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1.
Orig Life Evol Biosph ; 47(4): 511-532, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27663448

RESUMO

The low pressure at the surface of Mars (average: 6 mbar) is one potentially biocidal factor that any extant life on the planet would need to endure. Near subsurface life, while shielded from ultraviolet radiation, would also be exposed to this low pressure environment, as the atmospheric gas-phase pressure increases very gradually with depth. Few studies have focused on low pressure as inhibitory to the growth or survival of organisms. However, recent work has uncovered a potential constraint to bacterial growth below 25 mbar. The study reported here tested the survivability of four methanogen species (Methanothermobacter wolfeii, Methanosarcina barkeri, Methanobacterium formicicum, Methanococcus maripaludis) under low pressure conditions approaching average martian surface pressure (6 mbar - 143 mbar) in an aqueous environment. Each of the four species survived exposure of varying length (3 days - 21 days) at pressures down to 6 mbar. This research is an important stepping-stone to determining if methanogens can actively metabolize/grow under these low pressures. Additionally, the recently discovered recurring slope lineae suggest that liquid water columns may connect the surface to deeper levels in the subsurface. If that is the case, any organism being transported in the water column would encounter the changing pressures during the transport.


Assuntos
Pressão Atmosférica , Meio Ambiente Extraterreno , Marte , Methanobacteriaceae/fisiologia , Mathanococcus/fisiologia , Methanosarcina barkeri/fisiologia , Exobiologia
2.
J Neurol Neurosurg Psychiatry ; 78(8): 853-6, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17287239

RESUMO

BACKGROUND: Studies of long term outcome after epilepsy surgery for cortical malformations are rare. In this study, we report our experience with surgical treatment and year to year long term outcome for a subgroup of patients with focal cortical dysplasia (FCD). METHODS: We retrospectively analysed the records of 49 patients (females n = 26; males n = 23; mean age 25 (11) years) with a mean duration of epilepsy of 18 years (range 1-45). Preoperative MRI, histological results based on the Palmini classification and clinical year to year follow-up according to the International League Against Epilepsy (ILAE) classification were available in all patients. RESULTS: 98% of patients had a lesion on preoperative MRI. In addition to lobectomy (n = 9) or lesionectomy (n = 40), 14 patients had multiple subpial transections of the eloquent cortex. The resected tissue was classified as FCD type II b in 41 cases with an extratemporal (88%) and FCD type II a in 8 cases with a temporal localisation (100%). After a mean follow-up of 8.1 (4.5) years, 37 patients (76%) were seizure free, a subgroup of 23 patients (47%) had been completely seizure free since surgery (ILAE class 1a) and 4 patients (8%) had only auras (ILAE class 2). Over a 10 year follow-up, the proportion of satisfactory outcomes decreased, mainly within the first 3 years. During long term follow-up, 48% stopped antiepileptic drug treatment, 34% received a driver's license and 57% found a job or training. CONCLUSION: Surgical treatment of epilepsy with FCD is not only successful in the short term but also has a satisfying long term outcome which remains constant after 3 years of follow-up but is not associated with better employment status or improvement in daily living.


Assuntos
Córtex Cerebral/patologia , Epilepsia/cirurgia , Adolescente , Adulto , Feminino , Seguimentos , Humanos , Imageamento por Ressonância Magnética , Masculino , Estudos Retrospectivos , Resultado do Tratamento
3.
Brain Res ; 1032(1-2): 123-30, 2005 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-15680950

RESUMO

The dentate gyrus is believed to play an important pathophysiological role during experimentally induced kindling. In this study, we investigated whether an altered content of the calcium binding protein calbindin-D(28k) or an increased intrinsic excitability of hippocampal granule cells contribute to the induction of the kindling phenomenon. We determined the firing pattern of granule cells in hippocampal slices using perforated patch-clamp recordings in current clamp mode. The expression of calbindin-D(28k) and glutamic acid decarboxylase (GAD(67)) by granule cells was analyzed immunohistochemically. Rats developed secondarily generalized limbic seizures within approximately 11 days of twice-daily stimulation of the amygdala. As reported for other kindling paradigms, this protocol induced a clear up-regulation of GAD(67) in granule cells, indicating their involvement in the induced neuronal activity. However, when comparing kindled and control rats, we could not detect any differences in intrinsic excitability: Firing frequency, after-hyperpolarisations, action potentials, input resistance and membrane potentials were nearly identical between both groups. Furthermore, we did not observe any differences in the calbindin-D(28k) immunoreactivity between groups. In every slice, virtually all granule cells were found to be strongly calbindin-D(28k) positive, and there was no apparent reduction in the general level of calbindin-D(28k) expression. We conclude that changes in intrinsic membrane properties or in the calbindin-D(28k) content of granule cells are not necessary for the development of amygdala kindling.


Assuntos
Potenciais de Ação/fisiologia , Hipocampo/citologia , Excitação Neurológica/fisiologia , Neurônios/fisiologia , Proteína G de Ligação ao Cálcio S100/metabolismo , Potenciais de Ação/efeitos da radiação , Tonsila do Cerebelo/efeitos da radiação , Animais , Calbindina 1 , Calbindinas , Contagem de Células/métodos , Estimulação Elétrica/métodos , Glutamato Descarboxilase/metabolismo , Imuno-Histoquímica/métodos , Técnicas In Vitro , Isoenzimas/metabolismo , Masculino , Técnicas de Patch-Clamp/métodos , Ratos , Ratos Sprague-Dawley
4.
Clin Pharmacol Ther ; 64(3): 322-30, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9757156

RESUMO

OBJECTIVE: To evaluate the effects of urodilatin (INN, ularitide) on systemic and renal hemodynamic parameters. METHODS: Twenty healthy male subjects were included in this double-blind, randomized placebo-controlled trial and assigned to receive either continuous intravenous infusion of different doses of 7.5, 15, or 22.5 ng/kg body weight/min urodilatin or placebo over 300 minutes. Cardiac performance, systolic time intervals, and airway function were measured noninvasively. The effects on renal hemodynamic values were assessed with para-aminohippurate and inulin clearance techniques. RESULTS: Urodilatin was well tolerated by all subjects at doses of 7.5 and 15 ng/kg/min. Infusion was stopped prematurely for the group that received 22.5 ng/kg/min urodilatin group because of systemic hypotensive responses with nausea and dizziness. Infusion of 15 ng/kg/min urodilatin significantly increased urine flow by a maximum of 165%, filtration fraction by 46%, renal resistance by 49%, and systemic vascular resistance by 45%. It decreased renal plasma flow by a maximum of 31% from baseline value. No change in cardiac inotropic function was detectable, but cardiac output decreased in all dose groups. Effects on glomerular filtration rate, forced expiratory volume, blood pressure, and pulse were not different from those with placebo. CONCLUSION: Continuous infusion of 7.5 ng/kg/min and 15 ng/kg/min urodilatin exerts a significant increase in systemic and renal vascular resistance. Results of our experiments suggested that the therapeutic window for continuous urodilatin infusion is small and that doses higher than approximately 20 ng/kg/min urodilatin carry high risk for adverse drug reactions.


Assuntos
Fator Natriurético Atrial/farmacologia , Diuréticos/farmacologia , Hemodinâmica/efeitos dos fármacos , Fragmentos de Peptídeos/farmacologia , Circulação Renal/efeitos dos fármacos , Adulto , Fator Natriurético Atrial/administração & dosagem , Diuréticos/administração & dosagem , Relação Dose-Resposta a Droga , Método Duplo-Cego , Esquema de Medicação , Hemodinâmica/fisiologia , Humanos , Infusões Intravenosas , Masculino , Fragmentos de Peptídeos/administração & dosagem , Circulação Renal/fisiologia
5.
Neuropharmacology ; 42(3): 297-305, 2002 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11897108

RESUMO

Metabotropic glutamate receptors (mGluRs) control excitatory neurotransmission as inhibitory autoreceptors at many synapses throughout the CNS. Since pharmacological activation of mGluRs potently depresses excitatory transmission, anticonvulsive effects were found in a number of experimental epilepsies. However, although native rodent mGluRs and heterologously expressed human mGluRs have so far been investigated in great detail, our knowledge about native human mGluRs in situ is limited. Here we used acute human hippocampal slices prepared from hippocampi surgically removed for the treatment of temporal lobe epilepsy in order to investigate the modulation of glutamatergic transmission by human mGluRs at the perforant path-granule cell synapse. The broad spectrum mGluR agonist (1S, 3R)-1-aminocyclopentane-1,3-dicarboxylic acid (ACPD) profoundly and reversibly reduced field EPSPs (fEPSPs) with an EC(50) of 30+/-7.4 microM. Paired-pulse depression of fEPSPs was converted into strong facilitation. The inhibition of fEPSPs by ACPD was mimicked by the specific group II mGluR agonist (2S, 2'R, 3'R)-2-(2',3'-dicarboxycyclopropyl)glycine (DCG-IV), while the specific group I agonist (S)-3,5-dihydroxyphenylglycine (DHPG) was ineffective. The effect of ACPD was blocked by group II antagonist (2S,3S,4S)-2methyl-2-(carboxycyclopropyl)glycine (MCCG) but was not changed by coapplication of the specific group III antagonist (S)2 amino2methyl4phosphonobutanoic acid (MAP4). ACPD reduced pharmacologically isolated intracellular EPSPs in granule cells to the same extent as fEPSPs, whereas a specific group III agonist had no effect on EPSPs. Whole-cell recordings from morphologically identified granule cells revealed that DCG-IV significantly reduced the frequency of miniature EPSCs (mEPSCs) in granule cells while the mean amplitude of mEPSCs was not affected. We conclude that in human dentate gyrus mGluR2/3 can almost completely depress glutamate release by a presynaptic mechanism which acts downstream of presynaptic voltage gated calcium-entry and most likely involves a direct modulation of the release machinery.


Assuntos
Giro Denteado/metabolismo , Ácido Glutâmico/metabolismo , Neurotransmissores/metabolismo , Receptores de Glutamato Metabotrópico/fisiologia , Receptores Pré-Sinápticos/fisiologia , Potenciais de Ação/efeitos dos fármacos , Potenciais de Ação/fisiologia , Antivirais/farmacologia , Giro Denteado/efeitos dos fármacos , Dioxolanos/farmacologia , Potenciais Pós-Sinápticos Excitadores/efeitos dos fármacos , Potenciais Pós-Sinápticos Excitadores/fisiologia , Humanos , Neurotransmissores/antagonistas & inibidores , Purinas/farmacologia , Receptores de Glutamato Metabotrópico/agonistas , Receptores de Glutamato Metabotrópico/antagonistas & inibidores , Estimulação Química
6.
Neuroscience ; 90(4): 1197-206, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10338290

RESUMO

We investigated the electrophysiology of morphologically identified human granule cells with conventional current-clamp recordings. Slices were prepared from 14 human epileptic sclerotic hippocampi. Granule cells appeared to have a diverse electrophysiology. Each cell was distinguished by the shape of the afterhyperpolarization following single action potentials. Two types could be discerned: type I afterhyperpolarizations were monophasic and brief (typically 10-40 ms), whilst type II afterhyperpolarizations were biphasic and long (typically 50-100 ms). The two types also differed in their repetitive firing behaviour and action potential morphology: type I cells had significantly weaker spike frequency adaptation, lower action potential amplitude and smaller action potential upstroke/downstroke ratio. Thus, the firing pattern of type I cells resembled that of rodent dentate interneurons. In contrast, the corresponding parameters of type II cells were comparable to rodent dentate granule cells. Despite the distinct firing patterns, membrane properties were not different. The two types of cells also differed in their synaptic responses to stimulation of the perforant path. At strong suprathreshold stimulation intensity, type I cells always generated multiple action potentials, whereas type II cells usually spiked once only. Slow inhibitory postsynaptic potentials were not detected in type I neurons, but were easily identified in type II neurons. Extracellular recordings of perforant path-evoked field potentials in the cell layer confirmed that the majority of granule cells showed multiple discharges even when we recorded simultaneously from a type II cell that generated one action potential only. The morphology of both types of cells was characteristic of what has been described for primate dentate granule cells. Based on comparisons with previous studies on rodent and human granule cells, we tentatively hypothesize that: (i) the majority of granule cells from sclerotic hippocampus display an hyperexcitable epileptogenic electrophysiology; (ii) there is a subset of granule cells whose electrophysiology is preserved and is more comparable to granule cells from non-epileptic hippocampus.


Assuntos
Epilepsia/patologia , Epilepsia/fisiopatologia , Hipocampo/patologia , Hipocampo/fisiopatologia , Neurônios/classificação , Neurônios/fisiologia , Adulto , Estimulação Elétrica , Eletrofisiologia , Humanos , Via Perfurante/fisiopatologia , Coloração e Rotulagem , Sinapses/fisiologia
7.
J Neurosci Methods ; 116(1): 55-63, 2002 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-12007983

RESUMO

Hybrid clamp protocols, in which a discontinuous single electrode voltage clamp (dSEVC) amplifier is switched from current to voltage clamp during the recording, are frequently used to investigate conductance changes after high frequency trains of action potentials. This technique is advantageous because it combines physiological stimulation of the cell with the possibility of analyzing the consecutive conductance changes quantitatively. In this study an improved hybrid clamp protocol, called dynamic hybrid clamp, is developed that enables the experimenter to study tail currents after single action potentials. The protocol employs real time action potential detection to assure precise timing of the mode switch and utilizes an external sample and hold amplifier to avoid voltage steps during the switch to voltage clamp. With the use of whole-cell patch clamp recordings and high switching frequencies (> or =25 kHz), dSEVC can easily be started with a minimal delay (<1.5 ms) after single action potentials and tail currents underlying afterhyperpolarisations (AHPs) and afterdepolarisations ensuing single spikes are clearly resolved. The dynamic hybrid clamp should also be useful for analysis of spontaneously occurring events such as intrinsic or population bursts.


Assuntos
Potenciais de Ação/fisiologia , Neurônios/fisiologia , Técnicas de Patch-Clamp/instrumentação , Técnicas de Patch-Clamp/métodos , Animais , Hipocampo/citologia , Hipocampo/fisiologia , Ratos , Ratos Wistar
8.
Brain Res ; 612(1-2): 278-88, 1993 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-8101132

RESUMO

In an in vitro model of cerebral ischemia we investigated the functional consequences of repeated hypoxias and the potential protective effect of the N-methyl-D-aspartate (NMDA) receptor antagonist D-2-amino-5-phosphonovaleric acid (D-APV) and the calcium channel blocker verapamil in preventing the expression of pathophysiological activity. Rat neocortical slices were exposed to nitrogen for 2-13 min and the hypoxia-induced functional modifications were monitored in layer II/III by recording the extracellular DC potential, the extracellular calcium concentration ([Ca2+]o) and the stimulus-evoked synaptic responses. Hypoxia caused a reversible 2.4-24.6 mV negative shift in the extracellular DC potential associated with a [Ca2+]o decrease from 1.2 to 0.2 mM and a complete loss of synaptic responsiveness. Repeating hypoxias induced an increase in the amplitude of this anoxic depolarization (AD) and a significant decrease in the AD onset latency. Synaptic responses partially recovered at 20 and 60 min intervals between subsequent hypoxic periods, indicating that the initial AD did not induce any short-term irreparable functional deficits. Verapamil (50 microM) caused an increase in the AD onset latency. However, in comparison to untreated controls, verapamil induced a reduction of excitatory and inhibitory responses during hypoxia probably by blocking voltage-activated calcium conductances. In addition, verapamil did not have any significant effect on the hypoxia-induced reduction of [Ca2+]o. Bath application of D-APV (30 microM) prevented the significant reduction in the AD onset latency to the second hypoxia, but had no significant effect on the AD amplitude and duration. The hypoxia-induced decrease in [Ca2+]o was not altered after addition of D-APV to the bathing medium. These data indicate that the influx of calcium through voltage-activated calcium channels and the NMDA receptor-gated ionophore does not significantly contribute to the massive depolarization observed under hypoxic conditions.


Assuntos
Isquemia Encefálica/fisiopatologia , Canais de Cálcio/fisiologia , Receptores de N-Metil-D-Aspartato/fisiologia , 2-Amino-5-fosfonovalerato/farmacologia , Animais , Cálcio/metabolismo , Eletrofisiologia , Potenciais Evocados/efeitos dos fármacos , Espaço Extracelular/fisiologia , Hipóxia Encefálica/fisiopatologia , Técnicas In Vitro , Microeletrodos , Modelos Biológicos , Ratos , Ratos Wistar , Receptores de N-Metil-D-Aspartato/efeitos dos fármacos , Sinapses/efeitos dos fármacos , Sinapses/fisiologia , Verapamil/farmacologia
9.
Brain Res ; 821(1): 117-23, 1999 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-10064795

RESUMO

Metabotropic glutamate receptors (mGluRs) provide a powerful control of synaptic transmission in the hippocampus and may serve as a target for drug development in human temporal lobe epilepsies. Agonists and antagonists at these receptors influence the development and propagation of seizures in some animal models of epilepsy. Experimental seizures can change the level of expression of mGluRs in the rat hippocampus. In the human dentate gyrus of patients suffering from temporal lobe epilepsy (TLE), group III mGluR mediated inhibition of synaptic transmission is almost lost in the sub-group with Ammon's horn sclerosis. We tested the modulation of synaptic transmission by the group III mGluR specific agonist L(+)-2-amino-4-phosphonobutyric acid (L-AP4) in the dentate gyrus outer molecular layer in control and amygdala-kindled rats, a common model for TLE. Extracellular field potential recordings upon subthreshold stimulation of lateral perforant path fibers were measured simultaneously in the outer molecular layer and granule cell layer. Analysis of 'paired-pulse' characteristics in the absence and presence of L-AP4 and group III mGluR mediated inhibition of synaptic transmission in the lateral perforant path revealed no significant alterations in fully kindled rats. Since there is no evidence of altered L-AP4 responses, a loss of group III mGluR function, particularly that of subtype mGluR8, seems not necessary for the kindling epilepsy.


Assuntos
Tonsila do Cerebelo/fisiologia , Giro Denteado/fisiologia , Excitação Neurológica , Via Perfurante/fisiologia , Receptores de Glutamato Metabotrópico/fisiologia , Transmissão Sináptica/fisiologia , Animais , Epilepsia do Lobo Temporal/fisiopatologia , Humanos , Masculino , Proteínas Associadas aos Microtúbulos/farmacologia , Inibição Neural/fisiologia , Propionatos/farmacologia , Ratos , Ratos Sprague-Dawley , Receptores de Glutamato Metabotrópico/agonistas
10.
Brain Res ; 767(2): 220-7, 1997 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-9367251

RESUMO

Metabotropic glutamate receptors (mGluRs) have emerged as an interesting family of eight different receptor subtypes that can be divided into three groups according to their pharmacology and sequence similarity. In the present study, the specific mGluR agonists (1S,3R)-1-aminocyclopentane-1,3-dicarboxylic acid ((1S,3R)-ACPD) and L(+)-2-amino-4-phosphonobutyric acid (L-AP4) depressed field excitatory postsynaptic potentials (fEPSPs) in the rat dentate gyrus evoked by perforant path stimulation in a concentration-dependent, rapid and reversible manner (EC50: L-AP4 5.9 +/- 1.6 microM, (1S,3R)-ACPD 80 +/- 34 microM). In a 'paired-pulse' stimulation protocol, the first fEPSP showed a stronger reduction, resulting in 'paired-pulse' facilitation. The effects of L-AP4 but not of (1S,3R)-ACPD could be antagonized by the group III mGluR antagonists (S)-2-amino-2-methyl-4-phosphonobutanoic acid (MAP4) and (RS)-alpha-methyl-4-phosphonophenylglycine (MPPG). Moreover, (1S,3R)-ACPD was still potently depressing fEPSPs after preperfusion of near saturating concentrations of L-AP4. Together, the results suggest that both substances act on different mGluRs. The effects of (1S,3R)-ACPD could not be further differentiated by selective group I or group II mGluR agonists. Although (2S,1'S,2'S)-2-carboxycyclopropylglycine (L-CCG-I) blocked fEPSPs at concentrations >> 1 microM, these effects, as well as L-AP4 effects, were potently antagonized by MAP4. This suggests that mGluR8 might be responsible for the actions of L-AP4 and L-CCG-I. The two different mGluRs showed a distinct distribution when fEPSPs were recorded simultaneously in the outer and middle molecular layer (OML/MML): The L-AP4 sensitive receptor, possibly mGluR8, seems to be located in the OML while (1S,3R)-ACPD showed its main effect in the MML.


Assuntos
Aminobutiratos/farmacologia , Cicloleucina/análogos & derivados , Via Perfurante/fisiologia , Receptores de Glutamato Metabotrópico/fisiologia , Transmissão Sináptica/fisiologia , Animais , Cicloleucina/farmacologia , Giro Denteado/efeitos dos fármacos , Potenciais Pós-Sinápticos Excitadores , Masculino , Plasticidade Neuronal/efeitos dos fármacos , Ratos , Ratos Sprague-Dawley , Receptores de Glutamato Metabotrópico/agonistas
11.
J Dent Res ; 66(10): 1594-6, 1987 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-3476560

RESUMO

Stable fluoride-resistant mutants of Streptococcus mutans GS-5 were isolated on Todd-Hewitt agar by a step-wise selection procedure. Resistance is defined here as the ability to form colonies in 48 hr. First-step mutants demonstrated six different levels of resistance, ranging from 400 to 1000 micrograms/mL sodium fluoride. Second-step mutants demonstrated two levels of resistance, one at 1600 and the highest at 3000 micrograms/mL sodium fluoride. All mutants (originally isolated at pH 7.2) were tested for fluoride resistance at pH 5 and 6. At these lower pH values, all of the mutants demonstrated resistance to fluoride when compared with the parent strain, but at much-reduced levels.


Assuntos
Fluoretos/farmacologia , Mutação , Streptococcus mutans/efeitos dos fármacos , Meios de Cultura , Resistência Microbiana a Medicamentos , Concentração de Íons de Hidrogênio , Streptococcus mutans/isolamento & purificação , Streptococcus mutans/fisiologia
12.
J Dent Res ; 61(3): 502-5, 1982 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-6949952

RESUMO

Streptococcus mutans strain GS-5 was grown under a variety of environmental conditions in order to achieve different balanced growth rates. A range of growth rates could be obtained using limitations in the concentrations of glutamate/glutamine, leucine, or valine. Different balanced growth rates were also obtained when cells were grown in a variety of carbon sources. Using glucose, cellobiose, amygdalin, maltose, mannitol, and galactose, reproducible doubling times were obtained ranging from 61 to 226 min.


Assuntos
Streptococcus mutans/crescimento & desenvolvimento , Carboidratos/administração & dosagem , Meios de Cultura , Cistina/administração & dosagem , Metilglucosídeos/administração & dosagem , Fatores de Tempo
13.
Neurosurgery ; 49(4): 891-900; discussion 900-1, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11564251

RESUMO

OBJECTIVE: To describe the technical steps, advantages, and limitations of a quicker, minimal-exposure, functional hemispherectomy procedure developed from a hemispherical deafferentation technique previously described. METHODS: The surgical approach using the transsylvian/transsulcal passage to the ventricular system, with the anatomic orientation points and key features for planning of the small trepanation, is described. Through a linear incision, a craniotomy (4 x 4 to 4 x 5 cm) is placed over the sylvian fissure. Transsylvian exposure of the circular sulcus allows transcortical exposure of the entire ventricular system, from the frontal horn to the temporal horn encircling the insular cortex. The frontobasal and mesial white matter is disconnected via the intraventricular approach, with a callosotomy. An amygdalohippocampectomy completes the dissection. The experience with 20 patients who were treated using the transsylvian keyhole hemispherectomy technique is summarized. RESULTS: The operation time was significantly shorter (mean, 3.6 h) than with the Rasmussen technique (mean, 6.3 h) and 25% shorter than with the transcortical perisylvian technique (mean, 4.9 h). The proportion of patients requiring blood replacements was lower (15 versus 58%), as was the mean amount of transfused blood. The mean follow-up period was 46 months; 88% of patients were in Engel Outcome Class I, 6% in Class III, and 6% in Class IV. CONCLUSION: The transsylvian keyhole procedure has been demonstrated to further reduce operation time and the need for blood replacement. It is most easily performed in cases with enlarged ventricles or perinatal ischemic cysts and is not recommended for hemimegalencephaly. The immediate seizure relief was satisfying. This minimal-exposure approach seems to be a satisfying alternative among possible functional hemispherectomy procedures.


Assuntos
Tonsila do Cerebelo/cirurgia , Aqueduto do Mesencéfalo/cirurgia , Córtex Cerebral/cirurgia , Corpo Caloso/cirurgia , Dominância Cerebral/fisiologia , Epilepsia/cirurgia , Hipocampo/cirurgia , Adolescente , Adulto , Perda Sanguínea Cirúrgica/prevenção & controle , Encefalopatias/cirurgia , Criança , Pré-Escolar , Epilepsia/etiologia , Feminino , Seguimentos , Humanos , Lactente , Masculino , Procedimentos Cirúrgicos Minimamente Invasivos , Complicações Pós-Operatórias/etiologia , Resultado do Tratamento
14.
J Clin Neurophysiol ; 18(5): 408-14, 2001 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11709645

RESUMO

During the last decade, intermittent electrical stimulation of the left cervical vagus nerve was established as a new add-on treatment of drug-resistant seizures. Particularly in Europe, the acceptance of vagus nerve stimulation (VNS) was tentative in the beginning because of unknown mechanisms of action. We report the outcome in a sample of 95 adult patients with drug-resistant seizures who have received implants since 1998. The last available follow-up data are included. Unavoidable medication changes (e.g., intoxication) were accepted to examine VNS under usual clinical conditions. Median percentage of reduction in seizure frequency as compared to baseline was 30%. The seizure responder rate (> or =50% reduction) was 45%. Four patients experienced total release from seizures. Adverse effects were mild in general. Seizure outcome was positively correlated with VNS duration. No potential clinical factor (e.g., syndrome, cause, or lesion) could be identified as an indicator of favorable outcome. Patients with on stimulation-on periods of 30 seconds (standard cycle) had a better outcome than patients with stimulation-on periods of 7 seconds (rapid cycle). During an embedded, randomized, controlled trial, no evidence was found for a differential outcome of initial standard cycle versus initial rapid cycle stimulation conditions. Taking into account the good cost-benefit ratio as well as positive effects on well-being, VNS has to be considered an appropriate strategy for the add-on treatment of drug-resistant seizures, particularly in cases not suitable for epilepsy surgery.


Assuntos
Terapia por Estimulação Elétrica/instrumentação , Epilepsia/terapia , Nervo Vago/fisiologia , Adulto , Terapia por Estimulação Elétrica/efeitos adversos , Eletrodos Implantados , Feminino , Seguimentos , Humanos , Masculino , Resultado do Tratamento
15.
J Neurosurg ; 94(1): 33-42, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11147895

RESUMO

OBJECT: The goal of this paper was to describe the clinical and surgical aspects of a group of patients suffering from drug-resistant neocortical temporal lobe epilepsy (TLE), as well as seizure outcomes and factors affecting seizure outcomes in these patients. METHODS: This study was based on data prospectively collected and retrospectively evaluated. Sixty-two patients with neocortical TLE constituted the study population. Only patients who underwent corticectomies, lesionectomies, lateral anterior lobe resections, and/or multiple subpial transections were included. The pathological areas resected in these patients could be separated into three groups composed of 35 neoplastic lesions, 23 nonneoplastic lesions, and three nonlesional areas. The mean duration of follow-up review in these patients was 21.9+/-14 months. Outcomes were categorized according to Engel classes. Class I was found in 79% of the patients and Class II in 11%. Invasive presurgical evaluation was performed in 43% of the patients. There were only temporary complications (3.3% surgical and 1.6% neurological) and no deaths. In summary, lesions confirmed on histological examination were rarely found in patients with neocortical TLE. Low-grade tumors were the most commonly found lesions in these patients and the most common tumor was ganglioglioma. Outcome was best for those patients with neoplastic lesions and was independent of the duration of their seizures. Outcome was little influenced by the type of resection performed and was found to be as good as that achieved in patients with mesial TLE. CONCLUSIONS: These results demonstrate that the concept of lateral or neocortical TLE as a distinct entity is useful. Surgery for neocortical TLE can be considered a viable treatment option that is associated with a low morbidity rate and good outcomes.


Assuntos
Epilepsia do Lobo Temporal/cirurgia , Procedimentos Neurocirúrgicos , Adolescente , Adulto , Encefalopatias/complicações , Encefalopatias/cirurgia , Neoplasias Encefálicas/complicações , Neoplasias Encefálicas/cirurgia , Criança , Epilepsia do Lobo Temporal/etiologia , Ganglioglioma/complicações , Ganglioglioma/cirurgia , Humanos , Estudos Prospectivos , Estudos Retrospectivos , Lobo Temporal/cirurgia , Resultado do Tratamento
16.
Meteorit Planet Sci ; 33(4): 791-4, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11543077

RESUMO

One of the five lines of evidence used by McKay et al. (1996) for relic life in the Martian meteorite Allan Hills (ALH) 84001 was the presence of objects thought to be microfossils. These ovoid and elongated forms are similar to structures found in terrestrial rocks and described as "nanobacteria" (Folk, 1993; McBride et al., 1994). Using the same procedures and apparatus as McKay et al. (1996), we have found structures on internal fracture surfaces of lunar meteorites that cannot be distinguished from the objects described on similar surfaces in ALH 84001. The lunar surface is currently a sterile environment and probably always has been. However, the lunar and Martian meteorites share a common terrestrial history, which includes many thousands of years of exposure to Antarctic weathering. Although we do not know the origin of these ovoid and elongated forms, we suggest that their presence on lunar meteorites indicates that the objects described by McKay et al. (1996) are not of Martian biological origin.


Assuntos
Fósseis , Marte , Meteoroides , Lua , Exobiologia , Meio Ambiente Extraterreno , Microscopia Eletrônica de Varredura
17.
Z Naturforsch C J Biosci ; 55(9-10): 758-63, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-11098827

RESUMO

Phenyltins are chemicals widely used in industry, hence their occurrence in the human environment is frequent and widespread. Such compounds include hydrophobic phenyl rings bonded to positively charged tin. This molecular structure makes them capable of adsorbing onto and penetrating through biological membranes, hence they are potentially hazardous. Two such compounds, diphenyltin and triphenyltin, show different steric constraints when interacting with the lipid bilayer. It has been demonstrated that these compounds are positioned at different locations within model lipid bilayers, causing dissimilarity in their ability to affect membrane properties. In this paper we present a study regarding the ability of these two phenyltins to facilitate the transport of S2O4(-2) ions across the lipid bilayer, evaluated by a fluorescence quenching assay. In concentration range of up-to 60 microM those compounds do not affect lipid bilayer topology, when evaluated by vesicle size distribution. Both phenyltins facilitate the transfer of S2O4(-2) across the model lipid bilayer, but the dependence of dithionite transport on phenyltin concentration is different for both. In principle, above 20 microM triphenyltin is more efficient in transferring ions across the lipid bilayer than diphenyltin.


Assuntos
Bicamadas Lipídicas/química , Compostos Orgânicos de Estanho/química , Fosfatidilcolinas/química , Corantes Fluorescentes , Cinética , Fosfatidiletanolaminas/química , Espectrometria de Fluorescência
18.
Z Naturforsch C J Biosci ; 56(5-6): 395-401, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11421455

RESUMO

The objective of the present work was to compare the effects of groups of tin and lead organometallic compounds and their mixtures with amphiphilic quaternary ammonium salts (QAS) on the process of calcium ion desorption from lecithin liposome membranes, as dependent on the properties of the hydrophilic and hydrophobic parts of QAS. In the investigations the method of radioactive labels was applied. Synergism and antagonism in the action of both groups of compounds were found. The effectiveness of the cooperation depended more on chain length of QAS compounds than on the size and polarity of their hydrophobic parts. The most effective of all compounds studied was a the mixture of benzyldimethylammonium chloride in a mixture with tripropyltin. Since the rate of calcium desorption proved to be a good measure of efficacy of biologically active surfactants, it seems that the conclusions reached in this paper may be useful for choosing compounds which are able to decontaminate the environment polluted with heavy metals.


Assuntos
Cálcio/química , Lipossomos/química , Compostos Organometálicos/química , Fosfatidilcolinas/química , Compostos de Amônio Quaternário/química , Adsorção , Estrutura Molecular , Relação Estrutura-Atividade
19.
Z Naturforsch C J Biosci ; 56(5-6): 407-12, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11421457

RESUMO

The micellization as well as the interaction with model membranes of dodecyltrimethylammonium halides (DTAX) and N-dodecyl-N,N-dimethyl-N-benzylammonium halides (DBeAX) were studied at 298K and 313K by means of titration calorimetry. The calorimetric curves reflect both the counterion and benzyl group effects on the interaction of the surfactants studied with the lipid bilayer. Bromide as counterion enhanced the interactions more than chloride of both DTAX and DBeAX compounds with model membranes. Further, we studied the influence of DTAX and DBeAX on calcium ion desorption from the liposome membrane using a radioactive tracer method. DBeAX proved more efficient in desorption of calcium than DTAX. Iodides of these compounds enhanced this process more than bromides and chlorides.


Assuntos
Compostos de Benzalcônio/química , Lipossomos/química , Fosfatidilcolinas/química , Compostos de Amônio Quaternário/química , 1,2-Dipalmitoilfosfatidilcolina/química , Adsorção , Cálcio/química , Calorimetria , Micelas , Sais/química , Termodinâmica
20.
Z Naturforsch C J Biosci ; 53(5-6): 389-97, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9679330

RESUMO

The effect of a group of model lysosomotropic compounds on the process of Ca2+ ion desorption from lecithin liposome membranes was studied. The compounds studied were: hydrochlorides of fatty acids 2-dimethylaminoethyl esters (DM-n) for n = 9, 11, 13 and 15 carbon atoms in the fatty acid alkyl chain and methochloride of 2-dimethylaminoethyl laurate (DMS-11). It was found that all the compounds studied caused increased desorption with increasing concentration of the compound. Most effective was the quaternary ammonium salt, DMS-11. Moreover, it was found that the process of Ca2+ desorption from the membrane depended on pH of the medium. Compound DM-11 was more active at pH 8 than at pH 5. The action of DM-n compounds depended on the alkyl chain length, DM-11 and DM-13 being the most active. Apparently free amines penetrate the phospholipid membranes and incorporate into its hydrophobic core causing structural deformations. Hydrochlorides of fatty acids and the quaternary ammonium salt induce desorption of calcium ions mostly as a result of competitive electrostatic interactions. By quantum chemistry, PM3 method, and methods of molecular modelling we established the higher hydrophilicity of the polar head of DM-n series with respect to the polar head of the DMS-n compounds. DM-n compounds possess both acceptor and donor properties for hydrogen bonding while DMS-n are instrumental as acceptors only. It should be noted, that the results obtained in this paper for model membranes are in accordance with those for biological ones.


Assuntos
Cálcio/química , Ácidos Graxos/química , Lipossomos/química , Lisossomos/metabolismo , Fosfatidilcolinas/química , Cinética , Modelos Biológicos , Modelos Moleculares , Conformação Molecular
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