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1.
Growth Horm IGF Res ; 18(5): 439-445, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18482854

RESUMO

CONTEXT: Bone mineral density (BMD) is influenced by growth factors, such as growth hormone (GH) and insulin-like growth factor-I (IGF-I). The in vivo bioassay for GH (bioGH) provides a more physiologically relevant measurement than an in vitro immunoassay, since bioGH is quantified on a biological outcome. OBJECTIVE: To determine if bioGH and components of the IGF-I system were associated with BMD in age-matched men (M; n=41, 19.1+/-0.2 year, 70+/-3 kg, 163+/-25 cm) and women (W; n=39, 18.6+/-0.3 year, 66+/-3 kg, 141+/-15 cm). DESIGN: Blood was analyzed for growth-related hormones [bioGH, immunoreactive growth hormone (iGH), IGF-I and associated binding proteins], and BMD was measured by pDXA, pQCT, and central DXA (spine, hip). For the bioGH assay, hypophysectomizied female Sprague-Dawley rats were injected with a s.c. bolus of either a GH standard or unknown (each subject's plasma) in four daily injections. The tibia was then examined for epiphyseal growth plate width from which bioGH concentrations were extrapolated. RESULTS: M had greater (P<0.05) calcaneal BMD when measured by pDXA (M: 1.27+/-0.02; W: 1.14+/-0.02 g/cm2), while pQCT-assessed BMD at the tibia was not different (M: 777+/-16; W: 799+/-16 g/cm2). bioGH was similar between M (5388+/-800 microg/L) and W (4282+/-643 microg/L) and was not correlated with BMD. The only BMD-related biomarkers in women were acid-labile subunit (ALS; r=0.40) and IGFBP-3 (r=0.42) with DXA-measured spine and femoral neck BMD, and ALS (r=0.47) with pQCT-assessed tibial BMD and cortical thickness, respectively. CONCLUSION: Although bioGH was not associated with BMD, IGF-I and associated binding proteins (IGFBP-3 and ALS) emerged as correlates in W only.


Assuntos
Densidade Óssea/fisiologia , Hormônio do Crescimento Humano/metabolismo , Fator de Crescimento Insulin-Like I/metabolismo , Adolescente , Adulto , Animais , Feminino , Hormônio do Crescimento Humano/sangue , Humanos , Masculino , Ratos , Ratos Sprague-Dawley
2.
Diabetes ; 31(3): 203-11, 1982 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-6759237

RESUMO

The metabolic basis for the reduced glucose tolerance that occurs during aging in humans has been explored with the aid of a primed constant intravenous infusion method of labeled glucose (6-3H; 6,6,2H- and U-13C-glucose). Healthy young adult men and women (24 +/- 3 yr) and elderly men and women (75 +/- 4 yr) participated in a series of studies designed to quantify rates of plasma glucose appearance, oxidation, and recycling while subjects were in the postabsorptive (basal) state and to determine rates of hepatic glucose production and glucose disappearance in response to intravenous glucose at approximately 1 and 2 mg x kg-1min-1 and also 4 mg x kg-1min-1 without or with a simultaneous infusion of insulin to maintain normoglycemia. Basal rates of glucose production were 2.41 +/- 0.06 and 2.18 /+/- 0.05 mg x kg-1min-1 in the young adults and elderly, respectively (P less than 0.05). Recycling of glucose carbon and glucose oxidation rates did not differ significantly between the two age groups. Infusion of unlabeled glucose reduced hepatic glucose production to the same extent in the two groups, indicating that the mechanisms responsible for altered hepatic glucose production with intravenous glucose administration remain intact during human aging. Plasma insulin changes were similar in young adult and elderly subjects receiving 4 mg x kg-1min-1 unlabeled glucose except that the higher plasma glucose levels in the elderly were associated with higher insulin levels. For elderly subjects, the amount of exogenous insulin required to maintain normoglycemia at the 4 mg x kg-1min-1 glucose infusion rate was about twice that necessary in young adults.


Assuntos
Envelhecimento , Glucose/metabolismo , Adulto , Idoso , Glicemia/metabolismo , Testes Respiratórios , Feminino , Glucose/biossíntese , Teste de Tolerância a Glucose , Humanos , Insulina/sangue , Insulina/metabolismo , Secreção de Insulina , Cinética , Fígado/metabolismo , Masculino
3.
J Appl Physiol (1985) ; 61(3): 1031-4, 1986 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-3759742

RESUMO

We have developed methodology to simultaneously measure fluid redistribution among the major compartments during moderate and severe hypohydration. Total body water (TBW) was determined using tritiated water, extracellular fluid volume (ECF) was measured using a single-injection [14C]inulin technique, and plasma volume (PV) was determined by indocyanine green dye dilution. Moderate (10% decrease in body wt) and severe (15%) hypohydration resulted in significant losses in TBW, ECF, and PV. Plasma volume was decreased by approximately 25% in both groups, and other fluid compartments were differentially affected. For example, the moderately dehydrated group maintained PV by shifting fluid from the interstitial fluid volume (ISF) compartment while preserving the intracellular fluid volume (ICF); conversely, the severely dehydrated group maintained PV by redistributing fluid from both the ISF and ICF compartments. The data indicated that the initial response to fluid loss was the movement of fluid from the ISF pool to sustain both PV and ICF. In severely hypohydrated rats, PV was maintained at the expense of ICF. These experiments indicated that PV and ICF were maximally protected, probably to preserve the integrity of the cardiovascular system and to minimize organ injury.


Assuntos
Compartimentos de Líquidos Corporais , Líquidos Corporais , Desidratação/fisiopatologia , Temperatura Alta/efeitos adversos , Animais , Volume Sanguíneo , Líquidos Corporais/fisiologia , Desidratação/etiologia , Modelos Animais de Doenças , Espaço Extracelular/fisiologia , Líquido Intracelular/fisiologia , Masculino , Ratos , Ratos Endogâmicos
4.
J Appl Physiol (1985) ; 71(2): 509-13, 1991 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-1938722

RESUMO

The effects of prolonged hypoxia on body water distribution was studied in four unanesthetized adult goats (Capra lircus) at sea level and after 16 days in a hypobaric chamber [(380 Torr, 5,500 m, 24 +/- 1 degrees C); arterial PO2 = 27 +/- 2 (SE) Torr]. Total body water (TBW), extracellular fluid volume (ECF), and plasma volume (PV) were determined with 3H2O, [14C]inulin, and indocyanine green dye, respectively. Blood volume (BV) [BV = 100PV/(100 - hematocrit)], erythrocyte volume (RCV) (RCV = BV - PV), and intracellular fluid (ICF) (ICF = TBW - ECF) and interstitial fluid (ISF) (ISF = ECF - PV) volumes were calculated. Hypoxia resulted in increased pulmonary ventilation and arterial pH and decreased arterial PCO2 and PO2 (P less than 0.05). In addition, body mass (-7.1%), TBW (-9.1%), and ICF volume (-14.4%) all decreased, whereas ECF (+11.7%) and ISF (+27.7%) volumes increased (P less than 0.05). The decrease in TBW accounted for 89% of the loss of body mass. Although PV decreased significantly (-15.3%), BV was unchanged because of an offsetting increase in RCV (+39.5%; P less than 0.05). We conclude that, in adult goats, prolonged hypobaric hypoxia results in decreases in TBW volume, ICF volume, and PV, with concomitant increases in ECF and ISF volumes.


Assuntos
Água Corporal/metabolismo , Hipóxia/metabolismo , Animais , Pressão Atmosférica , Gasometria , Líquidos Corporais/metabolismo , Peso Corporal/fisiologia , Espaço Extracelular/fisiologia , Feminino , Cabras , Volume Plasmático/fisiologia , Troca Gasosa Pulmonar
5.
Aviat Space Environ Med ; 57(10 Pt 1): 974-9, 1986 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-3778396

RESUMO

Since exercise performance in man is a function of the age, body weight, and metabolic efficiency interrelationship, this investigation was designed to investigate in rats the effects of these variables on endurance, thermoregulation, and heatstroke mortality at a relatively mild environmental temperature (26 degrees C). The results indicate that light rats (250 g) are able to run (11 m X min-1, 6 degrees incline) longer (221 min), have the lowest rate of heat gain (0.019 C degrees X min-1) than the other groups and thereby experience low heatstroke mortality (20%) despite a large proportion of fluid loss (6.1%). Alternatively, heavier and older rats (350 g-12 week, 500 g-16 week, 500 g-30 week) demonstrated significantly reduced run times (108, 67, and 54 min), more rapid accumulation of metabolic heat (0.040, 0.057 and 0.062 degrees C X min-1) and much higher mortalities (50, 69, and 50%) despite lower percentages of fluid loss (5.2, 3.7, or 4.2%). Although the mechanisms responsible for these varying thermoregulatory responses to exercise-induced exhaustion are not fully understood, the present data indicate that the rate of fluid loss, body weight, and age are important variables in the etiology of thermoregulatory failure culminating in heatstroke and death.


Assuntos
Envelhecimento , Metabolismo Basal , Peso Corporal , Exaustão por Calor/mortalidade , Resistência Física , Animais , Regulação da Temperatura Corporal , Masculino , Microclima , Esforço Físico , Ratos , Ratos Endogâmicos , Temperatura
6.
Aviat Space Environ Med ; 61(5): 424-9, 1990 May.
Artigo em Inglês | MEDLINE | ID: mdl-2190548

RESUMO

We have employed the primed constant infusion technique to investigate the metabolic effects of the organophosphate antidote, atropine, on glucose homeostasis in rats. This method utilizes the radioisotopes 6-3H-glucose to measure production and uptake and U-14C-glucose to measure oxidation. Our data indicate that glucose production significantly (p less than 0.05) increased (24.0 +/- 2.0 vs. 30.9 +/- 2.6 mumoles.kg-1.min-1) following atropine administration. The elevated rate of glucose turnover was associated with concomitant increases in glucose oxidation (8.3 +/- 0.6 vs. 12.0 +/- 0.8, mumoles.kg-1.min-1), the percent of glucose uptake oxidized (37.2 +/- 2.0 vs. 44.6 +/- 2.6), and the percent carbon dioxide produced from glucose (8.4 +/- 0.7 vs. 12.0 +/- 1.8). Presumably, these glucokinetic changes were mediated by elevated plasma catecholamines (Epi: 166 +/- 19 vs. 271 +/- 50 pg/ml; Norepi: 262 +/- 24 vs. 525 +/- 63 pg/ml, p less than 0.05) since other glucoregulatory hormones (insulin, glucagon, and corticosterone) were not significantly affected by atropine administration. In addition, there was no change in VO2 associated with atropine administration. These data indicate that atropine enhances glucose production and utilization; such effects could be ergogenic during exercise in thermoneutral conditions.


Assuntos
Atropina/farmacologia , Glicemia/metabolismo , Metabolismo Energético/efeitos dos fármacos , Animais , Regulação da Temperatura Corporal/efeitos dos fármacos , Corticosterona/sangue , Epinefrina/sangue , Glucagon/sangue , Homeostase/efeitos dos fármacos , Insulina/sangue , Masculino , Norepinefrina/sangue , Oxigênio/sangue , Ratos , Ratos Endogâmicos
7.
Aviat Space Environ Med ; 61(11): 1012-7, 1990 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-2256873

RESUMO

In this study, the diuretic furosemide was used in combination with dietary sodium (Na) restriction to quantify the effects of moderate to severe Na depletion on heat tolerance in a validated model of heat stress in rats. Rats were subjected to an Na depletion regimen as follows: a control group (I, n = 17) had free access to a normal diet and tap water; group II (n = 20) consumed the same normal diet and tap water, but was treated with the diuretic furosemide at a dose of 10 mg.kg-1.d-1, ip; group III (n = 18) had free access to an Na-free diet and deionized drinking water; group IV (n = 21) consumed the same Na-free diet and electrolyte-free water, but was also treated with furosemide. Both the dietary and drug manipulations affected significant (p less than 0.05) negative electrolyte and water balances. Group IV consistently exhibited the greatest decrements. Following the 4-d depletion all four groups were acutely exposed to a 42 degrees C, 25-30% rh environmental heat stress during which time core body temperature increased. The time required for rectal temperature to reach 42.6 degrees C was significantly (p less than 0.05) decreased from a time of 242 +/- 8 min in the control group to 176 +/- 14, 181 +/- 8, and 111 +/- 11 min in groups II, III and IV, respectively. We concluded that Na deprivation and diuretic treatment can elicit a 25-50% reduction in heat tolerance due to electrolyte depletion and dehydration. These data confirm that during environmental heat stress uncompensated negative Na balance may predispose an individual to heat illnesses.


Assuntos
Regulação da Temperatura Corporal , Dieta Hipossódica/efeitos adversos , Exaustão por Calor/etiologia , Hiponatremia/complicações , Animais , Modelos Animais de Doenças , Furosemida/efeitos adversos , Exaustão por Calor/sangue , Exaustão por Calor/fisiopatologia , Hematócrito , Hemoglobinas/química , Hiponatremia/induzido quimicamente , Hiponatremia/etiologia , Masculino , Volume Plasmático , Ratos , Ratos Endogâmicos , Sódio/sangue , Redução de Peso
8.
Aviat Space Environ Med ; 66(3): 247-50, 1995 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-7661835

RESUMO

METHODS: The pharmacokinetics of caffeine and cardio-green (ICG) were examined in four micro swine at sea level (SEA) and following 21 d continuous exposure to 4600 m (ALT) in a hypobaric chamber. Caffeine (84.7 mg) and ICG (10 mg) were administered as separate intravenous boluses and sequential blood samples collected. RESULTS: Caffeine clearance significantly (p < 0.05) increased in ALT (96.8 +/- 20.0 ml.min-1) as compared to SEA (53.6 +/- 24.8 ml.min-1), demonstrating that liver function increased in ALT. There was no significant change in the ratio of primary metabolites to caffeine, suggesting that the increase in clearance was not due to a change in the rate of caffeine metabolism. ICG clearance significantly increased in ALT (179.8 +/- 57.4 ml.min-1) as compared to SEA (84.4 +/- 28.9 ml.min-1) indicating that hepatic blood flow (HBF) increased. CONCLUSION: These results demonstrate that chronic exposure to 4600 m increases the clearance of caffeine and ICG in the micro swine model and suggests that the increase in caffeine clearance is related to HBF.


Assuntos
Altitude , Cafeína/farmacocinética , Hipóxia/metabolismo , Verde de Indocianina/farmacocinética , Animais , Doença Crônica , Modelos Animais de Doenças , Feminino , Masculino , Taxa de Depuração Metabólica , Suínos , Porco Miniatura
9.
Aviat Space Environ Med ; 67(6): 560-7, 1996 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-8827138

RESUMO

METHOD: We examined the thermoregulatory and hemodynamic responses of 12 miniswine (31 +/- 3.9 kg) during 25-30 min of treadmill exercise (5.4 km.h-1, 5% grade) under cool (10 degrees C), moderate (20 degrees C) and warm (30 degrees C) ambient temperature (Ta) conditions. RESULTS: Within 15-20 min of exercise at Ta = 30 degrees C, the miniswine demonstrated significant hyperventilation, hypersalivation, and unsteady gait. Exercise-heat endurance time (T) at Ta = 30 degrees C decreased by 35% and 40% in comparison to T at Ta = 20 degrees C and 10 degrees C, respectively. This resulted from a significant rise in heat strain (S)-defined as the rate of change in rectal temperature. Averaged throughout exercise, S increased from 0.04 +/- 0.01 degree C.min-1 and 0.05 +/- 0.02 degree C.min-1 at Ta = 10 degrees C and 20 degrees C, respectively, to 0.10 +/- 0.03 degree C.min-1 at Ta = 30 degrees C. Due to the comparatively large storage capacity of the porcine spleen relative to humans, splenectomized miniswine were used. This permitted calculation of percentage changes in plasma volume (% delta PVc) from hematocrit (HCT) and hemoglobin (HGB) without the confounding effects of splenic red cells released into the circulation during exercise. Independent of Ta, pre-exercise PVc decreased 3%-5% (p < or = 0.05) within the first 10 min of exercise, but increased 5%-9% (p < or = 0.05) by 10 min post-exercise. CONCLUSION: We conclude that the poor thermoregulatory ability of miniswine manifested in insignificant sweating and restricted evaporative cooling, may make them an appropriate model for acute exertional heat exhaustion in humans working in hot, humid conditions and/or wearing impermeable protective clothing. Further, evaluation of plasma volume changes from HCT and HGB in a miniswine model should consider the merit of a splenectomized design.


Assuntos
Regulação da Temperatura Corporal , Exaustão por Calor/fisiopatologia , Condicionamento Físico Animal/fisiologia , Animais , Pressão Sanguínea , Regulação da Temperatura Corporal/fisiologia , Modelos Animais de Doenças , Hematócrito , Volume Plasmático , Temperatura Cutânea , Suínos
10.
Aviat Space Environ Med ; 68(9): 824-8, 1997 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9293352

RESUMO

We have developed an anesthetized microswine model of hypoxemic hypothermia and rewarming for testing prophylaxes and treatments. The respiratory stimulant almitrine bismesylate (ALM) was considered as a potential field expedient therapy for hypoxemic hypothermia. Preliminary experiments demonstrated that five consecutive 100 micrograms.kg-1 ALM intravenous (i.v.) doses given to normothermic microswine 3-4 min apart increased minute ventilation from an average of 3.4 L.min-1 to 4.5 L.min-1 (n = 2). However, when either a single i.v. ALM dose of 150 micrograms.kg-1 (n = 1) or three consecutive 100 micrograms.kg-1 i.v. doses given 15 min apart (n = 1) to hypoxemic hypothermic microswine with a mean esophageal temperature (Tes) = 28.8 degrees C, and a mean arterial O2 partial pressure (PaO2) = 49 mmHg, the hypoxemia was potentiated (mean PaO2 = 32 mmHg) and respiratory arrest ensued. Other experiments using continuous ALM i.v. infusion (1.0 microgram.kg-1.min-1) in hypoxemic hypothermic microswine (n = 6, Tes = 30.6 +/- 0.5, PaO2 = 55.4 +/- 12.9) did not demonstrate significant (p < or = 0.05) cardiorespiratory differences (ventilation, heart rate, blood pressure, blood gases) when compared to hypoxemic hypothermic controls (n = 6, Tes = 30.7 +/- 0.5, PaO2 = 53.3 +/- 13.6). These results suggest that high dose i.v. bolus administration of ALM is not indicated as a potential field expedient therapy for hypoxemic hypothermia, while further work is required to assess the potential efficacy of other continuous low dose i.v. infusion regimens.


Assuntos
Almitrina/uso terapêutico , Doença da Altitude/tratamento farmacológico , Hipotermia/tratamento farmacológico , Hipóxia/tratamento farmacológico , Medicamentos para o Sistema Respiratório/uso terapêutico , Doença da Altitude/complicações , Animais , Gasometria , Corpo Carotídeo/efeitos dos fármacos , Modelos Animais de Doenças , Avaliação Pré-Clínica de Medicamentos , Hipotermia/complicações , Hipóxia/complicações , Medicina Militar , Ventilação Pulmonar/efeitos dos fármacos , Suínos , Porco Miniatura
12.
Am J Physiol ; 241(3): R222-7, 1981 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-6269443

RESUMO

We have used the primed-constant infusion of [6-3H]glucose to study the effects of phentolamine, an alpha-adrenergic blocker, and propranolol, a beta-adrenergic blocker, on glucose production and clearance in gastrostomy-fed control, septic (repeated sub-Q Escherichia coli injections), and burned (25-30% BSA) guinea pigs. Hypermetabolism and elevated glucoregulatory hormones were evident in both traumatized models, whereas their glucose kinetic response was different. Basal glucose production and clearance were elevated in the burned group and were depressed in the septic group when compared to control values. Propranolol caused a further increase in glucose production and clearance in the burned group, whereas it depressed glucose production and clearance to an even greater extent in the septic group. Phentolamine also produced an increase in glucose production and clearance in the burned group. In the septic group, phentolamine had no significant effect on glucose production, but clearance was significantly elevated. Thus, although alpha- or beta-adrenergic blockade normalized metabolic rate in both groups with respect to control animals, glucose kinetics remained different despite similar changes in counterregulatory hormones.


Assuntos
Queimaduras/metabolismo , Infecções por Escherichia coli/metabolismo , Glucose/metabolismo , Infecções/metabolismo , Fentolamina/farmacologia , Propranolol/farmacologia , Animais , Temperatura Corporal/efeitos dos fármacos , Catecolaminas/sangue , Glucagon/sangue , Cobaias , Hidrocortisona/sangue , Insulina/sangue , Cinética , Masculino , Consumo de Oxigênio/efeitos dos fármacos , Receptores Adrenérgicos alfa/fisiologia , Receptores Adrenérgicos beta/fisiologia
13.
Int J Sports Med ; 21(4): 270-4, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10853698

RESUMO

The purpose of this experiment was to examine the effects of an adenosine antagonist on cardiovascular, thermoregulatory, and exercise performance in the heat. Two doses (1 mg/kg and 10 mg/kg) of a selective adenosine A1 antagonist (1,3-di-n-propyl-8-[4-hydroxyphenyll]xanthine) (DPHPX) were tested in a rat model of exercise exhaustion, treadmill 11 m/min, 6 degrees incline, in the heat 30 degrees C. Pretreatment with the experimental adenosine antagonist caused a slight improvement p > 0.05 in run time (41+/-4 vs. 44+/-3 mm) at a low dose but reduced performance (41+/-4 vs. 29+/-3 mm) at a high dose despite elevated plasma lactate (6.41+/-0.82 vs. 9.91+/-1.0 and 12.42+/-1.1 micromole/L) levels in both dosage groups. At the low dose the antagonist provided a clear benefit in thermoregulation as evidenced by reduced heating rates (0.079+/-0.005 vs. 0.050+/-0.009 degrees C/min). Heart rate and blood pressure tended to be preserved in the low dose group also. Blood gases remained closer to normal with either dosage of drug with arterial PO2 being remarkably preserved after exercise whereas venous PO2 was not different suggesting increased oxygen delivery and extraction. The results of this investigation indicate that antagonizing the effects of adenosine at a low dose with this agent did improve cardiovascular and thermoregulatory responses but did not provide a substantial overall benefit in exercise performance in the heat.


Assuntos
Adenosina/antagonistas & inibidores , Regulação da Temperatura Corporal/efeitos dos fármacos , Exaustão por Calor/metabolismo , Resistência Física/efeitos dos fármacos , Xantinas/farmacologia , Adenosina/metabolismo , Análise de Variância , Animais , Pressão Sanguínea/efeitos dos fármacos , Regulação da Temperatura Corporal/fisiologia , Débito Cardíaco/efeitos dos fármacos , Frequência Cardíaca/efeitos dos fármacos , Masculino , Consumo de Oxigênio , Resistência Física/fisiologia , Antagonistas de Receptores Purinérgicos P1 , Ratos , Ratos Sprague-Dawley , Receptores Purinérgicos P1/metabolismo , Vasodilatadores/antagonistas & inibidores , Xantinas/metabolismo
14.
J Lipid Res ; 26(2): 210-7, 1985 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-3989380

RESUMO

The role of very low density lipoproteins (VLDL) in the energy metabolism of conscious, 24-hr fasted rats was studied. VLDL labeled with [2-3H]glycerol and [1-14C]palmitate were infused into the rats, along with [1-13C]palmitate bound to albumin and d-8-glycerol, and various metabolic factors were assessed. The rates of appearance in plasma of fatty acids in VLDL and albumin-bound free fatty acids (FFA) were about equal, on a molar basis, and only a small fraction of the FFA flux was derived from VLDL. The rate of direct oxidation of the fatty acids from VLDL was 4.4 +/- 0.9 mumol of FA/kg X min, as compared with the value of 4.0 +/- 0.42 mumol of FA/kg X min for plasma FFA. Four percent of the plasma glycerol flux was derived from VLDL. Thus, the direct oxidation of fatty acids in VLDL played an important role in the energy metabolism of the rats, accounting for a percentage of the total CO2 production that was equal to the amount that arose from the oxidation of plasma FFA. The oxidation of VLDL-fatty acids did not involve prior entry of the fatty acids into the plasma FFA pool to any significant extent.


Assuntos
Metabolismo Energético , Lipoproteínas VLDL/sangue , Animais , Ácidos Graxos/sangue , Ácidos Graxos não Esterificados/sangue , Glicerol/sangue , Oxirredução , Ratos , Ratos Endogâmicos , Triglicerídeos/sangue
15.
J Surg Res ; 46(2): 118-22, 1989 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-2493105

RESUMO

The acute metabolic response following experimentally induced sepsis can generally be classified as either hypodynamic ("low flow") or hyperdynamic ("high flow"). We have found that in conscious guinea pigs the bolus infusion of 10(10) live Escherichia coli bacteria can elicit either response, depending on the route of administration of the bacteria. Intravenous infusion results in the hypodynamic condition of septic shock in which oxygen consumption (VO2) is reduced to approximately 60% of the control level, plasma glucose is elevated 4 hr after infusion with a reversal to extreme hypoglycemia 12 hr after infusion, and body temperature is reduced by approximately 5 degrees C in 12 hr. In contrast, subcutaneous injection results in increased VO2, body temperature, and plasma glucose. In both models the concentration of cortisol, catecholamines and glucagon were elevated, but the responses were more pronounced in the hypodynamic model. In both cases, insulin concentration was decreased. These models of sepsis are useful because many aspects of response are comparable to man, they are simple to create, and they are consistent and reproducible.


Assuntos
Infecções por Escherichia coli/metabolismo , Animais , Temperatura Corporal , Dióxido de Carbono/biossíntese , Infecções por Escherichia coli/sangue , Glucose/metabolismo , Cobaias , Hormônios/sangue , Consumo de Oxigênio
16.
Am J Physiol ; 241(5): E385-95, 1981 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-6118065

RESUMO

We have used multiple isotope infusions to study the integrated response of glucose, fat, and protein metabolism to combined alpha + beta-adrenergic blockade in conscious, unstressed, fasting (15 h) dogs. The response to the blocking agents was evaluated both with and without control of the glucoregulatory hormones. The hormones were controlled at the basal level by infusions of somatostatin and metyrapone to block their secretion, and by the infusion of insulin, glucagon, growth hormone, and cortisol at physiological rates. We found that adrenergic blockade markedly inhibited lipolysis, as reflected by falls in glycerol and plasma FFA appearance. The decrease in fat mobilization after blockade resulted in a proportionate shift from fat as an energy substrate toward carbohydrate. Glucose production and oxidation were both enhanced after blockade. The source of the increased glucose production was presumably hepatic glycogen because urea production was presumably hepatic glycogen because urea production was unaffected and glycerol uptake was decreased. These results are consistent with the interpretation that basal adrenergic activity plays an important role in the mobilization of fat in fasting dogs. A secondary consequence of that action is apparently a diminution of glucose production and oxidation, although the mechanism responsible for the latter response is not clear.


Assuntos
Glicemia/metabolismo , Mobilização Lipídica/efeitos dos fármacos , Fentolamina/farmacologia , Propranolol/farmacologia , Receptores Adrenérgicos alfa/fisiologia , Receptores Adrenérgicos beta/fisiologia , Receptores Adrenérgicos/fisiologia , Animais , Cães , Jejum , Ácidos Graxos não Esterificados/sangue , Feminino , Glucagon/farmacologia , Hormônio do Crescimento/farmacologia , Hidrocortisona/farmacologia , Insulina/farmacologia , Cinética , Masculino , Metirapona/farmacologia , Somatostatina/farmacologia
17.
Am J Physiol ; 248(6 Pt 1): E732-40, 1985 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-3890559

RESUMO

The effect of gram-negative sepsis on the kinetics and oxidation of very low-density lipoprotein (VLDL) fatty acids was assessed in conscious dogs in the normal state and 24 h after infusion of live Escherichia coli. VLDL, labeled with [2-3H]glycerol and [1-14C]palmitic acid, was used to trace VLDL kinetics and oxidation, and [1-13C]palmitic acid bound to albumin was infused simultaneously to quantify kinetics and oxidation of free fatty acid (FFA) in plasma. Sepsis caused a fivefold increase in the rate of VLDL production (RaVLDL). In the control dogs, the direct oxidation of VLDL-fatty acids was not an important contributor to their overall energy metabolism, but in dogs with sepsis, 17% of the total rate of CO2 production could be accounted for by VLDL-fatty acid oxidation. When glucose was infused into dogs with insulin and glucagon levels clamped at basal levels (by means of infusion of somatostatin and replacement of the hormones), RaVLDL increased significantly in the control dogs, but it did not increase further in dogs with sepsis. We conclude that the increase in triglyceride concentration in fasting dogs with gram-negative sepsis is the result of an increase in VLDL production and that the fatty acids in VLDL can serve as an important source of energy in sepsis.


Assuntos
Infecções por Escherichia coli/metabolismo , Ácidos Graxos não Esterificados/metabolismo , Glucose/farmacologia , Lipoproteínas VLDL/metabolismo , Animais , Radioisótopos de Carbono , Cães , Metabolismo Energético , Ácidos Graxos não Esterificados/sangue , Glicerol , Cinética , Oxirredução , Palmitatos , Triglicerídeos/metabolismo , Trítio
18.
Prog Clin Biol Res ; 111: 89-109, 1983.
Artigo em Inglês | MEDLINE | ID: mdl-6867023

RESUMO

There seems little doubt that there are signals for the increased mobilization of fat in shock, trauma, and sepsis. Whether those signals are reflected by an actual increase in mobilization is dependent on many variables including cardiovascular status. A hypothetical scheme based on our own experiments in the hyperdynamics phases of response to burn injury and to sepsis is presented in Figure 8. According to this scheme, catecholamines stimulate lipolysis in the adipose tissue, resulting in the release of glycerol and FFA into the plasma at increased rates. The glycerol is cleared by the liver and converted into glucose--a process stimulated by, among other things, glucagon. Some of the increased flux of FFA is also cleared by the liver, whereupon the fatty acids are incorporated into VLDL and released again into the plasma. The increased FFA levels also exert a dampening effect on the factors stimulating hepatic glucose production. At the periphery, plasma FFA as well as VLDL fatty acids are taken up at an increased rate. The tissues are attuned to the oxidation of fat, and as a consequence most of the energy production is derived from fat oxidation. The increased fatty acids exert an inhibitory effect on the complete oxidation of glucose, so although glucose may be taken up at an accelerated rate, the relative contribution of glucose oxidation to total energy production may fall. Rather than being completely oxidized, pyruvate is reduced to lactate and released into the plasma at an accelerated rate. The lactate then contributes to the production of glucose in the liver, completing a cyclical process called the Cori Cycle. Although all aspects of this scheme are supported by data highlighted in this paper, it certainly must be an oversimplification of the overall response of substrate metabolism to trauma and sepsis. It is presented for the purpose of highlighting the potential role of fat as a controller of the metabolic response, and to suggest that the enhanced mobilization and oxidation of fat is one of the fundamental responses to stress.


Assuntos
Queimaduras/metabolismo , Metabolismo dos Lipídeos , Choque/metabolismo , Animais , Queimaduras/fisiopatologia , Modelos Animais de Doenças/metabolismo , Cães , Metabolismo Energético , Ácidos Graxos não Esterificados/metabolismo , Glucose/metabolismo , Humanos , Cinética , Lipoproteínas VLDL/metabolismo , Choque Hemorrágico/metabolismo , Choque Séptico/metabolismo , Choque Traumático/metabolismo , Estresse Fisiológico/metabolismo , Sistema Nervoso Simpático/fisiopatologia
19.
Circ Shock ; 9(4): 383-94, 1982.
Artigo em Inglês | MEDLINE | ID: mdl-7116577

RESUMO

We have used a chronic dog model to study the kinetic aspects of the metabolic response to thermal injury. In order to interpret the kinetic data in the context of the overall response to injury, we also determined certain cardiovascular parameters as well as selected hormonal concentrations. We used a paired study design: each animal was studied twice before injury and then at 5 and 7 days following injury. The burn was induced while the animals were deeply anesthetized with sodium pentobarbital (30-35 mg/kg) but all studies were done in awake, unrestrained dogs using tracer methodology and both radiolabeled and stable isotopes. The burn induced a hyperdynamic state, with significant elevations in cardiac output, heart rate, and metabolic rate. The free fatty acid (FFA), glycerol and glucose flux rates were all elevated, as was the rate of production of urea. The increase in resting metabolic rate was due to comparable increases in the rates of oxidation of carbohydrate, fat, and protein. We found the responses of this canine burn model to closely resemble the human response to injury, and thus this model will be useful as a tool to elucidate some of the mechanisms responsible for the response to injury.


Assuntos
Queimaduras/metabolismo , Metabolismo Energético , Choque Traumático/metabolismo , Aminoácidos/metabolismo , Animais , Glicemia/metabolismo , Temperatura Corporal , Modelos Animais de Doenças , Cães , Ácidos Graxos não Esterificados/sangue , Glicerol/sangue , Cinética
20.
Circ Shock ; 41(3): 150-5, 1993 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-7505727

RESUMO

This study determined the effects of HSD administration on fluid distribution, following dehydration in Female Yucatan micro pigs. Dehydration at 33 degrees C resulted in: significantly increased core temperature (37.2 +/- 0.2 (mean +/- SE) to 39.0 +/- 0.1 degrees C), and decreased (4.4 +/- 0.4%) body weight and plasma volume (PV, 43 +/- 2 to 37 +/- 1 ml/kg). HSD but not saline administration resulted in significant increases (over postdehydration levels) in PV (46 +/- 3 ml/kg), sodium concentration (141 +/- 1 to 150 +/- 2 mEq/L), and osmolality (291 +/- 2 to 307 +/- 11 mOsm). Following return of water to the animals, these values returned to baseline levels. Since insensible (respiratory and transdermal) water loss for the 24 hr at 23 degrees C was 714 +/- 64 ml, and for the 24 hr at 33 degrees C was 653 +/- 64 ml, increasing the ambient temperature did not result in increased dehydration in swine. HSD administration restored PV to baseline levels despite prior water loss dehydration.


Assuntos
Desidratação/terapia , Dextranos/uso terapêutico , Solução Salina Hipertônica/uso terapêutico , Animais , Pressão Sanguínea , Desidratação/fisiopatologia , Feminino , Volume Plasmático , Ressuscitação , Suínos
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