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1.
Science ; 377(6607): 760-763, 2022 08 12.
Artigo em Inglês | MEDLINE | ID: mdl-35951711

RESUMO

Human speech production obeys the same acoustic principles as vocal production in other animals but has distinctive features: A stable vocal source is filtered by rapidly changing formant frequencies. To understand speech evolution, we examined a wide range of primates, combining observations of phonation with mathematical modeling. We found that source stability relies upon simplifications in laryngeal anatomy, specifically the loss of air sacs and vocal membranes. We conclude that the evolutionary loss of vocal membranes allows human speech to mostly avoid the spontaneous nonlinear phenomena and acoustic chaos common in other primate vocalizations. This loss allows our larynx to produce stable, harmonic-rich phonation, ideally highlighting formant changes that convey most phonetic information. Paradoxically, the increased complexity of human spoken language thus followed simplification of our laryngeal anatomy.


Assuntos
Evolução Biológica , Laringe , Fonação , Primatas , Fala , Prega Vocal , Animais , Humanos , Laringe/anatomia & histologia , Fonética , Acústica da Fala , Prega Vocal/anatomia & histologia
2.
Ther Drug Monit ; 34(4): 390-7, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22743350

RESUMO

BACKGROUND: Stiripentol (STP) was approved as an orphan drug in 2007 in Europe as adjunctive therapy with valproic acid (VPA) and clobazam (CLB) for Dravet syndrome. Dravet syndrome is a highly pharmacoresistant form of epilepsy, which starts in early childhood. Data about STP pharmacokinetics and interactions are still limited and in part inconsistent. The aim of our study was to analyze the effect of age, gender, daily STP dose per body weight (milligrams per kilogram), VPA, CLB, and enzyme-inducing antiepileptic drugs on STP concentration-to-dose ratio (CDR), STP clearance, and STP trough concentrations. METHODS: Retrospectively, 220 STP serum concentrations in 75 patients from 3 German Epilepsy Centers were analyzed. Analysis of variance, regression analysis, and generalized estimating equations were used for statistical analysis. RESULTS: Our findings confirm the nonlinear STP pharmacokinetics. At steady state, STP CDR increased with daily STP doses. Compared with patients older than 12 years, STP concentrations were decreased by 39.6% in children aged 6-12 years (P < 0.001) and by 57.5% in children younger than 6 years (P < 0.001). Phenobarbital and phenytoin decreased STP concentrations by 63.2%. This effect was highly significant (P < 0.001), despite the small number of patients (n = 7) treated with phenobarbital or phenytoin. VPA had no significant effect on STP serum concentrations, whereas STP serum concentrations were moderately but significantly increased by CLB (24.6%, P = 0.011). CONCLUSIONS: Therapeutic drug monitoring of STP seems to be useful because of the wide variation of STP CDR, the nonlinear concentration-to-dose relationship, age-dependent pharmacokinetics, and drug-drug interactions.


Assuntos
Dioxolanos/farmacocinética , Dioxolanos/uso terapêutico , Monitoramento de Medicamentos/métodos , Epilepsia/tratamento farmacológico , Epilepsia/metabolismo , Adulto , Fatores Etários , Anticonvulsivantes/uso terapêutico , Peso Corporal , Criança , Pré-Escolar , Dioxolanos/sangue , Relação Dose-Resposta a Droga , Interações Medicamentosas , Quimioterapia Combinada/métodos , Epilepsia/sangue , Humanos , Fenobarbital/uso terapêutico , Fenitoína/uso terapêutico , Análise de Regressão , Estudos Retrospectivos , Fatores Sexuais , Adulto Jovem
3.
Ther Drug Monit ; 33(2): 214-21, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21383651

RESUMO

Rufinamide (RUF) is an orphan drug for adjunctive treatment of seizures associated with Lennox-Gastaut syndrome in persons aged 4 years and older. Several studies have investigated the pharmaconkinetics of RUF, but information about interactions is still limited and the results are in part inconsistent. The aim of our study was to analyze the effect of age, gender, daily RUF dose per body weight (mg/kg), valproic acid (VPA), and enzyme-inducing antiepileptic drugs (EIAEDs) on RUF concentration-to-dose ratio (RUF serum concentration/RUF dose per body weight), RUF clearance (RUF dose/RUF serum concentration), and RUF trough concentrations. Different statistical methods were used to evaluate 292 blood samples from 119 patients who fulfilled the inclusion criteria. In summary, the results using generalized estimating equation regression models confirm a moderate but statistically significant nonlinear RUF concentration-dose relationship. At steady state, the trough concentrations of RUF increase in a less than dose proportional manner. Children (younger than 12 years) had significantly lower RUF concentrations (19.0%, P < 0.001) than adults (18 years or older) on comparable RUF doses per body weight. VPA was the most frequent comedication (51%) in our patient group. Mean RUF concentrations were 86.6% higher when VPA concentrations were greater than 90 µg/mL (P < 0.001) and 45.4% higher when VPA concentrations were between 50 and 90 µg/mL (P < 0.001) but not significantly different at VPA concentrations less than 50 µg/mL (4.4%, P > 0.1) compared with combinations without VPA. In combination with EIAEDs, mean RUF concentrations were 21.8% lower (P = 0.002) compared with combinations without EIAEDs. However, the group of AEDs classified as EIAEDs was heterogeneous and the number of patients, especially of children with EIAEDs, was relatively small. Our data indicate that oxcarbazepine and, especially, methsuximide decrease RUF concentrations as well. Therapeutic drug monitoring might be helpful because RUF concentrations differ markedly in patients on comparable RUF doses.


Assuntos
Anticonvulsivantes/sangue , Monitoramento de Medicamentos , Deficiência Intelectual/tratamento farmacológico , Espasmos Infantis/tratamento farmacológico , Triazóis/sangue , Ácido Valproico/sangue , Adolescente , Adulto , Fatores Etários , Anticonvulsivantes/administração & dosagem , Anticonvulsivantes/farmacocinética , Anticonvulsivantes/uso terapêutico , Peso Corporal , Criança , Pré-Escolar , Relação Dose-Resposta a Droga , Interações Medicamentosas , Quimioterapia Combinada , Feminino , Humanos , Deficiência Intelectual/sangue , Síndrome de Lennox-Gastaut , Masculino , Pessoa de Meia-Idade , Convulsões/tratamento farmacológico , Espasmos Infantis/sangue , Triazóis/administração & dosagem , Triazóis/farmacocinética , Triazóis/uso terapêutico , Ácido Valproico/administração & dosagem , Ácido Valproico/farmacocinética , Ácido Valproico/uso terapêutico , Adulto Jovem
4.
Pharm Res ; 26(11): 2464-70, 2009 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-19730994

RESUMO

PURPOSE: Resistance to antiepileptic drugs (AEDs) is the major problem in the treatment of epilepsy. One of the candidate mechanisms of pharmacoresistance is the limitation of AED access to the seizure focus by overexpression of efflux transporters, including P-glycoprotein (Pgp) and multidrug resistance proteins (MRPs).In this respect, it is important to know which AEDs are substrates for such drug transporters in humans. METHODS: In the present study, we used polarized kidney cell lines (LLC, MDCK) transfected with human drug transporters (Pgp, MRP1, MRP2 or MRP5) to evaluate whether the AED topiramate is a substrate for any of these transporters. Known Pgp and MRP substrates were used for comparison. RESULTS: Basolateral-to-apical transport of topiramate, which could be counteracted with the Pgp inhibitor, tariquidar, was determined in Pgp overexpressing LLC cells, whereas topiramate was not transported by any of the MRPs. A comparison with previous experiments in the same transport assay showed that topiramate exhibited the most pronounced Pgp-mediated efflux transport among the AEDS that have been studied as yet. CONCLUSIONS: Thus, these data indicate that brain levels of topiramate may be affected by overexpression of Pgp as determined in patients with intractable epilepsy.


Assuntos
Membro 1 da Subfamília B de Cassetes de Ligação de ATP/metabolismo , Frutose/análogos & derivados , Animais , Anticonvulsivantes/metabolismo , Linhagem Celular , Epilepsia/tratamento farmacológico , Frutose/metabolismo , Humanos , Proteínas Associadas à Resistência a Múltiplos Medicamentos/metabolismo , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Suínos , Topiramato
5.
Ther Drug Monit ; 29(6): 789-94, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18043477

RESUMO

Pregabalin (PGB) is a new antiepileptic drug (AED) approved for adjunctive therapy for partial seizures with and without generalized tonic-clonic seizures and for the treatment of peripheral neuropathic pain in adults. PGB does not bind to plasma proteins and is excreted predominantly unchanged by the kidneys. Previous studies indicated that PGB shows no relevant interactions with other AEDs. The aim of this study was to investigate the influence of PGB dose, patient age, and comedication on the serum concentration of PGB. In total, 198 samples of 167 (adult) inpatients who fulfilled the inclusion criteria (eg, trough concentration, body weight available) were investigated. A patient was considered twice only if the comedication had been changed. The PGB serum concentration (mg/L) in relation to PGB dose/body weight (mg/kg) per day (level-to-dose ratio, LDR, [(mg/L)/(mg/kg)=kg/L]) was calculated and compared for the most frequent drug combinations (n=97). Analysis of covariance (using age as covariate) carried out on the log-transformed data showed that comedication had a slight but significant (P = 0.02) effect on PGB serum concentrations. The median LDR of PGB was 0.29 for PGB + oxcarbazepine (n=16), 0.31 for PGB + carbamazepine (n=20), 0.35 for PGB + levetiracetam (n=11), 0.35 for PGB + lamotrigine (n=15), and 0.39 for PGB + valproic acid + lamotrigine (n=35). Regression analysis including all 198 samples indicated (in accordance with analysis of covariance) that PGB concentrations were lower in combination with enzyme-inducing AEDs (phenytoin, carbamazepine, oxcarbazepine) and were age-dependent (higher in older patients). The PGB dose-concentration relationship was nearly linear (r=0.68, P<0.0001). However, patients on the same PGB dosage per body weight had rather different PGB trough concentrations, which could be explained only in part by age and comedication. The increase of PGB serum concentrations in older patients is in accordance with expectations for drugs that are predominantly renally excreted. Unexpectedly and in contrast to other studies, our data indicate that comedication with enzyme-inducing antiepileptic drugs (eg, carbamazepine) can moderately decrease PGB serum concentrations (about 20% to 30%). Further studies should clarify the effect of age and interactions on PGB concentrations.


Assuntos
Envelhecimento , Interações Medicamentosas , Epilepsia/tratamento farmacológico , Ácido gama-Aminobutírico/análogos & derivados , Adulto , Idoso , Anticonvulsivantes/sangue , Anticonvulsivantes/uso terapêutico , Relação Dose-Resposta a Droga , Monitoramento de Medicamentos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pregabalina , Ácido gama-Aminobutírico/sangue , Ácido gama-Aminobutírico/uso terapêutico
6.
Brain Res ; 1148: 90-5, 2007 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-17362883

RESUMO

The motor cortex of primates contains an area ("larynx area") which, when stimulated unilaterally, produces bilateral vocal fold adduction. In order to identify the pathway along which the cortical larynx area exerts its control on the laryngeal motoneurons, we have blocked excitatory neurotransmission in each of the main projection fields of the cortical larynx area and tested for the elicitability of vocal fold movements from this area in the squirrel monkey. Blocking was carried out by injection of the glutamate antagonist kynurenic acid. We found that injection into the dorsal reticular nucleus of the caudal medulla ipsilateral to the stimulation site blocked vocal fold movements bilaterally; injections invading major parts of the nucleus ambiguus blocked vocal fold movements exclusively ipsilateral to the injection site; and injections centered on the parvocellular reticular formation bordering the nucleus ambiguus blocked exclusively contralateral vocal fold movements. We conclude from this that the corticobulbar laryngeal control pathway synapses in the ipsilateral dorsal reticular nucleus and then divides into one component running directly to the ipsilateral nucleus ambiguus and a second component crossing to the contralateral nucleus ambiguus after having synapsed in the ipsilateral peri-ambigual reticular formation.


Assuntos
Nervos Laríngeos/anatomia & histologia , Bulbo/anatomia & histologia , Córtex Motor/anatomia & histologia , Neurônios Motores/citologia , Tratos Piramidais/anatomia & histologia , Saimiri/anatomia & histologia , Animais , Estimulação Elétrica , Antagonistas de Aminoácidos Excitatórios/farmacologia , Lateralidade Funcional/fisiologia , Ácido Glutâmico/metabolismo , Ácido Cinurênico/farmacologia , Músculos Laríngeos/inervação , Músculos Laríngeos/fisiologia , Nervos Laríngeos/efeitos dos fármacos , Nervos Laríngeos/fisiologia , Bulbo/efeitos dos fármacos , Bulbo/fisiologia , Córtex Motor/fisiologia , Neurônios Motores/efeitos dos fármacos , Neurônios Motores/fisiologia , Contração Muscular/efeitos dos fármacos , Contração Muscular/fisiologia , Tratos Piramidais/efeitos dos fármacos , Tratos Piramidais/fisiologia , Centro Respiratório/anatomia & histologia , Centro Respiratório/efeitos dos fármacos , Centro Respiratório/fisiologia , Formação Reticular/anatomia & histologia , Formação Reticular/efeitos dos fármacos , Formação Reticular/fisiologia , Saimiri/fisiologia , Especificidade da Espécie , Transmissão Sináptica/efeitos dos fármacos , Transmissão Sináptica/fisiologia , Vocalização Animal/efeitos dos fármacos , Vocalização Animal/fisiologia
7.
J Voice ; 21(5): 531-40, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16647247

RESUMO

The word "Anna" was spoken by 12 female and 11 male subjects with six different emotional expressions: "rage/hot anger," "despair/lamentation," "contempt/disgust," "joyful surprise," "voluptuous enjoyment/sensual satisfaction," and "affection/tenderness." In an acoustical analysis, 94 parameters were extracted from the speech samples and broken down by correlation analysis to 15 parameters entering subsequent statistical tests. The results show that each emotion can be characterized by a specific acoustic profile, differentiating that emotion significantly from all others. If aversive emotions are tested against hedonistic emotions as a group, it turns out that the best indicator of aversiveness is the ratio of peak frequency (frequency with the highest amplitude) to fundamental frequency, followed by the peak frequency, the percentage of time segments with nonharmonic structure ("noise"), frequency range within single time segments, and time of the maximum of the peak frequency within the utterance. Only the last parameter, however, codes aversiveness independent of the loudness of an utterance.


Assuntos
Afeto , Comunicação não Verbal , Acústica da Fala , Feminino , Humanos , Masculino , Medida da Produção da Fala
8.
Behav Brain Res ; 182(2): 308-14, 2007 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-17173983

RESUMO

This review is an attempt to localize the brain region responsible for pattern generation of species-specific vocalizations. A catalogue is set up, listing the criteria considered to be essential for a vocal pattern generator. According to this catalogue, a vocal pattern generator should show vocalization-correlated activity, starting before vocal onset and reflecting specific acoustic features of the vocalization. Artificial activation by electrical or glutamatergic stimulation should produce artificially sounding vocalization. Lesioning is expected to have an inhibitory or deteriorating effect on vocalization. Anatomically, a vocal pattern generator can be assumed to have direct or, at least, oligosynaptic connections with all the motoneuron pools involved in phonation. A survey of the literature reveals that the only area meeting all these criteria is a region, reaching from the parvocellular pontine reticular formation just above the superior olive through the lateral reticular formation around the facial nucleus and nucleus ambiguus down to the caudalmost medulla, including the dorsal and ventral reticular nuclei and nucleus retroambiguus. It is proposed that vocal pattern generation takes place within this whole region.


Assuntos
Mapeamento Encefálico , Formação Reticular/fisiologia , Vocalização Animal , Potenciais de Ação/fisiologia , Potenciais de Ação/efeitos da radiação , Animais , Estimulação Elétrica , Neurônios/efeitos da radiação , Formação Reticular/citologia , Formação Reticular/efeitos da radiação , Vocalização Animal/efeitos da radiação
9.
BMC Neurosci ; 7: 60, 2006 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-16916455

RESUMO

BACKGROUND: Recent evidence for a tight coupling of sensorimotor processes in trained musicians led to the question of whether this coupling extends to preattentively mediated reflexes; particularly, whether a classically conditioned response in one of the domains (auditory) is generalized to another (tactile/motor) on the basis of a prior association in a second-order Pavlovian paradigm. An eyeblink conditioning procedure was performed in 17 pianists, serving as a model for overlearned audiomotor integration, and 14 non-musicians. RESULTS: During the training session, subjects were conditioned to respond to auditory stimuli (piano tones). During a subsequent testing session, when subjects performed keystrokes on a silent piano, pianists showed significantly higher blink rates than non-musicians. CONCLUSION: These findings suggest a tight coupling of the auditory and motor domains in musicians, pointing towards training-dependent mechanisms of strong cross-modal sensorimotor associations even on sub-cognitive processing levels.


Assuntos
Estimulação Acústica , Condicionamento Clássico/fisiologia , Audição/fisiologia , Animais , Percepção Auditiva , Piscadela/fisiologia , Humanos , Música , Sensibilidade e Especificidade
10.
Eur J Neurosci ; 23(12): 3297-308, 2006 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16820019

RESUMO

The adjustment of the voice by auditory input happens at several brain levels. The caudal pontine brainstem, though rarely investigated, is one candidate area for such audio-vocal integration. We recorded neuronal activity in this area in awake, behaving squirrel monkeys (Saimiri sciureus) during vocal communication, using telemetric single-unit recording techniques. We found audio-vocal neurons at locations not described before, namely in the periolivary region of the superior olivary complex and the adjacent pontine reticular formation. They showed various responses to external sounds (noise bursts) and activity increases (excitation) or decreases (inhibition) to self-produced vocalizations, starting prior to vocal onset and continuing through vocalizations. In most of them, the responses to noise bursts and self-produced vocalizations were similar, with the only difference that neuronal activity started prior to vocal onset. About one-third responded phasically to noise bursts, independent of whether they increased or decreased their activity to vocalization. The activity of most audio-vocal neurons correlated with basic acoustic features of the vocalization, such as call duration and/or syllable structure. Auditory neurons near audio-vocal neurons showed significantly more frequent phasic response patterns than those in areas without audio-vocal activity. Based on these findings, we propose that audio-vocal neurons showing similar activity to external acoustical stimuli and vocalization play a role in olivocochlear regulation. Specifically, audio-vocal neurons with a phasic response to external auditory stimuli are candidates for the mediation of basal audio-vocal reflexes such as the Lombard reflex. Thus, our findings suggest that complex audio-vocal integration mechanisms exist in the ventrolateral pontine brainstem.


Assuntos
Audição/fisiologia , Neurônios/metabolismo , Ponte/metabolismo , Vocalização Animal/fisiologia , Animais , Eletrofisiologia , Masculino , Neurônios/citologia , Ponte/anatomia & histologia , Saimiri
11.
J Neurosci ; 26(26): 7105-15, 2006 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-16807339

RESUMO

In a recent study, we localized a discrete area in the ventrolateral pontine brainstem of squirrel monkeys, which seems to play a role in vocal pattern generation of frequency-modulated vocalizations. The present study compares the neuronal activity of this area with that of three motoneuron pools involved in phonation, namely the trigeminal motor nucleus, facial nucleus, and nucleus ambiguous. The experiments were performed in freely moving squirrel monkeys (Saimiri sciureus) during spontaneous vocal communication, using a telemetric single-unit recording technique. We found vocalization-related activity in all motoneuron pools recorded. Each of them, however, showed a specific profile of activity properties with respect to call types uttered, syllable structure, and pre-onset time. Different activity profiles were also found for neurons showing purely vocalization-correlated activity, vocalization- and mastication-correlated activity, and vocalization- and respiration-correlated activity. By comparing the activity properties of the proposed vocal pattern generator with the three motoneuron pools, we show that the pontine vocalization area is, in fact, able to control each of the three motoneuron pools during frequency-modulated vocalizations. The present study thus supports the existence of a vocal pattern generator for frequency-modulated call types in the ventrolateral pontine brainstem.


Assuntos
Ponte/fisiologia , Saimiri/fisiologia , Vocalização Animal/fisiologia , Animais , Eletrofisiologia , Masculino , Mastigação/fisiologia , Bulbo/citologia , Bulbo/fisiologia , Neurônios Motores/fisiologia , Neurônios/fisiologia , Fonação/fisiologia , Ponte/citologia , Fenômenos Fisiológicos Respiratórios
12.
Epilepsia ; 47(4): 681-94, 2006 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16650134

RESUMO

PURPOSE: The mechanisms of drug resistance in epilepsy are only incompletely understood. According to a current concept, overexpression of drug efflux transporters at the blood-brain barrier may reduce levels of antiepileptic drugs (AEDs) in epileptogenic brain tissue. Increased expression of drug efflux transporters such as P-glycoprotein has been found in brain tissue surgically resected from patients with medically intractable epilepsy, but it is not known whether this leads to decreased extracellular (interstitial) AED concentrations in affected brain regions. This prompted us to measure concentrations of AEDs in the extracellular space of human neocortical tissue by using intraoperative microdialysis (IOMD) in those parts of the brain that had to be removed for therapeutic reasons. For comparison, AED levels were determined in brain tissue, subarachnoid CSF, and serum. METHODS: Concentrations of carbamazepine (CBZ), 10-hydroxy-carbazepine (10-OH-CZ, metabolite of oxcarbazepine), lamotrigine (LTG), levetiracetam (LEV), topiramate, or phenytoin were determined by using one to four catheters during IOMD in the medial temporal gyrus. Furthermore, to calculate the individual recovery of every catheter, an in vitro microdialysis was performed with ultrafiltrate of serum concurrently obtained from the respective patient. In addition, AED levels were determined in the resected brain tissue, CSF, and serum of the same patients. Altogether 22 pharmacoresistant epilepsy patients (nine male, 13 female patients; age 15-54 years) with complex partial seizures or secondarily generalized seizures were involved. In a first series, IOMD samples 40 min after beginning of the microdialysis (flow rate, 1 microl/min), and in a second series, continuous measurements 25, 30, 35, and 40 min from the beginning were evaluated (flow rate, 2 microl/min). With in vitro recovery data of the individual catheters, the concentration in the extracellular space (ECS) was estimated. RESULTS: AED concentrations in the ECS of the cortex measured by catheters located at a distance of 0.6 cm differed markedly in some patients, whereas concentrations in the ultrafiltrate of the serum of the respective patients measured with the same catheters varied only slightly. Furthermore, ECS concentrations related to the ultrafiltrate of serum showed considerable interindividual variations. The high intra- and interindividual variation of ECS concentrations is demonstrated by the low correlation between concentrations in ECS and the ultrafiltrate of serum (CBZ, r= 0.41; 10-OH-CZ, r= 0.42; LTG, r= 0.27) in contrast to the high correlation between brain tissue concentration and the ultrafiltrate of serum (CBZ, r= 0.97; 10-OH-CZ, r= 0.88; LTG, r= 0.98) in the same group of patients. When comparing AED concentrations in the ECS with those in the CSF, ECS concentrations were significantly lower for CBZ, 10-OH-CZ, LTG, and LEV. CONCLUSIONS: The data demonstrate that AED concentrations show a considerable intraindividual and interindividual variation in the ECS of cortical regions. Furthermore, the ECS concentration of several AEDs is significantly lower than their CSF concentration in patients with intractable epilepsy. However, in the absence of data from nonepileptic tissues, it is not possible to judge whether the present findings relate to overexpression of multidrug transporters in the brain. Instead, the present study illustrates the methodologic difficulties involved in performing IOMD studies in patients and may thus be helpful for future approaches aimed at elucidating the role of multidrug transporters in epilepsy.


Assuntos
Anticonvulsivantes/metabolismo , Encéfalo/metabolismo , Encéfalo/cirurgia , Epilepsia/metabolismo , Epilepsia/cirurgia , Membro 1 da Subfamília B de Cassetes de Ligação de ATP/metabolismo , Adolescente , Adulto , Anticonvulsivantes/sangue , Anticonvulsivantes/líquido cefalorraquidiano , Química Encefálica , Córtex Cerebral/química , Córtex Cerebral/metabolismo , Resistência a Múltiplos Medicamentos , Epilepsia/sangue , Líquido Extracelular/química , Líquido Extracelular/metabolismo , Feminino , Hemofiltração , Humanos , Masculino , Microdiálise , Pessoa de Meia-Idade , Monitorização Intraoperatória/métodos , Proteínas Associadas à Resistência a Múltiplos Medicamentos/metabolismo , Espaço Subaracnóideo/química , Espaço Subaracnóideo/metabolismo , Lobo Temporal/química , Lobo Temporal/metabolismo
13.
Epilepsia ; 47(2): 297-310, 2006 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-16499753

RESUMO

PURPOSE: The regulation of extracellular ion concentrations plays an important role in neuronal function and epileptogenesis. Despite the many studies into the mechanisms of epileptogenesis in human experimental models, no data are available regarding the fluctuations of extracellular potassium ([K(+)](o)) and chloride ([Cl(-)](o)) concentrations, which could underlie seizure susceptibility in human chronically epileptic tissues in vivo. METHODS: By using cerebral microdialysis during surgical resection of epileptic foci, the basic [K(+)](o) and [Cl(-)](o) as well as their changes after epicortical electric stimulation were studied in samples of dialysates obtained from 11 patients by ion-selective microelectrodes. RESULTS: The mean basal values of [K(+)](o) and [Cl(-)](o) in all patients were 3.83 +/- 0.08 mM and 122.9 +/- 2.6 mM, respectively. However, significant differences were observed in the basal levels of both [K(+)](o) and [Cl(-)](o) between different patients. Statistically, no correlation was found between basal [K(+)](o) or [Cl(-)](o) and electrocorticogram (ECoG) spike activity, but in one patient, dramatically lowered baseline [Cl(-)](o) was accompanied by enhanced ECoG spike activity. Application of epicortical electrical stimulation increased [K(+)](o) but not [Cl(-)](o) in all cases. According to the velocity as well as spatial distribution of [K(+)](o) reduction to the prestimulation levels, three different types of responses were observed: slow decline, fast decline, and slow and fast declines at adjacent sites. CONCLUSIONS: These data may represent abnormalities in ion homeostasis of the epileptic brain.


Assuntos
Química Encefálica , Cloretos/metabolismo , Epilepsia/diagnóstico , Epilepsia/metabolismo , Neocórtex/metabolismo , Potássio/metabolismo , Adolescente , Adulto , Anticonvulsivantes/uso terapêutico , Cloretos/análise , Resistência a Medicamentos , Estimulação Elétrica , Eletroencefalografia/métodos , Eletroencefalografia/estatística & dados numéricos , Epilepsia/tratamento farmacológico , Espaço Extracelular/química , Espaço Extracelular/metabolismo , Feminino , Humanos , Período Intraoperatório , Eletrodos Seletivos de Íons , Imageamento por Ressonância Magnética , Masculino , Microdiálise , Microeletrodos , Pessoa de Meia-Idade , Neocórtex/química , Neocórtex/cirurgia , Potássio/análise , Lobo Temporal/química , Lobo Temporal/metabolismo , Lobo Temporal/cirurgia , Distribuição Tecidual
14.
Eur J Neurosci ; 23(3): 840-4, 2006 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-16487165

RESUMO

Very little is known about the coordination of muscles involved in mammalian vocalization at the level of single neurons. In the present study, a telemetric single-unit recording technique was used to explore the ventrolateral pontine brainstem for vocalization-correlated activity in the squirrel monkey during vocal communication. We found a discrete area in the reticular formation just above the superior olivary complex showing vocalization-correlated activity. These neurons showed an increase in neuronal activity exclusively just before and during vocalization; none of them was active during mastication, swallowing or quiet respiration. Furthermore, the neuronal activity of these neurons reflected acoustic features, such as call duration or syllable structure of frequency-modulated vocalization, directly. Based on these findings and previously reported anatomical data, we propose that this area serves as a vocal pattern generator for frequency-modulated call types.


Assuntos
Percepção Auditiva/fisiologia , Mapeamento Encefálico , Tronco Encefálico/citologia , Neurônios/fisiologia , Vocalização Animal/fisiologia , Estimulação Acústica/métodos , Potenciais de Ação/fisiologia , Animais , Tronco Encefálico/fisiologia , Masculino , Neurônios/classificação , Saimiri , Telemetria/métodos
15.
Methods ; 38(3): 195-201, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16497514

RESUMO

A telemetric system is described which allows the wireless registration of extracellular neuronal activity and vocalization-associated skull vibrations in freely moving, socially living squirrel monkeys (Saimiri sciureus). The system consists of a carrier platform with numerous guiding tubes implanted on the skull. Custom-made microdrives are mounted on the platform, allowing the exploration of two electrode tracks at the same time. Commercially available quartz-insulated platinum-tungsten microelectrodes are used. The electrodes can be moved over a distance of 8-10 mm by turning a screw on the microdrive. Vocalization-associated skull vibrations are recorded with a piezo-ceramic element. Skull vibration signal and the signals from the two microelectrodes are fed into separate transmitters having different carrier frequencies. The signals are picked up by an antenna in the animal cage and are sent to three receivers in the central laboratory. Here, the signals are transferred via an analog/digital interface to a personal computer for data analysis and to a video recorder for long-term storage. The total weight of the head mount including carrier platform, microdrive, electrodes, skull vibration sensor, three transmitters, and protection cap is 32 g. The transmitters are powered with two rechargeable lithium batteries, allowing about 8 h of continuous recording. Reliable signal transmission is obtained over a distance of about 2 m. Recording stability allows to follow the activity of specific neurons up to several hours, with no movement artefacts during locomotion.


Assuntos
Neurônios/fisiologia , Saimiri/fisiologia , Telemetria/instrumentação , Telemetria/métodos , Animais , Eletrodos Implantados , Microeletrodos , Crânio , Meio Social , Técnicas Estereotáxicas , Vibração , Vocalização Animal
16.
Exp Brain Res ; 169(1): 92-105, 2006 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-16292643

RESUMO

In four squirrel monkeys (Saimiri sciureus), the tracer biotin dextranamine (BDA) was injected into the ventrolateral pons at a site at which injection of the glutamate antagonist kynurenic acid blocked vocalization electrically elicited from the periaqueductal gray (PAG). Anterograde projections could be traced into all cranial motor and sensory nuclei involved in phonation, that is, the nucleus ambiguus, facial, hypoglossal and trigeminal motor nuclei, the motorneuron column in the ventral gray substance innervating the extrinsic laryngeal muscles, the nucleus retroambiguus, solitary tract and spinal trigeminal nuclei. Projections were also found into a number of auditory nuclei, namely the nucleus cochlearis-complex, superior olive, ventral and dorsal nuclei of the lateral lemniscus and inferior colliculus. Furthermore, there were projections into the reticular formation of the lateral and dorsocaudal medulla and lateral pons, into nucleus gracilis, inferior and medial vestibular nuclei, lateral reticular nucleus, ventral raphe, pontine gray, superior colliculus, PAG and mediodorsal thalamic nucleus. Injection of the tracer wheat germ agglutinin-conjugated horseradish peroxidase into the ventrolateral pontine vocalization-blocking area in one animal yielded retrograde labeling throughout the PAG. Injection of BDA into a vocalization-eliciting site of the PAG in another animal yielded projections into the ventrolateral pontine vocalization-blocking area. It is concluded that the ventral paralemniscal area in the ventrolateral pons represents a relay station of the descending periaqueductal vocalization-controlling pathway.


Assuntos
Mapeamento Encefálico , Vias Neurais/anatomia & histologia , Ponte/anatomia & histologia , Vocalização Animal/fisiologia , Animais , Biotina/análogos & derivados , Biotina/farmacocinética , Dextranos/farmacocinética , Estimulação Elétrica/métodos , Vias Neurais/efeitos dos fármacos , Substância Cinzenta Periaquedutal/fisiologia , Substância Cinzenta Periaquedutal/efeitos da radiação , Ponte/efeitos dos fármacos , Saimiri , Vocalização Animal/efeitos da radiação , Conjugado Aglutinina do Germe de Trigo-Peroxidase do Rábano Silvestre/farmacocinética
17.
Behav Brain Res ; 168(1): 23-36, 2006 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-16297458

RESUMO

In a recent retrograde tracing study in the squirrel monkey, we found that regions in the midbrain periaqueductal gray (PAG) producing different call types when pharmacologically stimulated, receive their input largely from the same structures. The aim of the present study was to find out, whether there are quantitative differences in this input. For this reason, we counted retrogradely labeled neurons in various brain regions after injections of wheatgerm agglutinin-conjugated horseradish peroxidase (WGA-HRP) into three different vocalization-eliciting PAG sites: one site producing non-aversive contact calls (clucking); a second site producing slightly aversive social mobbing calls (cackling); and a third site producing highly aversive defensive threat calls (shrieking). Cell counting was carried out by the help of the optical fractionator technique. Six squirrel monkeys were used, two for each call type. In some regions, marked differences in the number of retrogradely labeled cells between the three call type groups occured. Such regions are the nucl. accumbens, preoptic area, posterior hypothalamus, anterior cingulate cortex, subcallosal gyrus and the nucl. striae terminalis. In some of these regions, the number of retrogradely labeled cells correlated positively (posterior hypothalamus) or negatively (preoptic area, nucl. striae terminalis) with the "aversiveness" of the elicited call type. Other regions of interest, e.g., the dorsomedial prefrontal and precallosal cortex, amygdala and hypothalamic regions surrounding the fornix, revealed no clear differences in their afferent projections to the different vocalization-eliciting PAG sites. The results make clear that distinct vocalization-controlling regions in the PAG receive a qualitatively similar but quantitatively differentiated input.


Assuntos
Neurônios Aferentes/fisiologia , Substância Cinzenta Periaquedutal/fisiologia , Vocalização Animal/fisiologia , Estimulação Acústica , Algoritmos , Animais , Encéfalo/citologia , Encéfalo/fisiologia , Estimulação Elétrica , Emoções/fisiologia , Masculino , Microinjeções , Sondas Moleculares , Substância Cinzenta Periaquedutal/citologia , Saimiri , Conjugado Aglutinina do Germe de Trigo-Peroxidase do Rábano Silvestre
18.
J Voice ; 20(4): 585-604, 2006 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16377129

RESUMO

The vocalizations of seven normally hearing (NH) and seven severely hearing-impaired (HI) infants were compared to find out the influence of auditory feedback on preverbal utterances. It was tested whether there are general differences in vocalizations between NH and HI infants, and whether specific emotional states affect the vocal production of NH and HI infants in the same way. First, the acoustic structure of the three most common vocal types was analyzed; second, the composition of vocal sequences was examined. Vocal sequence composition turned out to be more affected by hearing impairment than the acoustic structure of single vocalizations. This result indicates that the acoustic structure of preverbal vocalizations is to a great extent predetermined, whereas the composition of vocal sequences is influenced by auditory input.


Assuntos
Afeto , Transtornos da Audição/diagnóstico , Transtornos da Audição/epidemiologia , Prega Vocal/fisiopatologia , Distúrbios da Voz/diagnóstico , Distúrbios da Voz/epidemiologia , Qualidade da Voz , Feminino , Humanos , Lactente , Masculino , Prevalência , Espectrografia do Som , Acústica da Fala , Distúrbios da Voz/fisiopatologia
19.
Brain Res ; 1034(1-2): 114-31, 2005 Feb 09.
Artigo em Inglês | MEDLINE | ID: mdl-15713263

RESUMO

In order to determine the input of vocalization-controlling regions of the midbrain periaqueductal gray (PAG), wheat germ agglutinin-horseradish peroxidase was injected in six squirrel monkeys (Saimiri sciureus) at PAG sites yielding vocalization when injected with the glutamate agonist homocysteic acid. Brains were scanned for retrogradely labeled areas common to all six animals. The results show that the vocalization-eliciting sites receive a widespread input, with the heaviest projections coming from the surrounding PAG, dorsomedial and ventromedial hypothalamus, medial preoptic region, substantia nigra pars diffusa, zona incerta and reticular formation of the mesencephalon, pons, and medulla. The heaviest cortical input reaches the PAG from the mediofrontal cortex. Moderate to weak projections come from the insula, lateral prefrontal, and premotor cortex as well as the superior and middle temporal cortex. Subcortical moderate to weak projections reach the PAG from the central and medial amygdala, nucleus of the stria terminalis, septum, nucleus accumbens, lateral preoptic region, lateral and posterior hypothalamus, globus pallidus, pretectal area, deep layers of the superior colliculus, the pericentral inferior colliculus, mesencephalic trigeminal nucleus, locus coeruleus, substantia nigra pars compacta, dorsal and ventral raphe, vestibular nuclei, spinal trigeminal nucleus, solitary tract nucleus, and nucleus gracilis. The input of the periaqueductal vocalization-eliciting regions thus is dominated by limbic, motivation-controlling afferents; input, however, also comes from sensory, motor, arousal-controlling, and cognitive brain areas.


Assuntos
Vias Aferentes/anatomia & histologia , Substância Cinzenta Periaquedutal/anatomia & histologia , Saimiri/anatomia & histologia , Vocalização Animal/fisiologia , Vias Aferentes/fisiologia , Animais , Nível de Alerta/fisiologia , Mapeamento Encefálico , Córtex Cerebral/anatomia & histologia , Córtex Cerebral/fisiologia , Cognição/fisiologia , Emoções/fisiologia , Agonistas de Aminoácidos Excitatórios/farmacologia , Sistema Límbico/anatomia & histologia , Sistema Límbico/fisiologia , Masculino , Motivação , Substância Cinzenta Periaquedutal/fisiologia , Formação Reticular/anatomia & histologia , Formação Reticular/fisiologia , Saimiri/fisiologia , Conjugado Aglutinina do Germe de Trigo-Peroxidase do Rábano Silvestre
20.
Behav Brain Res ; 151(1-2): 331-6, 2004 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-15084450

RESUMO

In order to find out whether the inferior colliculus, in addition to its auditory decoding function, also has an auditory gating function in the sense that it treats self-produced sounds differently from external ones, we have explored the inferior colliculus and bordering tegmentum for neurones reacting differently to self-produced vocalizations and vocalizations produced by conspecifics. The experiments were made in the squirrel monkey (Saimiri sciureus), using a telemetric extracellular recording technique which allowed to register neuronal activity in freely moving animals during natural vocal communication. The results show that the neurones of the central nucleus of the inferior colliculus do not react differently to self-produced and group mate vocalizations of the same type. In the external nucleus of the inferior colliculus, in addition to classical auditory neurones, neurones are found which react to the vocalizations of group mates, but not to self-produced vocalizations. In the paralemniscal area just below the inferior colliculus, there are neurones which are active during self-produced vocalization, but not during vocalization produced by other animals. The results suggest that the external nucleus of the inferior colliculus and bordering tegmentum are involved in vocalization-dependent auditory gating processes.


Assuntos
Colículos Inferiores/citologia , Neurônios/fisiologia , Tegmento Mesencefálico/citologia , Telemetria/métodos , Vocalização Animal/fisiologia , Potenciais de Ação/fisiologia , Animais , Comportamento Animal , Eletrofisiologia/métodos , Colículos Inferiores/fisiologia , Masculino , Saimiri , Tegmento Mesencefálico/fisiologia , Vigília/fisiologia
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