Letter: Isocaloric diets and sleep.
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Biomedical subjects
Publications and source records attributed to K Adam.
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1 Mesoridazine, a phenothiazine of short half-life, and potentially useful as an hypnotic, has here been investigated using volunteers of late middle age. 2 The electrophsiological recording of all-night sleep was studied in seven subjects for a 7-week period during which ther received mesoridazine (10 mg nightly) for 3 weeks. The drug reduced the frequency of transitions into wakefulness and stage 1 (drowsiness) and reduced the time spent in stage 1; there was a withdrawal rebound. Mesoridazine increased REM sleep above baseline levels and a rebound fall below baseline occurred on withdrawal. The drug did not alter the amount of stage 3 + 4 slow wave sleep. 3 Subjective self-ratings were assessed in a 6-week study of sixteen subjects. Sleep quality improved on mesoridazine (10 mg nightly) but there was diminution of zest and freshness 20 min after rising. Daytime concentration and anxiety were rated as not affected either by administration or withdrawal.
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Three fistula sheep with average weights of 52.2 kgs were given 37.9 g of 15N and 14C labelled acetamide (= 1.09 mg 15N' and 0,95 mCi14C) which were administered directly through the fistula. The half-life period of 15N retention in the ruminal fluid (TCE soluble portion) was found to be 4 hrs. 18 hrs after 15N administration increasing amounts of 15N were carried back to the rumen by way of the rumino-hepatic circulation. The 15N concentration in the blood (TCE soluble portion) rapidly increased up to a peak value and, from 3 hrs after isotope administration, the 15N concentration was found to decline continuously, with a slight discontinuation at about the 10th hr of experiment. The rate of 15N incorporation into the protein fraction (TEC soluble portion) of the blood was delayed by 4 hrs, relative to the rate of 15N incorporation into ruminal proteins. An average of 43.1% of the administered amount of 15N was excreted in the urine within 7 days. Up to the 4th day of experiment the half-life period of urinary 15N excretion was 19 hrs. An average of 15% of the administered total amount of 15N was excreted in the faeces. In this process, the peak values in both TCE fractions were observed to occur on the 2nd day of experiment. The proportion of isotope in the TCE soluble fraction was found to increase continuously compared with the total amount of the isotope excreted in the faeces. Isotope concentrations between 0.03 and 0.13 atom% of surplus 15N were found in organ and muscle tissues of a sheep that had been slaughtered 7 days after administration of the isotope. The results obtained are discussed on the basis of comparisons made with the analogous behaviour of 14C activity.
3 male sheep (phi 48.3 kg) were fed a semisynthetic diet containing acetyl urea as sole protein source and 15N-14C labelled acetyl urea (urea-C labelled) by intraruminal tube. A half life period of 4 hrs was established for the removal of labelled acetyl urea from the TCE-soluble portion of the ruminal fluid. The degree of 14C labelling in ruminal proteins was very low whereas the extent of 15N labelled protein synthesis was quite marked reaching a maximum between the 18th and 24th hour of experiment. The steepest rise of 15N incorporation into ruminal proteins was found to occur between 8 to 12 hrs after start of the experiment, i.e. at the time of peak level of 15N returned from 15N urea via the rumino-hepatic circulation. 23.3% of the amount of 14C activity administered (mean of all 3 experimental animals) was excreted through respiration. The curve patterns of both isotopes in the TCE soluble portion of the ruminal fluid were similar to that of the degasified TCE soluble portion of the blood blasma. At the peak time (8 hrs) a concentration of the nitrogen isotope of about 4 atom% excess of 15N was observed. The level of 14C labeling in blood plasma proteins was insignificant when compared with that of 15N labelling. The ratio at the peak time was 1:10; the same ratio was found for ruminal proteins. From this it can be concluded that the process of labelling of blood plasma proteins proceeds mainly through microbial protein synthesis. Sheep I and III excreted an average of 60.6% of 14C activity and 57.0% of the administered excess of 15N in the urine. 6 hrs after the beginning of the experiment 81% of the amount of urinary 14C activity was found to occur as acetyl urea; after 48 hrs this amount had decreased to 50%. All experimental sheep excreted a urinary sediment consisting mainly of acetyl urea. The level of faecal 14C excretion (1.4%-2.9% of the amount administered) was considerably lower than that of 15N excretion (9.1%--15.6% of the administered dose). The TCE soluble fraction of the faeces contained up to 2% of the 14C dose and 3% of the 15N dose. The true digestibility data of 15N from 15N acetyl urea varied between 96.4% and 98.2%. An average of 40.9% was obtained for the 15N balance over the 7-day trial period.
1 An alpha-adrenergic receptor blocking agent, thymoxamine (150 mg i.v.) in the early night sleep of young adults increased REM sleep duration and also brief awakenings in the early night, while slow wave sleep, stage 3+4, was diminished. In the later night, however, stage 3+4 sleep was increased. Control experiments demonstrated that thymoxamine (i.v.) was without effect on blood pressure. 2 REM sleep duration may be inversely proportional to noradrenaline available at central alpha-adrenoceptors, but the control mechanisms for REM sleep appear interdependent with those for NREM sleep.
Fifteen patients with a variety of itching skin diseases (atopic eczema, dermatitis herpetiformis, lichen planus, urticaria and psoriasis) have been studied in the sleep laboratory. Recordings were made of all-night electroencephalogram, electro-oculogram, submental electromyogram, and muscle potentials from both forearms. Bouts of scratching during orthodox (NREM) sleep occurred more frequently in stages 1 and 2 than in stages 3 and 4. The frequency in paradoxial (REM) sleep was close to that in stage 2 sleep. This pattern was similar for all the diseases studied and seems to be related to the physiology of the sleep stages rather than to the skin diseases themselves. The mean duration of the bouts of scratching was not related to the sleep stage in which they started.
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For several reasons the utilisation of 15N for the characterisation of the microbial protein synthesis in the artificial rumen seems to be, in contrast to the incorporation of 35S, not very suitable in order to characterise the feed value of straw materials.
After 15N-labelling over 7 days male albino rats (92-95 g live weight) received either a wheat or whole egg diet (10 animals each) for 4 days. On the following day of the experiment 5 animals each continued to receive their diets as their morning meal (group 1 whole egg, group 3 wheat) and 5 animals each after the previous feeding of a wheat diet received a 2.9 g whole egg diet (group 2) and after the previous feeding of a whole egg diet a 2.85 g wheat diet (group 4) resp. This morning meal was supplemented with chromium(III)oxide. The rats consumed their meals within 20 minutes. The animals were killed 3.5 hours after the beginning of feed intake. At that time the following relative amounts (in % of the intake) could be detected in the stomach in the sequence of groups 1 to 4: Cr2O3 = 22.5; 26.5; 57.5 and 64.2; dry matter = 25.4; 22.1; 43.2 and 38.5. The better agreement between the whole egg diet and Cr2O3 can be explained with the hydrophobic qualities of Cr2O3 and the small disposition of the Cr2O3 to decompose in combination with the whole egg diet. In the first third of the small intestines less than 1% of the intake of Cr2O3 and a maximum of 3.5% of the DM could be detected. Between 20 and 36% of the Cr2O3 and between 15 and 20% of the dry matter intake were ascertained in the small intestines as a whole; in the large intestines the values were 12-20% of the Cr2O3 and 16-23% of the DM. Endogenous 15N-secretion could be ascertained in all parts of the digestive tract. According to the method suggested by U. Bergner and H. Bergner (1982), protein digestibility in the last third of the small intestines was calculated as follows: (formula; see text) The following ileal digestibility values were calculated for crude protein: whole egg = 95.6%; whole egg (wheat previously) = 95.5%; wheat = 94.1%; wheat (whole egg previously) = 85.1%. It is a precondition for the application of this method that at the time of killing representative quotas of the diet sample to be tested can be detected both in the stomach and the large intestine so that the decrease of 15N-labelling in the ileum is actually caused by the test protein.
The metabolism of 15N-urea in the rations of dairy cows was investigated in dependence on the crude protein content of the rations. With energy concentration remaining unchanged, the rations contained 10.7 (I), 13.7 (II) and 17.1 (III)% plant crude protein and, after the supplementation of 150 g urea per animal and day, a total of 13.8, 16.7 and 20.2% crude protein in the dry matter. The urea was intraruminally infused during the feeding in the morning and the evening. In the morning feeding of each 1st measuring day it was labelled with 27.5 atom-% 15N-excess (15N'). The degree of labelling with 15N' of the N-fraction of rumen fluid, contents of the duodenum, faeces and milk, precipitable with trichloric acetic acid (TCA) decreased with the rising protein level of the ration. This effect was bigger than could be expected considering the low 15N'-quota in the total-N of the ration. In the sequence I ... III, 52.7, 32.2 and 30.6% of the 15N'-amount taken in passed the duodenal re-entrant cannula in TCA-precipitable form within 72 hours after the 15N-application. 33.3, 21.9 and 22.6% were apparently absorbed in the intestines as TCA-precipitable N within 120 h after the 15N'-application. In the same period 31.7, 43.1 and 72.8% of the 15N' taken in were excreted in urine. 12.3, 9.6 and 5.8% of the applied 15N' were found in milk protein. One can conclude that the utilisation of urea-N decreases with the rising level of crude protein in the ration and that, however, urea-N is still biochemically utilised when there is an excess of plant-N in the ration.
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