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Biomedical subjects

S Iwase

Publications and source records attributed to S Iwase.

At least 109 records · Page 6Linked to original sources

Effect of metoclopramide on muscle sympathetic nerve activity in humans.

The aim of this study was to determine the effect of metoclopramide on the sympathetic nervous system. Muscle sympathetic nerve activity was increased in two stages after metoclopramide injection. The initial increase in sympathetic nerve activity may result from the unloading of arterial baroreceptors because there was a negative correlation between mean blood pressure and muscle sympathetic nerve activity. The later increase in muscle sympathetic nerve activity may be attributed to the central activation of the sympathetic nervous system because there was a positive correlation between mean blood pressure and muscle sympathetic nerve activity. These results suggest that metoclopramide activates the sympathetic nervous system by two different mechanisms.

Adrenergic Fibers↗

Possible mechanism of anhidrosis in a symptomatic female carrier of Fabry's disease: an assessment by skin sympathetic nerve activity and sympathetic skin response.

Fabry's disease, X-linked alpha-galactosidase deficiency, features a variety of autonomic abnormalities including anhidrosis. In this study, we measured the skin sympathetic nerve activity (SSNA), skin potential and sweat rate in a symptomatic female carrier to investigate the underlying pathophysiology of anhidrosis. The basal activity and responsiveness of SSNA were both fairly well preserved, although slightly reduced compared with the control levels. However, sweating was completely absent, despite the normal skin potential change in response to SSNA bursts. These results suggest that anhidrosis in Fabry's disease is a result of sweat gland dysfunction as well as abnormal SSNA.

Adult↗

A new method of quantifying human muscle sympathetic nerve activity for frequency domain analysis.

We present a new method for quantitative analysis of muscle sympathetic nerve activity (MSNA), expressed as muscle sympathetic burst area (MSBA). This technique is likely to be useful for inter-individual comparisons and for frequency domain analysis of MSNA. After standardization of MSNA so that the burst of highest amplitude in the integrated MSNA trace was 1000 units, MSNA was assessed by measuring the area of each burst in the integrated MSNA trace, with baroreflex latency of about 1.3 sec while triggered by consecutive R-waves of the ECG. We examined the relationship between MSBA and burst rate (burst number/min) or plasma norepinephrine levels at rest in 50 healthy subjects, aged 23-82 years. MSBA showed positive correlations with burst rate (r = 0.91, n = 50) and plasma levels of norepinephrine (r = 0.64, n = 22). During head-up tilting in 6 subjects, MSBA showed linear correlations with sine values of tilt angles and with plasma norepinephrine levels. These results suggest that MSBA is a useful index of MSNA for evaluating both intra-individual and inter-individual variations of MSNA.

Adult↗

Herbimycin A down-regulates messages of cyclin D1 and c-myc during erythroid differentiation of K562 cells.

The ansamycin antibiotic, herbimycin A, is a potent tyrosine kinase inhibitor, and induces the erythroid differentiation of bcr-abl-possessing K562 cells. The growth of K562 cells was cytostatically reduced to less than 50% of the control level at 48 h by 0.5 microgram/ml of herbimycin A treatment. A total of 12% and 53% of the treated cells were benzidine-positive at 24 h and 48 h, respectively. The percentage of cells in the S phase decreased rapidly from 60% to 15% after 12 h of treatment. The reduction of S phase cells persisted until 24 h, whereas the G1 population conversely increased. Then underphosphorylated retinoblastoma gene product increased from 6 h to 24 h, but returned to baseline at 48 h. Most cell cycle controlling genes were unchanged by herbimycin A treatment. However, both cyclin D1 and c-myc were prominently down-regulated in the early phase of treatment, corresponding to the decline of the S phase population. Cyclin D1 was initially down-regulated to an undetectable level at 6 h, although its expression recovered gradually from 12 h and returned to baseline at 24 h. c-myc was also down-regulated from 1 h to 6 h. These data suggest that signals originating from bcr-abl kinase are at least partly transduced through both c-myc and cyclin D1, and that herbimycin A-induced erythroid differentiation occurs during or after the cessation of growth due to interference with these signals.

Antibiotics, Antineoplastic↗

Ageing reduces sympatho-suppressive response to head-out water immersion in humans.

Muscle sympathetic nerve activity (MSNA) is suppressed during thermoneutral head-out water immersion (HOI) in humans. In this study, the effects of ageing on the suppressive response of MSNA to HOI were determined. MSNA was recorded microneurographically from the tibial nerve in 16 healthy men, 10 of whom were aged 19-30 years (young group) and six aged 45-67 years (older group). MSNA was suppressed in all the subjects during HOI. The suppressive response was significantly less prominent in the older group than in the young group. A significant negative correlation between age and the suppressive response of MSNA induced by HOI (r = -0.53, P < 0.05) was found. We conclude that suppressive response of sympathetic nerve activity to HOI is reduced with age.

Adult↗

Stellate ganglion block is associated with increased tibial nerve muscle sympathetic activity in humans.

BACKGROUND: Left stellate ganglion block has been shown to increase heart rate and blood pressure, possible because of blockage of afferent vagal fibers from arterial baroreceptors in the aortic arch. Because efferent muscle sympathetic nerve activity (MSNA) is influenced by the arterial baroreflex, the hypothesis that left stellate ganglion block increases efferent MSNA recorded from the tibial nerve of humans was tested. METHODS: Twenty healthy male volunteers were sequentially assigned to one of three groups: stellate ganglion block (n = 10), in which 7 ml 1% mepivacaine was injected into the left stellate ganglion; placebo (n = 5), in which 7 ml of saline was injected into the left stellate ganglion; and intramuscular injection (n = 5), in which 7 ml mepivacaine was injected into the left deltoid muscle. Direct intraneural microneurographic recording with a tungsten microelectrode was used to record MSNA in the left tibial nerve. MSNA, heart rate, and blood pressure were recorded before and after injection in all groups. An additional five volunteers were studied with transthoracic echocardiography to examine the effect of stellate ganglion block on preload changes. RESULTS: Tibial nerve MSNA increased after mepivacaine injection to the left stellate ganglion but was unchanged after saline injection to the left stellate ganglion or mepivacaine injection into the deltoid muscle. Heart rate increased significantly after the left stellate ganglion block but did not change significantly after saline injection to the left stellate ganglion or after mepivacaine injection to the deltoid muscle. Systemic blood pressure did not change significantly in all groups. Left ventricular end-diastolic area and left ventricular end-diastolic circumference did not change after stellate ganglion block. CONCLUSIONS: Tibial nerve MSNA increased during left stellate ganglion block with mepivacaine.

Adult↗

One-minute wave in body fluid volume change enhanced by postural sway during upright standing.

To analyze how the 1-min oscillation in postural sway and 1-min wave in body fluid volume change contribute to human circulatory homeostasis, several levels of body circumference, foot pressure center, electromyograms, and volumes of the leg, abdomen, and thorax were measured during upright standing for 40 min in 20 healthy young men. Spectral analyses of these parameters revealed that a 1-min rhythm is found in all parameters and that the 1-min wave in body fluid volume changes in the lower leg, which occur in fluid pooling caused by gravity, propagate upward. Muscle pumping in the lower leg triggered by the postural sway was found to increase the power of this 1-min wave. A quantitative analysis of body circumferences disclosed that the 1-min wave in body fluid volume change compensates for gravitational downward fluid shift, with the volume of 6.3 +/- 5.0 ml/cycle at the heart level. We concluded that a coupling mechanism between the 1-min oscillation in postural sway and the upward propagation of 1-min wave in body fluid volume change contributes to maintain systemic blood pressure during upright standing in humans.

Adolescent↗

Spectral characteristics of heart rate and blood pressure variabilities during head-out water immersion.

To elucidate the roles of the autonomic nervous system in cardiovascular adaptation to microgravity, spectral analysis of heart rate and blood pressure variabilities were conducted during thermoneutral head-out water immersion in 8 healthy young subjects aged 23 to 31 years. In all subjects immersed up to the shoulder, the low-frequency (LF: 0.04-0.15 Hz) component in blood pressure variability and the ratio of LF power to high-frequency power (LF/HF ratio) in heart rate variability decreased, while the high-frequency (HF: 0.15-0.5 Hz) component of heart rate variability increased. Concomitantly, a decrease in heart rate was observed without significant changes in blood pressure during immersion. These results suggest that cardiac and vasomotor sympathetic nerve activities are suppressed and cardiac parasympathetic (vagal) nerve activity is activated during head-out water immersion.

Adult↗

Sympathetic outflow response to muscle during vestibular stimulation in humans.

To observe the effects of caloric vestibular stimulation on muscle sympathetic nerve activity (MSNA) in humans, 14 healthy volunteers were monitored in a supine position by electrocardiogram (ECG), blood pressure (BP), electro-oculogram (EOG). MSNA was monitored by a double recording technique of microneurography from the bilateral tibial nerves. Caloric vestibular stimulation was loaded by injecting 50 ml 44 degrees C warm water and 50 ml 10 degrees C cold water alternately into the external meatus for 1 min. Nystagmus was evoked in all cases by cold stimulation and in some cases by hot stimulation. The nystagmus evoked by cold stimulation was more intense than that by hot stimulation. MSNA was enhanced by either cold or hot stimulation; however, the enhancement mode differed between cold and hot stimulation. Cold stimulation evoked two peaks of MSNA while hot stimulation elicited only one peak. The first peak (404.5 +/- 115.4% with control value set at 100%, mean +/- SE) was estimated to be caused by cold stimulation on the skin of the external meatus while the second peak (379.2 +/- 65.3%) seemed to be the result of vestibular stimulation. With hot stimulation, the response peak of MSNA was 243.3 +/- 28.1%. In general, MSNA was enhanced after vestibular stimulation with MSNA increases was proportional to the stimulated level of the vestibular system.

Adult↗

Effect of oral ethanol intake on muscle sympathetic nerve activity and cardiovascular functions in humans.

The aim of the present study was to clarify the acute effect of alcohol drinking on muscle sympathetic nerve activity and other cardiovascular variables in young healthy human volunteers. Seven volunteers (25.0 +/- 4.7 years in age, weighing 59.9 +/- 5.9 kg) were instructed to lay down on a bed, and muscle sympathetic nerve activity (MSNA) was microneurographically recorded from the tibial nerve, simultaneously with an electrocardiogram, blood pressure with Finapres and autosphygmomanometer, cardiac output by impedance cardiography, and skin blood flow by laser Doppler flowmetry. After a 1-h rest, the subjects drank alcohol (0.6 g/kg) and were remained in resting position for 105 min. Blood ethanol levels indicated that they were moderately intoxicated. Heart rate constantly increased until 30 min after the ingestion, and maintained a peak level. MSNA was slightly but significantly suppressed just after the ingestion, and was gradually enhanced until the end of the experiment, showing a significant difference from the control level until 40 min in burst rate and until 25 min in total MSNA after the ingestion. Blood pressure showed an abrupt and transient increase at first, then gradual decrease until 30 min after the ingestion, and maintenance of the resting level until the end of the experiment. Cardiac output showed no constant tendency and no significant differences after the ingestion with wide interindividual variation. Skin blood flow increased 15 min after the ingestion.(ABSTRACT TRUNCATED AT 250 WORDS)

Administration, Oral↗

Responses of muscle sympathetic nerve activity to static biceps brachii contraction in humans.

The aim of the present study was to determine whether static biceps brachii contraction by handcurling enhances the muscle sympathetic nerve activity (MSNA) in the resting muscle. In six healthy men (age: 19-23 years), we measured MSNA in the tibial nerve microneurographically, with heart rate, blood pressure, biceps electromyogram (EMG), and the intensity of local fatigue sensation in the working muscle. Subjects performed static biceps brachii contraction for 2 min (short exercise) at 30% of maximal voluntary contraction, and then they made fatiguing exercise to exhaustion (long exercise). During the short exercise, the heart rate and mean arterial blood pressure increased significantly (p < 0.05). In the last 30s of the short exercise, the MSNA burst rate and total MSNA increased significantly but integrated EMG did not increase. In long exercise, MSNA burst rate, total MSNA, mean arterial blood pressure, heart rate, EMG activity, and local fatigue sensation increased progressively with advancing exercising time. There was a significant correlation between integrated EMG and total MSNA (r = 0.64, n = 63, p < 0.001), and local fatigue sensation and total MSNA (r = 0.41, n = 63, p < 0.001) during the long exercise. Post-exercise recovery of the MSNA response to static handcurling was more prompt in short exercise than that in long exercise. We conclude that MSNA is enhanced during submaximal static handcurling, and the magnitude of enhancement correlates with EMG activity and subjective fatigue sensation in the biceps brachii, which might be attributed to the stimulation of metaboreceptors in the working muscle.

Adult↗

Effects of voluntary leg muscle contractions on cardiac output while standing.

To clarify the contribution of voluntary muscle contractions on the cardiovascular variables of humans, we measured stroke volume (SV), heart rate (HR), and cardiac output (CO) by impedance plethysmography in young males maintaining an upright standing position with 1) no voluntary muscle contractions owing to as little movement as possible (control condition), 2) voluntary muscle contractions in the calves along with a forward sway of the body, and 3) muscle contractions throughout the legs along with a backward sway. Muscle contraction in the calves did not provoke any significant increase in either SV or CO. Voluntary contractions throughout the legs, on the other hand, caused a reduction in SV and CO. From these observations we may conclude that contractions along with forward or backward swaying dose not enhance venous return unless the abdominal muscle is also contracting and unless the contractions are synchronous to one-minute wave in body fluid volume change.

Adolescent↗

[Application of AmpliType PM kit to forensic sciences].

Five genetic loci, low density lipoprotein (LDLR), glycophorin A (GYPA), hemoglobin G gammaglobin (HBGG), D7S8 and group specific component (GC), can be identified in a single step by the AmpliType PM kit. The kit uses multiplex PCR amplification and hybridization by a reverse dot blot method. To introduce the new marker system in forensic caseworks in Japan, a relevant Japanese population database must be established. In this context, the allele frequencies of the 5 genetic loci were determined for 246 unrelated Japanese. The allele frequencies were LDLR*A 0.173, LDLR*B 0.827, GYPA*A 0.528, GYPA*B 0.472, HBGG*A 0.352, HBGG*B 0.648, HBGG*C 0.000, D7S8*A 0.612, D7S8*B 0.388, GC*A 0.258, GC*B 0.504 and GC*C 0.238, respectively. In all 5 systems, the genotype frequencies are in good accordance with the Hardy-Weinberg expectations. The power of discrimination (PD) of LDLR, GYPA, HBGG, D7S8 and GC were 0.449, 0.624, 0.600, 0.612 and 0.788, respectively, resulting in a combined PD of 0.993, while these 5 DNA types could be determined from slaiva and semen. And the GYPA or GC genotypes were observed to have good relations with the MN and serum Gc phenotypes. The AmpliType PM kit was confirmed to be a reliable DNA typing system which was well suited for use in forensic sciences.

Alleles↗

[Relations between autonomic dysfunction and skin sympathetic nerve activity in Guillain-Barré syndrome: a microneurographical assessment].

We investigated the skin sympathetic nerve activity (SSNA) in 4 patients with Guillain-Barré syndrome (CBS) using microneurography. All patients showed transient hypertension, tachycardia and palmoplantar hyperhidrosis in the acute phase of illness, but these symptoms disappeared in the chronic phase. Microelectrode recordings of SSNA performed at the median nerve in the acute phase when hypertension, tachycardia and palmoplantar hyperhidrosis were present and then in the recovery phase. In the acute phase, the level of SSNA was significantly higher than the control levels obtained from 16 healthy subjects, while in the chronic recovery phase the SSNA showed no significant difference from that of the control. The correlation between the SSNA and corresponding changes in the sweat rate and skin blood flow was kept constant both in the acute phase and chronic phase. These findings suggest that the sympathetic nerve dysfunction observed in the acute phase of GBS is partly the consequence of hyperactivity of the skin sympathetic nerve.

Adolescent↗

Different thermal dependency of cutaneous sympathetic outflow to glabrous and hairy skin in humans.

We investigated the effects of ambient temperature on the sudomotor and vasoconstrictor components of skin sympathetic nerve activity (SSNA). The sympathetic traffic was measured by simultaneous microneurographic recording from post-ganglionic nerve fibres in the tibial and the peroneal nerves. When the ambient temperature was raised from 25 degrees C to 34 degrees C, both sudomotor and vasoconstrictor components of SSNA were enhanced in the peroneal nerve but were suppressed in the tibial nerve. The sudomotor and vasoconstrictor sympathetic outflows were elevated in both nerves when the temperature was lowered from 34 degrees C to 18 degrees C. Our results suggested that the sudomotor and the vasoconstrictor components of SSNA are differently modulated by ambient temperature. The difference in sudomotor and vasoconstrictor components of SSNA in the tibial and the peroneal nerves at different ambient temperature may have been responsible for the differences observed in sweating and vasoconstriction in glabrous and hairy skin.

Adult↗

Sleep-related changes in human muscle and skin sympathetic nerve activities.

To characterize the features of sympathetic nerve activity during non-REM sleep, we measured the muscle and skin sympathetic nerve activities (MSNA and SSNA, respectively) using a double recording microneurographic technique. Eight healthy volunteers were monitored by polysomnography (including EEG, EOG, EMG, and ECG) and received acoustic stimuli (880 Hz, 125 ms) during sleep stage 2. The specific discharge properties of MSNA during wakefulness included pulse-synchronicity, short burst duration and a non-responsiveness to arousal stimuli. These were considered to be generated by an inhibitory input from the baroreceptors to the cardiovascular center. In contrast, SSNA lacked pulse-synchronicity, had longer bursts, and was responsive to a variety of stimuli. Burst rates of MSNA and SSNA were reduced during sleep stages 1 and 2 (light sleep) vs. during a wakefulness. Both MSNA and SSNA appeared to be related to spontaneously occurring K-complexes. The baroreflex latency (from the ECG R-wave to the integrated MSNA burst peak) was constant at approximately 1.20 s during sleep, suggesting that pulse-synchronicity was maintained. The MSNA burst evolution time (interval between initiation of the burst and its peak) became longer with a transition to deeper non-REM sleep stages, whereas the SSNA burst evolution times remained constant. K-complexes induced by acoustic stimuli were frequently accompanied by MSNA and/or SSNA. MSNA responded to acoustic stimuli during light sleep, but some bursts lacked a close relation in time to cardiac rhythm.(ABSTRACT TRUNCATED AT 250 WORDS)

Acoustic Stimulation↗

Human cardiovascular responses to a 60-min bath at 40 degrees C.

This study was designed to determine human cardiovascular responses to a 60-min bath at 40 degrees C compared with a thermoneutral bath at 34.5 degrees C. We measured mean blood pressure (MBP), heart rate (HR), skin blood flow (SBF) and core temperature in 8 healthy young males bathing at two different temperatures, 34.5 degrees C and 40 degrees C. During the thermoneutral bath (34.5 degrees C), heart rate tended to decrease, but all other variables showed no significant change. Ten min after entering the 40 degrees C bath, MBP decreased while HR and SBF increased. At the same time core temperature increased. We conclude that bathing at 40 degrees C may induce remarkable changes in the cardiovascular system by increasing core temperature when immersion in a hot bath for more than 10 min.

Adult↗

Effects of aging on the arterial baroreflex control of muscle sympathetic nerve activity in healthy subjects.

To determine how arterial baroreflex gains for sympathetic nerve activity are affected by aging, muscle sympathetic nerve activity (MSNA) from the tibial nerve was monitored by microneurography, and heart rate and blood pressure were recorded for the pressor or depressor responses to intravenous injections of phenylephrine or nitroglycerin in 22 healthy humans, aged 16 to 57 years old. Although the arterial baroreflex gain for the heart rate showed attenuation by aging, the gain for MSNA was not affected by aging. These data suggest a preservation of the arterial baroreflex control of sympathetic nerve activity despite attenuation of the arterial baroreflex control of the heart rate with aging in humans.

Adolescent↗