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Biomedical subjects

Z Janka

Publications and source records attributed to Z Janka.

62 records · Page 4Linked to original sources

Sodium-dependent lithium efflux from red cells in affective disorders.

Steady state red blood cell/plasma lithium concentration ratios were determined simultaneously with the in vitro sodium-dependent downhill lithium efflux from red cells during maintenance lithium treatment in 22 bipolar depressed patients, 17 unipolar depressed patients, and 28 psychiatric control patients. The values of the sodium-dependent lithium efflux were significantly correlated with the steady-state lithium levels in red blood cells and plasma. A profound difference in sodium-dependent lithium efflux from red cells was found between controls and bipolar patients and to a lesser degree between controls and unipolar patients.

Adult↗

Na-dependent Li-transport in primary nerve cell cultures.

Primary cultures from chick embryonic brain were used to study the steady state distribution of lithium. The intra/extracellular Li+ ratio decreased by enhancing the external Na+ concentration. Ouabain did not influence this unequality. A phloretin-sensitive component was revealed in the Li uptake at low Na+ concentration. The findings might suggest the existence of a Na+-dependent Li+ countertransport system in these brain cell cultures.

Animals↗

Disturbed visuo-spatial orientation in the early stage of Alzheimer's dementia.

A pilot study was conducted to assess previously unrecognized visuo-spatial disturbances in 45 Alzheimer's demented (AD) patients and 59 control persons all over the age of 65 years, living in the community. The results of the Clock Drawing Test (CDT) revealed high frequency (78%) of deficient performative visuo-spatial skills of mild and moderate demented AD patients. The severity of dementia was found to be a good predictor of the deficit in visuoconstructive performance. The most frequent drawing mistakes were the misplacement of numbers and clock hands, which may relate to dysfunctions of the right inferior parietal cortex. The right-left orientation (RLO) for the own body was not deteriorated in AD patients. However, significantly lower scores for RLO in the mental rotation subtest were found in mild and moderate AD groups. There were large inter-individual differences in the test scores of both demented groups. Thirty-one percent and 49% of the AD patients scored 0 points or within the normal range (more than 4 points), respectively, indicating a pseudofocal onset pattern of the dementia. The results of the CDT and Right-Left Orientation Test (RLOT) with Mental rotation showed significant positive correlation with other cognitive functions of Mini Mental State Exam, such as attention-calculation, recall and writing, and indicate that the visuo-spatial orientation (VSO) is a composite of different cognitive skills. The CDT and RLOT appears to be a useful tool for screening the elderly for disturbed VSO.

Journal Article↗

Apolipoprotein E polymorphism in Pick's disease and in Huntington's disease.

The polymorphism of apolipoprotein E (apoE) has been recognized as a genetic risk factor in different neurodegenerative disorders, with or without tau protein- related neuropathology, but few published epidemiological data are available as concerns the association of different apoE alleles with two relatively rare forms of dementia, Pick's disease (PiD) and Huntington's disease (HD). In this study the frequency of the apoE4 allele was examined in 36 persons with histopathologically proven PiD and compared with that of the apoE genotype in 28 HD probands and 79 aged healthy controls. The E4 allele was overrepresented selectively in PiD (42%) as compared with the control population (7%). No such association was found for HD probands (9%). This finding lends further support to the hypothesis that the E4 genotype is not an Alzheimer's disease specific susceptibility factor, and that it could be present in diverse dementing disorders with tau protein related neuropathology, such as PiD.

Aged↗

Evaluation of serum-lipid-related cardiovascular risk factors in Alzheimer's disease.

There is now sufficient evidence to suggest that cardiovascular pathology and altered lipid metabolism contribute to the development of late-onset Alzheimer's disease (AD). In the present study, 24 AD patients and 15 controls were assessed for cardiovascular risk based on serum lipid and lipid oxidation parameters. The AD patients appeared to have a more favorable cardiovascular risk profile than the controls based on high-density lipoprotein cholesterol (HDL-C) values. The levels of thiobarbituric-acid-reactive substances and the activity of the enzyme paraoxonase (PON) following copper oxidation indicate that female patients may have better protection against serum and perhaps tissue oxidants than males with AD. While the higher HDL-C values indicate lower cardiovascular risk, additional data on oxidized lipid parameters suggest a lower level of protection against serum oxidants in male AD probands. CopyrightCopyright 1999S.KargerAG,Basel

Aged↗

Haloperidol attenuates beta-amyloid-induced calcium imbalance in human fibroblasts.

BACKGROUND: Antipsychotics are widely used in the treatment of behavioral and psychological symptoms of dementia. A low frequency of Alzheimer's disease in patients with schizophrenia is reported, and it has been proposed that antipsychotic medications, such as haloperidol, may be responsible. Disruption of intracellular calcium levels is considered to play a key role in beta-amyloid-induced neurotoxicity in Alzheimer's disease. Haloperidol has also been reported to interact with calcium homeostasis through dopamine-2 and sigma-1 receptors, and other, yet unknown mechanisms. OBJECTIVE: Therefore, we investigated whether differences in the basal intracellular free calcium levels of cultured cutaneous fibroblasts--cells that do not express dopamine-2 and sigma-1 receptors--derived from sporadic Alzheimer patients and from age-matched control individuals after haloperidol treatment might be present. METHODS: Intracellular calcium level was measured in Fura-2AM-loaded human fibroblasts by dual wavelength spectrofluorimetry. RESULTS: Alzheimer cells exhibited significantly lower calcium level as compared to the control cultures. Exposure of fibroblasts to beta-amyloid peptide resulted in increased calcium concentration of the control cells, but not of Alzheimer fibroblasts. Co-incubation of cultures with a therapeutic dose of haloperidol blocked the beta-amyloid-induced elevation of calcium. CONCLUSION: This finding indicates that haloperidol efficiently countervails ionic imbalance and suggests that it may serve as a potential agent in alleviating neurotoxic effects of beta-amyloid peptide.

Aged↗