Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 61
Filtrar
1.
Neuroscience ; 473: 52-65, 2021 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-34450212

RESUMO

During adolescence, heavy binge-like ethanol consumption can lead to frontocortical structural and functional impairments. These impairments are likely driven by adolescence being a critical time point for maturation of brain regions associated with higher-order cognitive functioning. Rodent models of heavy binge-like ethanol exposure show consistent disruptions to the typical development of the prefrontal cortex (PFC). All deep cortical layers receive cholinergic projections that originate from the Nucleus basalis of Meynert (NbM) complex. These cholinergic projections are highly involved in learning, memory, and attention. Adolescent intermittent ethanol exposure (AIE) induces cholinergic dysfunction as a result of an epigenetic suppression of the genes that drive the cholinergic phenotype. The current study used a model of AIE to assess structural and functional changes to the frontal cortex and NbM following binge-like ethanol exposure in adolescence. Western blot analysis revealed long-term disruptions of the cholinergic circuit following AIE: choline acetyltransferase (ChAT) was suppressed in the NbM and vesicular acetylcholine transporter (VAChT) was suppressed in the orbitofrontal cortex (OFC). In vivo microdialysis for acetylcholine efflux during a spatial memory task determined changes in cholinergic modulation within the PFC following AIE. However, AIE spared performance on the spatial memory task and on an operant reversal task. In a second study, Golgi-Cox staining determined that AIE increased apical dendritic complexity in the OFC, with sex influencing whether the increase in branching occurred near or away from the soma. Spine density or maturity was not affected, likely compensating for a disruption in neurotransmitter function following AIE.


Assuntos
Etanol , Córtex Pré-Frontal , Encéfalo , Colinérgicos , Etanol/toxicidade , Lobo Frontal
2.
Behav Brain Res ; 405: 113208, 2021 05 07.
Artigo em Inglês | MEDLINE | ID: mdl-33640395

RESUMO

Individuals diagnosed with Fetal Alcohol Spectrum Disorders (FASD) often display behavioral impairments in executive functioning (EF). Specifically, the domains of working memory, inhibition, and set shifting are frequently impacted by prenatal alcohol exposure. Coordination between prefrontal cortex and hippocampus appear to be essential for these domains of executive functioning. The current study uses a rodent model of human third-trimester binge drinking to identify the extent of persistent executive functioning deficits following developmental alcohol by using a behavioral battery of hippocampus- and prefrontal cortex-dependent behavioral assays in adulthood. Alcohol added to milk formula was administered to Long Evans rat pups on postnatal days 4-9 (5.25 g/kg/day of ethanol; intragastric intubation), a period when rodent brain development undergoes comparable processes to human third-trimester neurodevelopment. Procedural control animals underwent sham intubation, without administration of any liquids (i.e., alcohol, milk solution). In adulthood, male rats were run on a battery of behavioral assays: novel object recognition, object-in-place associative memory, spontaneous alternation, and behavioral flexibility tasks. Alcohol-exposed rats demonstrated behavioral impairment in object-in-place preference and performed worse when the rule was switched on a plus maze task. All rats showed similar levels of novel object recognition, spontaneous alternation, discrimination learning, and reversal learning, suggesting alcohol-induced behavioral alterations are selective to executive functioning domains of spatial working memory and set-shifting in this widely-utilized rodent model. These specific behavioral alterations support the hypothesis that behavioral impairments in EF following prenatal alcohol exposure are caused by distributed damage to the prefrontal-thalamo-hippocampal circuit consisting of the medial prefrontal cortex, thalamic nucleus reuniens, and CA1 of hippocampus.


Assuntos
Depressores do Sistema Nervoso Central/farmacologia , Disfunção Cognitiva , Etanol/farmacologia , Função Executiva , Transtornos do Espectro Alcoólico Fetal/fisiopatologia , Hipotálamo , Rede Nervosa , Córtex Pré-Frontal , Tálamo , Animais , Animais Recém-Nascidos , Comportamento Animal/efeitos dos fármacos , Comportamento Animal/fisiologia , Consumo Excessivo de Bebidas Alcoólicas/complicações , Depressores do Sistema Nervoso Central/administração & dosagem , Disfunção Cognitiva/induzido quimicamente , Disfunção Cognitiva/fisiopatologia , Modelos Animais de Doenças , Etanol/administração & dosagem , Função Executiva/efeitos dos fármacos , Função Executiva/fisiologia , Feminino , Hipotálamo/efeitos dos fármacos , Hipotálamo/fisiopatologia , Masculino , Rede Nervosa/efeitos dos fármacos , Rede Nervosa/fisiopatologia , Córtex Pré-Frontal/efeitos dos fármacos , Córtex Pré-Frontal/fisiopatologia , Gravidez , Terceiro Trimestre da Gravidez/efeitos dos fármacos , Ratos , Ratos Long-Evans , Tálamo/efeitos dos fármacos , Tálamo/fisiopatologia
3.
J Dairy Sci ; 103(8): 6930-6939, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32475661

RESUMO

Diets worldwide are deficient in iodine, leading to a range of undesirable health effects at the population level. Dairy products are a primary source of iodine in diets for those populations in which iodized salt is not systematically used or available. However, the flows of iodine through dairy agroecosystems are not well understood. The aim of this research was to investigate iodine flows though the dairy agroecosystem, including the influence of atmospheric depositional inputs, environmental variables, season, husbandry, and diet. Three farm-based sampling campaigns were carried out in this investigation, with milk, soil, silage, grass, and feed iodine determined by inductively coupled plasma mass spectroscopy, and nonparametric statistical analysis tests were conducted on data sets obtained. Natural iodine inputs into the environment are dominated by atmospheric deposition, which mainly from sea spray, and thus the location of farms relative to the coast and prevailing wind direction. Herbage and silage produced from grass-based systems strongly correlated with soil iodine, yet there was a strong disconnect between soil, forage, and feed and the milk that results. This was due to the levels of iodine in supplemental feeds being approximately 10-fold higher than those in forage-derived feeds. The practice of feed supplementation, accentuated by summer housing of cows, led to elevated milk iodine.


Assuntos
Ração Animal/análise , Bovinos/fisiologia , Dieta/veterinária , Iodo/administração & dosagem , Leite/química , Silagem/análise , Animais , Feminino , Iodo/química , Lactação , Poaceae , Estações do Ano , Solo
4.
Neuroscience ; 404: 153-164, 2019 04 15.
Artigo em Inglês | MEDLINE | ID: mdl-30742967

RESUMO

Adolescent binge drinking renders young drinkers vulnerable to alcohol use disorders in adulthood; therefore, understanding alcohol-induced brain damage and associated cognitive dysfunctions is of paramount importance. Here we investigated the effects of binge-like adolescent intermittent ethanol (AIE) exposure on nonspatial working memory, behavioral flexibility and cholinergic alterations in the nucleus accumbens (NAc) in male and female rats. On postnatal days P25-57 rats were intubated with water or ethanol (at a dose of 5 g/kg) on a 2-day-on/2-day-off cycle and were then tested in adulthood on social recognition and probabilistic reversal learning tasks. During the social recognition task AIE-treated rats spent similar amounts of time interacting with familiar and novel juveniles, indicating an impaired ability to sustain memory of the familiar juvenile. During probabilistic reversal learning, AIE-treated male and female rats showed behavioral inflexibility as indicated by a higher number of trials needed to complete three reversals within a session, longer response latencies for lever selection, and for males, a higher number of errors as compared to water-treated rats. AIE exposure also reduced the number of cholinergic interneurons in the NAc in males and females. These findings indicate AIE-related pathologies of accumbal cholinergic interneurons and long lasting cognitive-behavioral deficits, which may be associated with cortico-striatal hypofunction.


Assuntos
Neurônios Colinérgicos/efeitos dos fármacos , Disfunção Cognitiva/induzido quimicamente , Disfunção Cognitiva/fisiopatologia , Etanol/toxicidade , Interneurônios/efeitos dos fármacos , Núcleo Accumbens/efeitos dos fármacos , Fatores Etários , Animais , Neurônios Colinérgicos/fisiologia , Disfunção Cognitiva/psicologia , Etanol/administração & dosagem , Feminino , Interneurônios/fisiologia , Masculino , Memória de Curto Prazo/efeitos dos fármacos , Memória de Curto Prazo/fisiologia , Núcleo Accumbens/fisiologia , Ratos , Ratos Sprague-Dawley
5.
J Eur Acad Dermatol Venereol ; 32(9): 1530-1534, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29578628

RESUMO

BACKGROUND: Many patients with psoriasis have undiagnosed psoriatic arthritis. Low specificity is found with many PsA screening tools. A new instrument, the CONTEST questionnaire, was developed utilizing the most discriminative items from existing instruments. OBJECTIVE: The aim of this study was to compare the CONTEST and PEST screening tools. METHODS: People attending secondary care clinics with psoriasis, but not PsA, completed the questionnaires, were assessed for function and quality of life, and had a physical examination. Patients thought to have PsA were compared to those without. The performance of CONTEST and PEST was compared using area under the receiver operating curve (AUC), and sensitivity and specificity at the previously published cut-offs. RESULTS: A total of 451 dermatology patients were approached, 35% were reviewed and 27 (17%, 95% CI 12.3-21.7) had unidentified psoriatic arthritis. The sensitivity and specificity (95% CI) of PEST were 0.60 (0.42-0.78)/0.76 (0.69-0.83) and for CONTEST 0.53 (0.34-0.72)/0.71 (0.63-0.79). The confidence limits for the AUC overlapped (AUC for PEST 0.72 (0.61-0.84), for CONTEST 0.66 (0.54-0.77). CONCLUSIONS: PEST and CONTEST questionnaires performed equally well, with no superiority of the new CONTEST tool.


Assuntos
Artrite Psoriásica/diagnóstico , Programas de Rastreamento/métodos , Inquéritos e Questionários , Adulto , Área Sob a Curva , Artrite Psoriásica/complicações , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Exame Físico , Psoríase/complicações , Qualidade de Vida , Curva ROC
6.
Br J Dermatol ; 175(3): 542-8, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27031574

RESUMO

BACKGROUND: Many questionnaires are available for assessment of psoriatic arthritis (PsA), but there is little evidence comparing them. OBJECTIVES: To test the proposed CONTEST questionnaire, which was developed to identify patients with psoriasis who have undiagnosed PsA, and compare it with the validated Psoriasis Epidemiology Screening Tool (PEST) questionnaire in a primary-care setting. METHODS: A random sample of adult patients with psoriasis and no diagnosis of arthritis was identified from five general practice surgeries in Yorkshire, U.K. Consenting patients completed both questionnaires and were assessed by a dermatologist and rheumatologist. Diagnosis of PsA was made by the assessing rheumatologist. Receiver operator characteristic (ROC) curve analysis examined the sensitivity and specificity of potential cut points. RESULTS: In total 932 packs were sent to recruit 191 (20·5%) participants. Of these, 169 (88·5%) were confirmed to have current or previous psoriasis. Using physician diagnosis 17 (10·1%) were found to have previously undiagnosed PsA, while 90 (53·3%) had another musculoskeletal complaint and 62 (36·7%) had no musculoskeletal problems. Using ROC curve analysis, all of the questionnaires showed a significant ability to identify PsA. The area under the curve (AUC) for the CONTEST questionnaires was slightly higher than that of PEST (0·69 and 0·70 vs. 0·65), but there was no significant difference identified. Examining the sensitivities and specificities for the different cut points suggested that a PEST score ≥ 2 would perform better in this dataset, and the optimal scores for CONTEST and CONTEST plus joint manikin were 3 and 4, respectively. CONCLUSIONS: The accuracy of the questionnaires to identify PsA appeared similar, with a slightly higher AUC for the CONTEST questionnaires. The optimal cut points in this study appeared lower than in previous studies.


Assuntos
Artrite Psoriásica/diagnóstico , Inquéritos e Questionários/normas , Idoso , Estudos Transversais , Diagnóstico Tardio , Diagnóstico Precoce , Feminino , Medicina Geral , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/diagnóstico , Estudos Prospectivos , Curva ROC , Sensibilidade e Especificidade
7.
Neuroscience ; 285: 260-8, 2015 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-25446352

RESUMO

The thalamus is a critical node for several pathways involved in learning and memory. Damage to the thalamus by trauma, disease or malnourishment can impact the effectiveness of the prefrontal cortex (PFC) and hippocampus (HPC) and lead to a profound amnesia state. Using the pyrithiamine-induced thiamine deficiency (PTD) rat model of human Wernicke-Korsakoff syndrome, we tested the hypothesis that co-infusion of the acetylcholinesterase inhibitor physostigmine across the PFC and HPC would recover spatial alternation performance in PTD rats. When cholinergic tone was increased by dual injections across the PFC-HPC, spontaneous alternation performance in PTD rats was recovered. In addition, we tested a second hypothesis that two ventral midline thalamic nuclei, the rhomboid nucleus and nucleus reuniens (Rh-Re), form a critical node needed for the recovery of function observed when cholinergic tone was increased across the PFC and HPC. By using the GABAA agonist muscimol to temporarily deactivate the Rh-Re the recovery of alternation behavior obtained in the PTD model by cholinergic stimulation across the PFC-HPC was blocked. In control pair-fed (PF) rats, inactivation of the Rh-Re impaired spontaneous alternation. However, when inactivation of the Rh-Re co-occurred with physostigmine infusions across the PFC-HPC, PF rats had normal performance. These results further demonstrate that the Rh-Re is critical in facilitating interactions between the HPC and PFC, but other redundant pathways also exist.


Assuntos
Inibidores da Colinesterase/administração & dosagem , Síndrome de Korsakoff/tratamento farmacológico , Síndrome de Korsakoff/fisiopatologia , Fisostigmina/administração & dosagem , Núcleos Ventrais do Tálamo/fisiopatologia , Ração Animal , Animais , Modelos Animais de Doenças , Lateralidade Funcional , Agonistas de Receptores de GABA-A/farmacologia , Hipocampo/efeitos dos fármacos , Hipocampo/patologia , Hipocampo/fisiopatologia , Síndrome de Korsakoff/patologia , Masculino , Aprendizagem em Labirinto/efeitos dos fármacos , Aprendizagem em Labirinto/fisiologia , Muscimol/farmacologia , Córtex Pré-Frontal/efeitos dos fármacos , Córtex Pré-Frontal/patologia , Córtex Pré-Frontal/fisiopatologia , Piritiamina , Distribuição Aleatória , Ratos Sprague-Dawley , Deficiência de Tiamina/tratamento farmacológico , Deficiência de Tiamina/patologia , Deficiência de Tiamina/fisiopatologia , Núcleos Ventrais do Tálamo/efeitos dos fármacos , Núcleos Ventrais do Tálamo/patologia
9.
Neuroscience ; 258: 131-46, 2014 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-24215977

RESUMO

Voluntary exercise (VEx) has profound effects on neural and behavioral plasticity, including recovery of CNS trauma and disease. However, the unique regional cortical adaption to VEx has not been elucidated. In a series of experiments, we first examined whether VEx would restore and retain neurotrophin levels in several cortical regions (frontal cortex [FC], retrosplenial cortex [RSC], occipital cortex [OC]) in an animal model (pyrithiamine-induced thiamine deficiency [PTD]) of the amnestic disorder Wernicke-Korsakoff syndrome. In addition, we assessed the time-dependent effect of VEx to rescue performance on a spontaneous alternation task. Following 2-weeks of VEx or stationary housing conditions (Stat), rats were behaviorally tested and brains were harvested either the day after VEx (24-h) or after an additional 2-week period (2-wk). In both control pair-fed (PF) rats and PTD rats, all neurotrophin levels (brain-derived neurotrophic factor [BDNF], nerve growth factor [NGF], and vascular endothelial growth factor) increased at the 24-h period after VEx in the FC and RSC, but not OC. Two-weeks following VEx, BDNF remained elevated in both FC and RSC, whereas NGF remained elevated in only the FC. Interestingly, VEx only recovered cognitive performance in amnestic rats when there was an additional 2-wk adaptation period after VEx. Given this unique temporal profile, Experiment 2 examined the cortical cytogenetic responses in all three cortical regions following a 2-wk adaptation period after VEx. In healthy (PF) rats, VEx increased the survival of progenitor cells in both the FC and RSC, but only increased oligodendrocyte precursor cells (OLPs) in the FC. Furthermore, VEx had a selective effect of only recovering OLPs in the FC in PTD rats. These data reveal the therapeutic potential of exercise to restore cortical plasticity in the amnestic brain, and that the FC is one of the most responsive cortical regions to VEx.


Assuntos
Amnésia/fisiopatologia , Córtex Cerebral/fisiopatologia , Atividade Motora/fisiologia , Fatores de Crescimento Neural/metabolismo , Animais , Fator Neurotrófico Derivado do Encéfalo/metabolismo , Sobrevivência Celular , Análise Citogenética , Lobo Frontal/fisiopatologia , Abrigo para Animais , Masculino , Fator de Crescimento Neural/metabolismo , Lobo Occipital/fisiopatologia , Oligodendroglia/fisiologia , Piritiamina , Ratos , Ratos Sprague-Dawley , Células-Tronco/fisiologia , Deficiência de Tiamina/fisiopatologia , Fatores de Tempo , Fator A de Crescimento do Endotélio Vascular/metabolismo
10.
Lancet Neurol ; 12(4): 339-45, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23453347

RESUMO

BACKGROUND: Lithium has neuroprotective effects in cell and animal models of amyotrophic lateral sclerosis (ALS), and a small pilot study in patients with ALS showed a significant effect of lithium on survival. We aimed to assess whether lithium improves survival in patients with ALS. METHODS: The lithium carbonate in amyotrophic lateral sclerosis (LiCALS) trial is a randomised, double-blind, placebo-controlled trial of oral lithium taken daily for 18 months in patients with ALS. Patients aged at least 18 years who had ALS according to the revised El Escorial criteria, had disease duration between 6 and 36 months, and were taking riluzole were recruited from ten centres in the UK. Patients were randomly assigned (1:1) to receive either lithium or matched placebo tablets. Randomisation was via an online system done at the level of the individual by block randomisation with randomly varying block sizes, stratified by study centre and site of disease onset (limb or bulbar). All patients and assessing study personnel were masked to treatment assignment. The primary endpoint was the rate of survival at 18 months and was analysed by intention to treat. This study is registered with Eudract, number 2008-006891-31. FINDINGS: Between May 26, 2009, and Nov 10, 2011, 243 patients were screened, 214 of whom were randomly assigned to receive lithium (107 patients) or placebo (107 patients). Two patients discontinued treatment and one died before the target therapeutic lithium concentration could be achieved. 63 (59%) of 107 patients in the placebo group and 54 (50%) of 107 patients in the lithium group were alive at 18 months. The survival functions did not differ significantly between groups (Mantel-Cox log-rank χ(2) on 1 df=1·64; p=0·20). After adjusting for study centre and site of onset using logistic regression, the relative odds of survival at 18 months (lithium vs placebo) was 0·71 (95% CI 0·40-1·24). 56 patients in the placebo group and 61 in the lithium group had at least one serious adverse event. INTERPRETATION: We found no evidence of benefit of lithium on survival in patients with ALS, but nor were there safety concerns, which had been identified in previous studies with less conventional designs. This finding emphasises the importance of pursuing adequately powered trials with clear endpoints when testing new treatments. FUNDING: The Motor Neurone Disease Association of Great Britain and Northern Ireland.


Assuntos
Esclerose Lateral Amiotrófica/tratamento farmacológico , Esclerose Lateral Amiotrófica/mortalidade , Idoso , Método Duplo-Cego , Feminino , Humanos , Carbonato de Lítio/uso terapêutico , Masculino , Pessoa de Meia-Idade , Fármacos Neuroprotetores/uso terapêutico , Taxa de Sobrevida/tendências , Resultado do Tratamento
13.
Neuroscience ; 160(1): 32-41, 2009 Apr 21.
Artigo em Inglês | MEDLINE | ID: mdl-19264109

RESUMO

The septohippocampal pathway, which is mostly composed of cholinergic and GABAergic projections between the medial septum/diagonal band (MS/DB) and the hippocampus, has an established role in learning, memory and disorders of cognition. In Wernicke-Korsakoff's syndrome (WKS) and the animal model of the disorder, pyrithiamine-induced thiamine deficiency (PTD), there is both diencephalic damage and basal forebrain cell loss that could contribute to the amnesic state. In the current experiment, we used the PTD animal model to access both cholinergic (choline acetyltransferase [ChAT] immunopositive) and GABAergic (parvalbumin [PV]; calbindin [CaBP]) neuronal loss in the MS/DB in relationship to midline-thalamic pathology. In addition, to gain an understanding about the role of such neuropathology in behavioral dysfunction, animals were tested on a non-rewarded spontaneous alternation task and behavioral performance was correlated to neuropathology. Unbiased stereological assessment of neuronal populations revealed that ChAT-positive neurons were significantly reduced in PTD rats, relative to control pair-fed rats, and thalamic mass and behavioral performance correlated with ChAT neuronal estimates. In contrast, both the PV- and CaBP-positive neurons in the MS/DB were not affected by PTD treatment. These results support an interactive role of both thalamic pathology and cholinergic cell loss in diencephalic amnesia.


Assuntos
Acetilcolina/metabolismo , Amnésia/fisiopatologia , Neurônios/fisiologia , Deficiência de Tiamina/fisiopatologia , Ácido gama-Aminobutírico/metabolismo , Amnésia/induzido quimicamente , Animais , Encéfalo/fisiopatologia , Calbindinas , Morte Celular , Colina O-Acetiltransferase/metabolismo , Modelos Animais de Doenças , Síndrome de Korsakoff/fisiopatologia , Masculino , Parvalbuminas/metabolismo , Piritiamina , Ratos , Ratos Sprague-Dawley , Proteína G de Ligação ao Cálcio S100/metabolismo , Tálamo/fisiopatologia , Deficiência de Tiamina/induzido quimicamente
14.
S Afr Med J ; 96(9 Pt 2): 955-9, 2006 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17077924

RESUMO

INTRODUCTION: Renal transplantation is the therapy of choice for children with end-stage renal failure. There are many challenges associated with a paediatric programme in a developing country where organs are limited. METHODS: A retrospective review was undertaken of 149 paediatric renal transplants performed between 1968 and 2006 with specific emphasis on transplants performed in the last 10 years. Survival of patients and grafts was analysed and specific problems related to drugs and infections were reviewed. RESULTS: On review of the total programme, 60% of the transplants have been performed in the last 10 years, with satisfactory overall patient and graft survival for the first 8 years post transplant. At this point, transfer to adult units with non-compliance becomes a significant problem. Rejection is less of a problem than previously but infection is now a bigger issue--specifically tuberculosis (TB), cytomegalovirus (CMV) and Epstein-Barr virus (EBV) infections with related complications. A wide variety of drugs are available for tailoring immunosuppression to minimise side-effects. CONCLUSION: It is possible to have a successful paediatric transplant programme in a developing country. However, to improve long-term outcomes certain issues need to be addressed, including reduction of nephrotoxic drugs and cardiovascular risk factors and providing successful adolescent to adult unit transition.


Assuntos
Falência Renal Crônica/cirurgia , Transplante de Rim , Avaliação de Programas e Projetos de Saúde/tendências , Adolescente , Criança , Pré-Escolar , Feminino , Seguimentos , Sobrevivência de Enxerto , Humanos , Lactente , Recém-Nascido , Masculino , Complicações Pós-Operatórias , Estudos Retrospectivos
15.
Ann Rheum Dis ; 64 Suppl 2: ii93-100, 2005 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15708949

RESUMO

All the psoriatic arthritis and psoriasis patient advocacy organisations are devoted to promoting public awareness and patient education; supporting access to effective treatments and physicians committed to the welfare of patients; working with physicians and other organisations to facilitate development of new treatments; and supporting research for more effective treatments and a cure for psoriasis and psoriatic arthritis. They have participated in the remaking of health politics in the late twentieth century. This was an era in which small patient support and advocacy groups were transformed into sophisticated national health organisations integral to the formation of national health policy and research, treatment, and education funding by working with physicians, legislators, pharmaceutical companies, third party payors, and the media. As we enter the twenty first century, some of these groups have done critical surveys of patients and physicians to discern needs that are redirecting their programming and reshaping directions in the field. Many national leagues have united to form international organisations. Although differences in their national healthcare systems, the age of their organisations, and the diseases they cover are reflected in the focus of their individual activities, much unites them. Whatever their size, as their roles have come to be recognised in the healthcare community, the patient advocacy organisations welcome being invited to the decision making table. This report describes a sampling of these organisations.


Assuntos
Organizações sem Fins Lucrativos , Defesa do Paciente , Psoríase/terapia , Artrite Psoriásica/terapia , Humanos , Cooperação Internacional , Educação de Pacientes como Assunto/organização & administração
16.
Endocrinology ; 142(6): 2230-7, 2001 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-11356667

RESUMO

We have previously shown that the preovulatory LH surge down-regulates estrogen receptor-beta (ERbeta) messenger RNA (mRNA) levels selectively in the granulosa cells of preovulatory follicles. To gain insight into the underlying mechanisms, we examined whether the LH-induced loss of ERbeta mRNA expression in rat granulosa cells is attributable to the hormone-induced changes at the level of transcription and/or mRNA degradation. When the rate of ERbeta gene transcription was assessed in cultured granulosa cells, by nuclear run-off assays, we observed only a marginal effect of hCG on ERbeta gene transcription. In contrast, when ERbeta mRNA levels were estimated in granulosa cells that were cultured in the presence of 5,6-dichloro-1-beta-D-ribofuranosylbenzimidazole (DRB), an RNA synthesis inhibitor, we observed a significant inhibitory effect of human CG (hCG) on ERbeta mRNA expression at a magnitude similar to that observed in the absence of DRB. Forskolin (FSK) and 2-O-tetradecanol-phorbol-13-acetate (TPA), pharmacological agents that mimic LH actions in granulosa cells, also showed similar effects. Thus, these results suggest that LH decreases ERbeta mRNA expression in the granulosa cells of preovulatory follicles, primarily by destabilizing the preexisting ERbeta mRNA. We next determined the decay rate of the ERbeta mRNA in granulosa cells that were cultured in the presence of DRB and additional hCG, FSK, or TPA for various time periods, by estimating ERbeta mRNA levels, using semiquantitative RT-PCR assays and subsequent linear regression analyses. The half-life of the ERbeta mRNA in the presence of vehicle was 17.87 +/- 1.2 h (n = 4). hCG dramatically decreased the half-life of the ERbeta mRNA (4.85 +/- 0.49 h, n = 4). Similarly, both FSK and TPA decreased the half-life of the ERbeta mRNA to 3.57 +/- 0.31 h and 4.02 +/- 0.13 h, respectively. We extended these findings by examining whether the LH-induced down-regulation of the ERbeta mRNA is cycloheximide-sensitive. When granulosa cells were cultured in the presence of cycloheximide, a protein synthesis inhibitor, the inhibitory effects of hCG, FSK, and TPA on ERbeta mRNA levels were abolished. Similar results were obtained in the presence or absence of DRB, indicating that the hormone-induced destabilization of the ERbeta mRNA is coupled with translation processes. Taken together, our results demonstrate that LH decreases ERbeta mRNA expression, predominantly at the posttranscriptional level, in a cycloheximide-sensitive manner.


Assuntos
Células da Granulosa/química , Hormônio Luteinizante/farmacologia , RNA Mensageiro/análise , Receptores de Estrogênio/genética , Animais , Células Cultivadas , Gonadotropina Coriônica/farmacologia , Colforsina/farmacologia , Diclororribofuranosilbenzimidazol/farmacologia , Estabilidade de Medicamentos , Receptor beta de Estrogênio , Feminino , Inibidores da Síntese de Ácido Nucleico/farmacologia , Ratos , Ratos Sprague-Dawley , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Acetato de Tetradecanoilforbol/farmacologia
17.
Behav Brain Res ; 119(2): 167-77, 2001 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-11165332

RESUMO

The present study aimed to assess the role of advanced age in the development and manifestation of thiamine deficiency using an animal model of Wernicke-Korsakoff syndrome (WKS). Interactions between pyrithiamine-induced thiamine deficiency (PTD) and age were examined relative to working memory impairment and neuropathology in Fischer 344 rats. Young (2-3 months) and aged (22-23 months) F344 rats were assigned to one of two treatment conditions: PTD or pair-fed control (PF). Rats in the former group were further divided into three groups according to duration of PTD treatment. Working memory was assessed with an operant matching-to-position (MTP) task; after testing, animals were sacrificed and both gross and immunocytochemical measures of brain pathology were obtained. Aged rats exhibited acute neurological disturbances during the PTD treatment regime earlier than did young rats, and also developed more extensive neuropathology with a shorter duration of PTD. Aged rats displayed increased brain shrinkage (smaller frontal cortical and callosal thickness) as well as enhanced astrocytic activity in the thalamus and a decrease in ChAT-positive cell numbers in the medial septum; the latter two measures of neuropathology were potentiated by PTD. In both young and aged rats, and to a greater degree in the latter group, PTD reduced thalamic volume. Behaviorally, aged rats displayed impaired choice accuracy on the delayed MTP task. Regardless of age, rats with lesions centered on the internal medullary lamina of the thalamus also displayed impaired choice accuracy. Moreover, increased PTD treatment duration led to increased response times on the delayed MTP task. These results suggest that aging does indeed potentiate the neuropathology associated with experimental thiamine deficiency, supporting an age coupling hypothesis of alcohol-related neurological disorders.


Assuntos
Síndrome de Korsakoff/fisiopatologia , Rememoração Mental/fisiologia , Deficiência de Tiamina/fisiopatologia , Encefalopatia de Wernicke/fisiopatologia , Fatores Etários , Animais , Encéfalo/patologia , Encéfalo/fisiopatologia , Síndrome de Korsakoff/induzido quimicamente , Síndrome de Korsakoff/patologia , Masculino , Rememoração Mental/efeitos dos fármacos , Piritiamina , Ratos , Ratos Endogâmicos F344 , Deficiência de Tiamina/induzido quimicamente , Deficiência de Tiamina/patologia , Encefalopatia de Wernicke/induzido quimicamente , Encefalopatia de Wernicke/patologia
18.
Integr Physiol Behav Sci ; 36(3): 182-95, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11777014

RESUMO

Correlating unique rewards with to-be-remembered events (the Differential Outcomes Procedure [DOP]) enhances learning and memory performance in a range of species. Recently, we have demonstrated that the DOP can be used to reduce or eliminate the learning and memory impairments associated with animal models of amnesia and dementia. This powerful phenomenon, the Differential Outcomes Effect (DOE), has led to the question: How does such a simple manipulation exert such dramatic influence on learning and memory performance? A revised two-process account of the DOE states that using the DOP results in the activation of reward expectancies through Pavlovian mechanisms. The use of unique reward expectancies alters the nature of cognitive processing used to solve discrimination tasks. The change in cognitive processing is represented by utilization of a different memory system than that commonly used to acquire and remember information when a Nondifferential Outcomes Procedure (NOP) is used. Using neurochemical manipulations, it has been demonstrated that different, potentially independent, brain systems modulate memory performance when subjects are trained with a NOP versus a DOP. This memory-based DOP/NOP distinction resembles other dissociative memory theories in which two psychological processes are purportedly served by distinct neurobiological mechanisms. In addition, such results have important ramifications for the treatment of memory disorders because they demonstrate that stimulus and behavioral manipulations, like drugs, can influence neurotransmitter functioning.


Assuntos
Aprendizagem por Discriminação/fisiologia , Discriminação Psicológica/fisiologia , Aprendizagem/fisiologia , Memória/fisiologia , Fenômenos Fisiológicos do Sistema Nervoso , Envelhecimento/psicologia , Animais , Lesões Encefálicas/psicologia , Lesões Encefálicas/reabilitação , Humanos , Reforço Psicológico
19.
Alcohol Clin Exp Res ; 24(4): 465-75, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10798582

RESUMO

BACKGROUND: Human epidemiological studies suggest that the female brain may be more susceptible to the toxic effects of alcohol and that this is the reason why women show greater behavioral dysfunction after chronic alcohol exposure. This hypothesis was tested by using a rat model of chronic alcoholism [chronic ethanol treatment (CET)]. The investigation assessed sex differences in neuropathology and behavior after chronic exposure and subsequent withdrawal from alcohol. METHODS: Young male and female rats (approximately 3 months old) were assigned to either a CET group, which received a 20% ethanol drinking solution for 20 weeks, or a pair-fed control group, which received ad libitum tap water and a restricted diet for 20 weeks. After the CET groups were phased off the 20% alcohol solution, learning and memory abilities were examined by using matching-to-position and nonmatching-to-position tasks. Neuropathology was assessed in the frontal cortex and medial septal region. RESULTS: CET was shown to cause behavioral deficits. The behavioral dysfunction was sex, task, and process dependent; i.e., CET-female rats displayed a delay-dependent impairment on delayed matching-to-position, whereas CET-male rats displayed a delay-independent impairment on delayed nonmatching-to-position. CET resulted in a significant reduction in the frontal cortical (FR1) and collosal thickness, as well as a decrease in cells staining immunopositive for choline acetyltransferase in the medial septal region. However, relative to male rats exposed to CET, female rats did not show any accelerated neuropathology after CET. CONCLUSIONS: Chronic exposure to ethanol does result in both brain and behavior dysfunction in male and female rats. The results demonstrate that different cognitive processes are altered by chronic ethanol exposure in male and female rats. However, the neurobiological mechanisms responsible for these differences remain to be determined.


Assuntos
Encéfalo/efeitos dos fármacos , Depressores do Sistema Nervoso Central/farmacologia , Etanol/farmacologia , Memória/efeitos dos fármacos , Consumo de Bebidas Alcoólicas/sangue , Animais , Encéfalo/patologia , Depressores do Sistema Nervoso Central/sangue , Colina O-Acetiltransferase/efeitos dos fármacos , Colina O-Acetiltransferase/metabolismo , Etanol/sangue , Feminino , Masculino , Ratos , Ratos Sprague-Dawley , Fatores Sexuais , Aumento de Peso/efeitos dos fármacos
20.
Dev Psychobiol ; 35(4): 318-27, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10573571

RESUMO

Aged (23 months) and young (3 months) rats were trained on an operant Matching-To-Position (MTP) task that had either (a) specific outcomes (reinforcers) correlated (differential groups), or (b) outcomes uncorrelated (nondifferential groups) for each correct sample-choice sequence. The traditional version of MTP uses a common outcome and is thought to assess spatial working memory. Aged rats are impaired on the traditional version of MTP. However, aged animals trained with the Differential Outcomes Procedure (DOP) did not display the typical age-related decline in spatial working memory. Differences in choice accuracy between old and young rats reached significance only if the subjects were trained with a nondifferential outcomes procedure (NOP)-similar to when a common outcome is used. These data demonstrate that employing behavioral procedures to tap intact cognitive functions is an effective means of enhancing spatial working memory in normal as well as aged subjects.


Assuntos
Envelhecimento/fisiologia , Comportamento Animal/fisiologia , Condicionamento Operante , Memória/fisiologia , Animais , Aprendizagem por Discriminação/fisiologia , Masculino , Ratos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...