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Biomedical subjects

H Hildebrandt

Publications and source records attributed to H Hildebrandt.

At least 37 records · Page 2Linked to original sources

Differentiation of autonomic nervous activity in different stages of coma displayed by power spectrum analysis of heart rate variability.

The analysis of heart rate (HR) variability offers a noninvasive method to investigate autonomic nervous system activity in comatose patients. We analyzed three components of the HR variability in a group of comatose patients: the low-frequency band (LF), representing mainly sympathetic influence, the mid-frequency band (MF), representing sympathetic and parasympathetic influence, and the high-frequency band (HF), representing the parasympathetic influence. A value for sympathovagal balance was defined as LF/HF and MF/HF ratio. Moreover, the skin conductance level (SCL) and the skin conductance resistance (SCR) variability were recorded. The patient group consisted of 22 patients with traumatic brain injuries. Coma depth was assessed by the Glacow Coma Scale and artifact-free HR, SCL, and SCR were measured 75 times in the patient group. The results documented a significant gain in sympathetic nervous system activity corresponding with the state of emerging from coma. This gain was most pronounced in the HF component of the HR and in the sympathovagal balance between LF/HF. The findings in SCL and SCR variability endorsed this result. It is concluded that emerging from coma is accompanied by an increasing influence of the sympathetic nervous system on HR control. This leads to a change in the sympathovagal balance, i.e., a reintegration of parasympathetic and sympathetic activity.

Adolescent↗

Heterogeneous expression of the polysialyltransferases ST8Sia II and ST8Sia IV during postnatal rat brain development.

Polysialic acid on the neural cell adhesion molecule is developmentally regulated and has been implicated in the plasticity of cell-cell interactions. The sialyltransferases ST8Sia II and ST8Sia IV are able to catalyze the synthesis of polysialic acid. This study compares the expression of ST8Sia II and ST8Sia IV mRNA during postnatal rat brain development. Northern blot analysis indicated a substantial down-regulation of ST8Sia II from high expression at postnatal day 2 to almost undetectable levels at the age of 6 months. In contrast, the decline of ST8Sia IV content was moderate. In the mature brain, ST8Sia IV is the predominant polysialyltransferase. In situ hybridization of selected brain regions at postnatal days 2, 11, and 21 confirmed the decline of ST8Sia II level in isocortex, hippocampus, and cerebellum. ST8Sia II was not detectable at any time point in the subependymal layer and the layers of the olfactory bulb. Persistent ST8Sia IV expression was localized in the subependymal layer, the glomerular layer of the olfactory bulb, and the granule cell layer of the dentate gyrus and in some widely dispersed cells of the isocortex. The distinct expression patterns of ST8Sia II and ST8Sia IV suggest their differential regulation. As discussed with regard to the persistent polysialic acid expression, ST8Sia IV should receive particular attention in the mature brain.

Aging↗

Profiles of patients with left prefrontal and left temporal lobe lesions after cerebrovascular infarcations on California Verbal Learning Test-like indices.

We compared memory disorders of three patient groups suffering from brain lesions with a word list corresponding to the California Verbal Learning Test (CVLTgcor). Dependent measures were learning rate and efficiency, retention, and strategic control of the learning process. Compared to a control group of patients with right hemispheric lesions, a left Arteria cerebri posterior (LACP) group showed general memory deficits, an inflated recency effect, and increased serial clustering. A left prefrontal cortex (LPFC) group documented slowed learning and increased recall after semantic cues. Discriminant analysis correctly classified 86.11% of the patients. It is argued that (a) the CVLT helps to cover differences in memory disorders recently discussed in cognitive neuropsychology; (b) differences between PFC and ACP patients become evident only if strategic aspects of learning and increased recall after semantic cueing are taken into account. The results are discussed within the framework of recent cognitive neuropsychological findings and with a distinction between fronto-subcortical and cortical memory disorders.

Attention↗

Antigen binding of antiganglioside antibodies in vitro is strongly influenced by the ganglioside composition of the sample.

The ability of antiganglioside antibodies to detect their respective antigens in various environments was studied. In contrast to sensitive detection of pure ganglioside standards by ELISA, antibody binding to mixtures of gangliosides was drastically reduced. This loss of sensitivity also occurred with immunostaining of gangliosides absorbed to silica gel. Moreover, absorption of antibodies to antigen-containing lipid vesicles failed, if the vesicles were prepared together with other gangliosides. These data indicate that antigen accessibility is strongly influenced by surrounding gangliosides. This should be considered whenever gangliosides are traced by antibodies. The ELISA procedure appears useful to test for such properties.

Animals↗

[Memory disturbances in schizophrenia].

The recent literature on memory disorders in schizophrenic persons is reanalysed. The present interest in memory disorders as a core symptom of cognitive changes in schizophrenia derives from the fact that brain imaging methods have revealed a reduction of substance in the regions surrounding the lateral ventricles. Given this localisation, schizophrenics should suffer from pronounced memory deficits. The paper addresses (1) the role of memory disorders in an overall view of cognitive losses, (2) the pattern of memory losses (verbal vs non-verbal, short-term memory vs long-term memory, implicit vs explicit memory etc.) and (3) recent investigations based on simultaneous use of imaging procedures (fNMR, PET) and cortical activation during memory tasks. A survey of the literature renders it likely that frontal functions play an essential role in the type of memory deficits found among schizophrenics. Thus, a purely temporal localisation is unlikely. The reduced learning efficiency which accounts for most of the schizophrenics' cognitive problems points to a working memory disturbance. On the basis of these results, a model for the memory disorders of schizophrenics is developed. The model covers recent literature on working memory as well as neural network models of schizophrenic disorders. However, a differential psychopathological symptom and syndrome analysis remains a prerequisite for reducing the great variance of the schizophrenics' performance in memory tasks. The importance of cognitive rehabilitation for sociopsychiatric efforts aimed at re-integrating mentally ill persons should not be underestimated.

Humans↗

The nitric oxide/cGMP system in the antennal lobe of Apis mellifera is implicated in integrative processing of chemosensory stimuli.

The high concentration and the localization of nitric oxide synthase in the olfactory system of both vertebrates and invertebrates suggest that the diffusible messenger nitric oxide plays a central role in the processing of chemosensory information. This paper describes the nitric oxide releasing system in the antenna and the antennal lobes of Apis mellifera using the NADPH diaphorase technique, and analyses the contribution of the nitric oxide system in the neuronal processing of chemosensory signals using a behavioral assay in vivo. In the antenna the strongest NADPH diaphorase staining is found in non-neuronal auxiliary and/or epithelial cells, while the sensory cells and the antennal nerve are stained at a low level. At the major site of chemosensory signal integration, the antennal lobes, the highest nitric oxide synthase activity is located in the glomeruli, which are ideally suited to act as diffusion compartments. We demonstrate that inhibition of nitric oxide synthase in the antennal lobes specifically interferes with neuronal processing of repetitive chemosensory stimuli but does not affect the response to single stimuli, and is independent of parameters such as satiation level, stimulus strength, interstimulus interval and duration of sensory stimuli. Since inhibition of the soluble guanylate cyclase, a major target of nitric oxide, also particularly affects the adaptive component, the physiological effects of nitric oxide appear to be mediated by the action of cGMP. These findings suggest that the nitric oxide/cGMP system in the antennal lobes is a component of the molecular machinery involved in adaptive and/or integrative mechanisms during chemosensory information processing in vivo.

Animals↗

PKA activity in the antennal lobe of honeybees is regulated by chemosensory stimulation in vivo.

The involvement of cyclic nucleotide cascades has been suggested for chemosensory signal processing as well as synaptic plasticity. Cyclic AMP-dependent protein kinase (PKA) is a major mediator for transient changes in these second messengers. The objective of this study was to examine the role of PKA in the central processing of chemosensory information by the honeybee. Effects of chemosensory stimulation in vivo were detected in the first chemosensory neuropil of the honeybee brain, the antennal lobe (AL), by using a combination of shock freezing and specific determination of PKA activity. Mechanosensory or odor stimulation of the antennae had no effect on PKA activity. Brief application of aqueous solutions (pure water or sucrose solution) to an antenna caused a rapid and transient elevation of PKA activity in the ipsilateral AL. A series of such stimuli led to a graded increase in PKA activity followed by a rapid decrease during the first 10 s after the end of stimulation, but elevated levels of PKA activity were observed for as long as 1 min. These results suggest that PKA activity and its regulation contribute to central processing of chemosensory signals.

Animals↗

Octopamine mediates rapid stimulation of protein kinase A in the antennal lobe of honeybees.

In the honeybee octopamine mediates mechanisms of arousal that interfere with the appetitive proboscis extension response to food-indicating chemosensory stimuli. This study demonstrates that injections of octopamine or cyclic adenosine monophosphate (cAMP) into the primary chemosensory neuropil of the honeybee, the antennal lobe, evokes a rapid and transient activation of cAMP-dependent protein kinase (PKA). Other monoamines detectable in the antennal lobe, dopamine and serotonin, do not affect the level of PKA activity. Stimulation of the bees' antenna with the appetitive stimulus water or sucrose solution in vivo also causes a short-term activation of PKA in the antennal lobe. The increased PKA activity can be detected immediately (0.5 s) after stimulation but reverts to the basal level within 3 s. This effect can be abolished by monoamine depletion with reserpine. Since octopamine is the only monoamine that stimulates PKA, it appears to mediate the PKA activation after sucrose stimulus and may contribute to the processing of this chemosensory input.

Animals↗

Unconscious activation of motor responses in a hemiplegic patient with anosognosia and neglect.

Unconscious processing of environmental stimuli has been convincingly demonstrated for a large number of neuropsychological syndromes. However, only few studies have successfully recorded on-line the activation of the autonomous or the motoric nervous systems. The activation of the motor system by unconscious stimuli would be a strong argument that information processing in the brain is not organized into two serial steps (stimulus identification first, response selection second). This would argue for parallel processes of stimuli identification routines and response selection mechanisms on the basis of only provisionally worked out stimulus features. Investigating an anosognostic patient we found electrodermal activity (EDA) and electromyographic responses (EMG) to bimanual tasks, mental imagery, and to the request to execute specific actions. But overt behavior remained hemiplegic and the patient was unable to feel any kind of control of her paralyzed left arm and hand. Generally, the data can be interpreted along the lines of a theory of two different routes to action, leaving the unconscious selection of action patterns intact, whereas the intentional triggering of overt behavior with the left hand and arm was impossible for the patient.

Brain↗

[Effect of task difficulty on hemispheric differences in visual image processing].

Hemispheric specialization of visual imagery processes is a topic of recurrent debate. Recent theories have argued for a left postcentral center for the generation of visual images. Because of contradictory results the process of imaging has been divided into a left hemisphere component (visual imagery) and a right hemisphere component (supramodal spatial mental imagery). An alternative and more parsimonious account would be that the degree of difficulty of visual imagery tasks is responsible for hemispheric differences: easy tasks are solved faster within the left hemisphere because of a direct access to action control, whereas more difficult tasks rely on a right hemisphere specialization for spatial processing. In our experiment we varied the degree of difficulty by introducing concurrent tasks which were interspersed at random into the series of critical stimuli. Interspersing concurrent tasks prevents subjects from automatizing of critical processes and delays reaction times. For the critical visual imagery tasks we presented either upper or lower case letters to the different visual fields and asked for figural aspects of the corresponding lower or upper case letters, respectively. The interspersed stimuli concerned an estimation of the distance of the stimuli or the localization of the stimuli in the upper or lower part of the screen. We also presented upper and lower case letters in random order, thus forcing the subjects to shift between two different visual imagery tasks. In order to look for the effect of position-repetition priming upon visual field advantages we also analyzed the interaction of the position on the screen and its repetition with hemispheric advantages. In one of the visual imagery tasks, the experiments without concurrent tasks yielded a right visual field/left hemisphere advantage. On the other hand, interspersing other tasks resulted in a left visual field/right hemisphere advantage for visual imagery tasks, though none of the concurrent tasks showed a significant visual field advantage in itself. The same holds for combined and random presentation of the two different visual imagery tasks. The results therefore argue for a right hemisphere advantage for difficult visual imagery tasks, whereas easier tasks (monotonous presentation of only one visual imagery tasks) are processed faster in the left hemisphere. The random repetition of positions on the screen yielded a significant effect but had no influence on the visual field advantages found.

Adult↗

Mental disorders and economic crisis--a study on the development of admission into the psychiatric hospitals of Prussia between 1876 and 1906.

Social causes of mental disorders are a long-standing issue of controversy in psychiatric epidemiology. Following Brenner's (1977) analysis, we analysed the correlation between admissions to psychiatric hospitals and the employment figures for almost 3 decades of the last century in Prussia. The employment figures were taken as an indicator of social stress, whereas the admission figures were taken as an indicator of the incidence of mental disorders. Two groups with different diagnoses were considered in the analysis; nowadays they would more or less correspond to "functional psychosis" (ICD 295-299) and "alcoholic psychosis" (ICD 291). Three other groups, i.e. epilepsy, progressive paralysis and severe learning disabilities, served as control groups to check the influence of modifications in help-seeking behaviour. In contrast to Brenner's mono-causal social stress model, there were no significant correlations for the group of functional psychoses for men or for women, whereas the admissions of males with alcoholic psychoses showed the expected trend to a high degree. The three control groups showed no obvious correlation with employment figures, arguing against a main effect of a modification of help-seeking behaviour on the results in the two experimental groups. Results are discussed and interpreted with regard to contemporary results in psychiatric epidemiology.

Adolescent↗

Immuno-gold electron microscopical detection of heat shock protein 60 (hsp60) in mitochondria of rat hepatocytes and myocardiocytes.

We characterize the specificity of a polyclonal antibody against heat shock protein 60 (hsp60) and present an application for ultrastructural localization studies of this protein. The antibody was obtained from an IgG fraction (AB 121) originally raised against the calcium binding protein calsequestrin by immunoabsorption on isolated rat liver hsp60. As shown by partial N-terminal amino acid sequence analysis of immunoprecipitated proteins AB 121 contained reactivities against hsp60, calsequestrin and the glycoprotein fetuin. In rat heart AB 121 recognized calsequestrin and hsp60. In human and rat liver the only reacting protein was hsp60. In rat erythrocytes the antibody bound to 61 kDa and 58 kDa isoforms of fetuin. According to published data no amino acid sequence homologies nor common motifs are found between calsequestrin, hsp60 and fetuin. As the first application the anti-hsp60 antibody was used for immuno-gold electron microscopical localization of hsp60: in myocardiocytes and hepatocytes of the rat strong labelling was obtained exclusively in mitochondria. No extramitochondrial structures were labelled. The specificity of the antibody and its ability to be visualized by immuno-gold electron microscopy offers the possibility to study the expression of this protein in the liver and in other organs. Possible clinical applications of these studies are discussed, since hsp60 could be a target antigen of autoantibodies in diseases such as autoimmune hepatitis, primary sclerosing cholangitis or primary biliary cirrhosis.

Amino Acid Sequence↗

Oligosaccharide reprocessing and recycling of a cell surface glycoprotein in cultured rat hepatocytes.

The metabolism of the cell surface glycoprotein dipeptidyl peptidase IV(DPPIV) was studied in cultured rat hepatocytes. In pulse-chase labelling experiments using L-[35S]methionine a 100-kDa high-mannose precursor polypeptide is converted into the mature complex-type 110-kDa glycoprotein. Digestion with exo- and endoglycosidases and metabolic labelling with radioactive sugars demonstrate that the 110-kDa form contains about 6 complex-type oligosaccharides which are fucosylated and sialylated. About 25 min after the beginning of the pulse-labelled glycoprotein appears in the sinusoidal membrane. Physiologically only the 110-kDa form is found in the cell surface. If cell surface DPP IV was desialylated by sialidase at 4 degrees C, it is resialylated during incubation at 37 degrees C. This oligosaccharide reprocessing indicates that the surface glycoprotein has been recycled to the cell compartment containing terminal glycosyltransferases (presumably the trans Golgi system). Two different methods demonstrate internalization of cell surface DPP IV: 1) The complex cell surface DPPIV -anti-DPP IV-antibody -L-[35S]methionine-labelled secondary goat-anti-mouse-antibody formed at 4 degrees C becomes less accessible to trypsin during incubation at 37 degrees C. 2) Part of the complex plasma membrane DPP IV-anti-DPP IV-antibody formed in the cold cannot be recognized by the radioactive secondary antibody after rewarming. Internalization is not blocked by inhibition of protein synthesis with cycloheximide. During internalization of plasma membrane DPP IV its concentration in the membrane remains constant.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

[Prosthetic aids in the resection of the middle portion of the mandible].

Prosthetic aids in resections of the middle piece of the mandible. The authors describe a prosthesis which is inserted during the resection of the middle piece of the mandible. Due to its construction it prevents the soft tissues of the floor of the mouth from sinking back. Such a prosthesis has been used in 18 cases. Respiratory complications did not occur; no tracheotomy was necessary. During the postoperative phase, the prosthesis came up to expectations, but it could not prevent cicatricial contraction in the operating area. Occlusion-conformable positioning of the fragments will be achieved only it the remaining teeth are suited for function-stable prosthetic care. Consequently, secondary osteoplasty should not be abandoned.

Denture Design↗