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Biomedical subjects

N Kopp

Publications and source records attributed to N Kopp.

At least 109 records · Page 6Linked to original sources

[Neuromediators in the brain of the aged].

From a review of the literature it appears that only dopaminergic and cholinergic deficiencies are well established in the elderly. Other changes, still awaiting description and confirmation, are likely to consist of deficiency, overfunctioning or complex imbalance depending on the system involved. They will probably show that ageing of the brain begins at an early stage in life and that there is a need for considering not only very old people but transformation extending from birth to death. Meanwhile, studying cerebral mediators in healthy elderly subjects is a necessary prerequisite to studies of the brain in old patients with neuropsychiatric disorders.

Acetylcholine↗

[Topographic and chemical study of the GABA synthetizing enzyme in Parkinsonian syndromes].

After a classical neuropathological study assessing the diagnosis, the activity of the GABA synthetizing enzyme, glutamate decarboxylase (GAD), was assayed in 6 brain areas, in 8 cases of Parkinson's disease, 2 cases of idiopathic orthostatic hypotension and 9 control cases carefully matched. The activity of GAD is not impaired, as classically believed, in parkinsonian brains, particularly in substantia nigra and pallidum. This preservation would indicate the absence of lesion of GABAergic neurones in Parkinson's disease. In the cases of other Parkinsonian syndromes, the number of cases studied is too limited to allow any generality; but they are, however reported because of their rarity.

Aged↗

Increase in noradrenaline-synthesizing enzyme activity in medulla oblongata in Parkinson's disease.

Dopamine beta hydroxylase (DBH), The noradrenaline-synthesizing enzyme, and phenyl-ethanolamine-N-methyltransferase (PNMT), the adrenaline-synthesizing enzyme, were assayed in 18 areas of brain stem in eight cases of parkinsonian syndromes and of four age- and postmortem delay-matched controls. Dissection was performed by the "punch" technique and enzyme activities assayed by radiometric methods. No significant change was found for PNMT activity. DBH activity was significantly increased in the A2-C2 area of the medulla oblongata (including the nucleus tractus solitarius) in the cases of Parkinson's disease. The A2-C2 area is known to be implicated in the control of blood pressure in rats. These findings are discussed in relation to orthostatic hypotension and the influence of L-dopa therapy.

Aged↗

[Peripheral neuropathy due to N-hexane in a drug addict (author's transl)].

After voluntary inhalation of a domestic solvent containing N-Hexane and N-Heptane for three months, a 23-year-old woman developed motor deficit of the lower limbs, sensory symptoms and areflexia. Clinical disorders continued to progress after discontinuation of the intoxication, with a parallel aggravation of the E.M.G. disturbances. A nerve biopsy with ultrastructural study showed axon dilatation with accumulation of neurofilaments. The clinical, electrophysiological and pathological features of neuropathies induced by hexacarbon solvents are reviewed and their pathogenesis is discussed.

Adult↗

[X - linked copper malabsorption (trichopoliodystrophy, Menkes' disease). Anatomical and neurochemical study of a case (author's transl)].

The authors report a clinically typical case of trichopoliodystrophy (Menkes' disease) ; Neuropathological studies showed classical alterations, particularly irregular thickenings of Purkinje cell dendrites, and some less usual modifications : presence of an ectopic neuronal layer in the cerebellar molecular layer, suggestive of Obersteiner cells stopped in their progression ; normal appearance of myelin and elastic structures of systemic arteries. Ultrastructural studies showed some calcic concretions in mitochondria of hepatocytes and Purkinje cells, and lamellar structures in the cytoplasm of Purkinje cells, probably of ergastoplasmic origin. The activity of dopamine-beta-hydroxylase (DBH, or norepinephrine synthesising enzyme) and of phenylethanolamine - N-methyltransferase (PNMT, or epinephrine synthesising enzyme) was studied in 22 samples of brain stem. Activity was reduced in 3 samples, and increased in 4 : 6 of these 7 samples were from structures involved in cardiovascular and respiratory control. These results suggest the existence of a central vegetative neuropathy, which could explain the cardiovascular and respiratory disturbances sometimes reported in Menkes' disease ; but this neurochemical study gave no account of the sleep organization alterations of the patient.

Brain↗

[Possible alteration of adrenergic neurons in the mesolimbic system of psychotics (author's transl)].

The activity of Phenylethanolamine-N-Methyltransferase (PNMT) was assayed in 12 brain structures in a group of 8 chronic psychotics, a sub-group of 5 schizophrenics and a group of 7 normal controls. It was found significant decreased in substantia perforata posterior and nucleus accumbens. These two structures belong to the meso-limbic system. These data, therefore, suggest an inhibition of PNMT and/or an alteration of putative adrenergic neurons in the meso-limbic system, in schizophrenia.

Humans↗

Evidence for the presence of melatonin in the human brain.

Melatonin was measured by radioimmunoassay in human brain and pineal gland. Levels were 50 times lower in brain than in pineal. The distribution appeared uneven between the various areas studied. No measurable hydroxyindol-O-methyltransferase activity could be shown. These findings suggest that what appears to be melatonin in the human brain is unlikely to be synthesized in situ.

Acetylserotonin O-Methyltransferase↗

[Activities of enzymes synthesizing catecholamines in areas of the brain stem in sudden infant death].

In victims of Sudden Infant Death Syndrome, the activity of phenylethanolamine-N-methyltransferase was found to decrease in the nucleus retroambigu, the Kolliker-Fuse nucleus and the C 2 area of medulla, whereas a decrease in the dopamine-beta-hydroxylase activity was found only in the C 2 area. These results suggest a hypoactivity of adrenergic neurons in respiratory and cardiac centres in the Sudden Infant Death Syndrome.

Adrenergic Fibers↗

Immunochemical differences between angiotensin I-forming enzymes in man.

1. Human plasma, amniotic fluid and acidified amniotic fluid were incubated at pH 5.5 with the same concentrations of human plasma renin substrate and rat plasma renin substrate. They produced three to eight times more angiotensin I with human than with rat renin substrate. By contrast, human brain extracts generated 20 times more angiotensin I when incubated with rat plasma renin substrate than with human plasma renin substrate. 2. Serial dilutions of anti-(human renin) antibody inhibited, in a dose-dependent manner, the production of angiotension I when plasma, amniotic fluid and brain extracts were incubated with human plasma renin substrate. They also inhibited the production of angiotensin I when plasma and amniotic fluid were incubated with rat plasma renin substrate. They were ineffective on the angiotensin I generation by human brain extracts acting on rat plasma renin substrate. 3. Affinity chromatography on an haemoglobin-Sepharose gel separated the fraction of brain extract acting on human renin substrate and inhibited by anti-(human renin) antiserum; this was not retained on the gel at pH 3.3. Part of the angiotensin I-forming activity detected by rat renin substrate hydrolysis was not retained on the gel and part was eluted at pH 8.5. These angiotensin I-forming activities did not hydrolyse human renin substrate, and were not neutralized by anti-(human renin) antibody. 4. These results demonstrate that a renin, immunochemically identical with renal, plasma amd amniotic fluid renin, is present in the human brain. Other angiotensin I-forming activity, acting on an heterologous substrate at a more acidic pH, is also present in human brain.

Angiotensin I↗

[Chronic polyradiculitis with cutaneous and endocrine signs suggesting a plasmocytic dyscrasia to IgA (author's transl)].

A case of chronic disabling sensory-motor polyradiculitis occurring in a female patient and followed up for 18 months is reported. Clinical findings were papilledema, hypertrichosis, abnormal pigmentation of the skin, generalized edema, and spontaneous cutaneous necrosis. The diagnosis of a plasmocytic dyscrasia to IgA Lambda was made at a late stage of the disease. There were no signs of a solitary plasmocytoma or of diffuse myeloma. At autopsy, there were mild lesions in the peripheral nervous system, but no plasmocytic infiltration or amylosis was seen on optical or electron microscopy. This case is similar to other clinical cases reported mainly by Japanese authors.

Chronic Disease↗

Distribution of adrenaline-synthesizing enzyme activity in the human brain.

A study of the distribution of phenylethanolamine-N-methyl-transferase (PNMT) activity in normal human brain is presented. After a preliminary dissection to separate brain tissue for formalin fixation and tissue designed for biochemical studies, the hemi-brain stem is cut in slices by hand and a cerebral hemisphere is cut on a cyromicrotome. "Punches" are made with an operating microscope. The dissection method was used to study the distribution of PNMT activity in 117 "punches" made on 21 slices obtained from 5 normal human brains. The caudo-rostral distribution of PNMT activity in C1 and C2 groups was found to be identical in each brain. The distribution of PNMT activity was found to be similar to that in the rat, but, in addition, important activity was found in the substantia nigra, internal pallidium and nucleus accumbens.

Brain↗

[Adrenomyeloneuropathy: an adult form of adrenoleukodystrophy spastic paraparesis, and chronic adrenal insufficiency (concerning 3 cases) (author's transl)].

Three cases of adult males with spastic paraparesis and adrenal insufficiency are reported. The adrenal insufficiency is primary and in one case associated with Leydig cell insufficiency. Ultrastructural examination of peripheral nerve revealed abnormal cytoplasmic inclusions in Schwann cells. A decrease in the percentage of linoleate to total fatty acids was found in the sera. A child with adrenoleucodystrophy and an adult with adreno myeloneuropathy were observed in the same family. It allows adrenomyeloneuropathy to be considered as an adult form of adrenoleucodystrophy.

Addison Disease↗

[Subacute sclerosing panencephalitis. A case with a prolonged course in an adult. Isolation and characteristics of a "defective" measles virus (author's transl)].

A 33-year-old man had a 6-year history of clinical signs suggesting multiple sclerosis : visual lesion at 27 years of age, cerebellar and visual disturbances at 31, which partly regressed, lymphocytosis and increased-gammaglobulin levels in the cerebrospinal fluid. Biological and anatomical (optical and ultrastructural) examinations gave results typical of a subacute sclerosing panencephalitis. A cytopathogenic measles virus was isolated from a cerebral biopsy specimen. The agent was transmissable to vero cells by co-culture but infectivity was always related to the cells and was therefore an incomplete viral infection. Virus-like particles were found in the nucleus and cytoplasm after electron microscopy examination of the co-cultures. Biochemical tests demonstrated that the viral proteins were all synthesized except hemagglutinin, which is a characterist abnormality of a "defective" measles virus.

Adult↗

[Septo-optic dysplasia with antidiuretic hormone deficiency and central adrenocortical insufficiency. Three cases report in infants (author's transl)].

Three cases of septo-optic dysplasia are related in infants. A neurogenic diabetes insipidus and an central adrenocortical insufficiency is proved. An growth hormone deficiency is founded in one case. The other anterior pituitary functions are normal. The pneumo-encephalography with congenital absence of septum lucidum and the ophtalmologic anomalies are typical. The treatment is envisaged. In one case an autopsy sustains the radiologic aspect.

Adrenal Insufficiency↗

[Acute hemorrhagic leucoencephalitis during tuberculosis (author's transl)].

The authors report a fairly typical clinico-pathological case of acute hemorragic leucoencephalitis (A.H.L.E.). Both clinical and histological features appeared particularly acute. At autopsy a visceral evolving tuberculosis was diagnosed. Such an etiological circumstance has not been, apparently, reported in cases of A.H.L.E. published as such. Three other etiological circumstances were noticed: pyuria, treatment by cephalotin and treatment by gentamycine. The physiopathogenesis of A.H.L.E. remains obscure and will not be clarified before detailed immunological studies can be performed. But the disease is rare and brisk and diagnosis usually post-mortem.

Brain↗