Search PubMed⌕ Search

Biomedical subjects

M Lluch

Publications and source records attributed to M Lluch.

At least 37 records · Page 2Linked to original sources

[Tuberculous meningitis with atypical presentation in a patient with human immunodeficiency virus infection].

A 32 years old male patient is described with infection by the human immunodeficiency virus (HIV) on stage IV C1 and with positive Ag p24 who developed tuberculous meningitis of atypical presentation. A persistent liquoral neutrophilia and low adenosindeaminase values were observed in cerebrospinal fluid of purulent appearance. The patient responded badly to tuberculostatic treatment and died. In the antibiogram carried out resistance to Mycobacterium tuberculosis was observed to rifampicine and isoniazide, two of the five drugs the patient had received. The peculiarities of the clinical form of presentation similar to purulent bacterian meningitis are discussed, and the possible influence of HIV infection and the antibiotic multiresistance observed in the bad evolution of the tuberculous meningitis which the patient developed.

Acquired Immunodeficiency Syndrome↗

Methylmalonic aciduria with homocystinuria: biochemical studies, treatment, and clinical course of a Cbl-C patient.

A patient with infantile onset methylmalonic aciduria and homocystinuria (Cbl-C mutant) is described. Therapy with hydroxycobalamin, folate and vitamin B6 improved his condition. As hypomethioninaemia and homocystinaemia persisted, he was treated with intramuscular methylcobalamin, but without success. Treatment with betaine started at 25 months of age, normalized plasma methionine and elicited disappearance of homocystinaemia. Results of biochemical studies in cultured fibroblasts paralleled those described for other Cbl-C patients except that methylmalonyl-coenzyme A mutase activity in disrupted fibroblasts was in the normal range.

Betaine↗

Allergic contact dermatitis from 3-(aminomethyl)-pyridyl salicylate.

2 patients with acute allergic contact dermatitis from 3-(aminomethyl)-pyridyl salicylate are described. Both patients were females with histories of urticaria and showed cross-sensitization to substances of the para group. Clinical manifestations included eczema, angioedema and respiratory effects. In 1 patient, airborne elicitation was suspected. A lymphocyte transformation test confirmed the allergy, with an extremely high response index. 35 normal controls were negative.

Aminopyridines↗

Inhibition of sugar and amino acid transport across rat jejunum by cadmium, copper and mercury.

Cd2+, Cu2+ and Hg2+ (0.5 mM) inhibit the absorption of D-galactose (1 mM) across rat jejunum in vivo. The inhibition increases by 3-5 min previous exposure of the mucosa to the heavy metals, and is appreciably reversed by washing the intestinal lumen with 10 mM EDTA, and in higher proportion with 10 mM dithioerythritol. The metals do not affect the passive absorption of galactose (sugar transport blocked by 0.5 mM phlorizin), or that of L-sorbose. In vitro accumulation of D-galactose by jejunum rings is also inhibited by Cd and Cu. This inhibition is reversed by washing more readily than in vivo. The metals do not affect sugar entry into the tissues in the presence of 0.5 mM phlorizin. The inhibition of the transport component follows a non-competitive kinetics. Cd and Cu inhibit also the L-phenylalanine accumulation by the jejunum rings, but they do not modify the passive entry (in the presence of 40 mM methionine) or that in the absence of Na+. Heavy metals appear to inhibit sugar and amino acid intestinal absorption by their binding to proteins (prevailing to thiol groups) of the luminal membrane of enterocytes, which pertain or are functionally related to the corresponding Na(+)-substrate cotransport system.

Animals↗

Actions of vanadate on vascular tension and sodium pump activity in cat isolated cerebral and femoral arteries.

1. The mechanisms involved in the responses induced by sodium vanadate (Va3 VO4) on cat cerebral and femoral arteries were studied. The possibility that these responses were due to Na+, K+-ATPase inhibition was investigated by measuring the effect of vanadate on [3H]-ouabain binding to arterial membrane fractions, K+-induced vasodilatation and ouabain-sensitive 86Rb+ uptake. 2. The vanadium compounds (Na3VO4, VOSO4, VCl3 and O5V3) induced similar, concentration-dependent contractions in each kind of artery, the cerebral vessels being the most sensitive to these compounds. 3. Exposure of the arteries to a low-Na+ (25 mM) solution suppressed the contraction caused by vanadate in femoral but not in cerebral arteries. 4. Vanadate-induced contractions were reduced in Ca2+-free medium but remained unaffected by 3 x 10(-6) M phentolamine, reserpine pretreatment or 3 x 10(-6) M verapamil in both kinds of artery. 5. The addition of 7.5 mM K+ to the arteries immersed in a K+-free solution induced vasodilatation, which was not modified by 10(-3) M vanadate. 6. The consecutive administration of ouabain (10(-4) M) and vanadate (10(-3) M) (or vice versa), or the simultaneous administration of both agents (10(-8) to 10(-3) M) appeared to produce an additive contraction in both types of artery. 7. Vanadate (10(-7) to 10(-3) M) did not displace the [3H]-ouabain binding to arterial membrane fractions of these arteries, whereas 10(-4) M ouabain did. 8. In both kinds of artery, total 86Rb+ uptake was reduced by ouabain (10(-8) to 10(-3) M), in a concentration-dependent manner, whereas it was not modified by vanadate (10(-8)-10(-3) M). 9. These results suggest that vanadate induces contraction in both types of artery by a mechanism unrelated to Na+, K+-ATPase inhibition. Such a mechanism is likely to be related to inhibition of the Ca2-ATPase of the cell membrane and/or the sarcoplasmic reticulum.

Animals↗

Action of mercury on sugar transport across rat small intestine, in vivo.

Absorption of galactose from in vivo perfused rat jejunum was inhibited by 0.1-0.5 mM Hg2+. A few minutes' delay was required for maximal inhibition values. The effects remained after saline solution washing but were in part reversed by EDTA and in higher proportion by dithioerythritol. Absorption inhibition could be ascribed to impairment of the sugar-Na phlorizin-sensitive cotransport component: The passive apparently diffusional component that remains under 0.5 mM phlorizin and absorption of L-sorbose were unaffected by the metal. Hg action is explained as due to its binding to thiol and perhaps other chemical groups of proteins, at different depths in the membrane, which are directly or indirectly related to the sugar transport system.

Animals↗

Effect of luminal Na+ on the kinetics of intestinal absorption of sugars in vivo.

The effect of sodium concentration on the absorption kinetics of glucose, galactose and 3-o-methyl-glucose in rat and hamster jejunum in vivo has been studied. In consecutive 1 min periods the total absorption and absorption in presence of 0.5 mM phlorizin were measured. The difference between them was taken as the active transport rate. The perfusion rate value was 5.6 ml X min-1 and sugar concentrations in the perfusion solution ranged from 1 to 10 mM. The results for the different sodium concentrations show a nearly common Vmax for the same sugar and animal species, while the apparent KT values increase when the sodium concentration in the lumen decreases, mimicking a pure affinity-type activation system. The absorption of sugar when solutions without Na+ are perfused, is greater than that entering passively in the presence of phlorizin. An explanation may be that appreciable amounts of endogenous Na+ find their way to the intestinal lumen in favour of the gradient, making Na+-sugar cotransport possible.

Animals↗

Influence of perfusion rate on the kinetics of intestinal sugar absorption in rats and hamsters in vivo.

The effect of perfusion rate (PR) on the apparent glucose and galactose-influx kinetics of rat and hamster jejunum in vivo has been studied. Total absorption (V) and absorption in the presence of 0.5 mM phloridzin (VD) were measured in consecutive periods of 1 minute, and their difference (VT = V - VD) was taken as the mediated transport rate. PR values were 2.8, 5,6, 13.5 or 18.5 ml.min-1, and the sugar concentrations in the perfusion solution (So) were 2, 5 and 10 mM. Plots of 1/VT versus 1/So for the different PR intercept the ordinate axis at the same point, yielding a common Vmax for the same animal species and sugar. From the slopes, apparent K'm values are obtained and apparent mass-transfer coefficients (K'D) for the diffusion component are calculated (VD/So) as well. When the PR increases, K'n decreases, while K'D increases. A simplified model based on the assumption of a steady-state in which diffusion across unstirred water layers (UWL) equals the sum of a passive and a carrier mediated non-passive transepithelial transfer, acceptably accounts for the results. When taking a "true" Km values the lowest ones reported in the literature, it is possible to obtain the sugar concentration at the enterocyte membrane (Sm), the effective UWL thickness (delta) and the "true" mass-transfer coefficient (KD). So/Sm ratios and delta values decrease as PR increases, accounting for the biased K'm and K'D values. As it was expected, KD did not change significantly by modifying PR. Depending on sugar concentration, the passive component is almost equal to or much higher than the carrier-mediated transport, in rat as well as in hamster. Diffusion across unstirred water layers seems to be rate-limiting for intestinal sugar absorption.

Animals↗

Influence of temperature of the perfusion solution on the kinetics of intestinal absorption of glucose in rats.

The kinetics of glucose intestinal absorption by rat jejunum at different solution temperatures, under single pass perfusion, has been studied in vivo. The non-passive component (active transport) has been measured as difference between control absorption and that in the presence of 5 X 10(-4) M phloridzin. Results at 37 degrees and 39 degrees C did not significantly differ, but at 32 degrees C a clear drop in total absorption, non-passive and passive components was observed. As temperature increases from 32 degrees to 37 degrees C the apparent value of Km for glucose transport decreases (from 21.2 mM to 13.1 mM), whilst the Vmax does not change, and the apparent mass-transfer coefficient for the passive component slightly increases. The results are discussed taking in consideration the effect of temperature on the diffusion across the unstirred water layers and on the active transport processes.

Animals↗

Competitive kinetics in the inhibition of sugar intestinal transport by phlorizin, in vivo.

Kinetics of sugar transport inhibition by phlorizin in rat intestine has been studied in vivo. Jejunum lumen was perfused during a series of successive 1 minute periods of absorption. Total sugar absorption was assumed to be the sum of a mediated transport component plus a passive one persisting in the presence of 5 X 10(-4) M phlorizin. The values of transport rates, corrected in this way, showed Michaelis-Menten kinetics and proved that inhibition of D-glucose, D-galactose and 6-deoxy-D-glucose transport by low concentrations of phlorizin (5 X 10(-6) M) displays a typical competitive kinetics (apparent Ki = 4-10 X 10(-6) M) as had been long before reported from in vitro experiments.

Animals↗

Effect of raw legume diets on disaccharidase activity in the small intestine of chicks.

The effect of four raw legume diets: field beans (Vicia faba) (RFB), navy beans (Phaseolus vulgaris) (RNB), soybeans (Glycine soja) (RSB) and bitter vetch (VICIA ervilia) (RBV), on disaccharidase activities in chick small intestine have been studied. Maltase and sucrase activities, which vary with age, were determined in 1 to 60 day old animals, RFB and RBV diets had no effect on maltase activity and only increased sucrase activity in 60 day old chicks. Both maltase and sucrase activities decreased in chicks on RSB diet, regardless of their age, and the decrease was even more pronounced in chicks on RNB diet. Contrarywise, chicks fed on autoclaved navy beans and soybeans showed a considerably higher activity of these disaccharidases.

Animals↗

Effect of raw legume diets on intestinal absorption of D-galactose by chick.

The effect of four raw legume diets on the intestinal absorption of D-galactose and oxygen consumption were studied in chick. Field beans (Vicia faba), soybeans (Glycine soja), bitter vetch (Vicia ervilia), and navy beans (Phaseolus vulgaris), were used. The intestinal absorption was determined by both in vivo and in vitro techniques. In vivo, only navy beans and soybeans inhibit intestinal transport of D-galactose, while in vitro all the diets do. Oxygen consumption by intestinal rings increases in chicks fed on bitter vetch diet.

Animal Feed↗

Effect of the pH on intestinal absorption of sugars in vivo.

Influence of the pH on the absorption rate of sugars by rat intestine in vivo has been revised by means of a technique for intestinal lumen perfusion with 1 minute absorption periods. Absorption at pH 2.5, 5, 7, 8.5, and 10 has been comparied in each animal. Absorption rate of D-glucose, D-galactose and D-fructose is highest at pH 7 and decreases at the lower or higher pH values. The pH does not affect the absorption of D-arabinose. The pH effect is attributed to changes in the transport system for sugars.

Animals↗