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Biomedical subjects

M Leon

Publications and source records attributed to M Leon.

At least 55 records · Page 3Linked to original sources
PubMed1996

Peri-articular injection of tenoxicam for painful shoulders: a double-blind, placebo controlled trial.

Eighty out-patients (50 F, 30 M), aged 58 +/- 12 years (range: 26-84) and weighing 72 +/- 10 kg (range: 50-97), presenting with an acute or subacute (< 3 months) episode of rotator cuff tendinitis without (n = 28) or with movement restriction (n = 52) of the shoulder and having a pain intensity of at least 4 on VAS for pain at rest or on active movement, were treated at random and in double blind conditions for 1 to 4 weeks with 1 weekly periarticular anterior injection of tenoxicam 20 mg or placebo. Tenoxicam treated patients improved more than placebo-injected patients in a statistically highly significant manner with regard to clinical index, pain on VAS during active movement and at rest, active mobility (degrees), pain or pressure and clinical global impression (assessed by investigator and patient). There was a nonsignificant opinion that placebo treated patients consumed more rescue medication. Safety assessments were not significantly better in the placebo-treated patients through local tolerability tended to be better in that group. These results indicate that tenoxicam 20 mg injected locally is effective in alleviating pain and in improving shoulder mobility in patients with a painful shoulder episode and suggest that such a treatment is safe and well tolerated. Local injection of tenoxicam seems to be a promising new treatment of acute, painful, local inflammatory processes in Rheumatology, Orthopaedics, Physical Medicine and Sports Medicine. Further studies in other pathologies are warranted.

Adult↗
PubMed1996

Recurrent varicose veins: investigation of the pattern and extent of reflux with color flow duplex scanning.

BACKGROUND: This study was conducted to investigate with color flow duplex imaging the patterns and the extent of venous valvular incompetence in recurrent varicose vein disease. METHODS: One hundred thirty-four limbs of 123 unselected patients who arrived in the outpatient clinic with residual or recurrent varicose veins after undergoing an operation were included. Limbs with history of compression sclerotherapy before or after the operation were excluded. The long (LSV) and short saphenous vein (SSV) systems in all limbs were examined with color flow duplex imaging for detection of the sites and the extent of reflux. RESULTS: Various patterns of recurrent valvular reflux were seen in both the LSV and SSV systems. Reflux confined to saphenofemoral junction alone or associated with reflux in the LSV system was seen in 29% of the limbs. Reflux in the whole LSV system was very common after saphenofemoral junction ligation was performed (chi-squared test, p<0.01). Most of the limbs (53%) with recurrence in the LSV system had incompetent perforating veins. Incompetent perforators in the thigh were more common after ligation (23%) than stripping (10%), but this finding was not true in the calf. After saphenopopliteal junction ligation was performed, the more common pattern was the reflux in the SSV (75%), whereas after SSV stripping was performed, it was the reflux in the SSV tributaries (64%). CONCLUSIONS: Multiple patterns of reflux develop in recurrent varicose veins. Precise mapping of the reflux and identification of the possible causes are required to instigate appropriate treatment. Color flow duplex imaging is an efficient noninvasive diagnostic technique to identify venous reflux.

Adult↗
PubMed1996

Early locus coeruleus lesions increase the density of beta-adrenergic receptors in the main olfactory bulb of rats.

Norepinephrine is supplied to both deep and superficial layers of the olfactory bulb through dense projections from the locus coeruleus. Beta-adrenergic receptors are located in nearly all bulb laminae, with high-density foci of beta-1 and beta-2-adrenoceptors present in the glomerular layer. Early olfactory experiences that increase norepinephrine levels in the bulb also decrease the density of beta-1- and beta-2-adrenoceptors, as well as the number of high-density glomerular foci of beta-2-receptors. Changes in bulb norepinephrine levels, therefore, may affect the density of beta-adrenoceptors in the bulb. In the current study, we test this hypothesis by performing unilateral lesions of the locus coeruleus with 6-hydroxydopamine on postnatal day 4, and examining the density of beta-1- and beta-2-adrenergic receptors in the main olfactory bulb of the rat using 125I-labeled iodopindolol receptor autoradiography on postnatal day 19. Locus coeruleus destruction resulted in a statistically significant increase in the density of adrenergic receptors in the ipsilateral bulb compared to the contralateral bulb. Both beta-1- and beta-2-adrenoceptor subtypes increased in density with this manipulation, although the number of glomerular layer high-density beta-2 foci was not significantly different between the two bulbs. These results are consistent with the hypothesis that changes in olfactory bulb norepinephrine can regulate the density of beta-adrenergic receptors in the bulb.

Animals↗
PubMed1996

The role of the distribution and anatomic extent of reflux in the development of signs and symptoms in chronic venous insufficiency.

PURPOSE: The purpose of this study was to identify the distribution of venous reflux in patients with different patterns of reflux with each class. METHODS: Color-flow duplex imaging was used to evaluate the entire venous system from groin to ankle in 465 patients (594 limbs) belonging to different clinical CVI classes (0, 1, 2, and 3). A history of previous superficial thrombophlebitis was present in five limbs and past deep vein thrombosis in 70. RESULTS: One hundred seventy eight (30%) limbs were normal and the remaining 416 (70%) had venous incompetence. Deep reflux was present exclusively in 19 limbs (3.2%), and the perforation system alone was involved in only three limbs (0.5%). However, isolated superficial incompetence was seen in 186 limbs (31.3%) and a combination of superficial with perforating alone was involved in 45 (7.6%). Incompetence in all three systems was seen in 99 extremities (16.7%). In addition, the superficial system was involved in 390 limbs, the perforators in 151, and the deep system in 178 limbs. Only a small percentage of those in class 0 had reflux, and most of them had a single site of incompetence. In class 1 the majority of the limbs had superficial reflux (90.3%), 10.3% of the limbs had deep venous reflux, and 6.9% were competent. Reflux in the superficial system was only seen in 80.7% of the limbs in class 1 and in one fifth of the limbs in classes 2 and 3. Isolated deep or perforated incompetence was rare in all classes. Variable combined patterns of reflux were seen more often in classes 2 and 3 (p < 0.0001). In classes 2 and 3 there were no differences in the number of incompetent sites in the superficial and deep venous systems or the patterns of reflux (p > 0.1). The number of incompetent perforators in class 3 tended to be higher than that in class 2, especially in the below-knee segment, but no significant differences were seen. Distal reflux was present in the majority of the limbs in all symptomatic classes (1, 2, and 3). CONCLUSIONS: The distribution and extent of reflux is strongly associated with clinical severity of CVI through class 2. Distal venous reflux is present in at least 80% of the symptomatic limbs. Deep venous thrombosis may not be a prerequisite for the development of skin changes or ulceration in about 75% of the limbs. Superficial venous surgery could be beneficial to at least one third of patients with skin changes or ulceration.

Adult↗
PubMed1996

Destruction of the medial forebrain bundle caudal to the site of stimulation reduces rewarding efficacy but destruction rostrally does not.

Rats with an electrode in the medial forebrain bundle (MFB) in or near the ventral tegmental area and another at the level of the rostral hypothalamus sustained large electrolytic lesions at either the rostral or the caudal electrode. The rewarding efficacy of stimulation through the other electrode was determined before and after the lesion. Massive damage to the MFB in the rostral lateral hypothalamus (LH) generally had little effect on the rewarding efficacy of more caudal stimulation, whereas large lesions in the caudal MFB generally reduced the rewarding efficacy of LH stimulation by 35-60%. Similar reductions were produced by knife cuts in the caudal MFB. These results appear to be inconsistent with the hypothesis that the reward fibers consist either of descending or ascending fibers coursing in or near the MFB. It is suggested that the reward fibers are collaterals from neurons with both their somata and their behaviorally significant terminals located primarily in the midbrain.

Animals↗
PubMed1995

Olfactory experience modulates Bcl-2 expression in the developing olfactory bulb.

The effect of olfactory deprivation on cellular expression of the Bcl-2 gene in the olfactory bulb of young rats was investigated. Restriction of olfactory stimuli caused an overall increase in Bcl-2 mRNA expression, with increases seen in the lateral aspects of glomerular, external plexiform, mitral and granule cell layers, as well as the medial aspects of external plexiform layer. No differences were found in the unoperated control group. In addition, we found an inverse relationship between the incidence of apoptosis induced by olfactory deprivation and the magnitude of increase in Bcl-2 mRNA expression in the glomerular layer. These data raise the possibility that Bcl-2 may be involved in olfactory experience-related neural plasticity by regulating cell survival.

Animals↗
PubMed1995

A learned odor evokes an enhanced Fos-like glomerular response in the olfactory bulb of young rats.

Young rats exposed to peppermint odor and reinforcing tactile stimulation from postnatal days (PND) 1-18 increase their preference for that odor relative to controls. This early olfactory memory is accompanied by an 80% increase in the density of glomerular-layer cells displaying Fos-like immunoreactivity in response to the learned odor on PND 19. The difference is observed in midlateral portions of the olfactory bulb that align with foci of 2-deoxyglucose (2-DG) uptake in adjacent sections. Trained and control animals are not different in the Fos-like response of juxtaglomerular cells within ventrolateral 2-DG foci. Ratios of midlateral/ventrolateral response differ significantly between trained and control animals and include differences among cells of three staining intensities. These ratios are correlated with ratios of 2-DG uptake (midlateral/ventrolateral foci), which also differ significantly between trained and control rats. Juxtaglomerular cells associated with 2-DG foci also express Egr-1-like immunoreactivity. However, the midlateral Egr-1 response does not differ between trained and control rats. These results show that early memories can be associated with an increased Fos-like response in a primary sensory area of the CNS. They also suggest that only specific regions within the olfactory bulb are modified following the learning of a given odor in early life.

Animals↗
PubMed1995

Early olfactory enrichment and deprivation both decrease beta-adrenergic receptor density in the main olfactory bulb of the rat.

The density of noradrenergic locus coeruleus projections and beta-adrenergic receptors in the main olfactory bulb of the rat increases with age. Both beta 1- and beta 2-adrenergic receptor subtypes exhibit laminar distributions, with focal regions of high receptor density present within the neuropil of individual glomeruli. Since the first synaptic contacts between olfactory receptor neurons and bulbar neurons occur within the glomeruli, early olfactory experiences possibly could influence the density or distribution of beta-adrenergic receptors in the bulb. We therefore investigated the effects of olfactory deprivation and early olfactory enrichment on the density and distribution of beta-adrenergic receptors in the main olfactory bulb. Animals were subjected to either unilateral naris closure on postnatal day 1 or odor training from postnatal days 1-18. Bulbs were removed on postnatal day 19 and subjected to quantitative autoradiography using the beta-adrenergic receptor antagonist [125I]iodopindolol and specific receptor subtype antagonists ICI 118,551 (beta 2-antagonist) and ICI 89,406 (beta 1-antagonist). Unilateral naris occlusion decreased both the number of beta 2 glomerular foci and the density of beta 1 and beta 2 receptors in the deprived bulb compared to the nondeprived bulb. Early odor training resulted in a significant decrease in the number, area, and receptor density of beta 2 glomerular foci in the midlateral region of the bulb. The distribution of beta 2 glomerular foci also differs with these two sensory manipulations. Changes in beta-adrenergic receptor density in response to both early learning and olfactory deprivation may be induced by a transient increase in olfactory bulb norepinephrine.

Animals↗
PubMed1995

Early odor preference training increases olfactory bulb norepinephrine.

In vivo microdialysis sampling of the olfactory bulbs of awake rats on PND 3 revealed that olfactory stimulation alone does not alter extracellular norepinephrine (NE) levels. Tactile stimulation that is designed to mimic maternal interactions with the young does increase bulb NE and the combined odor and tactile stimulation further increases NE levels. These data are consistent with a critical role for NE in the development of early olfactory preferences in infant rats, induced by odor/tactile stimulation pairings. PND 10 odor/tactile stimulation does not evoke an increase in NE, data consistent with the finding that odor preference training of this kind is ineffective after about the first week of life. Oral infusion of milk on PND 3 also increases bulb NE, a finding consistent with the role of milk as a reinforcing stimulus for the development of early olfactory preferences. Finally, infusion of potassium into the bulb on PND 3 produces a rapid increase in NE, indicating a local neuronal origin of the NE in response to stimulation.

Administration, Oral↗
PubMed1995

Olfactory bulb glycogen metabolism: noradrenergic modulation in the young rat.

The olfactory bulb exhibits high glycogen phosphorylase activity, the rate-limiting enzyme in the mobilization of glycogen. The bulb also receives dense noradrenergic innervation and noradrenaline is known to stimulate glycogen breakdown. We determined the levels of glycogen in the bulb over the course of development and then determined the ability of noradrenaline to mobilize bulb glycogen. At birth, olfactory bulbs have very high levels of glycogen, with levels declining as the pups develop. Picomolar levels of noradrenaline mobilize glycogen in the bulb,. Initially, beta-adrenergic receptors mediate teh glycogenolysis and subsequently, the alpha-noradrenergic receptors in the bulb stimulate the breakdown of glycogen. Carnosine is involved in the repletion of bulb glycogen levels. The stimulation of glycogen breakdown by noradrenaline may play a role in allowing the increased activity that accompanies early olfactory stimulation.

Aging↗
PubMed1995

Olfactory experience modulated apoptosis in the developing olfactory bulb.

Early sensory stimulation plays a key role in shaping the structure and function of the developing olfactory system. Here, we provide the first direct evidence for apoptotic cell death in the olfactory bulbs of rat pups during normal development and we also demonstrate that olfactory deprivation by unilateral naris occlusion causes a dramatic increase in apoptotic cell death in the glomerular and granule cell layers of the deprived bulb. The accessory olfactory bulbs displayed a remarkably high basal level of apoptosis but the occluded accessory bulb did not differ in that regard from the control accessory bulb. These results suggest that apoptosis may be an important mechanism by which the olfactory system can adjust its cell numbers in response in sensory stimuli experienced in early life, thereby underlying one form of plasticity in the developing olfactory system.

Animals↗
PubMed1995

Distribution and development of beta-adrenergic receptors in the rat olfactory bulb.

Beta-adrenergic stimulation appears to be involved in the establishment of both learned olfactory preferences and functional changes in the olfactory bulb of young rats. We examined the postnatal development of beta-adrenergic receptors within the main olfactory bulb to determine the density and distribution of these receptors. To quantify beta-adrenergic receptor density, olfactory bulb homogenates from postnatal day (PND) 1, 6, 12, and 19 rats were assessed for receptor binding with 125I-iodopindolol. In addition, receptor autoradiography was performed with the selective beta 1 antagonist ICI 89,406 and selective beta 2 antagonist ICI 118,551 on tissue sections from PND 1-30 rats to examine the distribution of the beta-adrenergic receptor subtypes. We observed both an increase in receptor density with increasing age and the formation of distinct spatial distributions of the two beta receptor subtypes within the bulbar lamina. Beta-adrenergic receptors were located in both deep and superficial layers of the bulb. Specifically, beta 1 receptors were present in the granule cell, internal plexiform and glomerular layers. beta 2 receptors were present in the granule cell, internal plexiform, external plexiform, and glomerular layers. High levels of beta 2 receptors also were visible in the meningeal layers between the two bulbs. High densities of beta 1 and beta 2 adrenergic receptors were present within different sets of individual glomeruli by PND 12-19, and the number of these foci increased with age. The knowledge of beta-noradrenergic receptor localization in the bulb may provide the basis for understanding the action of norepinephrine on neural processes in the developing olfactory bulb.

Animals↗
PubMed1995

Calcitonin and bisphosphonates treatment in bone loss after liver transplantation.

Osteopenia is a major complication of orthotopic liver transplantation (OLT). However, no effective therapy for bone disease has been defined. We have studied vertebral bone mineral density (VMD) and fasting serum markers of bone formation [bone gla protein (BGP), procollagen I carboxyterminal peptide (PICP)] and metabolism (serum Ca, P, intact parathyroid hormone (iPTH), 25OHD3 and 1,25(OH)2D3) in 120 patents after OLT. VMD was measured by dual-energy X-ray absorptiometry (DXA) using a Hologic QDR 1000 densitometer on two occasions, 12 months apart. Patients with OLT had a VBD significantly lower compared with age- and sexed-matched Spanish controls (P < 0.05). Prevalence of osteoporosis (Z score below -2 SD) was 35.8%. Serum BGP (8.6 +/- 0.7 ng/ml) and PICP (222.9 +/- 81.9 ng/dl) were higher than those of controls. However, serum calcium, phosphorus, iPTH, 25OHD3, and 1,25(OH)2D3 were within normal range. Patients with osteoporosis were randomly treated with 40 IU/day of calcitonin i.m. (Diatin, Ferrer Int. Laboratories) (n = 17) or 400 mg p.o., 15 days every 3 months, of sodium ethiodronate (Difosfen, Rubio Laboratories) (n = 23). All patients received 500 mg/12 hours of elemental calcium p.o. After 12 months of treatment, a significant increment of vertebral mineral density (VMD) was observed (6.4% and 8.2%, respectively). Serum BGP and PICP values remained elevated without a difference between the two drugs. Our results indicate that antiresorptive drugs may be of benefit in the high turnover osteoporosis of OLT recipients.

Adult↗
PubMed1995

Focal 2-DG uptake persists following olfactory bulb lesions.

Exposure of rats to different odors produces spatially distinct patterns of 14C-2-deoxyglucose uptake (2-DG) in the glomerular layer of the main olfactory bulb. However, lesions of specific regions of the bulb that reliably contain 2-DG foci reportedly do not impair the ability of rats to perform olfactory-guided behaviors, suggesting that the lesioned olfactory bulb retains odor-responsiveness. Because the absence of focal 2-DG incorporation in lesioned olfactory bulbs has not been verified by 2-DG autoradiography, it cannot be concluded that focal responses in the olfactory bulb do not contribute to the encoding of olfactory information. To examine the effects of bulb lesions on 2-DG uptake in the olfactory bulb, we placed lesions in specific regions of the bulb that reliably contain 2-DG foci. We then exposed rats to odors 3 or 6 weeks later to determine if the lesions effectively eliminated focal 2-DG uptake in these bulbs. The results indicate that lesioned olfactory bulbs contain focal regions of 2-DG uptake in response to odor stimulation.

Animals↗
PubMed1995

Venous hemodynamic abnormalities in patients with leg ulceration.

PURPOSE: Venous ulceration in the leg has been predominantly associated with deep venous insufficiency, although a few reports have implicated the superficial veins. The aim of this study was to identify the distribution of valvular incompetence in patients with active leg ulceration. PATIENTS AND METHODS: Color flow duplex imaging (CFDI) ultrasonography was used to evaluate the entire venous system--superficial, perforator and deep--from groin to ankle in 112 limbs of 94 patients with venous leg ulcers. RESULTS: Seventy two limbs (64%) had multisystem incompetence and 36 (32%) had one system involved only, whereas in 4 limbs (4%) there was no venous incompetence. Deep venous reflux exclusively was present in 7 limbs (6%) and the perforator system alone was involved only in 3 limbs (3%). However, isolated superficial incompetence was seen in 26 extremities (23%) and combination of superficial with perforator system alone in 23 (21%). In addition, reflux overall in the superficial system (alone and in combination with perforator and deep systems) was seen in 94 limbs (84%). The most common pattern (28%) of abnormality was reflux in all systems, superficial, perforator, and deep. CONCLUSIONS: The results of this study show that variable combined patterns account for over two thirds of patients with ulceration. No comprehensive surgical policy for alleviating ulceration can be justified; we suggest that a complete evaluation of all venous systems from groin to ankle with CFDI ultrasonography in patients with venous ulceration is practical on a routine basis and will be particularly valuable before surgery in order to target intervention at specific incompetent sites.

Adolescent↗