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Biomedical subjects

H Lu

Publications and source records attributed to H Lu.

At least 379 records · Page 21Linked to original sources
PubMed1995

Long-term weight cycling in female Wistar rats: effects on metabolism.

Weight cycling (WC) induced by ad-lib and restricted high fat (HF) feeding has been shown to reduce final body weight but not body fat percent in female Wistar rats. We examined the metabolic consequences of this type of WC. Five groups of female Wistar rats were fed a HF diet and the sixth group was fed a low fat diet to serve as a control group. Of the five HF groups, four groups were weight cycled by ad-lib and restricted feeding of the HF diet. One of these groups weight cycled three times (HFCYC group) while the remaining three groups weight cycled once only, corresponding to the first, second and the third cycle of the HFCYC group. HF feeding induced hyperinsulinemia, hypertriglyceridemia, insulin resistance and elevated adipose tissue lipoprotein lipase (AT-LPL) activity levels as compared to rats fed the low fat (LF) control diet. WC further increased blood insulin concentrations and insulin resistance in rats with three cycles of WC. However, blood pressure was not affected by HF feeding or WC. The magnitude of increase of AT-LPL was reduced in weight cycled, HF fed obese rats after 15 weeks refeeding. We concluded that even though WC did not enhance weight gain nor impair weight loss, it did facilitate the development of insulin resistance and may predispose animals to diabetes.

Adipose Tissue↗
PubMed1995

Skeletal muscle ventricles: improved left ventricular performance associated with a prolongation of ventricular relaxation.

Skeletal muscle ventricles (SMV) have been shown to pump blood effectively in both acute and chronic models. In this study SMVs were placed in circulation in series with the descending thoracic aorta to function as diastolic counterpulsators. The SMVs were stimulated to contract at a 1:2 ratio with the heart. The R-wave delay and the burst duration were varied, both as a percentage of the total R-R' interval to determine the effect of the SMV on left ventricular (LV) relaxation in relation to other parameters of LV function. Optimal hemodynamic benefit was obtained using a 40% R-wave delay and a 30% burst duration. At these settings, the time constant of LV relaxation (tau) increased from a control value of 29.1 +/- 1.6 to 39.8 +/- 2.1 msec (P < 0.001). The tension time index decreased from a control value of 15.24 +/- .31 to 13.88 +/- .7 mm Hg-sec-1 (P < 0.001). The endocardial viability ratio, an indicator of myocardial blood flow, improved from 1.12 +/- .11 to 1.55 +/- .16 (P < 0.001) and LV dP/dt increased from 1555 +/- 180 to 2320 +/- 210 mm Hg-sec-1 (P < 0.05). In conclusion, this study demonstrates SMV diastolic counterpulsation results in improved LV performance which is associated with a prolongation of LV relaxation. A 40% R-wave delay interval and a 30% burst duration were the stimulation parameters which benefitted myocardial function optimally in this study.

Animals↗
PubMed1995

Toward a general analysis of endogenous Easterlin cycles.

Easterlin believed that there were two features associated with the birth cycles he observed: the cycles were related to the labor market, and they might be self-generating. This paper tries to set up a model that contains both of these two features. The authors suppose that the welfare of various age-specific cohorts are determined by their respective marginal productivity, and that the underlying technology which puts together labor force of various age-specific cohorts can be characterized by a general production function. Under these weak assumptions, they show that the well-analyzed cohort and period models along the lines of Lee (1974) are restricted versions of the general setting. Given that both the cohort model and the period model were rejected by statistical tests, the authors adopt the coefficient values obtained from the estimation of the unrestricted version to perform the bifurcation analysis. They go beyond the previous study which focused upon the possible existence of limit cycles, and show that the US fertility limit cycle solution is unstable. Therefore the population trajectory will never converge to that limit cycle.

Americas↗
PubMed1995

Pharmacokinetics of losartan, an angiotensin II receptor antagonist, and its active metabolite EXP3174 in humans.

The pharmacokinetics of the angiotensin II receptor antagonist losartan potassium and its active carboxylic acid metabolite EXP3174 were characterized in 18 healthy male subjects after administration of intravenous losartan, intravenous EXP3174, and oral losartan. In these subjects, the average plasma clearance of losartan was 610 ml/min, and the volume of distribution was 34 L. Renal clearance (70 ml/min) accounted for 12% of plasma clearance. Terminal half-life was 2.1 hours. In contrast, the average plasma clearance of EXP3174 was 47 ml/min, and its volume of distribution was 10 L. Renal clearance was 26 ml/min, which accounted for 55% of plasma clearance; terminal half-life was 6.3 hours. After oral administration of losartan, peak concentrations of losartan were reached in 1 hour. Peak concentrations of EXP3174 were reached in 3 1/2 hours. The area under the plasma concentration-time curve of EXP3174 was about four times that of losartan. The oral bioavailability of losartan tablets was 33%. The low bioavailability was mainly attributable to first-pass metabolism. After intravenous or oral administration of losartan the conversion of losartan to the metabolite EXP3174 was 14%.

Administration, Oral↗
PubMed1995

Endothelial cell-lined skeletal muscle ventricles in circulation.

Skeletal muscle ventricles were constructed from the latissimus dorsi in six dogs by wrapping the muscle around a polypropylene mandrel. Jugular vein endothelial cells were harvested enzymatically and grown in tissue culture. After 3 weeks of vascular delay and 4 weeks of electrical conditioning, five skeletal muscle ventricles were seeded with 5 to 8 x 10(6) autologous endothelial cells by percutaneous injection of a cellular suspension into the lumen of the skeletal muscle ventricle; one skeletal muscle ventricle was injected with culture medium alone as an unseeded control. The autologous endothelial cells were all prelabeled with a lipid-bound cellular marker, PKH-26. After an additional 4 weeks of electrical conditioning, the mandrels were removed and the skeletal muscle ventricles were connected to the descending thoracic aorta and activated to contract during cardiac diastole at a 1:2 ratio with the heart. After 3 hours of continuous pumping, mean diastolic pressure was increased by 35% (58 +/- 7 versus 78 +/- 6 mm Hg, p < 0.05). At this time, the skeletal muscle ventricles were excised for histologic examination. Sections stained with hematoxylin and eosin revealed a continuous cellular layer lining the skeletal muscle ventricle; no cells were present on the lumen of the control skeletal muscle ventricle. All seeded skeletal muscle ventricles exhibited fluorescence as a result of the PKH-26 cellular marker. Immunofluorescent staining with antibodies to von Willebrand factor and ultrastructural analysis with an electron microscope confirmed the endothelial character of these cells lining the lumen of the skeletal muscle ventricles. The ability to create endothelial cell-lined muscular pumping chambers holds important implications for the resolution of thrombotic events in cardiac assist devices as well as toward the clinical application of skeletal muscle ventricles.

Animals↗
PubMed1995

Endothelial lined skeletal muscle ventricles: open and percutaneous seeding techniques.

Twelve bilateral skeletal muscle ventricles (SMVs) were constructed in six dogs by wrapping each latissimus dorsi muscle around a cylindrical, plastic mandrel (volume 30 cc). After 6 to 10 weeks, five dogs had one of their SMVs seeded with allogeneic cultured canine endothelial cells (8 x 10(6) cells/pouch) via an open technique, whil the contralateral SMV was seeded by percutaneous injection of cells into the space around the mandrel. After 1 week, the SMVs were excised. Viable, adherent endothelial cells were present in all seeded pouches; this was confirmed via fluorescent microscopy with several endothelial cell markers; KLH-2, dilacetylated low-density lipoprotein and antibodies to von Willebrand factor. The inner lining of the SMVs were also examined with scanning and transmission electron microscopy; the highest concentration of cells were seen at the apex where a continuous endothelial monolayer was observed. No significant difference in the distribution or the morphology of the endothelial lining was noted between the open and percutaneous seeding techniques. These data show that SMVs can be seeded with an endothelial monolayer using both open and percutaneous techniques.

Animals↗
PubMed1995

Chronic changes of end-systolic pressure-volume relationship after regional myocardial infarction.

The chronic changes of the end-systolic pressure-volume relationship (ESPVR) after regional myocardial infarction were evaluated in a sheep model. Pressure-volume area (PVA) obtained from the pressure-volume diagram and left ventricular oxygen consumption (LVO2) were studied. The regional myocardial infarction was created by ligating distal branches of the left coronary artery. ESPVR was obtained using a conductance catheter during transient inferior vena cava occlusion. Measurements were performed at baseline (n = 13), 1 hour (n = 8), 3 months (n = 9), and 6 months (n = 4) after infarction. Ees, the slope of the ESPVR did not change at 1 hour after infarction and remained the same at 3-month and 6-month measurements (baseline 2.26 +/- 1.24 mmHg/mL, 1 hour 2.71 +/- 1.06, 3 months 3.46 +/- 1.51, 6 months 2.45 +/- 0.64, NS). Because of the ventricular dilatation, which was demonstrated as an increase in changes of end-systolic volume (Ves) correlating with the time course after infarction (y = -3.21 + 0.12x, r = 0.454, p < 0.05), V0, the volume intercept of the ESPVR increased at 1 hour after the infarction, and showed a tendency to increase at 3 months and 6 months after the infarction (baseline -18.0 +/- 22.5 mL; 1 hour -0.9 +/- 11.6; 3 months 5.4 +/- 10.9, 6 months 9.2 +/- 23.1, baseline vs 3 months p < 0.05, baseline vs 6 months p < 0.05). PVA and LVO2 were unchanged over time after infarction (PVA: baseline 2097 +/- 1526 mmHg/mL per 100 g-1; 1 hour 1771 +/- 699; 3 months 2483 +/- 1086; 6 months 1,608 +/- 1,010, NS), (LVO2: baseline 40.6 +/- 13.1 x 10(-3) mL/100 g-1 per beat-1; 1 hour 42.9 +/- 9.7; 3 months 35.0 +/- 8.6; 6 months 31.2 +/- 18.1, NS). Chronic regional infarction in the sheep model did not affect Ees over 6 months, but significantly increased V0 after the increase in the acute phase. PVA and LVO2 were not affected by this regional infarction either acutely or over 6 months.

Animals↗
PubMed1995

[Genetic diagnosis of a subtype diabetes mellitus with mitochondrial tRNA Leu(UUR) gene mutation].

The A-G point mutation of mitochondrial tRNALeu(UUR) gene at nucleotide 3243 caused clinical NIDDM in combination with or without deafness and was inherited through maternal transmission. An ApaI restriction site was resulted by this mutation, which could be detected by polymerase chain reaction (PCR) with ApaI digestion and be used in clinical genetic diagnosis. The first Chinese family with this mutation found through our screening of NIDDM patients was reported. Genetic diagnosis was done in 12 of 15 members in this three-generation pedigree. Positive results (present of ApaI restriction site) were observed in all 5 NIDDM patients (four with deafness). In 6 of 7 non-diabetic members, negative genetic diagnosis was obtained. The presymptomatic diagnosis of this disease was made in a 13-year old non-diabetic boy with positive genetic diagnosis in conjunction with the maternal segregation pattern of the mutation in this family. The finding of this disease in Chinese provides firm evidence of genetic heterogeneity in Chinese NIDDM. The techniques of the genetic diagnosis of this disease can be used in clinical laboratory, which indicates that in the diagnosis of NIDDN, the molecular etiologic level can be reached in daily clinical practice.

Adolescent↗
PubMed1995

[Lumbar spinal stenosis syndrome: classification, pathology and operative consideration].

A total of 168 cases of lumbar spinal stenosis syndrome were operated on in recent 6 years. They included 13 cases of developmental spinal stenosis and 155 cases of acquired spinal stenosis. All patients were followed up for an average of 2 years and 7 months, ranging from 3 months to 5 years and 10 months. The results of treatment were not satisfactory in developmental spinal stenosis (excellent 46.2%, good 30.7%, fair 15.4%, poor 7.7%), but good in acquired spinal stenosis (excellent 72.2%, good 22.6%, fair 5.2%, poor 0). Moreover, with different classification and pathology, acquired spinal stenosis had different results. The authors stressed that it is very important to consider the methods and the range of operation according to the pathological characteristics of myelography and CTM of lumbar spinal stenosis.

Adult↗
PubMed1995

[Biomechanical evaluation of cervical stability with Halifax clamp after bilateral facetectomy].

With nine fresh adult cervical spine specimens (C3-T1), the three-dimensional motions of C4-5 segment were analysed to evaluate the immediate stability following bilateral facetectomy, Halifax clamp and wire fixation. The results showed that the stability with Halifax clamp was greater than that of the intact state in flexion, extension and lateral bending, but the same as in axial rotation. The stability with wire fixation was greater than that in flexion and equal to that in extension, lateral bending and axial rotation. The ROMs with Halifax Clamp were less than those with wire fixation in flexion, extension and lateral bending, but close to in axial rotation.

Adult↗
PubMed1995

Relationship of LDLR gene polymorphism and NIDDM in Chinese.

Genomic DNA was extracted from peripheral blood lymphocytes of 105 healthy and 75 NIDDM Chinese subjects. The fragment located in exon 13 of the low density lipoprotein receptor (LDLR) gene was amplified by polymerase chain reaction (PCR), and digested with restriction enzyme HincII. LDL, TC and TG levels were measured in all subjects. Investigations were conducted to explore the correlation between the HincII RFLP of LDLR gene and NIDDM in the Chinese population. The results showed that no significant correlation existed between this RFLP locus and NIDDM. Marked differences were found, however, between the genotype distribution of low LDL level subgroups of NIDDM patients and normal controls. It was inferred that the H1 allele might be associated with high blood cholesterol levels, and the H2 allele with low cholesterol levels. Disturbances of lipid metabolism occur frequently in diabetes mellitus. This study suggested that differences in LDLR genotypes may affect the phenotypes of lipid metabolism.

Adult↗
PubMed1995

First EBV vaccine trial in humans using recombinant vaccinia virus expressing the major membrane antigen.

In the absence of a truly representative animal model, the question of whether EBV-related diseases can be prevented by a vaccine has been studied for the first time in humans. A live recombinant virus based on the licensed vaccinia strain Tien Tan, expressing under the 11K vaccinia promoter the major EBV membrane antigen BNLF-1 MA (gp 220-340), was constructed and tested in three different human populations: EBV-positive and vaccinia-virus-exposed adults; EBV-positive, non-vaccinia-virus-exposed juveniles; and EBV and vaccinia virus-naive infants. No significant titre variations for EBV were observed in the adults, but EBV-neutralising titres increased in the vaccinated juveniles, while antibodies to VCA of EBV remained unchanged. All nine vaccinated infants developed antibodies to MA (membrane antigen) with neutralising properties in vitro; three of these infants were infected by EBV via natural routes over a period of 16 months after vaccination and all ten unvaccinated control infants became infected. It has been shown for the first time that protection against and/or delay of EBV infection by the natural route is possible in humans and that live vaccinia vectors can be used and are efficacious.

Adult↗
PubMed1995

[The studies of the estrogen and progesterone receptor levels in the placenta, fetal membrane, uteroplacental bed and myometrium in patients with prolonged pregnancy].

OBJECTIVE: To reveal the relation between the changes of the estrogen receptor (ER) and progesterone receptor (PR) levels in the target tissues and the duration of pregnancy. METHODS: The method combining fluorescence with hormones and polyspectrum-data system were used to qualitatively and quantitatively assay the estrogen and progesterone receptor concentrations in the placenta, fetal membrane, uteroplacental bed and uterine myometrium in 30 cases with prolonged pregnancy and 27 cases of term pregnancy. RESULTS: ER concentrations in the uteroplacental bed and fetal membrane of the prolonged pregnancy group were markedly lower than that in the term group; ER/PR values in every target tissues of the prolonged pregnancy were much less than that in the term group. There is a positive relationship between ER and PR levels in all target tissues evidently; and ER/PR value in the lower segment of the uterine myometrium in the group with uterine contraction were significantly higher than that of group without uterine contraction. CONCLUSIONS: The mechanisms of both prolonged pregnancy and onset of labour were revealed partly in this study. The cause of prolonged pregnancy is relatively concerned with the decline of ER levels and the ascent of the PR concentrations in the target tissues. Also the uterine contraction is induced by the increase of ER and decrease of PR.

Extraembryonic Membranes↗
PubMed1995

[Clinical effects of naloxone on hemorrhagic shock].

In order to study the clinical effects of naloxone on hemorrhagic shock, 21 patients with moderate hemorrhagic shock were randomly divided into two groups. The naloxone group (NLX group) was infused normal saline (200ml) and naloxone (0.02mg/kg) via central vein while the control group was infused normal saline (200ml) only. Mean arterial pressure (MAP), central vein pressure (CVP), cardiac output (CO), cardiac index (CI), peripheral vascular resistance (PVR), levels of lactic acid in both artery and vein, and levels of catecholamine in artery were measured before and after the administration of naloxone or normal saline. The results showed that naloxone significantly increased blood level of catecholamine and MAP (P < 0.01), the effects sustained for more than 15 minutes with an increased PVR (P < 0.05). After infustion of normal saline, blood level of lactic acid in artery and vein decreased slightly (P > 0.05), yet comparatively lower in artery. On the contrary, after administration of naloxone, the blood level of lactic acid markedly decreased in both artery and vein (P < 0.01), but higher in artery. It is suggested that naloxone improve tissue oxygen supply temporarily with enhancement of tissue lactic acid metabolism.

Aged↗
PubMed1995

Calcium channel blockers in cirrhotic patients with portal hypertension.

Four calcium channel blockers, i.e. nifedipine, verapamil, cinnarizine and tetrandrine are currently available and used widely in treating cardiovascular diseases. To confirm the effects, if any, of calcium channel blockers on cirrhotic patients with portal hypertension, a study was performed on esophageal variceal pressure and rebleeding rate of esophageal varices after 2 years by using calcium channel blocker in 321 patients from some 23 hospitals. The results demonstrated that the calcium channel blockers could significantly reduce the esophageal variceal pressure and the portal blood flow in cirrhotic patients with portal hypertension. The proportion of patients with no recurrent gastrointestinal bleeding after 2 years medication of tetrandrine was 87.9% in tetrandrine group, significantly higher than those in the other 4 groups (P < 0.05). It is suggested that tetrandrine should be more effective for cirrhotic patients with portal hypertension in preventing recurrent variceal bleeding.

Adolescent↗
PubMed1995

Long-term weight cycling reduces body weight and fat free mass, but not fat mass in female Wistar rats.

OBJECTIVE: The effects of repeated weight gain and loss, the weight cycling (WC) phenomenon, on body composition have been controversial. WC history and age are two confounding factors which may contribute to this inconsistency. In the present investigation, we examined the effects of WC on body weight regulation, body composition and feeding efficiency in a long-term study when WC history was controlled. METHOD: Six groups of female Wistar rats were used in this study. Five of these six groups were made obese by feeding a high fat (HF) diet for 11 weeks and then divided into five groups: non-cycling control group (HFCON); one group which cycled three times (HFCYC); and three one-cycle groups which cycled only once corresponding to each of the three cycles in the HFCYC group. The sixth group was fed the low fat diet without cycling (LFCON). Weight cycling (WC) was produced by feeding 50% of a HF diet with extra protein, vitamin and mineral mixture until body weight of the cycled groups reached the level of the LFCON group. After three cycles (52-56 weeks), all rats were killed. RESULTS: Results showed that repeated WC reduced final body weight and fat free mass, but not body fat mass in the HFCYC group. Repeated WC also reduced rate of weight regain. During the third cycle, the amount of fat regained during refeeding was more than the fat mass lost during restricted feeding in the HFCYC group. For the three one-cycle groups, the rate of weight regain was slower but rate of weight loss was the same in older rats as in the younger rats. CONCLUSION: Thus repeated WC may favor more body fat retention in later cycles. Aging affected rate of weight regain but not rate of weight loss, nor body composition, while repeated WC affected both rate of weight loss and regain.

Animals↗