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Physical estimation of triplet phases--effects of different radiation sources and modes for profile scans.

A comparative study has been made of the intensity profiles from three-beam experiments to estimate triplet phases using radiation from a conventional sealed-tube X-ray source and two different synchrotron sources. Synchrotron radiation, with its much smaller angular divergence, narrower spectral bandwidth and higher flux, distinctly improves the experimental conditions for physical phase estimation. Pure psi scans about the primary diffraction vector, such as can be made with a six-circle diffractometer, further improve the conditions compared with combined omega/psi scans with a four-circle instrument, where the rotation in psi is accomplished by combining rotations about the three axes omega, chi and varphi. Interference profiles collected by pure psi scans and unfocused synchrotron radiation have FWHM values reduced by factors in the range 20-35 relative to those obtained with combined omega-2theta/psi scans and radiation from a conventional source. As a consequence of these changes, which also involve greatly increased peak amplitudes, the 0/pi-type asymmetry of the profiles is exposed much more pronounced closer to the three-beam point, enabling unambiguous phase assignment for all triplets that were studied. The superiority of the pure psi scan will be even more important in studies of general phases for which the phase information lies also in the relative heights of the (sharp) interference maxima for a triplet and the Friedel-related triplet.

Journal Article↗

Fast atom bombardment analysis of arachidonic acid-containing phosphatidylcholine molecular species.

Fast atom bombardment (FAB) mass spectrometry was evaluated as a means for the characterization of molecular species of glycerophosphocholines (GPC) from HL60 cells. Previous reports of phospholipid molecular species analysis have suggested that several inherent problems with FAB could limit its analytical usefulness in such an application. The GPC-related secondary ions produced by the FAB experiment were found to be dependent on the matrix employed. Triethanolamine was found to minimize mass-related discrimination in ion emission when mixtures were studied; and furthermore, this matrix maintained 60% maximal ion current after 12 minutes as compared to a glycerol matrix which diminished to 10% maximal ion current. Using triethanolamine, the major GPC species in HL60 cells prelabeled with (2H8) arachidonic acid were found to be 16:0a16:1, 16:0e/18:1, 16:0a/18:1, 18:1a/18:1 and 18:0a/18:1. It was possible to identify the minor GPC species containing arachidonic acid only after partial purification by reverse-phase high-performance liquid chromatography. Comparison of the 2H8/2H0 enrichment data estimated by FAB with data obtained by gas chromatographic/mass spectral analysis of arachidonic acid following GPC hydrolysis revealed that the precision of FAB was less precise than gas chromatography/mass spectrometry. Yet the FAB technique did allow the observation of one unexpected molecular species (18:1a/20:4) due to the fact that the GPC was not degraded to simpler species prior to analysis. In this respect, the two strategies of molecular species analysis complement each other.

Arachidonic Acid↗

Improved method for accurate and efficient quantification of MRS data with use of prior knowledge

We introduce AMARES (advanced method for accurate, robust, and efficient spectral fitting), an improved method for accurately and efficiently estimating the parameters of noisy magnetic resonance spectroscopy (MRS) signals in the time domain. As a reference time domain method we take VARPRO. VARPRO uses a simple Levenberg-Marquardt algorithm to minimize the variable projection functional. This variable projection functional is derived from a general functional, which minimizes the sum of squared differences between the data and the model function. AMARES minimizes the general functional which improves the robustness of MRS data quantification. The newly developed method uses a version of NL2SOL, a sophisticated nonlinear least-squares algorithm, to minimize the general functional. In addition, AMARES uses a singlet approach for imposition of prior knowledge instead of the multiplet approach of VARPRO because this greatly extends the possibilities of the kind of prior knowledge that can be invoked. Other new features of AMARES are the possibility of fitting echo signals, choosing a Lorentzian as well as a Gaussian lineshape for each peak, and imposing lower and upper bounds on the parameters. Simulations, as well as in vivo experiments, confirm the better performance of AMARES compared to VARPRO in terms of accuracy, robustness, and flexibility. Copyright 1997 Academic Press. Copyright 1997Academic Press

Journal Article↗

Production and purification of N-terminal half-transferrin in Pichia pastoris.

Human serum transferrin, the major iron transport protein in humans, is a monomeric glycoprotein that is composed of two homologous domains; the N-terminal domain is formed by amino acids 1-331 and the C-terminal domain is formed by amino acids 338-679. Each domain is capable of binding one iron atom concomittantly with a carbonate anion; however, the two homologous iron binding sites are not chemically equivalent. The cDNA sequence coding for the N-terminal domain has been cloned and overexpressed in the methylotrophic yeast, Pichia pastoris. The transformants secrete a protein of approximately 38 kDa (the size expected for N-terminal half-transferrin), its N-terminal sequence agrees with the predicted sequence, and the protein reacts with anti-human serum transferrin antibodies. The purified protein appears to be properly folded and can bind iron as demonstrated by its spectral properties and urea-PAGE mobility. It is estimated that N-terminal half-transferrin represents approximately 90% of all protein secreted into the culture medium and that it is expressed at levels exceeding 50 mg/l. This study demonstrates that N-terminal half-transferrin can easily be expressed in the simple host system, Pichia pastoris, and that the purified protein is capable of reversibly binding iron.

Alcohol Oxidoreductases↗

Fourier transform infrared spectroscopic study of the carbonate ions in bone mineral during aging.

The environment of CO3(2-) ions in the bone mineral of chickens of different ages and in bone fractions of different density have been investigated by resolution-enhanced Fourier Transform Infrared (FTIR) Spectroscopy. Three carbonate bands appear in the upsilon 2 CO3 domain at 878, 871, and 866 cm-1, which may be assigned to three different locations of the ion in the mineral: in monovalent anionic sites of the apatitic structure (878 cm-1), in trivalent anionic sites (871 cm-1), and in unstable location (866 cm-1) probably in perturbed regions of the crystals. The distribution of the carbonate ions among these locations was estimated by comparing the intensities of the corresponding FTIR spectral bands. The intensity ratio of the 878 and 871 cm-1 bands remains remarkably constant in whole bone as well as in the fractions obtained by density centrifugation. On the contrary, the intensity ratio of the 866 cm-1 to the 871 cm-1 band was found to vary directly and decreased with the age of the animal. In bone of the same age, the relative content of the unstable carbonate ion was found to be highest in the most abundant density centrifugation fraction. A resolution factor of the CO3(2-) band (CO3 RF) was calculated from the FTIR spectra which was shown to be very sensitive to the degree of crystallinity of the mineral. The crystallinity was found to improve rapidly with the age of the animal. The CO3 RF in the bone samples obtained by density centrifugation from bone of the same animal was found to be essentially constant.(ABSTRACT TRUNCATED AT 250 WORDS)

Aging↗

Lipid oxidation and gel to liquid-crystalline transition temperatures of synthetic polyunsaturated mixed-acid phosphatidylcholines.

Synthetic preparations of the polyunsaturated phosphatidylcholines 1-stearoyl-2-linoleoyl-sn-glycero-3-phosphocholine (SLPC) and 1-stearoyl-2-alpha-linolenoyl-sn-glycero-3-phosphocholine (SLnPC) were observed to undergo autooxidation sometimes during synthesis and also on storage. Oxidation was also induced by treatment of unoxidized SLPC with ultraviolet irradiation. Oxidation was estimated by thin layer chromatographic, fatty acid and ultraviolet spectral analyses. With limited oxidation, the gel to liquid-crystalline transition temperatures of aqueous dispersions of these lipids were seen to increase. Extensive oxidation led to a reduction in the enthalpies of the transitions. The increases in transition temperatures were consistent with the presence of conjugated double bonds, as shown by increased absorption at 230 nm, and trans double bonds, in the oxidized lipids leading to the creation of more rigid domains within the bilayer. Some of the changes in the transitions, especially the decreasing enthalpy after extensive oxidation, may have occurred because of the presence of small amounts of lysophosphatidylcholine and other oxidation intermediates or breakdown products seen by thin layer analysis. Thermograms of mixtures of unoxidized SLPC with amounts of lysostearoylPC found in the oxidized samples showed, however, that lysoPC likely did not contribute significantly to the increase in transition temperatures. Thin layer analysis suggested that the presence of cross-linked products could have contributed to the observed thermotropic properties.

Crystallization↗

Roles of hematocrit and fibrinogen in red cell aggregation determined by ultrasonic scattering properties.

Parameters of the power spectrum of backscattered echoes were applied to quantitatively evaluate red cell aggregation in vitro. Human red cell suspensions were circulated in a closed loop of tubing, and ultrasonic, radiofrequency, echo-signal data were obtained using a 10-MHz transducer. Data acquisition was performed at 30-s to 1-min intervals for 5 min after flow stoppage. Two parameters of the normalized power spectrum of the echo signals, spectral slope and Y-intercept, were computed, and estimates of two scattering properties, the scatterer size and acoustic concentration were calculated from these parameters using equations based on scattering theory. Size and acoustic concentration were observed as they changed over time after the stoppage of flow. The key findings were that hematocrit affected the rate of cell aggregation while fibrinogen controlled aggregate size and acoustic concentration.

Adult↗

Circadian and ultradian rhythms of peripheral growth hormone concentrations in lactating dairy cows.

To investigate possible circadian and ultradian periodicities for plasma growth hormone in lactating dairy cows, integrated 15-min blood samples taken sequentially over 48 hr from six cows were analyzed by radioimmunoassay. The cows were housed in an environmental chamber at 19 +/- 0.5 degree C, 50% relative humidity, and 16 hr of light and 8 hr of darkness (lights on at 0700 hr); fed daily at 0900 hr; and milked at 0800 and 2000 hr. Peripheral concentrations of growth hormone for all six cows exhibited sinusoidal circadian rhythms with average minima of 4.1 ng/ml at 1820 hr and maxima of 5.3 ng/ml at 0630 hr. Estimated periods of ultradian rhythms for individual cows by spectral analysis, peak identification, and fitting cosine functions using least squares were 71 to 83 min for all cows. No direct relationship between ultradian peaks and milking or feeding was apparent. In conclusion, a circadian rhythm and an ultradian rhythm with a period around 80 min are probably intrinsic to mechanisms regulating peripheral growth hormone concentrations in the lactating dairy cow.

Activity Cycles↗

Soil identification and chemometrics for direct determination of nitrate in soils using FTIR-ATR mid-infrared spectroscopy.

The use of mid-infrared attenuated total reflectance (ATR) spectroscopy enables direct measurement of nitrate concentration in soil pastes, but strong interfering absorbance bands due to water and soil constituents limit the accuracy of straightforward determination. Accurate subtraction of the water spectrum improves the correlation between nitrate concentration and its nu3 vibration band around 1350 cm(-1). However, this correlation is soil-dependent, due mostly to varying contents of carbonate, whose absorbance band overlaps the nitrate band. In the present work, a two-stage method is developed: First, the soil type is identified by comparing the "fingerprint" region of the spectrum (800-1200 cm(-1)) to a reference spectral library. In the second stage, nitrate concentration is estimated using the spectrum interval that includes the nitrate band, together with the soil type previously identified. Three methods are compared for estimating nitrate concentration: integration of the nitrate absorbance band, cross-correlation with a reference spectrum, and principal component analysis (PCA) followed by a neural network. When using simple band integration, the use of soil specific calibration curves leads to determination errors ranging from 5.5 to 24 mg[N]/kg[dry soil] for the mineral soils tested. The cross-correlation technique leads to similar results. The combination of soil identification with PCA and neural network modeling improves the predictions, especially for soils containing calcium carbonate. Typical prediction errors for light non-calcareous soils are about 4 mg[N]/kg[dry soil], whereas for soils containing calcium carbonate they range from 6 to 20 mg[N]/kg[dry soil], which is less than four percent of the concentration range investigated.

Aluminum Silicates↗

Long-term stability and consistency of EEG event-related (de-)synchronization across different cognitive tasks.

OBJECTIVE: We examined whether task-related band power changes (event-related desynchronization/synchronization; ERD/ERS) that have been linked to individual differences in cognitive ability demonstrate satisfying temporal stability and cross-situational consistency. METHODS: Multi-channel EEG recordings from 29 adults, assessed at three different occasions over 2 years were examined. Between-session correlations and consistency coefficients (Cronbach's alpha) across the three experiments were evaluated for both, spectral power features of the resting EEG and ERD/ERS estimates while the participants performed some cognitive task (i.e. different elementary cognitive tasks that put comparable demands on the participants). RESULTS: ERD/ERS values, while subjects performed a cognitive task, demonstrated satisfactory stability and consistency (i.e. >0.7), whereby the degree of consistency varied as a function of frequency band and brain region. Highest consistency was found for the 8-10 Hz ERD in parieto-occipital recording sites (i.e. >0.9). In resting EEG, mean alpha (gravity) frequency was the most stable EEG feature. CONCLUSIONS: The present data suggest that ERD/ERS phenomena in different narrow frequency bands are rather stable over time and across different situations. The relatively high reproducibility of ERD/ERS promotes the usefulness of this measure in assessing individual differences of physiological activation patterns accompanying cognitive performance. SIGNIFICANCE: This study addresses the issue of reproducibility of EEG in general and ERD/ERS experiments in particular, which is a prerequisite for both basic research and clinical studies.

Adolescent↗

Applications of new saturation transfer electron paramagnetic resonance methodology to the rotational dynamics of the Ca-ATPase in sarcoplasmic reticulum membranes.

The presence of small amounts of weakly immobilized probes can result in large systematic errors in the measurement of correlation times (tau r) from saturation transfer EPR spectra. However, we have recently developed experimental methodology to minimize these errors (Squier and Thomas, Biophys. J., 49:921-935). In the present study we have applied this methodology to the measurement of the rotational motion of the Ca-ATPase in sarcoplasmic reticulum. This analysis involves the estimate of tau r from line-shape parameters (spectral line-height ratios) and intensity parameters (spectral integral), coupled with digital subtractions to remove spectral components corresponding to weakly immobilized probes. We have analyzed the ST-EPR spectra of the Ca-ATPase over a range of temperatures and find that, unlike line-shape parameters, intensity parameters are little affected by the subtraction of the weakly immobilized spectral component (W). Thus, tau r values from intensity parameters are a more reliable measurement of rotational motion. As reported previously, an analysis with line-shape parameters yields a nonlinear Arrhenius plot of protein mobility. However, the plot is linear when intensity parameters or corrected spectra are used, consistent with the theory for the hydrodynamic properties of a membrane protein of unchanging size and shape in a fluid bilayer. An analysis with line-shape parameters yields different effective tau r values in different spectral regions, and these tau r values are temperature-dependent. However, correction of spectra for W yields temperature-independent tau r ratios, indicating that the motional anisotropy is temperature-independent. Obtaining a good match for the weakly immobilized spectral component remains a major difficulty in the quantitative analysis of ST-EPR spectra using line-shape parameters. This study shows that intensity parameters can be used to avoid this problem, making the ST-EPR technique applicable in cases that were previously resistant to analysis.

Animals↗

Odor input generates approximately 1.5 Hz and approximately 3 Hz spectral peaks in the helix pedal ganglion.

In 1999 we reported that odorants evoke in the Helix pedal ganglion (PG) activity patterns which are largely odorant-specific and related to the nature of odor and its behavioral output. Notably, some activities (for example, approximately 1.5 and approximately 3 Hz), nonspecific to odorants, were consistently evoked in PG. The present contribution goes farther in a deeper survey of the intrinsic and odorant-evoked activities of PG with special weight on the nonspecific fluctuations. We address the following questions. (i) What are the features of the activities? (ii) Are they comparable to the activities found in the motor systems of the other invertebrates? (iii) To what functions can they be related? Three main frequency components represented by power peaks at <1 Hz, 1-2 Hz and 2-8 Hz seem to feature the response activities of PG. (a) The aversive odorants induce odorant-specific patterns represented by peak power frequencies at <1 Hz. (b) The oscillation at approximately 1 Hz, which exists intrinsically in the Helix PG, can be specifically enhanced by appetitive odors. Activities induced in the procerebrum (PC), the visceral ganglion (VG) and PG by appetitive odorants, such as ethanol and apple, peak at 1.3-2 Hz, whereas those induced by aversive ones, such as formic acid and onion at <1 Hz. (c) The 2-8 Hz components always accompany the odorant-evoked activities of the PG either as the second or third strongest component, or in the form of conspicuous, long-lasting approximately 3 Hz oscillations. (d) The nonspecific odor-evoked 1-2 Hz and approximately 3 Hz activities, and the intrinsic approximately 1 Hz activity of the PG seem to be interrelated by a degree of mutual exclusion. We may therefore consider these activities as elementary, slow components that are involved in the processing of signals in this ganglion. It can be inferred from the findings in other invertebrates that the 1-3 Hz spontaneous discharge is strongly connected with motor activity that involves the feedback mechanism of the procerebro-cerebro-buccal or -procerebro-cerebro-pedal circuit. Our approach differs from most others reported so far in the following aspects: (i) use of gross steel electrodes for recording population activities; (ii) lengthy stimulation (10 min); (iii) long observation during and after stimulation; (iv) power spectral presentation of temporal evolution of activity patterns; (v) estimation of peak power frequency by Frequency-Amplitude Plot (FAP) (obtained from signals averaged in the frequency domain; a method based on systems theory).

Alcohols↗

High-frequency ultrasound characterization of microporous biointegrable polymers in cornea using acoustic parameters.

The current work deals with the use of high-frequency quantitative backscatter acoustic microscopy for the evaluation of the biointegration of microporous polymer implants used as support of artificial cornea. A three-dimensional (3-D) 80 MHz ultrasound microscope (25 microns axial resolution at focus) was used for the imaging and characterization of the progressive biointegration of polymers implanted in rabbit cornea. In-vitro and in-vivo studies were performed. Quantitative assessment of the structural changes in the biomaterial was performed using the spectral analysis of the radio frequency signal and the estimation of acoustic parameters in the 10-65 MHz frequency bandwidth. Correlation of in-vitro ultrasound data with histologic findings has shown that attenuation and backscatter coefficients are sensitive to the changes in the polymer pore content with time. Our results obtained in vivo demonstrated that 3-D 80 MHz echography coupled with quantitative characterization provide a unique tool for the non-invasive and objective follow-up of the implant biointegration and should contribute to clinical management of artificial cornea.

Acoustics↗

Age-related changes in human crystallins determined from comparative analysis of post-translational modifications in young and aged lens: does deamidation contribute to crystallin insolubility?

We have employed recently developed blind modification search techniques to generate the most comprehensive map of post-translational modifications (PTMs) in human lens constructed to date. Three aged lenses, two of which had moderate cataract, and one young control lens were analyzed using multidimensional liquid chromatography mass spectrometry. In total, 491 modification sites in lens proteins were identified. There were 155 in vivo PTM sites in crystallins: 77 previously reported sites and 78 newly detected PTM sites. Several of these sites had modifications previously undetected by mass spectrometry in lens including carboxymethyl lysine (+58 Da), carboxyethyl lysine (+72 Da), and an arginine modification of +55 Da with yet unknown chemical structure. These new modifications were observed in all three aged lenses but were not found in the young lens. Several new sites of cysteine methylation were identified indicating this modification is more extensive in lens than previously thought. The results were used to estimate the extent of modification at specific sites by spectral counting. We tested the long-standing hypothesis that PTMs contribute to age-related loss of crystallin solubility by comparing spectral counts between the water-soluble and water-insoluble fractions of the aged lenses and found that the extent of deamidation was significantly increased in the water-insoluble fractions. On the basis of spectral counting, the most abundant PTMs in aged lenses were deamidations and methylated cysteines with other PTMs present at lower levels.

Age Factors↗

Interaction of polycyclic hydrocarbons with cytochrome P-450. III. Effects of hydrocarbon binding on the interaction of some ligands with P-448(1) heme.

The binding of polycyclic hydrocarbons to P-448(1) affected the interaction of exogenous ligands, such as ethyl isocyanide and CO in the ferrous state and 1-methyl imidazole in the ferric state, with the heme to various extents depending on the structure of the hydrocarbons. The effect of the hydrocarbons on dissociation constants (Kd) on the three ligands was essentially similar. Kd of ethyl isocyanide and CO for hydrocarbon-free P-448(1) were 18 microM and 1.1 microM, respectively. The affinities of both the ligands increased about 3-fold when hydrocarbons of a small molecular size, such as phenanthrene, were bound to P-448(1). Addition of a benzene ring to the outside of the phenanthrene molecule resulted in a remarkable decrease in the affinities of both the ligands. The binding of larger hydrocarbons in size produced a stronger inhibitory effect on the interaction of ethyl isocyanide with P-448(1). Thus, Kd of the isocyanide for benz[a]anthracene-bound and dibenz[a,c]anthracene-bound P-448(1) were estimated to be 260 microM and 3 mM, respectively. Spectral changes hardly occurred on addition of 4 mM ethyl isocyanide to 3-methylcholanthrene-bound or 7,8-benzoflavone-bound P-448(1). The effect of the hydrocarbon binding on Kd of the ligands was depressed when a benzene ring which links two aromatic rings in the hydrocarbon molecule was replaced by a single C-C bond. A probable structure of the active area of P-448(1) composed of the substrate site and the heme is proposed based on the effect of the hydrocarbon binding on the interaction between the exogenous ligands and the P-448(1) heme iron reported in this series of papers. The binding of hydrocarbons to P-448(1) increased the intensity ratio of the 430 nm to the 453 nm peak of the absorption spectrum of the ethyl isocyanide compound. When a large and long hydrocarbon in shape such as dibenz[a,h]anthracene was bound to P-448(1), a red shift of the Soret absorption peak and modification of the Soret CD pattern of the CO compound were observed.

Animals↗

Influence of hemorrhagic shock on remifentanil: a pharmacokinetic and pharmacodynamic analysis.

BACKGROUND: Hemorrhagic shock is known to alter significantly the pharmacokinetics of fentanyl, an opioid that requires delivery to the liver for metabolism. The authors hypothesized that the pharmacokinetics and pharmacodynamics of remifentanil, an esterase metabolized opioid that does not require delivery to a metabolic organ, would be altered less by hemorrhagic shock that those of fentanyl. METHODS: Sixteen pigs were assigned randomly to control and shock groups. The shock group was bled using an isobaric hemorrhage model. Remifentanil 10 microg x kg(-1) x min(-1) was infused for 10 min to both groups. Arterial samples were collected for remifentanil concentration assay. Pharmacokinetic parameters were estimated using a three-compartment model. The electroencephalogram spectral edge was used as a measure of drug effect. The pharmacodynamics were characterized using a sigmoid inhibitory maximal effect model. RESULTS: Remifentanil blood levels were higher in the shocked group. The central clearance was slower and the central compartment was smaller in shocked animals. No difference between groups was observed in the magnitude or time course of the remifentanil-induced decrease in spectral edge. CONCLUSIONS: Hemorrhagic shock altered the pharmacokinetics of remifentanil, suggesting that less remifentanil would be required to maintain a target plasma concentration. However, because of its rapid metabolism, the impact of hemorrhagic shock on the concentration decline of remifentanil after termination of the infusion was minimal. Hemorrhagic shock did not alter the pharmacodynamics of remifentanil.

Analgesics, Opioid↗

Effects of rilmenidine on 24-h rhythmicity of blood pressure and spontaneous baroreflex sensitivity in essential hypertensive subjects.

OBJECTIVE: To study the effects of the centrally acting imidazoline-like compound rilmenidine on the circadian and short-term cardiovascular rhythms derived from continuous blood pressure (BP) recordings in patients with mild essential hypertension. METHODS: This was a single-center, open study. Recordings were obtained from eight subjects, using a Portapres during two 24-h hospitalizations: the first after the inclusion visit and the second 4 weeks after starting rilmenidine treatment (1 or 2 mg/day). For circadian analysis of cardiovascular variables, 10 min were selected every hour to obtain 24 periods per subject for each session. Spontaneous baroreflex sensitivity (BRS) was estimated using the sequence technique and the cross-spectral analysis between systolic BP and interbeat intervals. RESULTS: Rilmenidine significantly reduced the overall systolic and diastolic BP and heart rate (P < 0.001). The effects of rilmenidine on BP and heart rhythm were marked during the daytime. Rilmenidine reduced the low-frequency (LF) component of systolic BP variability throughout the 24 h. The highest values of spontaneous BRS were observed at night. Rilmenidine increased the BRS obtained by the slope of the sequence method throughout the 24-h period (P < 0.001). The LF gain was significantly increased with rilmenidine during the day and the night. CONCLUSIONS: Rilmenidine may differentially affect the baroreflex-dependent (phasic or reflex) and the baroreflex-independent (tonic) autonomic outflow. The 24-h approach reinforced this concept, since indexes of BRS were increased throughout the 24-h period while BP was reduced during the daytime.

Adult↗

Circadian change of cardiac autonomic function in correlation with intra-esophageal pH.

BACKGROUND AND AIM: Although autonomic alterations are observed in patients with gastroesophageal reflux disease (GERD), the influence of visceral receptor responses on the dynamics of autonomic function remains unknown. The aim of this study was to investigate the autonomic functional changes in association with intra-esophageal pH under ambulation. METHODS: Thirty patients referred for 48 h ambulatory pH monitoring underwent simultaneous 24 h cardiac monitoring for heart rate variability (HRV). We used linear mixed-effects models to estimate the relationship between esophageal acid exposure and power spectral analysis of HRV, including low-frequency power (0.04 < LF < 0.15 Hz), high-frequency power (0.15 < or = HF < 0.4 Hz), and LF/HF power ratio. RESULTS: Over the 24-h period, patients with pathological reflux had lower average LF and HF powers than patients with functional heartburn, but the LF/HF power ratios were similar for the two patient groups. As we stratified the data according to waking and sleeping times, a significantly higher HF power but lower LF/HF power ratio was found during sleeping time regardless of diagnosis. In the regression analysis, esophageal pH was positively associated with change (not basal tone) of both LF and HF powers during waking, but only with change of HF power during sleeping time. The significant associations between pH values and changes in HRV decreased gradually with time. The LF/HF power ratio did not alter significantly with pH. CONCLUSION: Esophageal acid exposure is generally associated with decreases in autonomic tone. A predominant parasympathetic fluctuation during sleeping and a superimposed sympathetic interaction during waking dictate diurnal characteristics of autonomic regulation.

Adult↗