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Biomedical subjects

G Johnson

Publications and source records attributed to G Johnson.

At least 739 records · Page 41Linked to original sources

Mechanisms of inhibition of nitric oxide production in a murine model of splanchnic artery occlusion shock.

Nitric oxide has been thought to be a major endothelium-derived relaxing factor which is synthesized from L-arginine and can be selectively inhibited by L-NG-monomethyl arginine. On the other hand, another endothelium-derived vasorelaxant, defined as endothelium-derived hyperpolarizing factor, has been reported. We compared their role in regulating the splanchnic vascular tone in splanchnic artery occlusion shock in the rat. Administration of L-NG-monomethyl arginine (100 mg/kg) given 5 min prior to reperfusion of splanchnic arteries which were occluded for 45 min, produced a significant increase in mean arterial blood pressure. However, the indices of the severity of shock status, including survival time, survival rate and increases in hematocrit, plasma cathepsin D and myocardial depressant factor activity following splanchnic artery occlusion shock were not exacerbated by administration of L-NG-monomethyl arginine. Addition of L-NG-monomethyl arginine (1 mg/ml) induced a small but significant increase in basal vascular tone of superior mesenteric artery rings, but it failed to totally block acetylcholine-induced vasorelaxation (48 +/- 4% relaxation). Although there were no significant changes in basal vascular tone after administration of glibenclamide (30 micrograms/ml), acetylcholine-induced vasorelaxation was significantly attenuated (58 +/- 4% relaxation). When L-NG-monomethyl arginine and glibenclamide were added together, acetylcholine-induced vasorelaxation was almost totally abolished (18 +/- 2% relaxation). Our results indicate that rat splanchnic artery endothelial cells may produce both endothelium-derived relaxing and hyperpolarizing factor. Endothelium-derived relaxing factor plays an important role in the regulation of basal vascular tone of the splanchnic circulation, while endothelium-derived hyperpolarizing factor may be important in modulating the mesenteric blood flow following splanchnic artery occlusion shock.

Acetylcholine↗

Penetrating trauma of the internal carotid artery at the base of the skull.

A 42-year-old female sustained a partial transection of the internal carotid artery at the base of the skull from a stab wound of the external ear. The clinical presentation and technical aspects of the surgical treatment are presented. The lesion could not be repaired and was successfully treated by ligation. The various techniques of operative exposure of challenging and unusual high carotid injuries which can be employed to eliminate the risk of cerebral embolism, false aneurysm formation, or carotid artery thrombosis associated with conservative management are reviewed.

Adult↗

Pharmacokinetics of leucovorin rescue using a new methotrexate-independent biochemical assay for leucovorin and N5-methyltetrahydrofolate.

A rapid biochemical assay for leucovorin (LV) and N5-methyltetrahydrofolate (mTHFA) has been developed, using a cell-free extract of Escherichia coli. The reaction used was the formylation of [14C]methionyl-tRNA fMet E. coli, in which product formation is dependent on added folate derivatives. The actual formyl donor, N10-formyltetrahydrofolate, is generated from LV in the presence of ATP or from mTHFA in the presence of NAD+ or NADP+. The assay is sensitive to approximately 5 X 10(-8) M l-LV and 5 X 10(-7) M l-mTHFA in serum. There is no cross-reactivity between LV and mTHFA. The presence of methotrexate (MTX) has no effect on assay results. This assay has been used to determine LV and mTHFA levels in patients receiving LV rescue after high-dose MTX infusions. Patients received 96 mg/m2 of LV as a single iv dose at the conclusion of the MTX infusion. Serum levels of LV and mTHFA were followed for the next 6 hrs. The initial (5-min) level and LV was about 10(-5) M, and its concentration in the serum decreased rapidly. The alpha-phase half-life of LV was about 15 mins, but LV was readily detectable by the assay for 3-4 hrs. There was rapid apparent conversion to mTHFA, as this compound was also detectable at the initial time point. The level of mTHFA increased for at least 60 mins, being equimolar with LV by 30 mins, and then decreased slowly with an apparent half-life of 2-3 hrs.

Adenosine Triphosphate↗