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Biomedical subjects

C Lupo

Publications and source records attributed to C Lupo.

At least 19 recordsLinked to original sources

Influence of training on the response of androgen plasma concentrations to exercise in swimmers.

In eight top-level male endurance swimmers the aerobic performance and the response to exercise of total testosterone (T), free testosterone (fT), sex hormone binding globulin (SHBG), non-SHBG-bound testosterone (NST) and cortisol (C) were evaluated during a training season. The swimmers participated in three test sessions which occurred 6, 12 and 24 weeks after the beginning of the season. During each session, after a standard warm-up, the swimmers performed a set of 15 x 200-m freestyle, with a 20-s rest between repititions, at a predetermined individual speed. Three blood samples were collected: before warm-up, at the end of the set, and after 1 h of recovery. A few days before each session, the individual swimming velocity associated with a 4 mmol.l-1 blood lactate concentration (v4) was assessed as a standard of aerobic performance. The values of v4 were lower in the second session than in the third one. The concentrations of C. which increased after the exercise, showed the highest values in the second session. The values of T and the T:SHBG ratio increased after the exercise but returned to their initial concentrations during the recovery period. The values of fT and NST increased after the exercise in the first and third sessions. In the initial two sessions, when the aerobic performance was still low, the concentrations of NST decreased to below the initial values after recovery. In session III, when the adaptation to the training workload was complete, NST returned to resting concentrations after recovery.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent

Responses of atrial natriuretic peptide and other fluid regulating hormones to long distance swimming in the sea.

The plasma hormonal response following a swimming competition in the sea (18 km) was evaluated in 12 top level male endurance swimmers. At the end of the effort, while plasma renin activity (PRA) and aldosterone concentration (ALDO) were unchanged, a significant increase in plasma atrial natriuretic peptide (ANP) and antidiuretic hormone (ADH) concentrations were recorded. These changes were associated with a decrease in haematocrit and an increase in Na+ and Cl- plasma concentrations. The individual variations of ANP (difference between the final and initial concentrations) were inversely correlated with the corresponding individual variations of PRA and ADH. The results suggest that, during prolonged swimming, ANP may exert an inhibitory effect on the PRA-ALDO axis and have a modulatory role with regard to ADH secretion.

Adolescent

Decrease of hippocampal choline acetyltransferase activity induced by formalin pain.

The involvement of the hippocampal choline acetyltransferase (ChAT) activity in the response to tonic pain was investigated in rats injected with formalin, either 50 microliters 10% or 50 microliters 0.1%. Hippocampal ChAT activity was found to be reduced both 30 and 60 min after injection of the higher concentration of formalin but only 30 min after the lower one. Results indicate that the decrease in ChAT activity depends upon the presence of the nociceptive input rather than its magnitude. The hippocampal formation is involved in the specific behavioural response to pain, namely licking.

Analysis of Variance

Immune and neuroendocrine response to restraint in male and female rats.

A parallel study of the modification in the opioid and immunological systems induced by acute restraint (RT) was carried out in male and female rats 24 hr after the treatment. beta-Endorphin-like immunoreactivity (beta-ELI) was measured in two brain areas (ventral hypothalamus [HYP] and periaqueductal gray matter [PAG]) and in the pituitary (anterior and neurointermediate lobes), together with plasma corticosterone (C) and ACTH. Immune function was measured as mitogen-induced Interferon-gamma (IFN-gamma) production by splenocytes. RT reduced beta-ELI levels in the PAG in males and females. Plasma levels of C and ACTH did not differ from the basal levels in restrained animals. RT reduced IFN-gamma production in both sexes, but this effect was more marked in females than in males. The possible relationship between the immune and opioid system is discussed.

Adrenocorticotropic Hormone

Effects of formalin-induced pain on exploratory behaviour in rabbits.

We have used formalin to assess the long-term behavioural and hormonal effects of persistent pain in rabbits. Behaviour has been recorded over 10 min sessions both before and after 10 min, 4 and 24 hours after injection of formalin. A low dose of formalin (0.1 ml at 5%) elicited licking of the injected paw which lasted only a few minutes. Exploratory behaviour was greater than in the control (sham-injected) animals in all post-injection sessions. Following a larger dose of formalin (0.5 ml at 8%) licking occurred in all post-injection sessions, while exploration was lower than the controls only immediately after injection. Twenty-four hours after the formalin injection, testosterone levels were unaffected. Corticosterone levels increased over the course of the experiment but this increase was equal for the experimental and the control groups. Results suggest that different pain intensities and durations have opposite effects on exploratory behaviour in rabbits.

Animals

Changes in the exercise-induced hormone response to branched chain amino acid administration.

It was the aim of the present experiment to detect possible effects of branched-chain amino acids (BCAA) on the endocrine response to 1 h of continuous running. Blood samples were collected from 14 long-distance runners (age 24-42 years) in two different trials performed at 1-week intervals. In both trials (E and P) blood samples were collected at the following times: 9 a.m. (basal values sample), 10.30 a.m. (sample 90), 11.30 a.m. (sample 150), 12.30 p.m. (sample 210); the athletes performed 1 h of running at a constant predetermined speed between samples 90 and 150. Following the basal sample a mixture containing BCAA (E trial), or not containing BCAA (P trial) was ingested. In both trials no hormone basal concentrations, except insulin, were changed before exercise. In P trial, following exercise (sample 150), human growth hormone (HGH), prolactin (PRL), adrenocorticotropic hormone (ACTH) and cortisol (C) increased, while testosterone (T) decreased. In sample 210, after 1 h of rest, while ACTH, PRL and HGH had recovered to basal concentrations, C remained elevated and T displayed a further decrease. In the E trial a similar pattern of change was observed in sample 150 for HGH, PRL, ACTH and C; in sample 210 HGH and PRL displayed significantly lower values than in the corresponding P trial samples. The T was not modified by the running exercise and increased during the recovery period. It is, therefore, suggested that BCAA administration before exercise affects the response of some anabolic hormones, mainly HGH and T.

Adrenocorticotropic Hormone

[Perforation of the esophagus during attempted endotracheal intubation].

A case is reported of oesophageal perforation which occurred during an attempt to carry out endotracheal intubation. A 54-year-old female patient was scheduled for mastectomy. She had no clinical features likely to predict a difficult endotracheal intubation. After induction with thiopentone, phenoperidine and suxamethonium, three attempts were made to carry out tracheal intubation with a Mallinckrodt Lo-pro tube, internal diameter 7.5 mm. During the third attempt, the oesophagus was accidentally intubated. The diagnosis was made before any insufflation was carried out. Another anaesthetist took over, and intubated the patient. At that time, there was left-sided cervical emphysema which quickly spread. An oesophageal perforation was suspected, and the patient was given 500 mg of metronidazole and 1 g of cefotetan. Postoperatively, the antibiotics were continued, and the patient had nothing by mouth. Oesophagography showed a posterior fistula in the upper third. Conservative treatment was continued until the seventh day, when another oesophagography was carried out. This showed that the perforation had completely healed. This rather rare complication of endotracheal intubation may have a poor prognosis if it results in mediastinitis. The diagnosis and prognosis of this complication and its treatment, whether conservative or surgical, are discussed.

Esophageal Perforation

Time-course of opioid and pituitary-adrenal hormone modifications during the immobility reaction in rabbits.

A series of experiments in male rabbits examined the influence of tonic immobility (animal hypnosis) on the opioid and pituitary-adrenal hormones. The aims of the experiments were to follow the temporal modifications in hormone parameters and to discriminate the effects of immobility from those of the manipulative procedure to induce the reaction. Results show that immobility elicits increases in plasma ACTH and beta-EP, but no modifications in pituitary beta-EP. The effects of induction procedure were dissociable from those of immobility, the most marked effect being a prolonged, sustained increase of corticosterone plasma levels. Results support the hypothesis of the opioid involvement in the physiological control of immobility reaction and indicate different mechanisms underlying the immobility response and the procedure of induction.

Adrenocorticotropic Hormone

[Resection of the thoracic wall in oncology].

Based on our experience with 12 patients who underwent wide anterior chest wall resection in our institute, we attempt to define the indication of the different techniques for reconstruction by musculo-cutaneous flaps according to the extent of resection and location in the chest wall. The pectoralis major flaps are simple and important in the reconstruction of sternal defects; especially when dense retrosternal fibrosis has already developed after radiotherapy. The latissimus dorsi flaps are reliable and thick and suitable for coverage of major tissue loss. A new technique is also described for reconstruction of major anterolateral chest wall defects as well as sternal defects by a latissimus dorsi osteo-muscular flap. The external oblique musculo-cutaneous flaps are used to cover defects in the lateral chest wall below the 5th rib. Pedicled omental flaps are complementary flaps and can be used when muscle flaps are insufficient to replace significant tissue loss. Respiratory problems arising from paradoxical chest wall movement are temporary and may be encountered in the immediate post-operative period. Because of the development of fibrosis and of a better adaptation of the patient, this condition is well tolerated during the month following operation.

Adult

Hormonal changes after supine posture, immersion, and swimming.

This study was undertaken to evaluate the effects of the supine posture, immersion, and swimming on hormones involved in the regulation of hydrosaline equilibrium. Plasma levels of atrial natriuretic peptide (ANP), arginine vasopressin (AVP), plasma renin activity (PRA), and aldosterone (ALDO) were measured by radioimmunoassay in eight untrained young subjects (five males and three females). Blood samples were collected on different days: control morning samples in a relaxed standing posture before each test; after 20 min in a supine position; after 20 min of horizontal immersion in water at 28 degrees C; after 20 min of backstroke swimming (speed about 1 m/s). No changes occurred in AVP levels after each test. ALDO and PRA increased significantly only after swimming and were directly correlated. ANP increased significantly after immersion, but no further increase was observed after swimming. The hematocrit, which increased after swimming, was inversely correlated with ANP levels in the post-exercise samples. These data show that while ALDO and PRA increase only in response to swimming, even at moderate intensity, ANP probably requires more prolonged and intense exercise to reach a significantly higher level than in immersion.

Adult

Testosterone metabolism in the olfactory epithelium of intact and castrated male rats.

To study the ability of the olfactory epithelium (OE) to transform testosterone (T) into its active metabolites estradiol (E2) and dihydrotestosterone (DHT), and the influence of castration on this ability, 24 adult male rats were either castrated, and subsequently treated with oil or T, or sham operated. In all groups the in vitro conversion of T by the OE into E2 and DHT is relevant, demonstrating for the first time the presence of aromatase and of 5 alpha-reductase in this tissue. In particular conversion of T into E2 is lowered by castration and restored by T replacement, suggesting that aromatization in this tissue is androgen dependent. The ability of circulating T to influence morphological and physiological features of the OE suggests the hypothesis that androgens may vary the functioning of the olfactory apparatus and modulate the efficiency by which olfactory information is conveyed to the brain.

Animals

Interaction of tonic immobility and dexamethasone in the modulation of hippocampal 5-HT activity in rabbits.

The immobility reaction (animal hypnosis) in the rabbit is related to basal levels of corticosterone and to modifications in 5-HT activity in the brain. In order to investigate the relationship between adrenocortical function, brain 5-HT activity and immobility response in rabbits, the susceptibility to the reaction and 5-HT and 5-HIAA levels in the hippocampus were studied in animals whose pituitary-adrenal function was altered by chronic DEX treatment. It was still possible to induce immobility in animals treated with DEX. The reduction in duration observed under the present testing schedule (two sessions of immobility separated by a one week interval) did not occur in the treated animals. There was a reduction in 5-HT turnover as a consequence of the immobility response and this confirms previous findings in other brain areas of the same species. In animals pretreated with DEX, so as to drastically reduce ACTH and corticosterone, not only was a reduction in 5-HT turnover prevented, but there was also an increase in 5-HT and 5-HIAA levels when immobility was induced. These results are discussed in terms of the influence of the pituitary-adrenal system in the neuroendocrine and behavioural aspects of the immobility reaction.

Adrenocorticotropic Hormone

Hormonal and metabolic effects following a football match.

Hormonal and metabolic parameters were studied for two teams after a football match. Blood samples were collected before the start, at half-time, at the end, and 45 and 90 min after the end of the game. In the first team, ACTH, cortisol, and lactate levels increased significantly during the whole match to resume basal levels in the fourth sample (45 min after the end of play). HGH, prolactin, and blood glucose were found to be increased only at half-time. The second team had an intense and long warm-up period before the match and the lactate concentrations were already elevated in the first sample. All the other parameters, except ACTH and glucose, displayed a pattern similar to that of the first team. The differences in the time courses of the hormonal and metabolic values are discussed.

Adrenocorticotropic Hormone

Androgen levels following a football match.

In 18 trained football players, blood samples were collected before a football match, at half-time, at the end, and 45 and 90 min after the end of the match. The testosterone (T) level showed a decrease in the rest period. Dihydrotestosterone (DHT) increased during the match, but returned to initial levels in the last samples. The T/DHT ratio decreased, reached the minimal value at the end of the exercise, and returned to basal levels in the rest period. Cortisol and androstenedione levels increased during the match, but returned to control levels 45 and 90 min after the end of the match, respectively. It is suggested that during this type of exercise anabolic and catabolic hormones may be simultaneously activated.

Adult

Changes in brain serotonin and 5-hydroxyindolacetic acid levels in the rabbit following tonic immobility.

The effect of tonic immobility on serotonin (5-hydroxytryptamine, 5-HT) and on 5- hydroxyindolacetic acid (5-HIAA) levels in different brain areas has been investigated, following two different schedules of treatment. The massed treatment consisted of a series of consecutive trials up to 15 min, the spaced treatment in 4 series of trials within 24 hours. Massed treatment produced a decrease in 5-HT in the mesencephalon and of 5-HIAA in the pons-medullary area, but similar changes were also elicited in animals treated with the procedure of induction not followed by immobility. The spaced treatment, which resulted in a potentiation of the immobility duration, i.e., sensitization, produced a reduction of 5-HT levels in the mesencephalon and of 5-HT turnover in the striatum. The procedure of the induction per se acts preferentially on 5-HIAA by increasing its levels. In the striatum, which appears selectively responsive to the spaced treatment of immobility, a negative correlation has been found between serotonin levels and immobility duration. Results suggest that elicitation of tonic immobility is associated with reduced levels of 5-HT in the brain.

Animals

The effect of medial preoptic-anterior hypothalamic lesions on testosterone plasma levels and testosterone conversion in the hypothalamus of male rats.

Male Wistar rats were submitted to bilateral high frequency lesions in the medial preoptic-anterior hypothalamic area or to sham procedure. The behavioral effect of the lesions was observed and plasma testosterone (T) and estradiol (E2) were measured by radioimmunoassay. In vitro metabolism of T was studied in the hypothalamus. Lesions produced a permanent deficit in male sexual behavior, an increase of plasma T and E2, and of hypothalamic T aromatization, and a decrease of T conversion to 5 alpha-dihydrotestosterone (DHT).

Animals

Effect of castration on hypothalamic testosterone metabolism in the male rat.

In vitro studies were performed of hypothalamic testosterone (T) metabolism 30 days after castration of adult male rats. No changes were seen in T conversion into dihydrotesterone and estrogens in the castrated rats. Plasma T levels were decreased while plasma estradiol concentrations did not differ from those of intact controls. It was suggested that the hypothalamic T metabolism probably is not androgen dependent.

Animals

Odour of male and female rats changes hypothalamic aromatase and 5 alpha-reductase activity and plasma sex steroid levels in unisexually reared male rats.

Male rats between 25--65 days of age were reared under four different social conditions: (1) In cohabitation with only males; (2) as in (1), but exposed to bedding from a cage containing other males; (3) as in (1), but exposed to bedding of females; (4) in cohabitation with both males and females. At 65 days of age the animals were killed and analyzed for plasma levels of testosterone and estradiol and in vitro studies were undertaken of hypothalamic testosterone metabolism. Males reared in absence of females showed lowered testosterone and estradiol plasma concentrations and increased hypothalamic aromatase and 5 alpha-reductase activity compared to heterosexually reared males. The effects of cohabitation with males only were counteracted by exposure to bedding of other males or of females suggesting an importance of odoriferous stimuli associated with sexually mature males and females during the sexual maturation of the male rat.

3-Oxo-5-alpha-Steroid 4-Dehydrogenase