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Biomedical subjects

J N Sharma

Publications and source records attributed to J N Sharma.

At least 109 records · Page 6Linked to original sources

A novel relationship between plasma kininogen and rheumatoid.

Plasma kininogen levels in the peripheral venous blood of untreated patients with active rheumatoid disease was found to be more than twice the levels measured in healthy normal individuals or in convalescing uncomplicated fracture patients. Treatment with oral indomethacin or aspirin lowered the kininogen levels nearly to normal. Sequential studies showed that the fall in kininogen was very rapid, occurring within 1-2 hours of ingestion of drug, and was parallelled by reduction in the clinical indices of inflammation. Control studies showed that the kininogen changes were not due to changes in plasma volume or non-specific changes in plasma protein concentration. Indomethacin treatment had no effect on plasma kininogen levels in healthy volunteers. The significance of this finding will be discussed.

Adult↗

Coronary bypass surgery after renal transplantation.

Aortocoronary bypass surgery was performed in three patients with incapacitating angina pectoris who had previously had successful renal transplantation. All patients had initial symptomatic improvement. Although two have mild angina pectoris, there is objective improvement in their exercise tolerance and in ischemic ST-T changes on treadmill exercise testing. One patient, who also had resection of a left ventricular aneurysm, remains free of angina but is symptomatic from congestive heart failure. There were no postoperative complications. To our knowledge, these three cases are the first in which aortocoronary bypass surgery has been performed successfully in patients who have had renal transplantation. Anticipated problems with infection in view of the immunosuppressive therapy and renal problems postoperatively were not encountered.

Adult↗

Selective inhibition by glycine of some somatic reflexes in the cat.

1. The effects of intracerebroventricular or intrathecal administration of glycine on some somatic reflexes in chloralosed cats were investigated.2. Glycine produced marked inhibition of the flexor reflex (FR) and crossed extensor reflex (CER) at low doses (2.5-5.0 mg) but even large doses (up to 40.0 mg) had no effect on the facilitation or inhibition of the patellar reflex produced by stimulation of either the reticular formation or the sciatic nerve. The linguomandibular reflex (LMR) could be blocked by 10-20 mg glycine.3. Glycine antagonized strychnine-induced facilitation of FR, CER and LMR and was 5-6 times as active as gamma-aminobutyric acid in this respect.4. The possibility of glycine being a transmitter in spinal pathways is discussed.

Aminobutyrates↗

Facilitation of the flexor reflex in the cat by intrathecal injection of catecholamines.

1. Effects of some alpha- and beta-adrenoceptor stimulants and antagonists were investigated on flexor reflex (FR) in chloralosed cats.2. Noradrenaline (NA) produced facilitation of FR which was dose-dependent and reproducible and was blocked by alpha-adrenoceptor blocking agents.3. Strychnine also produced facilitation of FR but the response was unaffected by alpha-adrenoceptor blocking agents.4. Metaraminol and alpha-methyl-noradrenaline had little effect on FR but blocked the NA response.5. beta-adrenoceptor stimulants and antagonists had neither any effect on FR nor modified the NA response.6. Vasopressin and histamine also failed to modify FR.7. Possibility of alpha-adrenoceptors in the neurones integrating FR is suggested.

Adrenergic alpha-Antagonists↗