Search PubMed⌕ Search

Biomedical subjects

J Noel

Publications and source records attributed to J Noel.

69 records · Page 4Linked to original sources

Theophylline kinetics in relation to age: the importance of smoking.

1 Single dose studies of theophylline kinetics were compared in groups of young and elderly smokers and non-smokers to assess the effect of age on theophylline absorption and the effect of smoking on drug metabolising enzyme activity in old age. 2 The rate and extent of absorption was not affected by age. Distribution and elimination kinetics were similar in young and elderly non-smokers. 3 In young subjects the elimination half-life of theophylline was shorter and clearance was significantly greater in smokers than in non-smokers. 4 In the elderly mean elimination half-life was significantly shorter in smokers and their plasma clearance was 40% higher than in non-smokers. The statistical difference for clearance was at the 7% level of significance. 5 These data indicate that ageing per se does not affect theophylline elimination and also that induction of theophylline metabolism due to smoking occurs in old age. Smoking is a variable that should be taken account of when assessing drug metabolism in elderly patients.

Absorption↗

Digoxin in the elderly: pharmacokinetic consequences of old age.

A study of single-dose digoxin kinetics was performed in 6 young and 7 elderly patients. The rate of absorption, determined by the time to peak concentration after an oral dose, was more rapid in the younger group. The extent of absorption, as measured by comparison of the area under the plasma concentration/time curve after oral and intravenous administration, was similar in both groups. Mean plasma half-life was longer and individual values were more variable in the elderly patients. The absolute apparent volume of distribution was reduced in the older patients and correlated inversely with age. When corrected for weight, however, the difference in the apparent volume of distribution did not approach significance. Both absolute and weight-corrected values for plasma clearance of digoxin were reduced in the elderly subjects.

Administration, Oral↗

Complex synaptic configurations in planarian brain.

Complex synaptic configurations which appear to have especial evolutionary and functional significance are shown in the neuropil of the brain of the planarian Dugesia dorotocephala. Some of the endings in these synaptic attachments contain dense core vesicles, suggesting that nonadrenaline or serotonin or both are neurotransmitters at a more primitive phyletic level than reported hitherto. The spatial proximity and connectivity of the synapses suggest modes of action permitting greater functional complexity to the planarian brain than previously supposed. Closely adjacent cellular processes which contain polysomal ribosomes, unusual in the neuropil, suggest synaptic transmission-protein synthesis coupling and a possible role in memory.

Animals↗

Circulating leptin levels and weight loss in Alzheimer's disease patients.

Weight loss is common in Alzheimer's disease (AD) and is predictive of mortality. Leptin, an adipocyte-derived peptide hormone is implicated in the regulation of satiety and energy expenditure. It acts on the hypothalamus to suppress appetite and increase energy expenditure. We undertook this study to determine if inappropriately elevated leptin levels play a role in AD-associated weight loss. Serum leptin levels of 8 patients in each of the following groups were determined: (1) AD, body mass index (BMI) >25; (2) AD, BMI <20; (3) non-Alzheimer's (vascular) dementia (VaD), BMI >25, and (4) VaD, BMI <20. Mean serum leptin levels were significantly lower in below-appropriate-weight patients (both AD and VaD) than in appropriate-weight controls. Below-appropriate-weight AD patients had a significantly lower mean serum leptin concentration than appropriate-weight VaD controls. Weight loss is a feature of AD. Inappropriately elevated leptin levels do not appear to be implicated. Indeed, we have shown that the afferent limb of the leptin feedback loop is intact in below-appropriate-weight AD patients and suggest hypothalamic dysfunction may underlie this feature.

Aged↗

[Calcium and liver].

Cells expand energy to lower the concentration of free calcium in the cytosol ([Ca2+]i) to a very low level. Extracellular Ca2+ entering via channels situated in the plasma membrane is expelled into the extracellular medium by a Ca(2+)-Mg(2+)-ATPase or by Na(+)-Ca2+ exchangers. The Ca2+ that enters the cell is sequestered, once inside the cytosol, by a Ca(2+)-Mg(2+)-ATPase, which concentrates Ca2+ in specialized domains of the endoplasmic reticulum. The nucleus and the mitochondria also concentrate Ca2+, but less efficiently. The stimulation of numerous receptors by hormones, growth factors and neurotransmitters coupled to GTP-binding proteins provokes a rapid increase in [Ca2+]i by mobilizing Ca2+ from intra- and extracellular compartments. Membrane coupling is ensured by the activation of a phospholipase C-beta, which hydrolyses a doubly phosphorylated phosphoinositide, phosphatidylinositol 4,5-bisphosphate (PtdIns(4,5)P2). The inositol (1,4,5)-trisphosphate (InsP3) consequently formed binds to a receptor consisting in 4 homologous of 250 kDa each. The InsP3 receptor has been localized to a specialized region, rich in Ca2+, of the endoplasmic reticulum. The receptor has been purified and its sequence obtained. Reincorporated into planar bilayers, it displays the properties of a channel. In the cell, opening of the InsP3 receptor-channel provokes the release of the Ca2+ accumulated within the endoplasmic reticulum. Analyzing the kinetics of channel opening by the methods of rapid mixing, rapid filtration or flash photolysis of caged InsP3 has revealed that InsP3 opens the channel within a very short time, probably less than 30 msec. The InsP3 receptor-channel is autoregenerative. With the sustained stimulation of a Ca2+ influx the release of Ca2+ leads to an augmentation of [Ca2+]i, which is responsible for triggering cellular responses. The complexity of Ca2+ signals produced by stimulated cells has been revealed by studies in which highly effective techniques have been used to detect Ca2+ ions in the cytosol, such as bioluminescent proteins, fluorescent indicators or ionic currents sensitive to Ca2+. It appears that variations in [Ca2+]i induced by stimulation consist of oscillations of which the frequency, but not the amplitude, depends on the concentration of the hormone. Moreover, by summing the images picked up with a video recorder, it has been possible to demonstrate the changes in [Ca2+]i at the subcellular level and the waves of Ca2+ in stimulated cells.

Animals↗