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1.
J Neurophysiol ; 116(3): 949-59, 2016 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-27281750

RESUMO

Mechanisms that could mitigate the effects of hypoxia on neuronal signaling are incompletely understood. We show that axonal performance of a locust visual interneuron varied depending on oxygen availability. To induce hypoxia, tracheae supplying the thoracic nervous system were surgically lesioned and action potentials in the axon of the descending contralateral movement detector (DCMD) neuron passing through this region were monitored extracellularly. The conduction velocity and fidelity of action potentials decreased throughout a 45-min experiment in hypoxic preparations, whereas conduction reliability remained constant when the tracheae were left intact. The reduction in conduction velocity was exacerbated for action potentials firing at high instantaneous frequencies. Bath application of octopamine mitigated the loss of conduction velocity and fidelity. Action potential conduction was more vulnerable in portions of the axon passing through the mesothoracic ganglion than in the connectives between ganglia, indicating that hypoxic modulation of the extracellular environment of the neuropil has an important role to play. In intact locusts, octopamine and its antagonist, epinastine, had effects on the entry to, and recovery from, anoxic coma consistent with octopamine increasing overall neural performance during hypoxia. These effects could have functional relevance for the animal during periods of environmental or activity-induced hypoxia.


Assuntos
Agonistas alfa-Adrenérgicos/farmacologia , Hipóxia/patologia , Fibras Nervosas Amielínicas/efeitos dos fármacos , Condução Nervosa/efeitos dos fármacos , Octopamina/farmacologia , Potenciais de Ação/efeitos dos fármacos , Agonistas alfa-Adrenérgicos/uso terapêutico , Animais , Inibidores Enzimáticos/farmacologia , Lateralidade Funcional/efeitos dos fármacos , Gafanhotos , Oxigenoterapia Hiperbárica/métodos , Masculino , Movimento/efeitos dos fármacos , Fibras Nervosas Amielínicas/fisiologia , Octopamina/uso terapêutico , Técnicas de Patch-Clamp , Estimulação Luminosa , Azida Sódica/farmacologia , Nervos Torácicos/patologia , Fatores de Tempo
2.
J Neurophysiol ; 102(2): 901-13, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19474168

RESUMO

Maintenance of synaptic transmission requires regulation of intracellular Ca(2+) in presynaptic nerve terminals; loss of this regulation at elevated temperatures may cause synaptic failure. Accordingly, we examined the thermosensitivity of presynaptic calcium regulation in Drosophila larval neuromuscular junctions, testing for effects of disrupting calcium clearance. Motor neurons were loaded with the ratiometric Ca(2+) indicator Fura-dextran to monitor calcium regulation as temperature increased. Block of the Na(+)/Ca(2+) exchanger or removal of extracellular Ca(2+) prevented the normal temperature-induced increase in resting calcium. Conversely, two treatments that interfered with Ca(2+) clearance-inactivation of the endoplasmic reticulum Ca(2+)-ATPase with thapsigargin and inhibition of the plasma membrane Ca(2+)-ATPase with high pH-significantly accelerated the temperature-induced rise in resting Ca(2+) concentration and reduced the thermotolerance of synaptic transmission. Disrupting Ca(2+)-ATPase function by interfering with energy production also facilitated the temperature-induced rise in resting [Ca(2+)] and reduced thermotolerance of synaptic transmission. Conversely, fortifying energy levels with extra intracellular ATP extended the operating temperature range of both synaptic transmission and Ca(2+) regulation. In each of these cases, Ca(2+) elevations evoked by an electrical stimulation of the nerve (evoked Ca(2+) responses) failed when resting Ca(2+) remained >e 200 nM for several minutes. Failure of synaptic function was correlated with the release of intracellular calcium stores, and we provide evidence suggesting that release from the mitochondria disrupts evoked calcium responses and synaptic transmission. Thus the thermal limit of synaptic transmission may be directly linked to the stability of ATP-dependent mechanisms that regulate intracellular ion concentrations in the nerve terminal.


Assuntos
Trifosfato de Adenosina/metabolismo , Cálcio/metabolismo , Junção Neuromuscular/fisiologia , Trocador de Sódio e Cálcio/metabolismo , Transmissão Sináptica/fisiologia , Animais , Animais Geneticamente Modificados , ATPases Transportadoras de Cálcio/antagonistas & inibidores , ATPases Transportadoras de Cálcio/metabolismo , Membrana Celular/fisiologia , Drosophila , Estimulação Elétrica , Retículo Endoplasmático/fisiologia , Potenciais Evocados , Concentração de Íons de Hidrogênio , Mitocôndrias/fisiologia , Terminações Pré-Sinápticas/fisiologia , Sódio/metabolismo , Sinapses/fisiologia , Temperatura
3.
J Neurophysiol ; 99(5): 2420-30, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-18272873

RESUMO

We examined the thermosensitivity of calcium regulation in Drosophila larval neuromuscular junctions, testing effects of prior heat shock and Hsp70 expression. Motor neurons were loaded with either the ratiometric indicator Fura-dextran or the nonratiometric indicator Oregon Green bis-(o-aminophenoxy)-N,N,N',N'-tetraacetic acid to monitor parameters of calcium regulation as temperature increased. Nerve terminals treated to a prior heat shock, and those of transgenic flies expressing higher than normal levels of Hsp70, were better able to maintain near-normal resting calcium concentrations, calcium influx, and calcium clearance at higher temperatures. Synaptic transmission was also protected by prior heat shock and by higher than normal Hsp70 expression. Thus the thermal limit of synaptic transmission may be directly linked to the stability of calcium regulation.


Assuntos
Cálcio/fisiologia , Drosophila/fisiologia , Febre/fisiopatologia , Receptores Pré-Sinápticos/fisiologia , Animais , Calibragem , Eletrofisiologia , Proteínas de Choque Térmico HSP70/fisiologia , Cinética , Neurônios Motores/fisiologia , Transmissão Sináptica/fisiologia
4.
Insect Mol Biol ; 14(6): 607-13, 2005 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16313561

RESUMO

Cold hardening treatment - a brief exposure to low temperatures - can protect certain insects against subsequent exposure to temperatures sufficiently low to cause damage or lethality. Microarray analysis to examine the changes in transcript abundance associated with cold hardening treatment (0 degrees C for 2 h followed by 30 min recovery at 25 degrees C) was undertaken in Drosophila melanogaster in order to gain insight into this phenomenon. Transcripts associated with 36 genes were identified, a subset of which appeared to be also differentially expressed after heat shock treatment. Quantitative RT-PCR was used to independently determine transcript abundance of a subset of these sequences. Taken together, these assays suggest that stress proteins, including Hsp23, Hsp26, Hsp83 and Frost as well as membrane-associated proteins may contribute to the cold hardening response.


Assuntos
Adaptação Fisiológica/genética , Temperatura Baixa , Drosophila melanogaster/genética , Drosophila melanogaster/fisiologia , Regulação da Expressão Gênica , Transcrição Gênica , Animais , Perfilação da Expressão Gênica , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa
5.
Artigo em Inglês | MEDLINE | ID: mdl-15127218

RESUMO

We simultaneously recorded flight muscle activity and wing kinematics in tethered, flying locusts to determine the relationship between asymmetric depressor muscle activation and the kinematics of the stroke reversal at the onset of wing depression during attempted intentional steering manoeuvres. High-frequency, pulsed sounds produced bilateral asymmetries in forewing direct depressor muscles (M97, 98, 99) that were positively correlated with asymmetric forewing depression and asymmetries in stroke reversal timing. Bilateral asymmetries in hindwing depressor muscles (M127 and M128 but not M129) were positively correlated with asymmetric hindwing depression and asymmetries in the timing of the hindwing stroke reversal; M129 was negatively correlated with these shifts. Hindwing depressor asymmetries and wing kinematic changes were smaller and shifted in opposite direction than corresponding measurements of the forewings. These findings suggest that intentional steering manoeuvres employ bulk shifts in depressor muscle timing that affect the timing of the stroke reversals thereby establishing asymmetric wing depression. Finally, we found indications that locusts may actively control the timing of forewing rotation and speculate this may be a mechanism for generating steering torques. These effects would act in concert with forces generated by asymmetric wing depression and angle of attack to establish rapid changes in direction.


Assuntos
Reação de Fuga/fisiologia , Atividade Motora/fisiologia , Reflexo Acústico/fisiologia , Reflexo de Sobressalto/fisiologia , Asas de Animais/fisiologia , Estimulação Acústica/métodos , Potenciais de Ação/efeitos da radiação , Animais , Fenômenos Biomecânicos/métodos , Relação Dose-Resposta à Radiação , Eletromiografia/métodos , Eletrofisiologia , Feminino , Voo Animal , Lateralidade Funcional , Gafanhotos , Masculino , Contração Muscular/fisiologia , Contração Muscular/efeitos da radiação , Músculo Esquelético/fisiologia , Músculo Esquelético/efeitos da radiação , Estatística como Assunto , Fatores de Tempo , Gravação em Vídeo/métodos
6.
Artigo em Inglês | MEDLINE | ID: mdl-14655020

RESUMO

We presented free-flying locusts (Locusta migratoria L.) with sounds that varied in temporal structure and carrier frequency as they flew toward a light source in a flight room under controlled temperature and light conditions. Previous studies have shown tethered locusts react more often to trains of 30-kHz pulses than to pulse trains below 10 kHz. Further, this acoustic startle response has been suggested to function in bat-avoidance. We expected free-flying locusts to respond similarly; however, we found locusts responded to all sounds we presented, not just high-frequency, "bat-like" sounds. Response rates of turns, loops, and dives varied from 6% to 26% but were statistically independent of carrier frequency and/or pulse structure. Free-flying moths and tethered locusts were tested using a subset of our acoustic stimuli under the same temperature and light conditions as the free-flying locusts. Moth responses were carrier frequency dependent as were responses of tethered locusts positioned along the flight path observed in our free-flight trials. All responses were unaffected by a 90% reduction in room light. We conclude that locusts possess an acoustic startle response evocable in free flight, however, free-flying locusts do not show the same discrimination observed in tethered locusts under similar conditions.


Assuntos
Estimulação Acústica/métodos , Voo Animal/fisiologia , Gafanhotos/fisiologia , Mariposas/fisiologia , Atividade Motora/fisiologia , Animais , Feminino , Masculino , Reflexo de Sobressalto/fisiologia
7.
J Neurobiol ; 56(4): 360-71, 2003 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-12918020

RESUMO

Chemical synaptic transmission is the mechanism for fast, excitation-coupled information transfer between neurons. Previous work in larval Drosophila has shown that transmission at synaptic boutons is protected by heat shock exposure from subsequent thermal stress through pre- and postsynaptic modifications. This protective effect has been, at least partially, ascribed to an up-regulation in the inducible heat shock protein, hsp70. Effects of hsp70 are correlated with changes to intracellular calcium handling, and the dynamics of intracellular calcium regulate synaptic transmission. Consistent with such a relationship, synaptic plasticity increases at locust neuromuscular junctions following heat shock, suggesting an effect of heat shock on residual presynaptic calcium. Intracellular recording from single abdominal muscle fibers of Drosophila larvae showed that prior heat shock imparts thermoprotection by increasing the upper temperature limit for synaptic transmission. Heat shock exposure enhances short-term synaptic plasticity and increases its thermosensitivity. Increasing extracellular calcium levels eliminates the physiological differences between control and heat shock preparations; excess calcium itself induces thermoprotection at elevated concentrations. These data support the hypothesis that stress-induced neuroprotection at the nerve terminal acts, at least partially, through an alteration to the physiological effects of residual presynaptic calcium.


Assuntos
Cálcio/fisiologia , Proteínas de Drosophila/fisiologia , Proteínas de Choque Térmico HSP70/fisiologia , Temperatura Alta , Sinapses/fisiologia , Animais , Drosophila melanogaster , Larva , Plasticidade Neuronal/fisiologia , Terminações Pré-Sinápticas/fisiologia
8.
J Exp Biol ; 205(Pt 6): 815-27, 2002 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11914390

RESUMO

Heat shock and anoxia are environmental stresses that are known to trigger similar cellular responses. In this study, we used the locust to examine stress cross-tolerance by investigating the consequences of a prior anoxic stress on the effects of a subsequent high-temperature stress. Anoxic stress and heat shock induced thermotolerance by increasing the ability of intact locusts to survive normally lethal temperatures. To determine whether induced thermotolerance observed in the intact animal was correlated with electrophysiological changes, we measured whole-cell K(+) currents and action potentials from locust neurons. K(+) currents recorded from thoracic neuron somata were reduced after anoxic stress and decreased with increases in temperature. Prior anoxic stress and heat shock increased the upper temperature limit for generation of an action potential during a subsequent heat stress. Although anoxia induced thermotolerance in the locust flight system, a prior heat shock did not protect locusts from a subsequent anoxic stress. To determine whether changes in bioenergetic status were implicated in whole-animal cross-tolerance, phosphagen levels and rates of mitochondrial respiration were assayed. Heat shock alone had no effect on bioenergetic status. Prior heat shock allowed rapid recovery after normally lethal heat stress but afforded no protection after a subsequent anoxic stress. Heat shock also afforded no protection against disruption of bioenergetic status after a subsequent exercise stress. These metabolite studies are consistent with the electrophysiological data that demonstrate that a prior exposure to anoxia can have protective effects against high-temperature stress but that heat shock does not induce tolerance to anoxia.


Assuntos
Voo Animal/fisiologia , Gafanhotos/fisiologia , Temperatura Alta , Oxigênio/fisiologia , Potenciais de Ação , Animais , Condutividade Elétrica , Hipóxia , Oxigênio/administração & dosagem , Canais de Potássio/fisiologia
9.
J Neurobiol ; 49(3): 188-99, 2001 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-11745657

RESUMO

There is increasing evidence that heat shock (HS) has long-term effects on electrophysiological properties of neurons and synapses. Prior HS protects neural circuitry from a subsequent heat stress but little is known about the mechanisms that mediate this plasticity and induce thermotolerance. Exposure of Locusta migratoria to HS conditions of 45 degrees C for 3 h results in thermotolerance to hitherto lethal temperatures. Locust flight motor patterns were recorded during tethered flight at room temperature, before and after HS. In addition, intracellular action potentials (APs) were recorded from control and HS motoneurons in a semi-intact preparation during a heat stress. HS did not alter the timing of representative depressor or elevator muscle activity, nor did it affect the ability of the locust to generate a steering motor pattern in response to a stimulus. However, HS did increase the duration of APs recorded from neuropil segments of depressor motoneurons. Increases in AP duration were associated with protection of AP generation against failure at subsequent elevated temperatures. Failure of AP generation at high temperatures was preceded by a concomitant burst of APs and depolarization of the membrane. The protective effects of HS were mimicked by pharmacological blockade of I(K+) with tetraethylammonium (TEA). Taken together, these findings are consistent with a hypothesis that HS protects neuronal survival and function via K+ channel modulation.


Assuntos
Voo Animal/fisiologia , Gafanhotos/fisiologia , Potenciais de Ação/fisiologia , Animais , Estimulação Elétrica , Eletromiografia , Temperatura Alta , Técnicas In Vitro , Masculino , Músculos/inervação , Músculos/fisiologia
10.
J Hypertens ; 19(10): 1745-54, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11593093

RESUMO

OBJECTIVE: While the exact regulatory interactions between blood pressure (BP) and obesity are not completely understood, weight loss provides an alternative to pharmacological treatment of hypertension. The intent of this repeated measures study of mild-moderate hypertensive, moderately obese subjects (34 females/18 males) was to determine if the reduction in BP following weight loss could be further affected by modifying the fatty acid (FA) composition of the hypocaloric diet. METHODS: BP, insulin sensitivity (Si), and lipid parameters were assessed before and after a 10-week calorie-restricted period. Subjects were randomized to one of three dietary groups differing in FA composition. Reduced body weight was maintained for a further 4 weeks and body composition assessment, BP and heart rate measurements were repeated. RESULTS: Weight loss (10%) in obese hypertensive subjects resulted in substantial improvements in BP, Si and lipid profile. There was no additional effect on the reduction in BP by the type of FA consumed in the diet. Following weight loss, there was a trend for omega-3 FAs to have a protective effect on fat-free mass loss (compared to omega-6 FA Group and saturated FA Group) and a trend to further enhance Si. There were significant improvements in circulating lipid profiles independent of the dietary FA intervention following the weight loss. The improvements in BP and body composition were maintained during the weight-loss maintenance period. The type of fat consumed had minor differential effects on some of the measured metabolic outcomes. CONCLUSION: These results provide strong support for modest weight loss as a treatment for hypertension.


Assuntos
Gorduras na Dieta/farmacologia , Ácidos Graxos Insaturados/farmacologia , Hipertensão/etiologia , Obesidade/complicações , Obesidade/metabolismo , Redução de Peso , Aldosterona/sangue , Pressão Sanguínea/efeitos dos fármacos , Composição Corporal/efeitos dos fármacos , Ácidos Graxos/farmacologia , Ácidos Graxos Ômega-3/farmacologia , Ácidos Graxos Ômega-6 , Feminino , Frequência Cardíaca/efeitos dos fármacos , Humanos , Hipertensão/fisiopatologia , Insulina/fisiologia , Lipídeos/sangue , Masculino , Pessoa de Meia-Idade , Obesidade/sangue , Obesidade/patologia , Renina/sangue , Redução de Peso/efeitos dos fármacos
14.
Can J Physiol Pharmacol ; 79(4): 362-6, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11332514

RESUMO

We sought to manipulate maturation and functional recovery of locust flight circuitry by treating locusts with pharmacological doses of bovine anti-insulin and insulin. Anti-insulin treatment of maturing locusts caused reduced growth of the thoracic nervous system, lower body weight, and softer cuticles compared with control locusts. We were unable to block either maturation or recovery of flight circuitry with anti-insulin. We propose that insulin-related peptides are involved in growth and cuticular changes during adult maturation, but have no role in promoting neuronal sprouting during this period or as a result of injury.


Assuntos
Voo Animal/fisiologia , Gafanhotos/efeitos dos fármacos , Gafanhotos/crescimento & desenvolvimento , Hipoglicemiantes/farmacologia , Anticorpos Anti-Insulina/farmacologia , Insulina/farmacologia , Asas de Animais/efeitos dos fármacos , Animais , Anticorpos Anti-Idiotípicos/classificação , Anticorpos Anti-Idiotípicos/farmacologia , Masculino , Plasticidade Neuronal/efeitos dos fármacos , Plasticidade Neuronal/fisiologia , Asas de Animais/crescimento & desenvolvimento
16.
J Neurophysiol ; 85(3): 1332-5, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11248003

RESUMO

All chemical synapses can rapidly up- or downregulate the strength of their connections to reshape the postsynaptic signal, thereby stressing the informational importance of specific neural pathways. It is also true that an organism's environment can exert a powerful influence on all aspects of neural circuitry. We investigated the effect of a prior high-temperature stress on the short-term plasticity of a neuromuscular synapse in the hindleg tibial extensor muscle of Locusta migratoria. We found that the prior stress acted to precondition the synapse by increasing the upper temperature limit for synaptic transmission during a subsequent stressful exposure. As well, preexposure to a stressful high-temperature environment increased short-term facilitation of excitatory junction potentials concurrent with a decrease in excitatory junction potential amplitude and a reduction in its temporal parameters. We conclude that a stressful environment can modify synaptic physiological properties resulting in an enhancement of short-term plasticity of the synapse.


Assuntos
Transtornos de Estresse por Calor/fisiopatologia , Junção Neuromuscular , Plasticidade Neuronal , Transmissão Sináptica , Análise de Variância , Animais , Gafanhotos , Potenciais da Membrana , Músculos/inervação , Tempo de Reação , Temperatura
17.
Prog Neurobiol ; 63(4): 409-39, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11163685

RESUMO

Studies of insect identified neurons over the past 25 years have provided some of the very best data on sensorimotor integration; tracing information flow from sensory to motor networks. General principles have emerged that have increased the sophistication with which we now understand both sensory processing and motor control. Two overarching themes have emerged from studies of identified sensory interneurons. First, within a species, there are profound differences in neuronal organization associated with both the sex and the social experience of the individual. Second, single neurons exhibit some surprisingly rich examples of computational sophistication in terms of (a) temporal dynamics (coding superimposed upon circadian and shorter-term rhythms), and also (b) what Kenneth Roeder called "neural parsimony": that optimal information can be encoded, and complex acts of sensorimotor coordination can be mediated, by small ensembles of cells. Insect motor systems have proven to be relatively complex, and so studies of their organization typically have not yielded completely defined circuits as are known from some other invertebrates. However, several important findings have emerged. Analysis of neuronal oscillators for rhythmic behavior have delineated a profound influence of sensory feedback on interneuronal circuits: they are not only modulated by feedback, but may be substantially reconfigured. Additionally, insect motor circuits provide potent examples of neuronal restructuring during an organism's lifetime, as well as insights on how circuits have been modified across evolutionary time. Several areas where future advances seem likely to occur include: molecular genetic analyses, neuroecological syntheses, and neuroinformatics--the use of digital resources to organize databases with information on identified nerve cells and behavior.


Assuntos
Comportamento Animal/fisiologia , Sistema Nervoso Central/citologia , Insetos/citologia , Neurônios/citologia , Animais , Sistema Nervoso Central/fisiologia , Gânglios dos Invertebrados/citologia , Gânglios dos Invertebrados/fisiologia , Insetos/fisiologia , Rede Nervosa/citologia , Rede Nervosa/fisiologia , Neurônios/fisiologia
18.
J Comp Physiol A ; 187(2): 115-29, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15524000

RESUMO

We recorded the activity of the right and left descending contralateral movement detectors responding to 10-cm (small) or 20-cm (large) computer-generated spheres approaching along different trajectories in the locust's frontal field of view. In separate experiments we examined the steering responses of tethered flying locusts to identical stimuli. The descending contralateral movement detectors were more sensitive to variations in target trajectory in the horizontal plane than in the vertical plane. Descending contralateral movement detector activity was related to target trajectory and to target size and was most sensitive to small objects converging on a direct collision course from above and to one side. Small objects failed to induce collision avoidance manoeuvres whereas large objects produced reliable collision avoidance responses. Large targets approaching along a converging trajectory produced steering responses that were either away from or toward the side of approach of the object, whereas targets approaching along trajectories that were offset from the locust's mid-longitudinal body axis primarily evoked responses away from the target. We detected no differences in the discharge properties of the descending contralateral movement detector pair that could account for the different collision avoidance behaviours evoked by varying the target size and trajectories. We suggest that descending contralateral movement detector properties are better suited to predator evasion than collision avoidance.


Assuntos
Voo Animal/fisiologia , Gafanhotos/fisiologia , Neurônios/fisiologia , Percepção Visual , Animais , Eletrofisiologia , Lateralidade Funcional
20.
N Engl J Med ; 343(14): 1008-14, 2000 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-11018167

RESUMO

BACKGROUND: The postural tachycardia syndrome is a common disorder that is characterized by chronic orthostatic symptoms and a dramatic increase in heart rate on standing, but that does not involve orthostatic hypotension. Several lines of evidence indicate that this disorder may result from sympathetic denervation of the legs. METHODS: We measured norepinephrine spillover (the rate of entry of norepinephrine into the venous circulation) in the arms and legs both before and in response to exposure to three stimuli (the cold pressor test, sodium nitroprusside infusion, and tyramine infusion) in 10 patients with the postural tachycardia syndrome and in 8 age- and sex-matched normal subjects. RESULTS: At base line, the mean (+/-SD) plasma norepinephrine concentration in the femoral vein was lower in the patients with the postural tachycardia syndrome than in the normal subjects (135+/-30 vs. 215+/-55 pg per milliliter [0.80+/-0.18 vs. 1.27+/-0.32 nmol per liter], P=0.001). Norepinephrine spillover in the arms increased to a similar extent in the two groups in response to each of the three stimuli, but the increases in the legs were smaller in the patients with the postural tachycardia syndrome than in the normal subjects (0.001+/-0.09 vs. 0.12+/-0.12 ng per minute per deciliter of tissue [0.006+/-0.53 vs. 0.71+/-0.71 nmol per minute per deciliter] with the cold pressor test, P=0.02; 0.02+/-0.07 vs. 0.23+/-0.17 ng per minute per deciliter [0.12+/-0.41 vs. 1.36+/-1.00 nmol per minute per deciliter] with nitroprusside infusion, P=0.01; and 0.008+/-0.09 vs. 0.19+/-0.25 ng per minute per deciliter [0.05+/-0.53 vs. 1.12+/-1.47 nmol per minute per deciliter] with tyramine infusion, P=0.04). CONCLUSIONS: The neuropathic postural tachycardia syndrome results from partial sympathetic denervation, especially in the legs.


Assuntos
Doenças do Sistema Nervoso Autônomo/complicações , Perna (Membro)/inervação , Norepinefrina/sangue , Sistema Nervoso Simpático , Taquicardia/etiologia , Adulto , Braço/irrigação sanguínea , Pressão Sanguínea , Estudos de Casos e Controles , Temperatura Baixa , Feminino , Veia Femoral , Frequência Cardíaca , Humanos , Perna (Membro)/irrigação sanguínea , Masculino , Nitroprussiato/farmacologia , Norepinefrina/farmacocinética , Postura/fisiologia , Valores de Referência , Taquicardia/sangue , Taquicardia/fisiopatologia , Tiramina/farmacologia
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