[Ibopamine, adrenolytic drugs and renal function].
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Biomedical subjects
Publications and source records attributed to P Lenzi.
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In young rabbits the slope of the temperature in the deep cervical region close to brown adipose tissue increased during desynchronized sleep at low ambient temperature. No increase occurred at neutral ambient temperature. In control rabbits (after disappearance of brown adipose tissue), the slope of deep cervical temperature did not increase during desynchronized sleep at low or neutral ambient temperatures.
A brief battery for mental deterioration assessment was obtained by Discriminant Analysis techniques from the Mental Deterioration Battery (MDB) (1) and yielded 98% correct classifications in a sample of 60 subjects (30 pathological and 30 controls). This battery, named Brief Mental Deterioration Battery (BMDB), both quick and easy to administer, is composed of four tests: Rey's 15 Words Test, Immediate Visual Memory, Barrage, and Simple Analogies Test. MDB was administered to a further sample of 60 normal subjects and, by multivariate statistical techniques, a probabilistic definition of "normality" and consequently of "non-normality" was given. When applied to pathological and control groups, this probabilistic dichotomic classification yielded groups almost identical to the previous ones.
Spinal cord blood flow (SCBF) was measured in rabbits during the sleep-waking cycle with the use of radioactive microspheres. The values obtained during wakefulness (W), synchronized sleep (SS), and desynchronized sleep (DS) were 18.1 +/- 2.1, 18.9 +/- 2.6, and 34.4 +/- 2.5 (SE) ml X min-1 X 100 g-1, respectively. Differences relative to SS were not significant in W and were significant at the 0.05 level in DS (modified t test and Bonferroni's method). The increase in blood flow during DS was due to a decrease in vascular resistance. The mechanism of the vasodilation during DS has yet to be identified.
Effects of dehydration (3% of initial body weight) on temperature regulation were investigated in 5 men during intermittent exercise of 4 h duration at a dry air temperature of 34 degrees C. Relative mechanical work load was 50% of the subject's steady state heart rate, which was 170 beats . min-1. During rehydration from the 70th min to the end of the exercise, the subjects drank, every 10 min in equal portions, an amount of water (20 degrees C) totaling up to 80% of the body weight loss recorded during dehydration runs. Continuous measurements were made of rectal (Tre) and mean skin (Tsk) temperatures and of whole body weight loss. Chest sweating rate (msw) was measured from a capsule located under a local thermal clamp (36 degrees C). Blood samples were obtained during rest periods and after the 1st and the 4th hour of exercise. Compared to dehydration runs, water intake did not always cause an increase of msw while body temperatures always decreased. Dehydration resulted in a decrease in plasma volume and in increases of plasma osmolality, [Na+] and [K+]. Water intake induced a thermoregulatory response whose intensity largely differs from one body area to another. The change in the slope of the relation of msw to Tre features a decrease in the sensitivity of the thermoregulatory system with dehydration. The whole body water loss is significantly correlated with the change in plasma volume and body temperatures (Tre, Tsk). This suggests that the reduced sweating response observed during dehydration can be related to plasma hypovolemia.
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The renal function in healthy man with salt and water depletion induced by natriuretic treatment was explored during steady hypotonic polyuria. Four 15 min clearance (cl.) periods, before, during and after dopamine (DA) infusion in a subpressor dose were performed. The 12 examined subjects showed different renal hemodynamic responses in the early stage of DA infusion, i.e. hyperemic (4 subjects, subgroup A) or ischemic (8 subjects, subgroup B). A decrease in urinary sodium excretion and increase in tubular sodium reabsorption, in particular at the diluting segment level, were induced by DA in both subgroups, at least in the late stage of infusion. During the control cl. period in subgroup A as compared with B the renal plasma flow was lower and the tubular sodium reabsorption higher, suggesting a relatively higher level of renal adrenergic activity.
The renal function in healthy man with salt and water depletion (natriuretic pretreatment) associated with adrenergic blocking agents administration was explored during steady hypotonic polyuria. Four 15 min clearance (cl.) periods, before, during and after dopamine (DA) infusion in a subpressor dose, were performed. The 9 subjects treated with prazosin showed different renal hemodynamic responses in the early stage of DA infusion i.e. hyperemic (6 subjects, subgroup A) or ischemic (3 subjects, subgroup B). The whole group of 6 subjects treated with propranolol showed an hyperemic response DA infusion. A natriuretic effect and a trend towards tubular sodium reabsorption inhibition, in particular at the diluting segment level, were associated with the DA vasodilatory responses. The ischemic responses to DA occurred in the presence of incomplete alpha-adrenergic receptors blockade; nevertheless in the same circumstances DA failed to increase the diluting segment sodium reabsorption.
Interaction of sulpiride - both 1- and d- isomers as well as racemic- - with Dopamine (DA, subpressor dosage 0.1 microgram X kg -1 X min -1), on the renal hemodynamic, was studied in DOCA-pretreated men during hypotonic polyuria. P.A.H. and creatinine clearance and renal vascular resistances were determined. In the presence of d-Sulpiride, DA - induced renal vasodilation is carried out gradually and finally reaches similar levels as in the absence of d-Sulpiride. However no glomerular filtration rate increase is produced by DA. In the presence of 1-Sulpiride, DA vasodilating effect is suppressed. On the contrary a trend toward ischemia and a reduction in glomerular filtration rate becomes finally apparent. Stronger binding of 1- than d-Sulpiride with vascular DA receptors in suggested. When both isomers are simultaneously administered (at the nearly total dosage) much less inhibitory effect on DA vasodilator action is observed: it seems that each isomer decreases the affinity on the other isomer for vascular DA receptors.
In DOCA-pretreated men during hypotonic polyuria Dopamine (DA) infusion in a subpressor dosage (0.1 microgram X kg -1 X min -1) produces renal hyperemia, inhibition of isosmotic sodium reabsorption, increase in sodium distal load (s. d.l.) and finally inhibition of anisosmotic sodium reabsorption as a percentage of s.d.l. Such DA effects are variously modified by sulpiride isomers. Sodium distal load increase is still apparent in the presence of racemic, but not in the presence of either d- or l-Sulpiride isomers. However DA inhibition of anisosmotic sodium reabsorption % s.d.l. is unaffected by either or both Sulpiride isomers. If the DA tubular inhibition was dependent on specific DA receptors these receptors, unlike vascular DA receptors, would bind in a weaker way both d- and l-Sulpiride isomers.
Renal effects of Dopamine (DA, subpressor dosage 0.1 microgram X kg -1 X min -1) during hypotonic polyuria in moderate hydro-saline retention are variously modified by either d- or l-Sulpiride isomers. In the presence of d-Sulpiride, DA effects, such as an increase in diuresis, free water clearance (CH20) and kaliuresis are suppressed, while increases of saluresis and natriuresis are significantly blunted. In the presence of l-Sulpiride no changes are observed in both saluresis and natriuresis, while decreases occur in diuresis, CH20 and kaliuresis. The inhibitory DA effects on isosmotic sodium reabsorption as a percentage of sodium filtered load are prevented by either isomer as well. A possible role of ineffective renal vascular DA action can be involved in such defective tubular inhibition. However is also suggested a pharmacological blockade of proximal tubular specific DA receptors.
The influence of changes in heat loss at specific heat exchangers, appraised by recording ear skin temperature (Ts), on the hypothalamic temperature (Thy) rise during desynchronized sleep (DS) was studied in unrestrained cats at different ambient temperatures (Ta). The correlations of initial and final Thy changes (delta iThy and delta fThy) with initial and final Ts changes (delta iTs and delta fTs), respectively, are statistically not significant. However, a significant negative correlation was found between delta fiThy, i.e. delta fThy-delta iThy, and delta fiTs, i.e. delta fTs-delta iTs. The latter result shows that only after its initial rise is Thy affected by changes in heat loss at specific heat exchangers during DS. Accordingly, delta fThy and delta fiThy are positively correlated with Ta. However, also delta iThy, although not affected by heat loss changes at specific heat exchangers, shows a positive correlation with Ta. On the basis of these results and of the data in the literature, it is concluded that three independent factors underlie Thy changes during DS, namely heat loss at specific heat exchangers, hypothalamic blood flow and thermogenesis.
Renal function was assessed through clearance studies in man under initial conditions marked by retention (23 experiments) and hydro-saline depletion (19 experiments). Further evaluations were carried out in depletion combined with treatment with (+/-)-propranolol (9 experiments) or with prazosin (9 experiments). In each study, clearance was checked during and after venous infusion of 0.1 micrograms/kg-1/min-1 DA, in addition to the control clearance. Adrenolytic drugs and renal function in hydro-saline depletion. Combination with propranolol had no significant effect on renal function, whereas prazosin led to a significant increase in both total and afferent renal vascular resistance; the flow rate and filtrate were less despite higher arterial pressure. Both the absolute and the percentage loading value of isosmotic and anisosmotic sodium reabsorption were inhibited. Renal action of DA in depletion with and without adrenolytic drugs. DA failed to produce either vasodilatation or a hydro-natriuretic effect during hydro-saline depletion, by contrast with its effect at the same dose during retention. During its infusion, however, it led to sodium saving dependent on stimulation of distal sodium reabsorption; following suspension, this saving increased still further, and there was a significant decrease in flow rate, filtrate and diuresis. Pretreatment with either drug restored the vasodilatatory and hydrosaluretic capacity of DA. Modalities whereby renal function is controlled in the presence of changes in body water and salt content. 1) During retention and during depletion in association with prazosin, anisosmotic transport of sodium is efficient in inverse proportion to the sodium load reaching the diluting segments. Prazosin depresses reabsorption efficiency in the presence of load values similar to those observed during simple depletion. 2) During retention, urinary sodium naturally depends on plasma osmolarity, whereas blood sodium appears to depend on urinary excretion of sodium. During depletion, renal excretion apparently depends on mean blood pressure. These extra-renal control mechanisms probably result in alteration of one or more of the components of the direct line running from the filtrate to the formation urine. 3) When DA is infused during water-salt retention, renal excretory function can be seen to depend on the glomerular filtrate through direct control of diuresis. During depletion in the early stage of DA infusion, on the other hand, the filtrate depends on excretory function through tubulo glomerular feedback control.
A method is presented which allows to automatically evaluate, by the aid of a small computer, parameters concerning the way a sequence of spikes is organized in time. This method stands on few simple assumptions: Interspike Time Intervals (ITIs) and/or clusters of ITIs that are either "too large" or "too short" so as to be unlikely at 0.05 level on the basis of a Poissonian firing hypothesis are selected and assumed as "Low Firing Periods" (LFP) and "High Firing Periods" (HFP), respectively. General information is obtained about both LFPs and HFPs. Results on real cases are in agreement with previous studies on unit cell activity.
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