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[Hyperhomocysteinemia: atherothrombosis and neurotoxicity]. [高同型半胱氨酸血症:动脉粥样硬化和神经毒性]。
O Fridman

The positive correlation existing between hyperhomocyst(e)inemia [HH(e)] and vascular disease has firmly been established through data derived from numerous epidemiological and experimental observations. Clinical data corroborate that homocysteine (Hcy) is an independent risk factor for coronary, cerebral and peripheral arterial occlusive disease or peripheral venous thrombosis. Hcy is a sulfhydryl-containing amino acid that is formed by the demethylation of methionine. It is normally catalyzed to cystathionine by cystathionine beta-synthase a pyridoxal phosphate-dependent enzyme. Hcy is also remethylated to methionine by 5-methyltetrahydrofolate-Hcy methyltransferase (methionine synthase), a vitamin B12 dependent enzyme and by betaine-Hcy methyltransferase. Nutritional status such as vitamin B12, or vitamin B6, or folate deficiencies and genetic defects such as cystathionine beta-synthase or methylene-tetrahydrofolate reductase may contribute to increasing plasma homocysteine levels. The pathogenesis of Hcy-induced vascular damage may be multifactorial, including direct Hcy damage to the endothelium, stimulation of proliferation of smooth muscle cells, enhanced low-density lipoprotein peroxidation, increase of platelet aggregation, and effects on the coagulation system. Besides adverse effects on the endothelium and vessel wall, Hcy exert a toxic action on neuronal cells trough the stimulation of N-methyl-D-aspartate (NMDA) receptors. Under these conditions, neuronal damage derives from excessive calcium influx and reactive oxygen generation. This mechanism may contribute to the cognitive changes and markedly increased risk of cerebrovascular disease in children and young adults with homocystunuria. Moreover, during stroke, in hiperhomocysteinemic patients, disruption of the blood-brain barrier results in exposure of the brain to near plasma levels of Hcy. The brain is exposed to 15-50 microM H(e). Thus, the neurotoxicity of Hcy acting through the overstimulation of NMDA receptors could contribute to neuronal damage in homocystinuria and HH(e). Since HH(e) is associated with certain neurodegeneratives diseases, in the present review, the molecular mechanisms involved in neurotoxicity due to Hcy are discussed.

高均囊(e)血症[HH(e)]与血管疾病之间的正相关性已经通过大量流行病学和实验观察得出的数据得到了证实。临床资料证实,同型半胱氨酸(Hcy)是冠状动脉、脑和外周动脉闭塞性疾病或外周静脉血栓形成的独立危险因素。Hcy是一种含巯基的氨基酸,由蛋氨酸去甲基化形成。它通常由胱硫氨酸-合成酶(一种吡哆醛磷酸依赖酶)催化生成胱硫氨酸。Hcy也被5-甲基四氢叶酸-Hcy甲基转移酶(蛋氨酸合成酶)(一种维生素B12依赖的酶)和甜菜碱-Hcy甲基转移酶重新甲基化为蛋氨酸。营养状况,如维生素B12或维生素B6,或叶酸缺乏和遗传缺陷,如半胱硫氨酸-合成酶或亚甲基四氢叶酸还原酶,都可能导致血浆同型半胱氨酸水平升高。Hcy诱导的血管损伤的发病机制可能是多因素的,包括Hcy对内皮的直接损伤、刺激平滑肌细胞增殖、低密度脂蛋白过氧化增强、血小板聚集增加以及对凝血系统的影响。除了对内皮和血管壁的不良作用外,Hcy还通过刺激n -甲基- d -天冬氨酸(NMDA)受体对神经元细胞产生毒性作用。在这种情况下,神经元损伤是由过多的钙流入和活性氧产生引起的。这一机制可能导致儿童和青壮年同型尿血症患者的认知改变和脑血管疾病的风险显著增加。此外,在高同型半胱氨酸患者中风期间,血脑屏障的破坏导致大脑暴露于接近血浆水平的Hcy。大脑暴露在15-50微米H(e)。因此,Hcy通过过度刺激NMDA受体发挥神经毒性作用,可导致同型半胱氨酸尿和HH的神经元损伤(e)。由于HH(e)与某些神经退行性疾病有关,在本综述中,讨论了HH(e)引起神经毒性的分子机制。
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引用次数: 0
Immunohistochemical study of Syntaxin-1 and SNAP-25 in the pituitaries of mouse, guinea pig and cat. 小鼠、豚鼠和猫垂体Syntaxin-1和SNAP-25的免疫组化研究。
E Salinas, J L Quintanar, J A Reig

In the present work we have investigated the presence of the membrane proteins Syntaxin-1 and synaptosomal-associated protein (SNAP-25) by immunohistochemistry in the different parts of the pituitary of mouse, guinea pig and cat. We have demonstrated Syntaxin-1 and SNAP-25 immunoreactivity in the adenohypophysis as well as in the neurohypophysis but not in intermediate lobe. The results suggest that Syntaxin-1 and SNAP-25 are involved in the hormonal secretary process of adenohypophysis as well as neurohypophysis of these animals.

本研究采用免疫组化方法研究了小鼠、豚鼠和猫垂体不同部位膜蛋白Syntaxin-1和突触体相关蛋白SNAP-25的存在。我们已经证明Syntaxin-1和SNAP-25在腺垂体和神经垂体中有免疫反应性,但在中间叶中没有。结果表明Syntaxin-1和SNAP-25参与了这些动物腺垂体和神经垂体的激素分泌过程。
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引用次数: 0
Stable isotope techniques for the detection of Helicobacter pylori infection in clinical practice. 13C-Urea Breath Test in different experimental conditions. 稳定同位素技术在临床幽门螺杆菌感染检测中的应用。不同实验条件下的13c -尿素呼吸测试。
M Zubillaga, P Oliveri, H Panarello, M Buzurro, J Adami, C Goldman, G Calmanovici, M Alak, O Degrossi, R Carol, J Boccio

The 13C-UBT has been demonstrated to be a reliable method for the evaluation of Helicobacter pylori infection. The aim of our work is to determine the cut-off point of the 13C-UBT for samples collected as gas or collected in a solution of triethanolamine. For this purpose, patients fasted for at least 6 hours were able to collect basal samples before the administration of 65 mg of 13C-urea solution. Breath samples were taken 10, 30 and 60 minutes after the administration of the labeled solution. All the samples were collected in gas collectors and in glass vials containing 1 ml of a 7% triethanolamine solution. The cut-off points for gas collected samples were established in 4.0/1000, 4.6/1000 and 4.4/1000 for 10, 30 and 60 minutes samples, respectively, while for the samples collected in triethanolamine solution, cut-off points were established in 5.0/1000, for the 10 minutes samples, in 3.5/1000 for the 30 minutes samples and 4.7/1000 for the 60 minutes samples. We found that this test has a sensitivity of 100% and a specificity of 100% for H. pylori detection in both experimental conditions, when multiple breath samples are taken. If we considered only the 30 minutes time, sensitivity and specificity diminish for the gas collected samples. We conclude that the collection of breath samples in triethanolamine solution allows a better differentiation between H. pylori infected and non infected patients than gas collected samples.

13C-UBT已被证明是评估幽门螺杆菌感染的可靠方法。我们工作的目的是确定作为气体收集或在三乙醇胺溶液中收集的样品的13C-UBT的截止点。为此,禁食至少6小时的患者能够在给予65 mg 13c -尿素溶液之前收集基础样本。在给药后10分钟、30分钟和60分钟采集呼吸样本。所有样品均在气体收集器中收集,并在装有1毫升7%三乙醇胺溶液的玻璃瓶中收集。对于10分钟、30分钟和60分钟的样品,气体采集样品的截止点分别为4.0/1000、4.6/1000和4.4/1000,而对于三乙醇胺溶液采集的样品,10分钟样品的截止点为5.0/1000,30分钟样品的截止点为3.5/1000,60分钟样品的截止点为4.7/1000。我们发现,在两种实验条件下,当采集多个呼吸样本时,该测试对幽门螺杆菌检测的灵敏度为100%,特异性为100%。如果我们只考虑30分钟的时间,对收集的气体样品的灵敏度和特异性降低。我们的结论是,在三乙醇胺溶液中收集呼吸样本比气体收集样本更能区分幽门螺杆菌感染和非感染患者。
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引用次数: 0
The role of xanthine oxidase and the effects of antioxidants in ischemia reperfusion cell injury. 黄嘌呤氧化酶在缺血再灌注细胞损伤中的作用及抗氧化剂的作用。
P E Cañas

During last years considerable interest has been devoted to understand the role of oxygen radicals in the ischemia induced cell injury associated with reperfusion. In the brain and in others tissues, free radicals play a role as modulators of vascular tone as well as a cytotoxic role as part of the ischemia associated pathology. This review discusses methods for free radical detection in brain and in other tissues, mechanisms of radical production in the course of the ischemia reperfusion process, and the efficacy of potential antioxidant agents in post ischemia therapy, especially with respect to allopurinol, an inhibitor of xanthine oxidase, and the role of taurine and its derivatives as antioxidants in different organs including the brain.

近年来,氧自由基在缺血诱导的细胞再灌注损伤中的作用已经引起了广泛的关注。在大脑和其他组织中,自由基作为血管张力的调节剂以及作为缺血相关病理的一部分发挥细胞毒性作用。本文综述了脑及其他组织中自由基的检测方法,缺血再灌注过程中自由基产生的机制,以及潜在抗氧化剂在缺血后治疗中的作用,特别是黄嘌呤氧化酶抑制剂别嘌呤醇,以及牛磺酸及其衍生物作为抗氧化剂在包括脑在内的不同器官中的作用。
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引用次数: 0
Mechanisms of the UTP-induced tension in mammalian skeletal muscles. utp诱导哺乳动物骨骼肌张力的机制。
R Vianna-Jorge, Y Mounier, G Suarez-Kurtz

The mechanisms of UTP-induced tension in human and rat skinned fibers were investigated using isometric tension recordings, electrophysiological techniques and biochemical methods. In fast-type fibers from rat extensor digitorum longus (EDL) the UTP-induced tension: a) required previous loading of Ca2+ into the sarcoplasmic reticulum (SR); b) was inhibited by previous exposure to caffeine; c) was abolished by functional disruption of the SR; d) was not affected by blockade of the SR Ca(2+)-release channels by ruthenium red or heparin; e) was prevented by spermidine. These data point to the SR as the target of UTP action and suggest a pathway of UTP-induced Ca(2+)-release independent of the ryanodine- or the IP3-sensitive Ca(2+)-release channels. Accordingly, UTP failed to stimulate the electrophysiological activity of ryanodine-sensitive channels, incorporated into lipid bilayers. We suggest that UTP-induced Ca(2+)-release might occur via the channel form of the SR Ca(2+)-ATPase. The UTP-induced tension in human slow-type fibers was not affected by the SR Ca2+ content or by disruption of the SR, but was accompanied by changes in the tension-pCa relationship, namely increase in maximum Ca(2+)-activated tension, and in apparent Ca(2+)-affinity of troponin. The UTP-induced tension in slow-type fibers from rat soleus was partially inhibited by Ca(2+)-depletion from, or by disruption of the SR, and was accompanied by changes in tension/pCa relationship, similar to those observed in human fibers. Both in skinned fibers and in isolated SR vesicles, UTP was less effective than ATP as a substrate for the SR Ca(2+)-ATPase. This effect might contribute to the UTP-induced tension.

采用等长张力记录、电生理技术和生化方法研究了utp诱导人类和大鼠皮肤纤维张力的机制。在大鼠指长伸肌(EDL)的快型纤维中,utp诱导的张力:a)需要预先将Ca2+加载到肌浆网(SR)中;B)因先前接触咖啡因而受到抑制;c)由于SR的功能破坏而被废除;d)不受钌红或肝素阻断SR Ca(2+)释放通道的影响;E)被亚精胺阻止。这些数据表明SR是UTP作用的靶点,并提示UTP诱导的Ca(2+)-释放途径独立于ryanodine或ip3敏感的Ca(2+)-释放通道。因此,UTP不能刺激纳入脂质双分子层的红嘌呤敏感通道的电生理活动。我们认为utp诱导的Ca(2+)-释放可能通过SR Ca(2+)- atp酶的通道形式发生。utp诱导的慢型纤维张力不受SR Ca2+含量或SR破坏的影响,但伴随着张力- pca关系的变化,即Ca(2+)激活的最大张力增加,肌钙蛋白的Ca(2+)亲和力明显增加。utp诱导的大鼠比目鱼肌慢型纤维的张力被Ca(2+)的消耗或SR的破坏部分抑制,并伴随着张力/pCa关系的变化,类似于在人类纤维中观察到的变化。在剥皮纤维和分离的SR囊泡中,作为SR Ca(2+)-ATP酶的底物,UTP都不如ATP有效。这种效应可能与utp诱导的张力有关。
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引用次数: 0
Sites and mechanisms of antibiotic-induced neuromuscular block: a pharmacological analysis using quantal content, voltage clamped end-plate currents and single channel analysis. 抗生素诱导神经肌肉阻滞的部位和机制:使用量子含量、电压箝位终板电流和单通道分析的药理学分析。
J F Fiekers

Since the original observation of Vital Brazil and Corrado (1957) concerning the antibiotic induced neuromuscular block produced by streptomycin, there has been considerable interest in the mechanisms responsible for not only neuromuscular block but also the effects of antibiotics on different systems. We used the voltage clamped end-plate of transacted skeletal muscle to examine the concentration-dependent actions of several groups of antibiotics. The aminoglycoside antibiotics, neomycin and streptomycin, were both more effective at reducing quantal release of acetylcholine (ACh) than interacting with the postjunctional ACh receptor-channel complex. Neomycin was approximately 10 X more potent prejunctionally than streptomycin and the prejunctional effects of each antibiotic were reversed competitively by raising extracellular calcium. Both neomycin and streptomycin also had postjunctional actions at higher concentrations. Neomycin interacted with the open state of the ACh receptor ion channel complex while streptomycin blocks the ACh receptor. The lincosamide antibiotics, lincomycin and clindamycin produced their neuromuscular block postjunctionally by interacting with the open state of the ACh-receptor channel complex. Clindamycin is approximately 20 X more effective at blocking the open channel than was lincomycin. Using cell attached patch clamp recordings in cultured rat myotubes, we demonstrated a lincosamide-induced block of open ion channels with clindamycin having a much slower unblocking rate than lincomycin. Using epimers of the lincosamides, we demonstrated that lipophilicity of the molecule, rather than stereochemical considerations, is important for open channel blockade affecting primarily the "off" rate of channel blocking. This mechanism appears important for not only the lincosamide antibiotics but also for the postjunctional actions of the aminoglycoside antibiotics, particularly neomycin.

自从Vital Brazil和Corrado(1957)最初观察到链霉素引起的抗生素诱导的神经肌肉阻滞以来,人们对神经肌肉阻滞的机制以及抗生素对不同系统的影响产生了相当大的兴趣。我们用电压夹紧骨骼肌终板检测了几组抗生素的浓度依赖性作用。氨基糖苷类抗生素新霉素和链霉素在减少乙酰胆碱(ACh)的定量释放方面都比与突触后乙酰胆碱受体-通道复合物相互作用更有效。新霉素的预防作用大约比链霉素强10倍,并且每种抗生素的预防作用通过提高细胞外钙竞争性地逆转。新霉素和链霉素在较高浓度下也有术后作用。新霉素与乙酰胆碱受体离子通道复合物的开放状态相互作用,而链霉素阻断乙酰胆碱受体。林可沙胺类抗生素、林可霉素和克林霉素通过与乙酰胆碱受体通道复合物的开放状态相互作用产生神经肌肉阻滞。克林霉素在阻断开放通道方面比林可霉素有效约20倍。通过细胞贴附膜片钳记录培养的大鼠肌管,我们证明了林可霉素诱导的开放离子通道阻断比林可霉素的解除阻断速率要慢得多。利用lincoamide的外显体,我们证明了分子的亲脂性,而不是立体化学的考虑,是开放通道阻断的重要因素,主要影响通道阻断的“关闭”率。这一机制不仅对利可沙胺类抗生素很重要,而且对氨基糖苷类抗生素,特别是新霉素的术后作用也很重要。
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引用次数: 0
Modulation of acetylcholine release by presynaptic muscarinic autoreceptors. 突触前毒蕈碱自受体对乙酰胆碱释放的调节。
L Re

The existence of a modulatory system controlling the acetylcholine (ACh) release was first proposed for the nicotinic subtype in 1962. Following the first observation of a possible positive feedback loop activated by the released Ach, many studies were oriented in the investigation of the involved presynaptic autoreceptors. Most of the data have been obtained at the motor end-plate, commonly defined as the simplest model of peripheral synapse. The characterization of the chemical transmission since its first proposal showed a more complex pattern involving both the cholinergic and the adrenergic systems. It is now evident that this regulation is widespread both in the central and in the peripheral nervous system. The evidence that the release of ACh can be up- or down-regulated by the transmitter itself (autoregulation) or other neuromediators (heteroregulation) is now proved. In the last decades the attention was focused to the identification of the receptor subtypes located on the releasing nerve terminal. For the purpose, different techniques were used in the various laboratories. The functional approach was based mainly on the electrophysiological characterization of the events evolved prior, during and after the activation of the motor endplate nicotinic receptor. On the other hand, the overflow studies were carried out using radiolabeled ACh (rACh) obtained treating muscle fibers with radioactive choline (rCh). Many scientific papers proposed common data indicating a clear positive (nicotinic) or negative (muscarinic) modulation of the ACh release. Temporally, the description of the muscarinic regulation followed the discovery of the nicotinic one. However, by a pure pharmacological point of view it represents a challenge due to the more complex organization and function. In the peripheral nervous system, i.e. neuromuscular, the meaning of both the muscarinic and nicotinic modulations may appear as free of function. Conversely, in the central systems some effects, such as antinociception and others, could represent the basis of a functional activity such as proposed by Corrado group. The complete characterization of this phenomenon by a physiological and a pharmacological point of view could represents the goal for future uses and therapeutic potential. The present review illustrates the know how and the efforts in the characterisation of the muscarinic regulation of transmitter release from the beginning of its discovery trying to order the numerous scientific data published in this field. Furthermore, our personal data obtained with the Loose Patch Clamp (LPC) technique will be briefly presented and discussed. Our work was built up using agonists and antagonists of the muscarinic receptor subtype in the aim of better characterize the modulation function of the mediator Ach. We used carbachol (Cch), oxotremorine (Oxo) and dl-muscarine as agonists and 1-hyoscyamine, pirenzepine, ipratropium, 11[[2-1[(diethylamino) methyl-1-piperidinyl

1962年首次提出烟碱亚型存在控制乙酰胆碱(ACh)释放的调节系统。在首次观察到Ach释放激活的可能的正反馈回路后,许多研究都针对相关的突触前自受体进行了研究。大多数数据在运动端板获得,通常被定义为最简单的外周突触模型。自首次提出以来,对化学传递的表征显示了一个更复杂的模式,涉及胆碱能系统和肾上腺素能系统。现在很明显,这种调节在中枢和周围神经系统中都很普遍。证据表明,乙酰胆碱的释放可以由递质本身(自调节)或其他神经介质(异调节)上调或下调。在过去的几十年里,人们的注意力集中在鉴定位于释放神经末梢的受体亚型上。为此,不同的实验室采用了不同的技术。功能方法主要基于运动终板尼古丁受体激活之前、期间和之后发生的事件的电生理特征。另一方面,利用放射性胆碱(rCh)处理肌纤维获得的放射性标记乙酰胆碱(rACh)进行了溢流研究。许多科学论文提出了共同的数据,表明乙酰胆碱释放有明确的阳性(尼古丁)或阴性(毒蕈碱)调节。在时间上,对毒蕈碱调节的描述是在发现烟碱调节之后出现的。然而,从纯粹的药理学角度来看,由于其更复杂的组织和功能,它代表了一个挑战。在周围神经系统,即神经肌肉,毒蕈碱和尼古丁调节的意义可能表现为无功能。相反,在中枢系统中,一些作用,如抗痛觉和其他作用,可以代表Corrado小组提出的功能活动的基础。从生理学和药理学的角度对这一现象进行完整的描述可以代表未来使用和治疗潜力的目标。本文从毒蕈碱对递质释放的调节的发现之初,对该领域发表的大量科学数据进行整理,阐述了毒蕈碱对递质释放的调节特性的认识和努力。此外,我们将简要介绍和讨论使用松片钳(LPC)技术获得的个人数据。我们的工作建立在使用毒蕈碱受体亚型的激动剂和拮抗剂的基础上,目的是更好地表征介质Ach的调节功能。我们分别以甲氨基酚(Cch)、氧tremorine (Oxo)和l-muscarine作为激动剂,以1-羟基亚胺、哌嗪、异丙托品、11[[2-1][(二乙胺)甲基-1-哌啶基]-乙酰基]- 5,11 -二氢- 6h -吡啶基[2,3-b][1,4]苯二氮卓-6-酮(AFDX-116)、甲氧曲明和1,1-二甲基-4二苯基乙酰氧基- n -甲基哌啶(4- damp)作为拮抗剂。
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引用次数: 0
Effects of oxytocin and an oxytocin receptor antagonist on retention of a nose-poke habituation response in mice. 催产素和催产素受体拮抗剂对小鼠戳鼻习惯反应保留的影响。
M M Boccia, C M Baratti

The present study describes the use of nose-poke habituation as a memory task in mice and demonstrates that it is sensitive to oxytocin (OT) and an oxytocin receptor antagonist (AOT) administered after the learning trial. Habituation of nose-poke behavior of mice was defined as a reduction in number of nose-pokes compared to baseline, and was measured in a hole-board apparatus to which male Swiss mice were exposed on two consecutive days for 5 min, respectively. Immediate post-training subcutaneous administration of OT (2.00 micrograms/kg) impaired retention performance, whereas AOT (0.20 microgram/kg) enhanced it. Neither the impairing effects of OT (2.00 micrograms/kg) nor the enhancing effects of AOT (0.20 microgram/kg) were seen when the training treatment interval was 180 min, suggesting that both treatments influenced the storage of recently acquired information. The effects of OT (2.00 micrograms/kg) on retention were prevented by AOT (0.02 microgram/kg) administered immediately after training but 10 min prior OT treatment. This dose of antagonist did not affect retention by itself which suggest that impairing effects of OT on retention are probably due to an interaction of the neuropeptide with specific receptors. The actions of OT and AOT on retention were not due to enduring proactive effects of the compounds on performance during the retention test, since when given to untrained mice did not modify their spontaneous activities in the hole-board when recorded 24 h later. We suggest that nose-poke habituation learning can be a suitable method to investigate the mnestic effects of drugs, and that oxytocin negatively modulates memory storage of this form of learning elicited by stimuli repeatedly presented without reinforcement.

本研究描述了在小鼠中使用戳鼻子习惯作为记忆任务,并证明它对学习试验后给予的催产素(OT)和催产素受体拮抗剂(AOT)敏感。小鼠戳鼻子行为的习惯化被定义为与基线相比戳鼻子次数的减少,并在孔板装置中进行测量,雄性瑞士小鼠连续两天分别暴露在孔板装置中5分钟。训练后立即皮下给予OT(2.00微克/公斤)会损害潴留性能,而AOT(0.20微克/公斤)会增强潴留性能。当训练间隔为180 min时,OT(2.00微克/千克)和AOT(0.20微克/千克)均未出现损伤作用,表明两种处理都影响了新获得信息的存储。OT(2.00微克/公斤)对潴留的影响可以通过训练后立即给予但在OT治疗前10分钟给予的AOT(0.02微克/公斤)来预防。这种剂量的拮抗剂本身不影响滞留,这表明OT对滞留的损害作用可能是由于神经肽与特定受体的相互作用。OT和AOT对滞留的作用不是由于化合物在滞留测试期间对表现的持久主动影响,因为当给予未经训练的小鼠24小时后记录时,它们在孔板上的自发活动没有改变。我们认为,戳鼻子习惯性学习可以作为一种合适的方法来研究药物的遗忘效应,并且催产素可以负向调节这种由反复呈现而没有强化的刺激引起的学习形式的记忆储存。
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引用次数: 0
Myocardial contractile response to an oral glucose load in normal subjects evaluated by echocardiography. 超声心动图评价正常受试者口服葡萄糖负荷时心肌收缩反应。
M L Souza, C A Leme, J R Cavicchio, M J Saad, J A Gontijo

There is a paucity of experimental data on the actual mechanism of insulin-induced changes on the myocardial function. In the present study we investigated the myocardial contractile, response to an oral glucose load using echocardiography. Fifteen healthy volunteers were studied after overnight fast and 150 minutes after the oral load of 75 g glucose. Oral glucose load caused an increase in plasma glucose and insulin levels, which was accompanied by a significant increase in left ventricular shortening (from 35.2 +/- 0.7% at baseline, to 38.5 +/- 0.6% and 39 +/- 0.9% at 30 and 60 minutes post glucose load, respectively [P < 0.05 vs baseline]; ejection fraction rose from 0.73% +/- 0.01 to 0.77% +/- 0.01 (P < 0.05); pressure rate product increased from 7.29 +/- 0.2 to 8.31 +/- 0.3 mmHg x beats per min (P < 0.007) and heart rate enhanced from 68.3 +/- 1.9 to 74 +/- 1.6 (P < 0.034) and 75.3 +/- 1.5 beats per min (P < 0.008) at 60 and 90 minutes after glucose, respectively. Meanwhile, mean arterial pressure decreased significantly (10 +/- 1.5%, P < 0.018) when compared to basal values. These results indicate a significant change in the myocardial contractile response to an oral glucose load, probably related to baroreceptor reflex response as well as an overridden by a potent vasodilator action of insulin. Nevertheless, we could not rule out that the cardiac effects may also be due an insulin-induced sympathetic activation or a direct myocardial effect.

胰岛素对心肌功能改变的实际机制缺乏实验数据。在本研究中,我们使用超声心动图研究了心肌收缩对口服葡萄糖负荷的反应。15名健康志愿者在禁食过夜和口服75克葡萄糖150分钟后进行了研究。口服葡萄糖负荷导致血浆葡萄糖和胰岛素水平升高,并伴有左心室缩短显著增加(葡萄糖负荷后30和60分钟分别从基线时的35.2 +/- 0.7%增加到38.5 +/- 0.6%和39 +/- 0.9%,与基线相比P < 0.05);射血分数由0.73% +/- 0.01升高至0.77% +/- 0.01 (P < 0.05);葡萄糖后60分钟和90分钟心率分别从68.3 +/- 1.9增加到74 +/- 1.6和75.3 +/- 1.5次/ min (P < 0.008),血压产物从7.29 +/- 0.2增加到8.31 +/- 0.3 mmHg x beats / min (P < 0.007)。同时,与基础值相比,平均动脉压显著降低(10 +/- 1.5%,P < 0.018)。这些结果表明,心肌收缩反应对口服葡萄糖负荷有显著变化,可能与压力感受器反射反应有关,也可能被胰岛素的有效血管扩张作用所覆盖。然而,我们不能排除对心脏的影响也可能是由于胰岛素诱导的交感神经激活或直接的心肌效应。
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引用次数: 0
The effects of calcium channel blocker, flunarizine on spinal reflexes in the cats. 钙通道阻滞剂氟桂利嗪对猫脊柱反射的影响。
O Genç, S Demir, N Tasci, B Kaptanoglu, C Marangoz

Effects of calcium channel blocker flunarizine on spinal monosynaptic reflexes were investigated in spinal cats. Flunarizine was administered locally into the spinal cord (10, 50, 100 microM) and intraperitoneally (5, 10, 20 mg/kg). Adult cats (n = 10), weighing 1.5-3 kg were anesthetized with ketamine (50 mg/kg, i.m.) and artificially ventilated. Animals were spinalized at C1 level. A laminectomy was performed in the lumbosacral region. The ventral and dorsal roots of segment L5 were isolated and a pouch of skin was formed at the site of the dissection to allow the exposed tissues to be covered with liquid paraffin. The temperature was kept at 38.5 degrees C with a heating pad. A polyethylene cannula was introduced into the left carotid artery to monitor blood pressure, which was kept above 100 mmHg. The dorsal root of segment L5 was placed on a silver-silver chloride wire electrode for stimulation through an isolation unit. The reflex potentials were recorded from the ipsilateral L5 ventral root, mounted on a silver-silver chloride wire electrode. The systemic (5, 10, 20 mg/kg) and local (50 and 100 microM) dosages of cinnarizin derivative flunarizine significantly decreased the amplitude of reflex response (p < 0.05). Moreover, the latency of the monosynaptic reflexes was increased after administration of the drug (p < 0.05). Voltage-dependent calcium channels in the spinal cord may play an important role to regulate reflex respond.

研究了钙通道阻滞剂氟桂利嗪对脊髓猫脊髓单突触反射的影响。氟桂利嗪脊髓局部给药(10、50、100微米)和腹腔内给药(5、10、20毫克/千克)。10只成年猫(n = 10),体重1.5 ~ 3 kg,用氯胺酮(50 mg/kg, i.m)麻醉并人工通气。动物在C1水平棘化。腰骶区行椎板切除术。分离L5节段的腹侧和背侧根,在剥离部位形成皮肤袋,使暴露的组织被液体石蜡覆盖。用加热垫将温度保持在38.5摄氏度。左颈动脉内置入聚乙烯套管监测血压,血压维持在100mmhg以上。将L5节段的背根置于银-氯化银丝电极上,通过隔离装置进行刺激。反射电位从同侧L5腹侧根记录,安装在银-氯化银丝电极上。全身(5、10、20 mg/kg)和局部(50、100 μ m)剂量的桂皮苷衍生物氟桂皮嗪显著降低了反射反应的幅度(p < 0.05)。给药后单突触反射潜伏期明显增加(p < 0.05)。脊髓中电压依赖性钙通道可能在调节反射反应中起重要作用。
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Acta physiologica, pharmacologica et therapeutica latinoamericana : organo de la Asociacion Latinoamericana de Ciencias Fisiologicas y [de] la Asociacion Latinoamericana de Farmacologia
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