neuropathologic examinations were performed in 86% of infants with NIHF who died or were stillborn, 81% of whom demonstrated intrauterine brain insults including microcalcifications, cerebral and/or cerebellar hypoplasia, microcephaly, encephalomalacia, cavitary lesions, astrocytosis, polymicrogyria, and severe neuronal loss. Cranial ultrasonography failed to document the diverse pathologic lesions that were later noted on postmortem examination. Ten infants survived the neonatal period, but 6 were neurologically abnormal at the time of discharge. Infants with NIHF are at risk for antepartum brain injury, and electroencephalographic abnormalities reflect in part a fetal brain disorder. A prospective clinical study is needed to fully assess the prevalence, incidence, spectrum of central nervous system involvement, contribution of intrapartum and neonatal stress, and long-term outcome in surviving infants with NIHF.


Assuntos
Dano Encefálico Crônico/diagnóstico , Hidropisia Fetal/diagnóstico , Doenças do Prematuro/diagnóstico , Encéfalo/anormalidades , Encéfalo/patologia , Encéfalo/fisiopatologia , Dano Encefálico Crônico/patologia , Dano Encefálico Crônico/fisiopatologia , Diagnóstico por Imagem , Eletroencefalografia , Potenciais Evocados/fisiologia , Feminino , Morte Fetal/patologia , Seguimentos , Idade Gestacional , Humanos , Hidropisia Fetal/patologia , Hidropisia Fetal/fisiopatologia , Lactente , Recém-Nascido , Doenças do Prematuro/patologia , Doenças do Prematuro/fisiopatologia , Exame Neurológico , Gravidez , Estudos Prospectivos
19.
Adv Space Res ; 17(6-7): 151-60, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-11538609

RESUMO

Liposomes are artificial vesicles with a phospholipid bilayer membrane. The formation of liposomes is a self-assembly process that is driven by the amphipathic nature of phospholipid molecules and can be observed during the removal of detergent from phospholipids dissolved in detergent micelles. As detergent concentration in the mixed micelles decreases, the non-polar tail regions of phospholipids produce a hydrophobic effect that drives the micelles to fuse and form planar bilayers in which phospholipids orient with tail regions to the center of the bilayer and polar head regions to the external surface. Remaining detergent molecules shield exposed edges of the bilayer sheet from the aqueous environment. Further removal of detergent leads to intramembrane folding and membrane folding and membrane vesiculation, forming liposomes. We have observed that the formation of liposomes is altered in microgravity. Liposomes that were formed at 1-g did not exceed 150 nm in diameter, whereas liposomes that were formed during spaceflight exhibited diameters up to 2000 nm. Using detergent-stabilized planar bilayers, we determined that the stage of liposome formation most influenced by gravity is membrane vesiculation. In addition, we found that small, equipment-induced fluid disturbances increased vesiculation and negated the size-enhancing effects of microgravity. However, these small disturbances had no effect on liposome size at 1-g, likely due to the presence of gravity-induced buoyancy-driven fluid flows (e.g., convection currents). Our results indicate that fluid disturbances, induced by gravity, influence the vesiculation of membranes and limit the diameter of forming liposomes.


Assuntos
Bicamadas Lipídicas/síntese química , Lipossomos/síntese química , Membranas Artificiais , Fosfolipídeos/química , Voo Espacial , Ausência de Peso , Convecção , Detergentes/química , Glucosídeos/química , Bicamadas Lipídicas/química , Lipossomos/química , Microscopia Eletrônica , Fosfolipídeos/análise , Glycine max
20.
Adv Space Res ; 14(8): 111-4, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-11537907

RESUMO

Shuttle flight, sounding rocket flight, and parabolic flight experiments demonstrate the formation of bilayer membrane vesicles (liposomes) in reduced gravity, following the dilution of detergent from detergent-phospholipid mixed micelles. The reduction in detergent concentration initiates assembly of bilayer membrane sheets, which are sensitive to solution disturbances. An increase in disturbances by forced dilution results in small diameter liposomes (< 150 nm), in both ground and flight samples. In the absence of forced dilution, liposomes remain small at 1-g, but exhibit much larger diameters at 0-g (1000-2000 nm). Our spaceflight data reveal that membrane assembly and vesiculation are strongly influenced by gravity-induced solution disturbances (e.g., convection currents), which limit vesicle diameter.


Assuntos
Lipossomos/síntese química , Fluidez de Membrana , Membranas Artificiais , Voo Espacial , Ausência de Peso , Lipossomos/química , Substâncias Macromoleculares , Lipídeos de Membrana/síntese química , Lipídeos de Membrana/química , Micelas , Fosfolipídeos/síntese química , Fosfolipídeos/química
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