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At least 145 records · Page 8Linked to original sources

Biodistribution and radiation dosimetry of [N-methyl-11C]mirtazapine, an antidepressant affecting adrenoceptors.

Central adrenoceptors cannot currently be studied by PET neuroimaging due to a lack of appropriate radioligands. The fast-acting antidepressant drug mirtazapine, radiolabelled for PET, may be of value for assessing central adrenoceptors, provided that the radiation dosimetry of the radioligand is acceptable. To obtain that information, serial whole-body images were made for up to 70 min following intravenous injection of 326 and 185 MBq [N-methyl-11C]mirtazapine (specific activities E.O.S. of 119 and 39G Bq/micromol, respectively) in a healthy volunteer. Ten source organs plus remaining body were considered in estimating absorbed radiation doses calculated using MIRD 3.1. The highest absorbed organ doses were found to the lungs (3.4 x 10(-2) mGy/MBq), adrenals (1.2 x 10(-2) mGy/MBq), spleen (1.2 x 10(-2) mGy/MBq), and gallbladder wall (1.1 x 10(-2) mGy/MBq). The effective dose was estimated to be 6.8 x 10(-3) mSv/MBq, which is similar to that produced by several radioligands used routinely for neuroimaging.

Adult↗

[Intraocular foreign bodies: a descriptive and prognostic study of 52 cases].

BACKGROUND: The aim of this study was to determine prognostic factors as well as anatomical and functional outcomes in patients undergoing surgical removal of an intraocular foreign body, according to the ocular findings at presentation and surgical management. MATERIALS AND METHODS: Retrospective (1993-2003) clinical study of 52 consecutive patients, with univariate analysis adjusting for the initial and final clinical examinations, for the surgical strategy and complications. RESULTS: Final best corrected visual acuity of 5/10 or more was obtained in 35 patients (67%) and of 1/10 or more in 44 patients (85%). The prognostic factors of a final visual acuity less than 5/10 identified were an initial visual acuity less than 5/10 (p<0.001), age over 40 years (p=0.015), a foreign body larger than 3 mm (p=0.0015), and multiple surgeries (p=0.015). CONCLUSION: Thanks to recent surgical progress, final visual outcomes were excellent in 67% of patients. The initial visual acuity, age, the length of the foreign, and the number of surgical interventions were significant predictor factors. However, the anatomical and functional prognosis of intraocular foreign bodies remains difficult to establish at the initial clinical examination.

Adolescent↗

A case report of body stalk anomaly complicating a twin pregnancy.

The body stalk anomaly is described as a maldevelopment during embryonic folding in the third week after conception, resulting in a severe defect of the fetal abdominal wall. The extra-embryonic coelom fails to obliterate and parts of the fetal body remain in an exo-coelomic situation. Reports on its occurrence in multiple pregnancies have in the past focused on concordance between monozygotic twins. We report on a case of a twin pregnancy after fertility treatment that was complicated by a Body Stalk Anomaly in one of the fetuses with a positive neonatal outcome of the unaffected twin.

Abdominal Wall↗

Orientation illusions and heart-rate changes during short-radius centrifugation.

Intermittent short-radius centrifugation is a promising countermeasure against the adverse effects of prolonged weightlessness. To assess the feasibility of this countermeasure, we need to understand the disturbing sensory effects that accompany some movements carried out during rotation. We tested 20 subjects who executed yaw and pitch head movements while rotating at constant angular velocity. They were supine with their main body axis perpendicular to earth gravity. The head was placed at the centrifuge's axis of rotation. Head movements produced a transient elevation of heart-rate. All observers reported head-contingent sensations of body tilt although their bodies remained supine. Mostly, the subjective sensations conform to a model based on semicircular canal responses to angular acceleration. However, some surprising deviations from the model were found. Also, large inter-individual differences in direction, magnitude, and quality of the illusory body tilt were observed. The results have implications for subject screening and prediction of subjective tolerance for centrifugation.

Adult↗

Model of the supine human body and its reactions to external forces.

Mechanical impedance and vibration transmissibility measurements were conducted on supine humans using sinusoidal vibrations. The frequencies tested were 1-20 Hz with a constant acceleration amplitude of 0.3 G. The tests were repeated with 4.54 kg pure mass placed on each segment. Both results were used to calculate a multi-degree-of-freedom lumped parameter model. The nonlinear reactions of the body are revealed by comparing the model parameters under "no load" and "load" conditions. When the results are compared with impedance measurements conducted under sustained acceleration, it becomes obvious that the thorax, due to its anatomical design, reacts differently from the remaining body parts.

Abdomen↗

Novel substratum-dependent dendritic morphology and motility in epithelial cells.

Qualitative and quantitative light microscopy including time-lapse observations, and scanning electron microscopy are applied to study the response of cultured primary amnion epithelial cells to surfaces coated with a fibronectin-containing aggregate extracted from placenta (PSF). Cell shapes are compared with those observed in medium containing serum and amniotic fluid. Cells respond rapidly to PSF in serum-free medium to give unusual dendritic structures. Cell bodies remain rounded with numerous long and complex processes appearing and disappearing over a period of 6 to 6 1/2 h. This behaviour is associated with an 18-fold increased motility relative to control cells. Few attachments to substratum occur beneath cell bodies or along dendritic processes, points of adhesion being largely confined to the termini of extensions. Later in the response to PSF, a reduction in cell extensions is accompanied by flattening of the cell body and more conventional shapes reminiscent of control cells are restored. In serum, cells spread more slowly to give well-flattened discoid or polygonal morphologies. In amniotic fluid, blebbed, bipolar and asymmetrical cells are observed with some dendritic extensions, reminiscent of those seen on PSF. The profound influence of substratum-associated ligands on cellular behavior is noted.

Amnion↗

An unusual case of foreign body knee that spontaneously migrated inside and out of the joint: arthroscopic removal.

Cause of acute knee pain and locking episodes in a young sports person can be due to foreign bodies which penetrated unnoticed into the joint cavity. Here we report an unusual injury of this kind where a glass foreign body remained in the subcutaneous tissue for many years and then migrated late into the knee joint cavity. Complaints occurred for the first time in adult age. Arthroscopy revealed a circular defect in the posterior capsule beyond which a 1.6 cm glass foreign body was lying in an extra capsular location. The late and episodic migration of the glass piece into the joint from its extracapsular location produced symptoms of acute pain and locking. There is no reported case of such spontaneous and episodic migration of a glass foreign body inside and out of the knee joint resulting in acute episodes of pain and locking during sporting activity mimicking a torn meniscus or a chondral lesion. This report highlights the importance of accurate history taking, thorough physical examination, besides describing this unusual extra capsular location of the glass foreign body during arthroscopic surgery.

Adolescent↗

Changes in blood pressure and body fluid volumes during diuretic therapy in patients with essential hypertension who receive enalapril.

We evaluated the effect of additional chlorthalidone therapy on blood pressure and body fluid volumes in 10 patients with essential hypertension who did not respond to chronic converting enzyme inhibition with enalapril. Values assessed after 3 days and 6 weeks of combined enalapril and chlorthalidone therapy were compared with initial values during enalapril monotherapy. After 3 days the mean arterial pressure (MAP), plasma volume (PV), blood volume (BV), and extracellular fluid volume (ECFV) decreased. There was a positive correlation between the percentage decreases in MAP and BV. After 6 weeks the MAP decreased further, but the decreases in PV, BV, and ECFV were less pronounced. At this time there was a positive correlation between the percentage decreases in MAP and ECFV. Our results support the hypothesis that contraction of the ECFV is an antihypertensive mechanism of diuretics. The antihypertensive effect of diuretics is enhanced during converting enzyme inhibition, while the body remains protected against volume deficits, possibly by the lower blood pressure itself.

Aged↗

Structure of asteroid bodies in the vitreous of galactose-fed dogs.

PURPOSE: Asteroid hyalosis is a condition in which white spherical particles (asteroid bodies) are suspended in the vitreous, usually in the dependent part of the vitreous. These particles seldom cause serious visual symptoms; however, their presence can be a source of irritation. It has been suggested, but not confirmed, that asteroid hyalosis may be associated with systemic diseases such as diabetes, hyperlipidemia, or hypertension. Studies indicate that these particles are composed of lipid material and calcium; however, the specific composition and structure of asteroid bodies remains unknown. We have observed that asteroid hyalosis occurs in galactose-fed dogs, and this represents the first animal model which consistently forms this vitreal condition. The purpose of this study was to identify the main structural component of the asteroid bodies present in the vitreous of these dogs. METHODS: Vitreous humor containing asteroid bodies was collected and frozen from long-term galactose-fed beagles and from age-matched normal controls where asteroid bodies were absent. A portion of the frozen vitreous was sent out for elemental analysis. Thawed vitreous samples were sonicated with HPLC grade water and the aqueous layer was extracted three times with chloroform and then three times with n-butanol. The three organic layers from each extraction were combined and the solvents removed in vacuo. The residue from each extraction was re-dissolved in methanol and analyzed by electrospray ionization mass spectrometry (ESI-MS). RESULTS: Vitreous-containing asteroid bodies had significantly higher levels of calcium and phosphorus. Negative mode ESI-MS analysis of the n-butanol extracts from vitreous samples with and without asteroid bodies were similar with both containing a predominant peak with a mass to charge ratio (m/z) of 538.4. However, similar analyses of the chloroform extracts indicated that three peaks with m/z values of 547.1, 690.5, and 1430.6 were present only in vitreous samples containing asteroid bodies. Subtraction analysis indicated that the m/z of 690.5 peak corresponded to the main component present. This peak was identified and confirmed to be the quasimolecular ion of 1,2-dipalmitoyl-glycero-3-phosphoethanolamine (DPPE). CONCLUSIONS: Based on the current belief that asteroid bodies are composed of lipid-calcium complexes, we propose that the main component of asteroid hyalosis in the galactose-fed dog is a quasimolecular ion of DPPE in which two molecules of DPPE are complexed through their phosphates groups with calcium.

Animals↗

Ciliary neurotrophic factor induces preprotachykinin A gene expression in the rat carotid body.

Substance P (SP), a translational product of preprotachykinin-A (PPT-A) mRNA plays an important role in hypoxic chemotransmission in the rat carotid body. Although hypoxic exposure has been associated with an increase in SP content in the carotid body, factors that cause induction, regulation and release of PPT-A and SP in the carotid body remain to be elucidated. The purpose of this study was to investigate whether ciliary neurotrophic factor (CNTF), a factor that has been shown to regulate neurotransmitter phenotype in tissue from neural crest origin, could induce PPT-A gene expression in the rat carotid body. We used in situ hybridization histochemistry with radioactive ribonucleotide probes to investigate the effect of CNTF on PPT-A gene induction in the carotid body. Exposure of the rat superior cervical ganglia and carotid body to increasing concentrations of CNTF in culture resulted in up-regulation and induction of PPT-A mRNA, respectively.

Animals↗

Periorbital ecchymosis as a sign of perforating injury of the globe.

The distinction between penetrating eye injury with retained intraocular foreign body and perforating globe injuries is not always easy clinically. The case is presented of a 25-year-old man who sustained a perforating eye injury that was through a clear self-sealing corneal entry site and had no conjunctival or periorbital injury. He had periorbital ecchymosis on presentation suggesting that the globe had been perforated with resulting retro-orbital blood tracking to the periorbital region. This sign would not be expected had the foreign body remained intraocular. The management options of these cases are discussed.

Adult↗

Regulation of reproductive hormone secretion in primates by short-term changes in nutrition.

In primates, as in nonprimates, it is well established that periods of chronic or severe undernutrition can lead to a suppression of reproductive hormone secretion. Recent studies in monkeys and humans indicate that reproductive hormone secretion begins to be suppressed with even very brief periods of undernutrition. Specifically, in male monkeys reproductive hormone secretion responds to missing a single meal, eating a single meal, and to a change in the timing of daily meal intake. These findings suggest that nutritional/metabolic signals that are linked to food intake are part of the normal physiological mechanism regulating the daily activity of the reproductive axis, rather than simply signals that influence the activity of the reproductive axis in pathological conditions of severe undernutrition. The nature of the metabolic cue(s) linking reproductive hormone secretion to subtle changes in the metabolic status of the body remains unknown, as does the route by which metabolic information reaches the central hypothalamic neurones governing reproductive hormone secretion. However, recent studies indicate that the metabolic cue transmitting information to the reproductive axis is dependent on calorie intake, but is not dependent on changes in body mass or composition, changes in intake of a specific nutrient, changes in plasma glucose or insulin concentrations, or signals emanating from the taste or smell of food or the physical process of food ingestion.

Animal Nutritional Physiological Phenomena↗

Newly synthesized catalytic and regulatory components of adenylate cyclase are expressed in neurites of cultured sympathetic neurons.

Forskolin- and guanine nucleotide-stimulated adenylate cyclase activities were measured in microdissected sections of neurites from small explants and in dispersed cell cultures of sympathetic ganglion neurons to determine whether a competent system for regulated formation of cAMP, consisting of both catalytic units of adenylate cyclase and regulatory GTP binding proteins, is synthesized during neurite outgrowth and where it is distributed in the neuron. An increase in both guanine nucleotide- and forskolin-dependent activity of adenylate cyclase occurred concomitantly with neurite outgrowth and was directly proportional to neurite length. Separate analysis of adenylate cyclase activity in explant cell bodies or neurites showed that the increased activity was localized entirely in the neurites, while activity in the cell bodies remained virtually constant during growth. Concentric sections of neurites of approximately 500 microns width, which contained similar volumes of neurites as determined with the indicator BCECF (Rink et al., 1982), produced similar levels of cAMP, indicating an even distribution of adenylate cyclase in the neurites. Cell bodies, when stimulated by GTP gamma S, produced 236 +/- 46 attomol cAMP/min (30 degrees C)/cell body and an additional 52.6 +/- 20 attomol cAMP/min (30 degrees C)/neuron were produced with each day of neurite growth (approximately 400 microns). Assuming a turnover number of 2000 min-1, cell bodies and neurites were calculated to contain similar densities of catalytic unit molecules on their surface (9-28 molecules/micron 2). An abundant GTP binding protein, detected by ADP-ribosylation with pertussis toxin, was also widely distributed in the neuron.(ABSTRACT TRUNCATED AT 250 WORDS)

Adenylyl Cyclases↗

Evidence for the presence of serotonergic perikarya in the fetal rat pancreas as demonstrated by the high affinity uptake of [3H] 5-HT.

Evidence has been obtained for the presence of serotonergic fibers in the adult rat pancreas; however, the location of the serotonergic cell bodies remains unknown. Fetal rat pancreata (18, 20 and 22 days) were demonstrated to possess a high-affinity uptake of serotonin. Radioautography revealed the uptake sites to be similar to those seen in the adult, indicating the presence of serotonergic fibers in early development. In addition, cell bodies, possibly representing primitive neurons, were demonstrated to be heavily labelled. This suggests a possible intra-pancreatic location for the cell bodies of the pancreatic nerves. The preservation of the specific serotonin uptake in 18-day fetal tissue after 4 days in organ culture substantiates this view.

Animals↗

Systemic distribution of wear debris after hip replacement. A cause for concern?

The production of particulate wear debris is a recognised complication of joint arthroplasty, but interest has concentrated on local tissue reactions and a possible association with implant loosening. The fate of wear products in the body remains unknown, although some of the metals used in the construction of orthopaedic implants are known to have toxic and oncogenic properties. We report histological and electron-microscopic evidence from two cases which shows that metallic debris can be identified in the lymphoreticular tissues of the body distant from the hip some years after joint replacement. The increase in the use of total arthroplasty in younger patients, the development of new alloys and the use of porous coatings must raise concern for the long-term effects of the accumulation of wear debris in the body.

Aged↗

[Retained foreign bodies from the surgical point of view].

The number of foreign bodies remaining in the patient after a surgical procedure is presumably higher than mentioned in the literature. According to US insurance statistics, the incidence amounts to 1 in 1,500 surgical procedures. As a basic principle--also from the legal aspect--it is necessary to determine whether a foreign body was left in situ accidentally (i.e. due to a material fault) or if it was simply forgotten. In 70% of cases, fabric items (e.g. swabs etc.) are left behind, while around 30% are metal objects. A particularly high risk is seen in emergency settings, in unexpected changes in the surgical procedure, or for patients with a high body mass index. The outcome for the patient differs depending on the nature of the object left behind and the individual patient's situation. Usually, metal items cause more acute clinical symptoms at an earlier time after the operation. Fabric items tend to induce, in the absence of primary contamination, a chronic progression of symptoms over several years. Reoperation has a high mortality (between 11% and 35%). Precautions in terms of risk management have to be established and need to be strictly respected, especially in high risk settings. Visually or acoustically controlled monitoring before wound-closure are recommended to eliminate "human error" as thoroughly as possible.

Cross-Sectional Studies↗

Ultrastructure of the thyroid glands of rats fed photomirex: an 18-month recovery study.

The thyroid glands, from rats which had received photomirex (0.05, 0.5, 5 or 50 ppm) or mirex (5 or 50 ppm) in their diets for 28 days and maintained for 18 months on clean diet, were examined by electron microscopy. A dose of 0.05-5 ppm photomirex resulted in an augmentation of principal follicular cell heights. Their cytoplasm exhibited a marked numerical increase of secondary lysosomes. In addition, at 5 ppm, follicular cells in some segments of the gland contained only a few secondary lysosomes. After dietary exposure to 50 ppm photomirex the number of lysosomal elements remained elevated in epithelial cell cytoplasm. Morphological aberrations in the follicles could not be detected after the 5 ppm mirex treatment. The most remarkable alterations in this experiment occurred in the thyroid glands of animals ingesting 50 ppm mirex where columnar follicular cells were engorged with deformed lysosomal bodies. Remaining components of the follicular cell architecture in all the treated groups were unaffected and were similar to those in the control group. These results demonstrated that following a 28-day dietary exposure of rats to photomirex (0.05-50 ppm) or mirex (50 ppm), alterations in the thyroid glands persisted for at least 18 months.

Administration, Oral↗

Cytoskeletal involvement in spermiation and sperm transport.

The process of spermiation and sperm transport was studied using specific inhibitors of cytoskeletal elements. Within 12-24 hr after the intratesticular injection of taxol, a compound that acts to stabilize microtubules and inhibit microtubule-related processes, an unusually large number of microtubules was seen within the body of the Sertoli cell. At the same time, transport of elements within the seminiferous epithelium was affected. At the end of stage VI of the cycle, step 19 spermatids were maintained in the deep recesses of the Sertoli cell and not transported to the rim of the seminiferous tubule lumen. At stage VIII, residual bodies remained at, or near, the rim of the tubule and were not transported to the base of the tubule. They underwent only partial degradation at this site, indicating that there may have been two phases involved in their dissolution--one autophagic and one phagocytic, but the latter did not occur since the residual bodies were not transported to Sertoli lysosomes at the base of the tubule. The observations suggest that microtubules are involved in transport processes within the seminiferous epithelium. Within 1-12 hr after the intratesticular injection of 500 microM cytochalasin D, a compound which interferes with actin-related processes, normal appearing tubulobulbar complexes were not present. The tubular portion (distal tube) of the complex did not initiate development. It was assumed that filaments (which were identified as such using NBD-phallacidin and the S-1 fragment of myosin) played an important role in the development of this portion of the complex. Cells did not eliminate cytoplasm normally, as evidenced by an enlarged cytoplasmic droplet, further emphasizing the published role for tubulobulbar complexes in cytoplasmic elimination. Although sperm were released normally from stage VIII tubules, many remained within the tubular lumen and did not traverse the duct system. Cytochalasin did not inhibit fluid secretion by the Sertoli cell, as demonstrated by efferent duct ligation, but did alter myoid cell actin cytoskeletal organization, suggesting that myoid cell contractility is primarily responsible for transport of sperm. Overall, the observations suggest that cytoskeletal activity of the Sertoli cell is important for several aspects of the spermiation process as well as sperm transport.

Actins↗