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Biomedical subjects

D Durand

Publications and source records attributed to D Durand.

At least 181 records · Page 10Linked to original sources

Lipoprotein metabolism in the preruminant calf: effect of a high fat diet supplemented with L-methionine.

The effects of dietary lipid and L-Met supplementation on plasma lipids and lipoproteins were investigated in 16-wk-old preruminant calves. Four calves received the basal milk diet (2.0 g of lipid/kg of BW per meal) for 8 d followed by the same diet supplemented with L-Met (2.6 g/kg of dietary DM) for 5 d. Similarly, seven calves received successively the basal diet supplemented with cream (2.7 g of lipid/kg of BW per meal) and the same diet supplemented with L-Met. The diet with cream induced higher triglyceridemia than the basal diet because of a marked increase in chylomicra and in very low density lipoproteins, which suggested stimulation of intestinal lipoprotein secretion. Moreover, this lipid-enriched diet stimulated the formation of very light high density lipoproteins to the detriment of heavy high density lipoproteins. These particles, the bovine counterpart of mammalian high density lipoproteins of type 1, were distributed within the density range of low density lipoproteins. Addition of L-Met in the diets increased plasma concentrations of chylomicra and very low density lipoproteins, suggesting direct stimulation of the intestinal secretion of both of these lipoproteins and of the hepatic very low density lipoproteins. No effect of L-Met was observed on the concentrations and the physicochemical properties of low and light high density lipoproteins.

Animals↗

[Stenosis of the renal artery of the transplant: comparison between interventional and medical treatment].

In a retrospective analysis of 542 renal transplantations performed over a 10 years period, we diagnosed 25 cases of renal allograft artery stenosis that is a prevalence of 4.6%. The reason for angiography was persistent hypertension and/or renal insufficiency. An interventional procedure was performed in 16 patients (group 1): surgery in 5 and transluminal angioplasty (PTA) in 11. Nine other patients were medically treated (group 2). PTA or surgery was undertaken when a significant stenosis (> 70%) was found and when hypertension was severe (mean PAM = 123 +/- 11 mmHg). PTA was primarily performed when the anatomical situation of the stenosis was judged suitable. Medical treatment was chosen because the stenosis was assesses as not being severe enough or because was considered unsuitable for correction. Interventional treatment was successful in 77%. Long term results are shown in the table: in both 2 groups blood pressure decreased significantly at mean follow-up; the number of antihypertensive drugs decreased non significantly but are still necessary in the group 1. Mean serum creatinine is not significantly modified after treatment, there is no degradation of renal function in group 2 and no amelioration in group 1.

Adult↗

Development of a solid/liquid extraction method for analysis of toxic drugs in serum using an automated liquid chromatograph: the Remedi.

The aim of this work was to develop a procedure for analysis of drugs in serum using a chromatographic apparatus marketed by the Bio-Rad company. This automated apparatus, the Remedi, can identify nearly 200 substances and metabolites in biological fluids. The method for pretreatment of serum recommended by the manufacturer is inefficient. We thus decided to develop and validate an extraction method for analysis of serum. Our method extends column life and improves the sensitivity of the Remedi for the detection of drugs. For psychotropic drugs, a study was carried out that enables a semi-quantitative evaluation of blood levels to be made. In addition, the sera of patients admitted to hospital for intentional drug overdosage were studied to compare the results obtained using the Remedi and Emit techniques, and also to compare these results with toxicological data obtained by questioning the patient and his immediate circle.

Blood Chemical Analysis↗

A frame-relay approach for a state-wide health information network.

An approach for a frame-relay implementation is described which is intended to establish connectivity between the health care providers in the state of Connecticut with a gateway to the internet. While other health care networking efforts have based the interconnectivity efforts on direct connections to the internet for each institution, our design takes a more cost effective approach by establishing a private health care network with a single entry point to the internet. This will not only provide the advantages of internet connections to all participating providers, but it will also isolate intrastate patient care traffic from the internet, reserving internet traffic for those information needs not available within the statewide network. In addition to the network solution, an extensive user support infrastructure is also presented.

Computer Communication Networks↗

Configurational distribution of denatured phosphoglycerate kinase.

Physiochemical characterization of the denatured states of proteins is important for a complete understanding of the factors stabilizing their folded conformations. Using a combination of small angle neutron scattering (SANS), statistical mechanical modelling and molecular mechanics calculations, we examine the configurational distribution of phosphoglycerate kinase denatured in 4 M guanidine hydrochloride solution. The denaturing of the protein produces a clear change in the form of the SANS profile and a large increase of the radius of gyration. In the statistical mechanical model, the region of contrast neutron scattering density associated with the protein is pictured as a chain of freely jointed spheres. The model is fitted to the SANS data for the denatured protein. It is found that a model with a small number of spheres cannot account for the higher resolution scattering, indicating an absence of detectable structuration; a good fit is found with 100 spheres of 8.5 A radius. Single configurations of the fitted chain of spheres are used as low-resolution bounds for model-building and molecular mechanics calculations to obtain plausible atomic-detail models of the denatured chain.

Computer Simulation↗

Lattice vibrations in crystalline L-alanine.

Zwitterionic L-alanine forms crystals containing strong hydrogen-bonding and methylmethyl interactions. Well-defined low-frequency lattice vibrations exist in the crystals involving correlated intermolecular motions on the picosecond timescale. A characterization of these vibrations is expected to provide useful information on the nature of nonbonded interactions in peptides and proteins. We examine some of the vibrations using coherent inelastic neutron scattering and computer simulation techniques. The neutron scattering measurements are used to determine phonon dispersion relations for the acoustic and some low-frequency optic modes in the crystal. There is evidence for interaction between the two lowest frequency optical phonons and the longitudinal acoustic mode. The velocity of sound is anisotropic and can be correlated with the hydrogen-bonding arrangement in the crystal. Corresponding phonon dispersion relations are derived from normal mode analyses of the crystal using the program CHARMM. Although some calculated vibrational frequencies are somewhat too high, the form of the calculated dispersion relations are in good agreement with experiment.

Alanine↗

Parathyroid hormone-related peptide may increase mammary blood flow.

Amino-terminal fragments of PTHrP were previously shown to increase regional blood flow in laboratory animals. Since PTHrP is produced in the lactating mammary gland and associated nutrient vessels, we examined the effects of peptide fragments of PTHrP on the hemodynamics of the mammary gland of dried sheep. The left arterial mammary blood flow measured using ultrasonic flow probes in four dried Lacaune ewes was 233 +/- 11 ml/minute. It was significantly increased when synthetic human PTHrP-(1-34) or (1-86) fragments were injected into the mammary artery. The effect was dose dependent for PTHrP-(1-34), varying between 0.0075 and 0.3 nmol/kg body weight. PTHrP-(140-173) fragment lacked any vasorelaxant activity. Synthetic human endothelin (ET1) decreased arterial blood flow in a dose-dependent manner. This decrease was inhibited by PTHrP-(1-34), and this inhibition was PTHrP dose related. When ET1 (10 pmol/kg body weight) was injected together with PTHrP-(1-86) (100 pmol/kg body weight), only a significant increase in mammary blood flow was observed. Thus, PTHrP produced by the lactating mammary gland may be involved in the regulation of mammary blood flow.

Animals↗

Skeletal manifestations of moderate phosphate diabetes.

Six patients, with vertebral osteoporosis and reflex sympathetic algodystrophy syndrome of the lower limbs, due to moderate diabetes, are presented. Osteoporosis was documented by low CT scan bone density and moderate decrease of bone trabecular volume. Histomorphometric studies found a mild increase of resorption areas. All patients had unremarkable serum phosphorus level (mean: 0.91 +/- 0.13) but increase of urinary phosphorus excretion was documented by phosphate clearance higher than 20ml/mm, phosphate tubular reabsorption lower than 80% and TmPo4/GFR lower than 0.8mmol/l. Phosphate clearance and phosphate tubular reabsorption are studied in two control groups. Mild phosphate diabetes, of unknown incidence and prevalence (need for prospective studies) may be the vector of osteoporosis, vertebral and peripheral. The diagnosis of PD requires determination of phosphate clearance, phosphate tubular reabsorption, TmPo4/GFR and these tests may be useful in the diagnostic work up of bone demineralization disorders. We thought that osteoporosis could be the result of progressive dissolution of bone apatite crystals necessary to maintain normal or sub-normal blood phosphate level in spite of the phosphate diabetes.

Adult↗

Evidence that growth hormone stimulates protein kinase C activity in isolated rat hepatocytes.

The mechanism of action of growth hormone (GH) is not known, although indirect evidence suggests that protein kinase C (PKC) might play an important role in the insulin-like actions of GH. In this investigation, we directly examined the effects of GH relative to those of insulin on PKC activity in isolated rat hepatocytes. Human GH (10(-7) mol/L) significantly increased the activity of PKC in both cytosolic and particulate fractions. The effect was maximal at 1 minute, disappeared at 5 minutes, and then increased again at 30 minutes in both fractions. At 1 minute, maximal and half-maximal stimulation of PKC activity occurred at hGH concentrations of 10(-7) and 5 x 10(-9) mol/L, respectively. Insulin (10(-7) mol/L) also induced a significant and transient increase in enzyme activity at 2 minutes in cytosolic and particulate fractions; at 30 minutes, PKC activity was decreased in the soluble fraction (-17%) and increased in the particulate fraction (+65%). Measurement of specific [3H]-phorbol dibutyrate (PDBu) binding suggested translocation of PKC from the cytosol to the membrane fraction after 30 minutes of incubation, only after insulin treatment. The early effects of GH and insulin on PKC activity were additive in both the particulate and cytosolic fractions. Although the later effects of GH and insulin on PKC were quite different, both hormones rapidly activated PKC in isolated hepatocytes, suggesting that PKC might be involved in triggering the insulin-like actions of GH.

Animals↗

Ictal patterns in experimental models of epilepsy.

The goal of this article is to review many of the animal models that have been used for epilepsy research. The intent is to present the behavioral and electrographic patterns observed in these models and to relate those patterns to human epilepsy. This review is organized into three sections. The first section deals with the methods used in the study of epilepsy. These methods range from in vivo preparations, through in vitro brain slice preparations and neural grafting methods, to computer simulation methods. The second section of the review deals with agents capable of inducing epilepsy. Some of the agents include chemical convulsants, ionic changes in the tissue, changes in osmolarity, and withdrawal from drugs. The effects of these agents are reviewed with their relation to the mechanisms of action. Finally, the methods used to control epilepsy are reviewed. These methods include the application of anticonvulsants, changes in the osmolarity, neuronal grafts and electrical currents. Examples of epileptiform activity obtained from animal models published in the literature are shown in several figures for comparison to human patterns. It is clear from this review that animal models are capable of reproducing many of the seizure types found in clinical situations. Although we have some understanding of the mechanisms underlying the abnormal behavior in these animal models, we are unable to explain the mechanisms underlying human epilepsy. However, the combination of existing animal models, in vitro human tissue experiments, and computer stimulation should allow us to advance rapidly toward a solution.

Animals↗

Renal biopsy in the elderly.

314 patients, aged 65 years or older, were biopsied because of a history of renal disease. In 203 patients, glomerular disease was diagnosed with one fourth having systemic disease and the remaining primary glomerulonephritis. 90 patients had tubulointerstitial disease, and 21 patients showed prominent vascular pathology. In a comparison with patients of younger age groups, it appeared that amyloidosis, membranous nephropathy, vasculitis and diabetes had a significantly higher incidence in the elderly. Main glomerular syndromes such as nephrotic syndrome and rapidly progressive glomerulonephritis imply to be managed appropriately. Glomerulosclerosis was found in high frequency, either as an isolated feature or associated with other lesions. Glomerulosclerosis seemed to be ischemic in origin and seems to represent a distinct entity as a cause of pathology in the elderly.

Age Factors↗