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Biomedical subjects

L Adler

Publications and source records attributed to L Adler.

At least 109 records · Page 6Linked to original sources

Roles of glycerol and glycerol-3-phosphate dehydrogenase (NAD+) in acquired osmotolerance of Saccharomyces cerevisiae.

In a cell culture of Saccharomyces cerevisiae exponentially growing in basal medium, only 0.02% of the cells were osmotolerant, i.e., survived transfer to medium containing 1.4 M NaCl. Short-time conditioning in 0.7 M NaCl medium transformed the whole population into an osmotolerance phenotype. During this conditioning, the rate of formation of glycerol, the main compatible solute in S. cerevisiae, increased threefold and the specific activity of glycerol-3-phosphate dehydrogenase (NAD+) (GPDH) (EC 1.1.1.8) was enhanced sixfold. The apparent flux control coefficient for GPDH in the formation of glycerol was estimated to be 0.6. Glycerol production was also favored by regulated activities of alcohol dehydrogenase (EC 1.1.1.1) and aldehyde dehydrogenase [NAD(P)]+ (EC 1.2.1.5). About 50% of the total glycerol produced during conditioning in 0.7 M NaCl was retained intracellularly, and the increased glycerol accumulation was shown to be not merely a result of enhanced production rate but also of increased retention of glycerol. Washing the cells with solutions of lower salinities resulted in loss of glycerol, with retained levels proportional to the concentration of NaCl in the washing solution. Cycloheximide addition inhibited the development of acquired osmotolerance and conditioned cells washed free of glycerol retained a high degree of osmotolerance, which indicate that protein synthesis was required to establish the osmotolerance state.

Cycloheximide↗

Percutaneous excimer-laser and excimer-laser-assisted angioplasty of the lower extremities: results of initial clinical trial.

Percutaneous peripheral excimer-laser angioplasty at 308 nm was used for treatment of 30 patients with peripheral vascular disease. Twenty-eight patients underwent laser-assisted balloon angioplasty, and two patients underwent laser angioplasty alone. Acute angiographic and clinical success was achieved in 24 of 31 (77%) femoropopliteal stenoses and occlusions. Seven of nine (78%) stenoses, six of seven (86%) short (0-5 cm) occlusions, seven of eight (88%) medium-length (6-10 cm) occlusions, three of four (75%) long (11-15 cm) occlusions, and one of three (33%) extreme (greater than 15 cm) occlusions were successfully treated. Inability to treat total occlusions was in each case related to a failure to maintain coaxial position and subintimal passage of the fiber. These cases demonstrate the feasibility of safely performing percutaneous peripheral excimer-laser or excimer-laser-assisted angioplasty. The overall frequency of restenosis after a mean follow-up period of 9.1 months was 29%. The data suggest that these procedures may be useful for the treatment of peripheral vascular disease in selected patients.

Adult↗

Efficacy of low-dose metoprolol in neuroleptic-induced akathisia.

Recent studies have shown that the beta-blockers can be effective treatments for neuroleptic-induced akathisia. However, the relative contributions of beta-1 versus beta-2 blockade to the therapeutic effect of beta-blockers remains unclear. We treated nine patients who had neuroleptic-induced akathisia with low doses (25-100 mg/day) of the beta-blocker metoprolol. At these doses metoprolol causes selective blockade of beta-1 receptors. Seven patients improved after metoprolol; no further substantial changes were seen after subsequent treatment with propranolol. This finding suggests that neuroleptic-induced akathisia can be improved by selective beta-1 blockade.

Adult↗

Preliminary studies of clonidine in psychotic patients.

Twelve psychotic patients received a mean dose of 3.3 mg/day of clonidine. In four clonidine was the only treatment and in the remaining eight clonidine was superadded to a neuroleptic regimen after symptomatology was stable. Clonidine caused reduction of scores for both productive psychotic symptoms and anxiety. Negative symptoms were unaffected. These findings are discussed with respect to the small magnitude of the effects, questions as to specificity of the effects and methodologic limitations of this pilot study.

Adult↗

Delayed visual evoked potentials in chronic alcoholism.

Pattern reversal visual evoked potentials (VEPs) were studied in 80 chronic alcoholics and in 43 normal subjects. In the patient group, P2 latencies and inter-eye differences were found above the 98% confidence limit in 30%, and above the 99.9% confidence limit in 10%. An abnormal waveform was observed in 12.5% and 7.5% of the patients. VEP abnormalities showed some statistical correlation with the gamma-type of alcoholism of Jellinek, but almost no correlation was observed with a variety of clinical and laboratory data. This suggest that VEP abnormalities are unrelated to other toxic effects of alcohol on the peripheral and central nervous systems or on metabolism.

Adult↗

A controlled assessment of propranolol in the treatment of neuroleptic-induced akathisia.

Twelve patients with neuroleptic-induced akathisia were treated in a randomised, double-blind, cross-over design with propranolol and matching placebo. Propranolol caused significant decrements in both subjective and objective ratings of akathisia, but not in anxiety scores. This confirms prior findings of the efficacy of propranolol in akathisia induced by neuroleptic treatment.

Adult↗

Neurogenic pulmonary edema.

Neurogenic pulmonary edema, although not frequently seen, is extremely important in the differential diagnosis of pulmonary edema. Often the diagnosis is suggested by roentgenogram and clinical history and effective therapy can therefore be instituted.

Adult↗