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Biomedical subjects

T J Moore

Publications and source records attributed to T J Moore.

At least 127 records · Page 7Linked to original sources
PubMed1977

Aldosterone regulation in essential hypertension: altered adrenal responsiveness to angiotensin II.

Adrenal responsiveness to angiotensin II was evaluated in patients with "normal-renin" hypertension. Plasma aldosterone, plasma renin activity, and angiotensin II levels were determined, in the supine and, after 21/2 hours in the upright position, in 70 patients with essential hypertension who were on a diet containing 10 meq of sodium and 100 meq of potassium. The increment of plasma aldosterone between supine and upright positions, divided by the increment in plasma renin activity (deltaPA/deltaPRA), was used as an estimate of adrenal sensitivity to angiotensin II. Fifty-seven patients had deltaPa/deltaPRA ratios within the range observed for a normotensive control population; 13 had low ratios. The low ratios suggested subnormal aldosterone responsiveness to angiotensin II. To further test this hypothesis, angiotensin II was infused into 19 of the 70 patients. In those patients with normal deltaPA/deltaPRA ratios, the plasma aldosterone response was similar to that observed in normotensive controls. On the other hand, in those patients with low ratios, a significant increase in plasma aldosterone levels did not occur even with a dose of angiotensin II 10 times higher than that producing an increase in the normally responsive group. In a separate study, the adrenal response to infused angiotensin II was determined in 12 hypertensive patients who were on a sodium intake of 200 meq. These patients were previously known to have normal renin levels after sodium restriction and upright posture. Under these conditions, the hypertensive patients as a group had a significantly greater plasma aldosterone increment to infused angiotensin II than did sodium-loaded normotensive control subjects. Thus, some patients with normal-renin essential hypertension may have either enhanced or reduced adrenal responsiveness to angiotensin II, depending on the conditions of dietary intake of sodium.

Adult↗
PubMed1976

Beta-hydroxybutyrate transport in rat brain: developmental and dietary modulations.

Transport of beta-hydroxybutyrate (betaHB) into rat brain was estimated from the early rise in brain/serum 14C ratio after subcutaneous injection of [14C]betaHB. Permeability of the D isomer exceeded that of the L isomer. Permeability of either isomer rose throughout suckling (sevenfold) and declined after weaning to the low, newborn values. This age dependence differed markedly from those of cerebral blood flow and cerebral permeabilities of urea, glucose, valine, leucine, and DMO (5,5-dimethyloxazolidine-2,4-dione). Fat-feeding more than doubled cerebral betaHB permeability without significantly affecting cerebral blood flow or the permeabilities of urea, glucose, and DMO. Temperature dependence of betaHB permeability was similar to that of glucose transport. The age and diet dependence of betaHB were not accounted for in terms of body temperature, capillary surface, capillary porosity, or plasma proton concentration. A modulable betaHB carrier seemed indicated. Utilization of betaHB by the brain was signficantly governed by permeability, hence the increased permeability in ketotoc states should contribute to glucose sparing and eventually to protein sparing.

Age Factors↗
PubMed1976

A delayed suppression of the renin-aldosterone axis following saline infusion in human hypertension.

The purpose of this study was to compare the acute suppressibility of the renin-angiotensin-aldosterone (RAA) axis in normotensive (n = 23) and essential hypertensive (n = 62) subjects. Only those hypertensive subjects with normal plasma renin activity (PRA) levels (sodium restricted, upright) were included in the study. Acute suppression of the RAA axis was determined by measuring PRA, plasma angiotensin II (A II), and plasma aldosterone (PA) at frequent intervals during the infusion of isotonic saline (500 ml/hour for 6 hours). Although all parameters fell significantly from control levels by 20-30 minutes in the normotensive subjects, we found that 60% of the hypertensive subjects showed no significant decline in PRA or PA until 120-240 minutes after beginning the infusion. The other hypertensive subjects showed normal RAA suppression. In addition, while there were no significant differences between the three groups in control PRA or PA levels, we found that the PA levels from 30 to 240 minutes during the saline were significantly higher (P less than 0.01) in the hypertensive subjects with delayed suppression. That there were two distinct populations in the hypertensive group was suggested by the bimodality of the frequency response curve, with peaks occurring at 30 and 240 minutes. These studies indicate an abnormality in the acute suppression of the RAA axis in a substantial proportion of subjects with normal renin essential hypertension. Since previous studies in normal subjects have reported that the early phase of response to saline infusion is related to the sodium ion per se and not to intravascular volume expansion, we have come to the conclusion that the present data are consistent with the hypothesis that the delayed suppression hypertensive group has a diminished ability to respond to the sodium ion.

Adult↗
PubMed1976

Nelson's syndrome: frequency, prognosis, and effect of prior pituitary irradiation.

Previous reports differ regarding the frequency and course of pituitary tumors occurring after adrenalectomy for bilateral adrenal hyperplasia (Nelson's syndrome). In this report, 120 patients who were adrenalectomized for bilateral adrenal hyperplasia were followed for 2 to 20 years. Nine of the 120 developed Nelson's syndrome (8%), the tumors appearing 6 months to 16 years after adrenalectomy. In the majority of cases, the course was benign; seven patients are living an average of 9.7 years after discovery of their tumors. Finally, contrary to previous reports, pituitary irradiation before adrenalectomy did not prevent Nelson's syndrome. Twenty of 120 patients had pituitary irradiation as the initial treatment for bilateral adrenal hyperplasia and two subsequently developed pituitary tumors. Thus, after adrenalectomy for bilateral adrenal hyperplasia, all patients, regardless of previous pituitary irradiation, should be followed indefinitely with periodic X rays of the sella turcica for the possible occurrence of Nelson's syndrome.

Adolescent↗
PubMed1969

Effects of erythrocyte lipid and of glucose and galactose concentration on transport of the sugars across a water-butanol interface.

A property of sugar transport into the human erythrocyte is that a sugar with a high affinity for the hypothetical "carrier" will enter the cell at low concentration more rapidly than a sugar with lower affinity for carrier. At high concentration the sequence will be reversed. This behavior is exemplified by glucose, which enters erythrocytes faster than galactose at 0.015 m and slower than galactose at 1.3 m. A physicochemical model with the same properties has been found: layers of butanol and water with erythrocyte lipid at the interface. With total lipid from the human erythrocyte incorporated into the model, glucose at low concentration enters the oil phase faster than galactose and at high concentration galactose enters more rapidly. In the absence of lipid, glucose flux exceeds galactose flux at all concentrations. The hypothetical carrier molecule has not been identified.

Alcohols↗
PubMed1968

Glycerol permeability of human fetal and adult erythrocytes and of a model membrane.

When erythrocytes from different mammalian species are compared, the hemolysis rate in 0.3 m glycerol is seen to be directly related to the percentage of lecithin in the erythrocyte phospholipid. Since this percentage is higher in erythrocytes from human adults than in those from infants, the hemolysis times in 0.3 m glycerol were compared. As expected, hemolysis was more rapid in the adult cell, which is therefore more permeable to glycerol under these conditions. The permeability to glycerol of a film of erythrocyte lipids in vitro was next examined in a model system containing the two phases water and butanol. Lipid introduced into the bulk butanol appears as a film at the interface. When equal amounts of total lipid extracted from adult and fetal erythrocytes were introduced into the butanol phase of two such chambers, the initial flux of glycerol-(14)C across the lipid boundary was greater in the cell containing lipid from adult erythrocytes than in the cell containing fetal erythrocyte lipid. This difference corresponds qualitatively to the difference in hemolysis time measured in the intact erythrocytes.

Cell Membrane↗