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Biomedical subjects

P W McCarthy

Publications and source records attributed to P W McCarthy.

At least 19 recordsLinked to original sources
PubMed1998

Effect of acupuncture stimulation of the auricular sympathetic point on evoked sudomotor response.

OBJECTIVES: To investigate whether stimulation of the auricular sympathetic acupuncture point would affect the mean maximum amplitude of evoked sudomotor responses. DESIGN: A placebo-controlled trial. Two types of controls were used: no acupuncture and acupuncture of an alternate "non-sympathetic nervous system" related (i.e., a non-sympathetic, placebo) point. Subjects were included in either the placebo or the test group. Each subject would have one session of acupuncture and one session without acupuncture, the acupuncture was applied in either the first or the second session. Initially, each group was unaware in which of the two sessions they would receive acupuncture (cross-over design). Each individual was unaware of which group they were to participate in. SETTINGS/LOCATION: A quiet, sealed room with a constant temperature, in the research department of the Anglo-European College of Chiropractic. SUBJECTS: Thirty-eight asymptomatic male, white volunteers (18 to 40 years old). INTERVENTIONS: The two groups underwent two electrodermal response (EDR) recording sessions, at an interval of 5 weeks. During each session, they were also presented with eight stimuli, each of which was designed to stimulate the sympathetic nervous system. In each session, subjects either received auricular acupuncture (AA) or did not. OUTCOME MEASURES: The maximum amplitude of the EDR for each stimulus. RESULTS: AA at the non-sympathetic, placebo point significantly increased EDR both with respect to the individual stimuli (p < or = 0.05 to < or = 0.001) and for the pooled data (p = 0.0001). AA to the sympathetic point produced no significant change in EDR for either individual stimuli (p range > or = 0.8 to > or = 0.1) or for the pooled data (p > 0.8). A significant difference was found between the results from placebo and sympathetic point stimulated groups during AA for 2 of the 8 stimuli (p < 0.05), and for the pooled data from all 8 stimuli (p = 0.0006). CONCLUSION: Stimulation of the sympathetic AA point significantly decreased the stimulus-evoked EDR when compared with an AA stimulation to a non-sympathetic (placebo) point. However, it did not significantly alter EDR compared with no treatment. This implies that the increase in response as a result of inserting the needles was negated by placing the electrodes in the AA sympathetic point. Consequently, one might surmise that there may be a specific action of AA in respect to hyperhidrosis resulting from an increase in sympathetic activity.

Acupuncture Points↗
PubMed1997

Differing action potential shapes in rat dorsal root ganglion neurones related to their substance P and calcitonin gene-related peptide immunoreactivity.

Intracellular electrophysiological recordings were made in vitro at 36.5 degrees C from lumbar (L4 to L6) dorsal root ganglion neurones of 6-8-week-old female rats. Electrophysiological properties were recorded prior to intracellular injection with fluorescent dye. The following showed substance P-like immunoreactivity (SP-LI): 8/19 C-fibre cells, 6/26 Adelta cells, and 0/52 Aalpha/beta cells. In C-fibre neurones, there were no significant differences in action potential (AP) characteristics between those with SP-LI and those without. In contrast, the Adelta neurones with SP-LI had significantly deeper and longer afterhyperpolarisations (AHPs), but their AP durations did not differ from those without SP-LI. Both SP-LI and calcitonin gene-related peptide-LI (CGRP-LI) were examined on 18 Adelta and 11 C cells. Most (7/8) neurones with SP-LI also showed CGRP-LI, but only 7/21 neurones without SP-LI showed CGRP-LI. One C cell showed SP-LI but no CGRP-LI. Neurones with neither peptide (-/-), with only CGRP (-/CGRP) or with both peptides (SP/CGRP) were compared (n = 28). The numbers in each group were, respectively, 5, 2, and 3 with C-fibres and 9, 5, and 4 with Adelta-fibres. The peptide content and AP shape were related in Adelta neurones. Most -/- Adelta neurones had short APs and short AHPs; most -/CGRP neurones had long APs and long AHPs, and SP/CGRP neurones had short APs with deep, long AHPs. There was a positive correlation between log10 of the area under the AP (AP area) and log10 AHP duration in Adelta neurones. All SP- and most CGRP-containing Adelta neurones had AP shapes similar to those previously described for nociceptive neurones. However, a few without peptide also showed such properties, raising the possibility that some nociceptive neurones did not express these peptides.

Action Potentials↗
PubMed1997

Effects of contract-relax stretching procedures on active range of motion of the cervical spine in the transverse plane.

OBJECTIVE: To determine if a short regime of stretching exercises could affect cervical range of motion (RoM). DESIGN: A single-blind trial design was adopted. BACKGROUND: Stretching has become important with respect to sports as well as health care. Although much is surmised about the effects of stretching exercise on spinal RoM, little has been published, those that have using symptomatic subjects. Therefore it is an appropriate time to study this subject more closely. METHODS: Forty volunteer, asymptomatic male subjects were assigned into control (n = 19) or exercise (n = 21) groups and asked not to vary their daily routines too much. The exercise group performed stretching exercises twice a day, on days 1-7 inclusive. All subjects performed warm-up exercises (active maximal rotation and lateral flexion in the cervical spine) before assessing active cervical RoM on days 1, 3, 7 and 14, using a cervi-corotometer, whose least significant difference for left, right and total cervical rotation were 3.8 degrees, 3 degrees and 5.2 degrees ). RESULTS: The exercise group had a significantly increased active cervical RoM by day 7 (c. 14%; 22 degrees for total rotation). This change reverted towards pre-stretch values 7 days after exercises had been discontinued. CONCLUSIONS: Performing stretching exercises increases cervical RoM in the short term. These effects wear off rapidly if the stretching regime is discontinued.

Journal Article↗
PubMed1997

A review of research on acupuncture for the treatment of lumbar disk protrusions and associated neurological symptomatology.

The association between acupuncture (AP) and pain relief is so strong that it has tended to obscure any other potentially significant clinical results. This review indicates the wealth of data from around the world on various aspects of AP treatment for low back syndromes related to lumbar intervertebral disk prolapse (PID). Although plentiful, the research is variable in quality, especially with respect to design, consistency, and follow-up. Even so, the large number of patients who appear to have been treated successfully (i.e., given a high degree of symptomatic relief) supports a potential role for AP. This is further supported by studies on patients who had previously had unsuccessful treatment with conservative methods. The role envisaged for AP, in cases of lumbar PID and sciatica, is at least of a supplementary therapy capable of reducing the requirement of more invasive forms of treatment. No such role is envisaged in cases of cauda equina compression where surgery must remain the treatment of choice. AP should be explored more fully, using appropriate designs, so that this discipline may achieve its full therapeutic potential in the West.

Acupuncture Therapy↗
PubMed1996

CGRP-LI.

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Animals↗
PubMed1996

Electrophysiological properties of neurones with CGRP-like immunoreactivity in rat dorsal root ganglia.

Intracellular voltage recordings and fluorescent dye injections were made in vitro in 107 neurons in lumbar dorsal root ganglia (DRGs) of 6- to 8-week-old rats. Calcitonin gene-related, peptide-like immunoreactivity (CGRP-LI) was examined in these neurones, which were divided into C-, A delta-, and A alpha/beta-fibre neurones on the basis of their conduction velocities (CVs). A-fibre neurones with CGRP-LI had significantly longer mean action potential (AP) and afterhyperpolarisation (AHP) durations than those without CGRP-LI. A delta neurones with CGRP-LI had significantly longer AHP durations, slower CVs and slower maximal fibre following frequencies than those without CGRP-LI. They also had longer AP durations (not significant). The largest A delta neurones were CGRP-LI negative, whereas the smaller cells were either positive or negative. A alpha/beta neurones with CGRP-LI also had longer mean APs (not significant) and AHPs (significant) than those without CGRP-LI, and the cell size distributions were similar for positive and negative neurones. Most A-fibre neurones with CGRP-LI had inflections on the falling phase of the somatic AP. Of the A-fibre neurones with such inflections (Ai neurones), those with CGRP-LI had longer AP durations (not significant) and longer AHP durations (significant) than Ai neurones without CGRP-LI, pointing to a functionally distinct subgroup of Ai neurones. There were no significant differences in electrophysiological properties or cell size measurements between C-fibre neurones with and without detectable CGRP-LI. The patterns of electrophysiological properties of A delta neuronal somata with CGRP-LI and of most, but not all, A alpha/beta neuronal somata with CGRP-LI are similar to those reported for cutaneous nociceptors with A fibres in rat (Ritter and Mendell [1992] J. Neurophysiol. 68:2033-2041). Because rat DRG neurones that express CGRP normally also express trkA (Averill et al. [1995] Eur. J. Neurosci. 7:1484-1494), the properties described here of neurones with CGRP-LI are probably the same as those of DRG neurones with trkA.

Action Potentials↗
PubMed1996

Vibromyographic recording from human muscles with known fibre composition differences.

OBJECTIVE: To determine the relation between the vibromyographic (VMG) frequency characteristics and fibre composition in postural and non-postural human muscle undergoing a standardised voluntary contraction. METHODS: Two human muscles with different fibre compositions [soleus: postural, mainly type I (slow) fibres; biceps brachii: non-postural, mixed type I and II (fast) fibres] were recorded from 18 healthy males isometrically contracting at 50% of their maximum voluntary contraction (MVC). Muscle vibrations were recorded using a contact microphone and the frequency content of the signals calculated using fast fourier transform algorithms. RESULTS: The non-postural biceps brachii showed predominantly bimodal power spectra with significantly increased power in the 10-30 Hz bands (P < 0.01), as compared with soleus recordings which tended to be unimodal, with the majority of power below 10 Hz. CONCLUSIONS: Muscles with a large proportion of type I fibres generate VMG signals which contain an increased percentage of low frequencies as compared to muscles with a mixed population of type I and type II fibres. The VMG appears to be generated, in part at least, by the mechanical twitching of motor units within the muscle; frequency domain analysis of this signal may provide a non-invasive measure of muscle fibre composition.

Adult↗
PubMed1995

Evidence to support the peripheral branching of primary afferent C-fibres in the rat: an in vitro intracellular electrophysiological study.

Intracellular voltage recordings were made in vitro at 36.5 +/- 1 degrees C from 35 rat lumbar dorsal root ganglion (DRG) neurones with a peripheral conduction velocity (CV) in the C-fibre range (0.3-2.2 m/s). The peripheral nerve (PN) was stimulated in one of three different ways, each delivering single stimuli (0.1-1 ms duration, 2-3-times threshold; maximum 50 V) at a low frequency (0.3 Hz). With each of the three stimulation methods used here a similar proportion of cells (approximately 30%) showed changes, either an abrupt latency change or a soma invasion by two action potentials (APs). Both of these changes were consistent with branching of primary afferent C-fibres in the PN.

Afferent Pathways↗
PubMed1995

Choline acetyltransferase-like immunoreactivity in small diameter neurones of the rat dorsal root ganglion.

In the rat choline acetyltransferase (ChAT)-like immunoreactivity (ChAT-LI) was demonstrated in the dorsal root ganglion (DRG), in the superficial spinal cord and in the subepithelial layer of the ureter using immunohistochemical techniques. In the L1 DRG, 66% of the neurones were ChAT-LI. They did not express neurofilament immunoreactivity (RT97 negative) but could also contain calcitonin gene-related peptide-like immunoreactivity (CGRP-LI). In the superficial spinal cord and in the subepithelial plexus of the ureter--both areas where high numbers of fine afferent fibres have been demonstrated--CGRP-LI and ChAT-LI were co-distributed, indicating that ChAT can be found in the peripheral and central endings of small afferents. The data provide morphological evidence that a substantial proportion of afferent fibres are cholinergic.

Animals↗
PubMed1995

Choline acetyltransferase-immunoreactive neurones in a prevertebral sympathetic ganglion, the inferior mesenteric ganglion.

Using immunohistochemical techniques a small population of choline acetyltransferase (ChAT) immunoreactive (IR) neurones has been identified in the inferior mesenteric ganglion (IMG) of guinea pig (4.6% of all neurones), ferret (6.4%) and rat (0.4%). A detailed study in the guinea-pig IMG revealed that the vast majority of cholinergic neurones did not express tyrosine hydroxylase (TH)-IR, indicating that they were non-catecholaminergic. The cholinergic neurones were significantly larger than the TH-positive neurones. The majority of the ChAT-IR cells (64%) was observed in small clusters which were consistently located in the caudal lobe of the IMG close to the entry of the hypogastric nerves. 83% of the ChAT-IR cells also contained neuropeptide Y (NPY). Since the vast majority of TH-negative cells were ChAT-positive (94%), the TH negativity was taken as an indirect indication for ChAT-IR. NPY-IR, somatostatin (SOM)-IR and vasoactive intestinal peptide (VIP)-IR were found in both the TH-IR cells (22, 84 and 1%, respectively) and the putative cholinergic population (95, 84 and 70, respectively). Thus the majority of cholinergic neurones in the IMG were likely to contain NPY, SOM and VIP. TH-IR cells exhibited an extensive innervation of fibers immunoreactive for ChAT, VIP, ENK and NOS. In contrast, only a sparse plexus of ChAT-, ENK-, NOS-, NPY- and SOM-positive fibres was found around the TH-negative cells. VIP-IR fibres did not appear to innervate ChAT neurones.

Animals↗
PubMed1995

RT97: a marker for capsaicin-insensitive sensory endings in the rat skin.

The mouse monoclonal antibody RT97, which recognises the 200-kDa neurofilament subunit in its phosphorylated form, selectively labels the somata of sensory A-fibres (large light cells) in the dorsal root ganglion of the rat. We have tested the hypothesis that this antibody also visualises large diameter sensory fibres and their end structures in peripheral tissue, in particular in the skin. RT97 immunoreactivity is found in endings that are known to be served by myelinated afferent fibres, including Meissner-like endings, Merkel discs, hair follicle receptors, Pacinian corpuscles and free nerve endings. RT97 immunoreactivity has not, however, been observed in endings of presumably unmyelinated sensory fibres (intraepidermal fibres immunoreactive for substance P and calcitonin gene-related peptide) or in sympathetic fibres innervating sweat glands and blood vessels. In addition, neither systemic (100-150 mg/kg as adults) nor perineural capsaicin pre-treatment affects RT97 immunoreactivity in the skin. The data indicate that RT97 is a useful marker in the study of the capsaicin-insensitive sensory innervation of the skin and possibly other peripheral organs.

Animals↗
PubMed1993

Primary sensory neurones: neurofilament, neuropeptides, and conduction velocity.

This paper reviews and provides new data on the relationship of the peptide content in rat dorsal root ganglion (DRG) neurons to a) the neurofilament content of the soma and b) the conduction velocities of the fibres. The latter involved intracellular recordings made in vitro followed by dye injection and immunocytochemistry. Because neurofilament-poor DRG neurones have C-fibres, and A-fibre neurones are neurofilament rich, the soma neurofilament content of peptide containing neurones allowed predictions to be made about their conduction velocity ranges. Substance P-like immunoreactive (SP-LI) neurones were mostly small, neurofilament poor, but a few (15%) were neurofilament rich. From conduction velocity measurements, about half the C-fibre neurones studied and 10% of A delta-neurones but no A alpha/beta-neurones showed SP-LI. CGRP-LI neurones were also mainly neurofilament poor neurones, but 32% were neurofilament rich, including small, medium, and large neurones. Fibres of CGRP-LI neurones conducted in the C, A delta or A alpha/beta ranges. Neurones with somatostatin-LI (SOM-LI) were all neurofilament poor; preliminary data is consistent with SOM-LI neurones having C-fibres.

Animals↗
PubMed1993

Sparse substance P-like immunoreactivity in intervertebral discs. Nerve fibers and endings in the rat.

I studied rat lumbar intervertebral discs using a monoclonal antibody to substance P, which revealed immunoreactivity in the periosteum and ligaments adjacent to the intervertebral disc. Fibers containing substance P-like immunoreactivity were also found penetrating and terminating within the annulus fibrosus of both the anterior and posterior intervertebral disc. The maximum depth of penetration was 5 lamellae (annular rings) or approximately one sixth of the depth of the annulus. The terminal structures were not encapsulated (free-nerve endings) and were either branched, looped or both. The majority of fibers were varicose in appearance. Substance P-like immunoreactivity was very minor.

Animals↗
PubMed1992

RT97- and calcitonin gene-related peptide-like immunoreactivity in lumbar intervertebral discs and adjacent tissue from the rat.

The innervation of rat intervertebral disc and adjacent ligamentous tissue has been investigated using 2 antibodies, RT97 and anti-calcitonin gene-related peptide. Immunoreactivity to the peptide was found in many fibres throughout the long ligaments around the intervertebral discs and in the periosteum, especially associated with vascular channels entering the vertebral bodies. Few of the immunoreactive fibres entered the annular lamellae of the disc tissue. Most of those which terminated did so as fine fibres which lay close to, or in, the interlamellar spaces of the outer annulus fibrosus. Calcitonin gene-related peptide-like immunoreactivity was also found in more complex endings in the longitudinal ligaments and rarely within the annulus fibrosus. RT97-immunoreactivity was also present in the complex endings and associated fibres. Conversely, RT97-immunoreactivity was apparent only in a few fine filamentous fibre endings. This suggested that the majority of fine filamentous, or free, nerve endings were of an unmyelinated sensory origin. Alternatively, those endings of a more complex nature, which were RT97-immunoreactive, were of a myelinated sensory origin. No immunoreactivity to either antibody was seen in the inner annular or nuclear tissue. It was therefore concluded that the sensory innervation of the rat intervertebral disc has both myelinated and unmyelinated components, the latter being more extensive. Both types of innervation appear to be restricted to the outermost rings of the annulus fibrosus.

Animals↗
PubMed1991

Immunohistochemical demonstration of sensory nerve fibers and endings in lumbar intervertebral discs of the rat.

Although it is accepted that the intervertebral disc has a sensory component, it has not been previously shown by any specific method. Immunoreactivity of the physiologically active neuropeptide, calcitonin gene-related peptide (CGRP), was used as a specific marker of sensory nerve fibers and their endings in the intervertebral disc of the rat. In this study, positive fiber immunoreactivity was taken as an indication that those fibers were of sensory, and not sympathetic, origin. Immunoreactivity was found in the outer annulus fibrosus of all intervertebral discs studied. The CGRP-like immunoreactivity was also found in structures that resembled nerve endings. To the authors' knowledge, this is the first report presenting detailed positive evidence of sensory fibers and their endings in the lumbar intervertebral disc of any mammalian species.

Animals↗
PubMed1990

Cell type and conduction velocity of rat primary sensory neurons with calcitonin gene-related peptide-like immunoreactivity.

An immunocytochemical double labelling study of L4 dorsal root ganglia from rats aged seven to 10 weeks was made with an antibody to calcitonin gene-related peptide and with RT97, an anti-neurofilament antibody which specifically labels the light neuron population. Peptide immunoreactivity was found in an average of 46.5% of all neurons. Sixty-two per cent of the small dark (RT97-negative) and 30% of the light (RT97-positive) neuron populations contained the peptide. About one-third (32%) of the cells with peptide immunoreactivity were light cells and about two-thirds (68%) were small dark cells. Intracellular electrophysiological recordings were made in vitro from neurons in lumbar (L4, L5 and L6) dorsal root ganglia from six- to eight-week-old rats, followed by dye-injection and immunocytochemistry. This showed that conduction velocities of neurons with calcitonin gene-related peptide-like immunoreactivity ranged from 0.5 to 28.6 m/s. Seventy-three neurons were successfully processed. Of these, calcitonin gene-related peptide-like immunoreactivity was found in 46% of C-fibre neurons, 33% of A delta-fibre neurons and in 17% of the A alpha/beta-fibre neurons. The peptide-like immunoreactivity was found in approximately 25% of all A-fibre neurons sampled.

Animals↗