Search PubMed⌕ Search

Biomedical subjects

C Michel

Publications and source records attributed to C Michel.

At least 235 records · Page 13Linked to original sources

Enhanced fluid uptake in frog mesenteric capillaries associated with plasmin perfusion.

1. We have measured the permeability of single capillaries of the mesenteries of decerebrated frogs, before and during perfusion with solutions containing the fibrinolytic enzyme, plasmin. 2. The hydraulic permeability (Lp) and the effective oncotic pressure exerted across the vessel walls (sigma delta pi) were measured using the method of Michel (1980). The vessels were sequentially perfused with a control frog Ringer solution containing either Ficoll 70 or bovine serum albumin (BSA) at concentrations of 40 mg ml-1 or a mixture of Ficoll 70 (40 mg ml-1) and BSA (10 mg ml-1), and then with a second Ringer perfusate containing plasmin (1 mg ml-1) but in all other respects identical to the control solution. 3. In sixteen out of seventeen experiments, perfusion with plasmin increased sigma delta pi. In eleven of these experiments the increase was very large such that sigma delta pi exceeded the in vitro value for perfusate oncotic pressure. 4. In the same seventeen vessels plasmin perfusion was associated with a fall in Lp from a mean value of 10.3 x 10(-7) cm s-1 cmH2O-1 to one of 7.7 x 10(-7) cm s-1 cmH2O-1. The fall in Lp was not significant. 5. In five of the seventeen vessels, a second control perfusion was made after exposure to plasmin. There was no evidence that Lp had increased above or sigma delta pi had fallen below the initial control value. 6. In a further six experiments, the effects of plasmin were investigated in the absence of other perfusate macromolecules. No significant changes in Lp or sigma delta pi were observed. 7. In a further eight vessels, the effects of plasmin on fluid filtration were investigated with the tissues cold and then at room temperature. In all eight vessels plasmin reduced filtration or increased fluid reabsorption to a greater extent when the tissue temperature was 17 degrees C than when it was 4 degrees C. 8. The large increases in sigma delta pi which we have observed during perfusion of single vessels with plasmin-containing solutions are consistent with the development of substantial local osmotic gradients at the capillary wall following the enzyme's action upon substrates at the endothelial cell surface, one of which could be fibrin. Alternatively, plasmin might stimulate endothelial cells to liberate molecules which locally amplify the oncotic pressure exerted by the perfusate macromolecules. These effects are more marked at room temperature than at 4 degrees C.

Animals↗

[Spontaneous and instrumental perforations of the thoracic esophagus (non-neoplastic, non-caustic). Apropos of 20 cases].

The authors present twenty cases of spontaneous or instrumental perforation of the thoracic esophagus (neoplastic and caustic perforations excluded). The delay before treatment was less than 24 hours in only one case. Mortality rate was 15%, concerning three patients (three cases of Boerhaave's syndrome) treated by T tube drainage. The contribution of exclusion using stapling technique should increase the indications of direct suture, which remains elective treatment. Esophagectomy retains its indications for perforations with pathologic esophagus or late diagnosis.

Adult↗

Design and testing of the Baxter Integrated Disconnect Systems (IDS).

This paper describes the result of a miltidisciplinary approach to the design and evaluation of a new CAPD disconnect system: the Baxter Integrated Disconnect System (IDS). This system consists of a bag full of fresh Dianeal, an empty bag for the drainage of spent dialysate and tubings connecting the 2 in a Y fashion. With this system, the patient makes only one connection. The system is disposable. The major property that makes this unique is that all components are preassembled, and the whole system is steam-sterilized as 1 unit. In general, similar systems use different sterilization methods for the various components of the system. Those components are then assembled, under clean conditions by the manufacturer, without final sterilization of the unit. Assembly of the components is sometimes left to the patient. The concept of IDS, therefore, is unique and warrants lower rates of contamination. This system has been tested on patients for a total observation period of 765 patient months, and has proven to be simple, safe and effective. It yields a 63% probability of peritonitis-free patients at 24 months.

Dialysis Solutions↗

Opsonizing activity of anti-Aeromonas salmonicida antibodies after inactivation of complement in rainbow trout.

Young rainbow trout (Oncorhynchus mykiss) were immunized with killed Aeromonas salmonicida, bled 5 wk later, and tested for the presence of serum agglutinins. The positive antisera were pooled and fractionated in a Ultrogel AcA 34 column. Seven fractions were collected and concentrated. The higher agglutinin titres were found in the 2nd fraction, which also contained IgM revealed by immunoelectrophoresis. The 7 fractions were heated for 30 min at 45 degrees C to inactivate the complement system, and used to opsonize non-virulent cells of A salmonicida, which were subsequently put in contact with trout adherent cell cultures. Controls were carried out with non-heated immune and heated or non-heated normal sera. Non-opsonized bacteria and bacteria opsonized with heated normal trout serum or with fractions 4-7 were not phagocytized. Non-heated sera allowed observation of approximately 33% of phagocytic cells. A noticeable opsonizing activity (approximately 28% of phagocytic cells) was observed only in fraction 2, which contained the highest titres of specific antibodies. It appears that in the absence of complement opsonizing properties clearly persist in the fraction which contains specific antibodies.

Aeromonas↗

Glucose utilization in human visual cortex is abnormally elevated in blindness of early onset but decreased in blindness of late onset.

Glucose utilization has been studied in the visual cortex of blind human subjects, by comparison with normal volunteers, using positron emission tomography. In 6 subjects who became blind early in life ('early blindness'), metabolism in visual cortex was elevated, comparable to that of normal subjects studied with the eyes open. By contrast, glucose utilization in visual areas of 6 human subjects who became blind after completion of visual development ('late blindness') was decreased, slightly lower than in normal volunteers studied with the eyes closed. This unexpected difference between early and late blind subjects might reflect the persistence, in early blindness, of supranumerary synapses which would escape the normal developmental decrease in synaptic density during infancy.

Adult↗

Brain glucose metabolism in postanoxic syndrome. Positron emission tomographic study.

Thirteen positron emission tomographic studies of cerebral glucose utilization were carried out in 12 patients with postanoxic syndrome due to cardiac arrest. Seven subjects were in a persistent vegetative state. The 5 other subjects were normally conscious, but disclosed focal neurological signs. When compared with normal values, mean cerebral glucose metabolism was drastically decreased (+/- 50%) in vegetative subjects, and to a lesser degree (+/- 25%) in conscious patients. The most consistent regional alterations were found in the parieto-occipital cortex (9 cases), the frontier between vertebral and carotid arterial territories, followed by the frontomesial junction (5 cases), the striatum (3 cases with dystonia), thalamus (2 cases), and visual cortex (2 cases with cortical blindness). These data suggest that brain anoxia can result in global brain hypometabolism, which appears related to the vigilance state, as well as in regional alterations preferentially located in arterial border zones.

Adult↗

Measurement of cerebral blood flow with a bolus of oxygen-15-labelled water: comparison of dynamic and integral methods.

A method is presented for the measurement of cerebral blood flow (CBF) with a bolus of water labelled with oxygen 15. The method, which has been evaluated in normal volunteers, is based on Kety's model, with two additional parameters to account for the difference in the time of tracer arrival in the radial and carotid arteries ("delay") and for dispersion of the tracer in the body and/or blood counting systems. It combines the advantages of: (i) dynamic data collection for estimation of delay and dispersion; (ii) robustness and linearity of CBF estimates with an integral method; and (iii) simplicity of continuous external monitoring of arterial blood radioactivity, particularly with repeated measurements. An optimized protocol is proposed for routine applications in neurological and neurophysiological studies.

Adult↗

Calcium in lipid peroxidation: does calcium interact with superoxide?

Using a pulse radiolysis approach to generate and observe superoxide anions (O2-.) in the absence and presence of calcium, we have attempted to verify the recent hypothesis of Babizhayev (Arch. Biochem. Biophys. 266, 446-451, 1988) of a Ca2(+)-O2-. interaction during lipid peroxidation. We could not observe rapid scavenging of O2-. or complex formation with Ca2+ to account for an inhibitory effect of this cation on lipid peroxidation. Neither could we agree that the stimulatory effect is due to liberation of catalytic ferrous iron from weak complexes by Ca2+. Drawing on reports in the literature, we propose an alternate explanation for the apparent stimulation of lipid peroxidation by low Ca2+ concentrations. In our view, this is not a direct effect, but reflects independently initiated processes of lipid peroxidation and Ca2+ translocation, which interact subsequently in a synergistic manner. The reported inhibition at high Ca2+ concentrations is considered an artifact as it was observed at levels far in excess of those relevant to animal systems (but not necessarily in some plant compartments).

Acetates↗

Cellular localization of an embryonic interferon, ovine trophoblastin and its mRNA in sheep embryos during early pregnancy.

The ovine embryo produces an interferon named ovine Trophoblastin (oTP) which is involved in the maternal recognition of pregnancy and ensures the maintenance of progesterone secretion by the corpus luteum. We have used indirect immunohistofluorescence and in situ hybridization on histological sections to investigate the fate of this protein and its mRNA in ovine embryos from days 3 to 25 of pregnancy. The level of expression was measured by image analysis of the autoradiographs after in situ hybridization. Both techniques clearly demonstrated that oTP and its mRNA were specifically localized in the extra-embryonic trophoblast. Neither the embryonic cells, nor the yolk sac or the amniotic tissues produced the protein or its mRNA. The protein could be detected by d 11 of pregnancy in the elongated blastocyst. Maximum of expression is observed at d 14 and the level decreased by d 16 of pregnancy. The arrest of expression occurred in the regions of trophoblast which have established cellular contacts with the uterine epithelium during the implantation process.

Animals↗

Atrial natriuretic factor and changes in dietary sodium intake in patients with chronic renal failure.

1. In order to examine the potential role of atrial natriuretic factor in modulating the increased sodium excretion per nephron in chronic renal failure, we studied 12 uraemic patients on the last day of two successive 7 day periods during which their sodium intake was 100 and 20 mmol of sodium/day, respectively. 2. There was a parallel decrease from 6.31 +/- 0.75 to 2.17 +/- 0.32% in the fractional excretion of filtered sodium and from 234.4 +/- 74.9 to 80.6 +/- 20.3 pg/ml (supine position) or 140.1 +/- 43.6 to 60.7 +/- 14.6 pg/ml (upright position) in plasma atrial natriuretic factor. Both parameters were significantly correlated during the two periods of different sodium intake (P less than 0.05). The ratio of plasma guanosine 3':5'-cyclic monophosphate to plasma creatinine changed proportionally to plasma atrial natriuretic factor. Plasma aldosterone and plasma renin activity increased during the sodium-depleted period but only plasma renin activity was significantly correlated with fractional excretion of filtered sodium. 3. The predominant role of atrial natriuretic factor compared with that of aldosterone in the renal response to varying sodium intake is suggested both by regression analysis and by the effect of 5 day's treatment with a converting enzyme inhibitor (enalapril) in six other uraemic patients on a normal (100 mmol/day) sodium intake. Such treatment, although resulting in a significant increase in plasma renin activity and a significant decrease in plasma aldosterone, at least in the supine position, did not modify the fractional excretion of sodium and plasma atrial natriuretic factor.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Neuronal ceroid-lipofuscinosis: preferential metabolic alterations in thalamus and posterior association cortex demonstrated by PET.

Regional brain glucose utilisation was investigated with positron emission tomography (PET) and fluorodeoxyglucose (FDG) in four siblings with neuronal ceroid-lipofuscinosis. A consistent pattern was found, namely a decrease of glucose utilisation in all grey structures but more marked at the level of the thalamus and posterior association cortex. The severity of metabolic anomalies was correlated with the degree of clinical impairment and with disease duration; they were the most severe in the oldest patient, who was also the most affected clinically, intermediate in two others, and minimal in the subject with the shortest period of development of the disease. These observations suggest that PET is useful for the definition of anatomical targets of metabolic diseases and for the investigation of their pathophysiology.

Age Factors↗

Reaction of NO with O2-. implications for the action of endothelium-derived relaxing factor (EDRF).

Under physiological pH conditions (pH 7.2-7.4) the rate constant of the reaction NO + O2- yielding peroxonitrite (ONOO-) was determined as k = (3.7 +/- 1.1) x 10(7) M-1 s-1. The decay of peroxonitrite at this pH follows first order kinetics with a rate constant of 1.4 s 1. At alkaline pH peroxonitrite is practically stable. Possible consequences of these reactions for the biological lifetime of EDRF will be discussed.

Hydrogen-Ion Concentration↗