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Biomedical subjects

D A Powell

Publications and source records attributed to D A Powell.

At least 73 records · Page 4Linked to original sources

Amygdaloid central nucleus neuronal activity accompanying pavlovian cardiac conditioning: effects of naloxone.

Rabbits were treated intravenously with either naloxone-HCl (0.5 mg/kg) or saline vehicle prior to aversive pavlovian conditioning and extinction training; heart rate conditioned responses and concomitant multiple-unit activity in the amygdaloid central nucleus were compared. Multiple-unit activity evoked by the conditioned stimulus increased during conditioning and decreased during extinction in saline-treated rabbits; naloxone treatment attenuated evoked neuronal activity but enhanced bradycardiac conditioned responses. Correlational analysis showed that, in 3 of 8 animals in the saline-treated group, larger increases in multiple-unit activity corresponded to smaller bradycardiac responses. Naloxone treatment did not alter the frequency or magnitude of this relationship, but it did augment the training-induced decrements in evoked neuronal activity at placements that were correlated with bradycardiac response magnitude. These data suggest that conditioned decreases in central nucleus neuronal activity normally may serve to disinhibit vagal mechanisms as conditioned bradycardia develops and that the neural circuits that produce these responses are sensitive to opioid modulation.

Amygdala↗

Neuronal activity in the mediodorsal and intralaminar nuclei of the dorsal thalamus during classical heart rate conditioning.

Multiple unit activity (MUA) was recorded from chronically implanted electrodes in either the mediodorsal (MD) or the intralaminar (IL) nuclei of the dorsal thalamus in separate groups of rabbits during (a) habituation of the cardiac orienting reflex, (b) Pavlovian heart rate (HR) conditioning, and (c) extinction of the HR conditioned response (CR). Other animals with similar recording electrodes received explicitly unpaired presentations of the conditioned stimulus (CS) and unconditioned stimulus (US). The cardiac orienting reflex and the HR CR consisted of bradycardia. However, tone-evoked tachycardia was obtained in animals that received CS/US unpaired presentations. MUA evoked by the CS consisted of a short latency (20-40 ms) increase under all conditions, which reached its maximum 200-300 ms after CS onset. This response habituated greatly during tone-alone pretraining, but was considerably greater in the paired than unpaired group during the later trials of conditioning in animals with MD, but not IL, placements. Instead, a longer latency increase (greater than 500 ms) in MUA occurred in the paired but not in the unpaired animals in the IL group. The MUA increases in both instances, including the early, short latency increase in the MD group, and the longer latency increase in the IL group, were trial-related, and declined to pretraining levels during extinction, indicating that these neuronal changes had an associative basis. These findings suggest that neuronal activity in both MD and IL is related to the early events involved in Pavlovian conditioning, but that the relative roles of these two closely related thalamic nuclei in associative learning must be somewhat different.

Animals↗

Role of the prefrontal--thalamic axis in classical conditioning.

The major conclusion to be drawn from the above-described research on the role of the PFCag in classical conditioning is obviously that it plays a primary and perhaps necessary role in the establishment of visceral cues associated with exposure to classical conditioning contingencies. Specifically, these visceral changes appear to be of an inhibitory character. This is significant, since we have postulated that inhibitory cardiac changes invariably accompany initial processing of sensory stimuli for informational value. Such visceral changes are thus not epiphenomena associated with other simultaneously occurring physiological events. A variety of lesion experiments implicate the PFCm as a central structure in this process, since damage to this area greatly attenuates, and in the case of hypothalamic knife cuts, completely eliminates learned bradycardia. Neuroanatomical tract-tracing experiments revealed that the PFCm and lag have direct projections to the NTS and DVM in the dorsomedial medulla and the nucleus ambiguous in the ventral medulla, all of which provide medullary output control of visceral activities. The nucleus ambiguous and DVM have been specifically implicated in vagal control in the rabbit (Ellenberger et al., 1983). Electrical stimulation of the PFCm provides additional evidence that this area of the brain participates in parasympathetic activities, including cardiac inhibition, since stimulation of the entire MD projection cortex, including the PFCm, produces HR decelerations accompanied by depressor responses. However, since lesions of the Iag produced relatively little effect on conditioned bradycardia, this part of the PFCag does not appear to play a major role in the development of conditioned bradycardia. Electrophysiological recording studies, including both multiple unit as well as extracellular single unit studies reinforce these conclusions. A short latency (40-180 msec) CS-evoked increase in MUA was recorded from cells in both the dorsomedial as well as central PFCm. The magnitude of these CS-evoked neuronal changes (a) was correlated with the magnitude of concomitantly occurring conditioned bradycardia; (b) was trial-related; (c) was not obtained in a similar pseudoconditioning group; and (d) declined to pretraining levels during subsequent experimental extinction. Similar, but not identical, CS-evoked changes in neuronal activity were recorded from MD. Although tone-evoked increases in MUA were also obtained from the Iag, this activity did not show the characteristics of associative learning. Single unit analysis also suggests the importance of the PFCm in elicitation of conditioned bradycardia.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Photoresistive measurement of the Pavlovian conditioned eyelid response in human subjects.

An inexpensive technique is described for measuring eyelid closure during classical (Pavlovian) conditioning experiments. This technique employs a Coulbourn Instruments Co. densitometric device that focuses a beam of infrared light on the cornea. Reflection of the light is interrupted by the eyelids when they are closed, which is sensed by an infrared detector. The latter causes a voltage change to occur, which can then be measured in a variety of ways. Details of both the hardware required and software developed for this purpose are described.

Arousal↗

US-guided percutaneous laser ablation of liver tissue in a chronic pig model.

The authors evaluated the safety of ultrasound (US)-guided percutaneous ablation of liver tissue using a neodymium-yttrium-aluminum-garnet (Nd:YAG) laser fiber placed through a skinny needle. The US appearance of the lesion was correlated with the pathologic findings in 19 pigs killed at 1-7 weeks. A 20-gauge needle was percutaneously placed in the liver, and a fiber with a 0.5-cm cladding-stripped tip was inserted. The Nd:YAG laser was fired for 6 minutes at 1-4 W. The early sonographic appearance was recorded, and the US appearance before the pigs were killed was correlated with the gross and histopathologic findings. There were no cases of abdominal bleeding or infection. Mild transient changes in liver function were seen. An initial strong echogenic focus decreased slightly in echogenicity for 10 minutes and then stabilized. Over 1-7 weeks, the 1-cm-diameter lesion decreased in size and developed an echogenic rim that correlated with a peripheral zone of inflammatory repair around a small central cavity and zone of necrosis. US-guided laser ablation of liver tissue is safe in this pig model, and the US appearance corresponds to a process of repair and removal of necrotic liver tissue.

Animals↗

Renal vascular response to amino acids: effect of pancreatectomy.

We ascertained the importance of glucagon in modulating the renal hemodynamic response to amino acid (AA) infusion in anesthetized dogs. In controls (n = 6), AAs (L-serine, alanine, and proline; 0.051 mmol.kg-1.min-1 iv) elevated renal blood flow (RBF) and glomerular filtration rate (GFR) by 35 and 34%, respectively, while elevating arterial plasma glucagon-like immunoreactivity (AGLI) by 96 pmol/l. In control pancreatectomized (PX) dogs (n = 6), all parameters remained at control values over 2 h. In PX dogs, AAs (n = 6) failed to reproduce the renal hemodynamic and AGLI responses elicited by AAs in controls. In PX dogs infused with AAs, replacement of AGLI (n = 6) to an incremental plasma level of 111 pmol/l, a level no different than that produced by AAs in controls, elevated RBF and GFR by 25 and 26.5%, respectively. These hemodynamic responses were 71 and 78%, respectively, of the total responses elicited by AAs in controls. In PX dogs infused with glucagon alone (0.86 pmol.kg-1.min-1; n = 6), an incremental change in AGLI of 112 pmol/l was accompanied by only small increases in RBF and GFR (9%). These data suggest the importance of glucagon in modulating the renal hyperemia and hyperfiltration ascribed to AA infusion in anesthetized dogs.

Amino Acids↗

Cefadroxil kinetics and dynamics in a pediatric patient with acute osteomyelitis.

Cefadroxil has been used for the treatment of acute osteomyelitis. However, its pharmacokinetics and pharmacodynamics have not been studied in these patients. We evaluated the kinetics and dynamics of cefadroxil in a pediatric patient with osteomyelitis caused by Staphylococcus aureus. After initial clinical improvement on intravenous nafcillin, the patient received oral cefadroxil, 60 mg/kg every 12 h. Blood samples were collected at 0, 1, 2, 4, 6, 8 and 12 h; bactericidal titers were determined at 2 and 12 h. Cefadroxil was measured by an HPLC method. The peak and trough serum concentration of cefadroxil was 35.4 and 0.5 micrograms/ml, respectively. The oral clearance and elimination half-life were 11.5 ml/min/kg and 2.4 h, respectively. The peak bactericidal titer was 1:4 and the trough titer was less than 1:2 for the infecting organism. The child's finger appeared worse with an increase in swelling and erythema after 2 days of cefadroxil therapy. Cefadroxil was discontinued and the patient was treated successfully with intravenous nafcillin. The apparent failure of cefadroxil therapy can be explained by lower than recommended peak (greater than or equal to 1:8) and trough (greater than or equal to 1:2) titers for therapeutic success. Thus, an alternative dosage regimen of cefadroxil should be considered in the future studies.

Cefadroxil↗

Prefrontal projections to the medial nuclei of the dorsal thalamus in the rabbit.

Retrograde transport of horseradish peroxidase (HRP) from the mediodorsal (MD), ventromedial (VM), ventroposterior (VP) and intralaminar (IL) nuclei of the dorsal thalamus revealed a topographical pattern of efferents from the frontal cortex. MD injections labeled the midline and insular regions of the prefrontal cortex (Pfc), including the anterior limbic, and most ventral part of the precentral agranular Pfc, as well as the agranular insular cortex. VM injections labeled only the most dorsomedial part of the granular insular cortex, whereas IL and VP injections labeled the dorsal precentral agranular Pfc and a strip of cortex that extended laterally across the superior aspect of the forceps minor. The IL injections also labeled cells that extended ventrally into the granular and agranular insular areas.

Animals↗

Diseases that mimic herpes simplex encephalitis. Diagnosis, presentation, and outcome. NIAD Collaborative Antiviral Study Group.

A total of 432 patients underwent brain biopsy for presumptive herpes simplex encephalitis. Three patient groups were identified. The first group, 195 patients (45%), had herpes simplex encephalitis confirmed by the isolation of herpes simplex virus from brain tissue at biopsy (193 patients) or autopsy (2 patients). The second group, 95 patients (22%), had diseases that were identified but that were not caused by herpes simplex virus. Three subgroups were recognized: (1) 38 patients (9%) with treatable disease, (2) 40 patients (9%) with nontreatable but diagnosed viral infection, and (3) 17 patients (4%) with identified diseases neither of viral etiology nor treatable. The third group, 142 patients (33%), remained without a diagnosis. Clinical presentation of patients in the second group was similar to that of those with herpes simplex encephalitis and those without a diagnosis. Patients in the subgroup with nontreatable but diagnosed viral infections had the greatest likelihood of returning to normal.

Adolescent↗

Parasagittal thalamic knife-cuts and cardiac changes.

Rabbits received knife-cuts either medial or lateral to the mediodorsal nucleus of the thalamus (MD), and had stimulating electrodes implanted in MD. These animals were compared to animals with sham knife-cuts for (1) the cardiac component of the orienting reflex (OR) to novel tone stimuli; (2) differential pavlovian heart rate (HR) conditioning, utilizing tones of different frequencies as CSs and paraorbital shock as the US; and (3) heart rate, blood pressure, electromyographic activity, and respiration changes elicited by electrical stimulation in MD. Medial knife-cuts led to faster habituation of the OR, and to somewhat attenuated HR conditioning, but had no effect on stimulation-elicited changes. Lateral knife-cuts, on the other hand, enhanced the stimulation-elicited HR response, but had little effect on the HR OR. The HR CR was unaffected by lateral cuts during an initial conditioning session, but was attenuated in both knife-cut groups during a second session, compared to sham control animals.

Afferent Pathways↗

Conditioned bradycardia in the rabbit: effects of knife cuts and ibotenic acid lesions in the lateral hypothalamus.

New Zealand albino rabbits received either parasagittal or coronal knife cuts in the lateral hypothalamus (LH). Other animals received ibotenic acid lesions of LH. Pavlovian conditioning was studied in these animals and compared with that of sham operated, vehicle, or unoperated control animals. Tones served as conditioned stimuli (CSs) and periorbital electric shocks as unconditioned stimuli (USs). Coronal knife cuts that interrupted fibers passing through LH abolished the bradycardia elicited by these contingencies, as well as the cardiac component of the orienting reflex (OR), which also consisted of bradycardia. Parasagittal knife cuts medial to the temporal lobe but lateral to the major nuclei of the hypothalamus also completely abolished conditioned bradycardia, but had no effect on the OR, compared to sham and unoperated control animals. These lesions also had no effect on concomitantly occurring eyeblink conditioning. Ibotenic acid lesions of LH had no effect on conditioned bradycardia but diminished the magnitude of the cardiac OR. Control experiments suggest that the damage produced by these manipulations had no effect on either sensitivity to the CS or US and produced no general motoric difficulties. These data thus suggest that structures rostral to the hypothalamus, probably in the amygdala and/or agranular prefrontal cortex, mediate the bradycardia associated with classical conditioning contingencies, but that hypothalamic mechanisms may mediate the OR.

Animals↗

Neuronal correlates of classically conditioned bradycardia in the rabbit: studies of the medial prefrontal cortex.

Multiple-unit activity (MUA) in the agranular medial prefrontal cortex (PFC) was recorded in conscious rabbits during a classical conditioning procedure involving repeated pairings of a 4-s tone conditioned stimulus (CS) with eye shock. Prior to behavioral training, significant tone-evoked increases in prefrontal MUA were observed; the magnitude of this evoked cortical discharge declined with repeated presentations of the tone alone. However, the first few paired presentations of tone with eye shock served to rapidly reestablish the evoked activity, and subsequent pairings resulted in a significant enhancement of CS-evoked discharge, relative to pretraining response levels. These associative training-induced changes in prefrontal MUA appeared to parallel the development of bradycardiac conditioned responses (CRs), and, in fact, significant correlations between the neuronal and behavioral responses were observed. In contrast to these associative effects, non-associative training procedures involving either unpaired presentations of tone and eye shock or repeated presentations of the tone alone resulted in progressive attenuation of tone-evoked MUA, relative to pretraining levels. We had previously reported that bilateral destruction of the medial PFC seriously compromises the development of discriminative heart rate CRs in the rabbit. In light of this finding, our present results lend further support to the suggestion that associative training-induced changes in CS-evoked neuronal activity in this cortical region contribute, at least in part, to the development of learned cardiovascular adjustments in this animal.

Acoustic Stimulation↗

Methoxamine is an effective unconditioned stimulus for cardiovascular conditioning.

New Zealand albino rabbits received classical conditioning training in which a 35-sec tone conditioned stimulus was paired with a bolus injection of methoxamine hydrochloride (Vasoxyl), an alpha 1-adrenergic agonist. Heart rate (HR) and blood pressure (BP) responses were recorded. Methoxamine produced a precipitous rise in BP and bradycardia as an unconditioned response (UR); pairings of tone and methoxamine over a 5-day period resulted in a gradually appearing tachycardia conditioned response (CR) which occurred shortly following tone onset. On the other hand, the BP CR was a pressor response. Accordingly, the HR CR was opposite in direction and, thus, apparently compensatory to the UR, whereas the BP CR was similar in direction to the UR. Neither of these cardiovascular changes were observed in control animals receiving either unpaired presentations of tone and methoxamine or tones paired with physiological saline. Most animals receiving either paired or unpaired infusions of methoxamine also showed consistent elevations in baseline HR as training progressed, relative to their respective day 1 levels, thus suggesting the development of compensatory HR CRs to the contextual cues associated with training.

Acoustic Stimulation↗

Parasagittal thalamic knife cuts retard Pavlovian eyeblink conditioning and abolish the tachycardiac component of the heart rate conditioned response.

Rabbits received parasagittal knife cuts lateral to the mediodorsal nucleus of the thalamus (MD), severing afferents and efferents to and from the prefrontal cortex. These animals were compared to sham animals in a Pavlovian eyeblink and heart rate conditioning experiment in which a tone was the conditioned stimulus (CS) and paraorbital electrical shock was the unconditioned stimulus (US). Knife cuts retarded acquisition of the eyeblink conditioned response (CR), and abolished the late-occurring tachycardiac component of the heart rate CR. These data are compatible with previous experiments which suggest that MD participates in the sympathetic control associated with somatomotor learning.

Animals↗

Lesions of the substantia nigra retard Pavlovian eye-blink but not heart rate conditioning in the rabbit.

Bilateral radio-frequency (RF) lesions of the substantia nigra retarded Pavlovian eye-blink (EB) conditioning without affecting concurrent heart rate (HR) conditioning. Dopamine (DA) depletion occurred only in the caudate nucleus, whereas norepinephrine (NE) depletion was limited to the hypothalamus. Bilateral 6-hydroxydopamine (6-OHDA) lesions of substantia nigra retarded acquisition of both EB and HR responses. Six-OHDA lesions produced significant NE depletion in the nucleus acumbens/septi, frontal cortices, and hypothalamus, as well as DA depletion in the caudate nucleus. Trials required to reach EB conditioning criterion was significantly correlated with caudate DA levels. The magnitude of conditioned bradycardia was on the other hand significantly correlated with hypothalamic NE levels. These results suggest that interruption of the nigro-striatal dopaminergic pathway retards Pavlovian somatomotor learning without affecting concurrent autonomic learning, although the latter may depend on an intact ascending NE pathway to the hypothalamus, which passes through the tegmentum and thus is also destroyed in some cases by substantia nigra lesions.

Animals↗

Occurrence of mucoid M-18 Streptococcus pyogenes in a central Ohio pediatric population.

During a 1-year period from October 1986 through September 1987, we recovered 116 mucoid, hemolytic Streptococcus pyogenes isolates from clinical specimens collected from patients seen at our pediatric institution. A total of 102 isolates were from throat cultures (101 for pharyngitis, 1 for acute rheumatic fever), 13 were from other superficial body sites, and 1 was from pleural fluid. All of 40 mucoid isolates tested to date were determined to be M-type 18 strains. A direct latex agglutination test for group A carbohydrate antigen in throat swab specimens was equally sensitive in detecting M-18 mucoid and nonmucoid strains (45 of 77 [58%] and 795 of 1,186 [67%], respectively; not significant, P greater than 0.05). Antimicrobial susceptibility tests performed with 40 mucoid and 40 nonmucoid isolates against penicillin and nine other antimicrobial agents showed all strains to be susceptible, with no difference in MICs. All isolates tested were also considered fully susceptible to the bactericidal activity of penicillin. Further studies are needed to establish the relative virulence of M-18 strains and their possible association with the resurgence of acute rheumatic fever in central Ohio and other areas of the United States.

Anti-Bacterial Agents↗