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Loss of variability in Graves' disease: stimulatory TSH-receptor antibodies bind to the TSH-receptor in a continued, non-pulsatile and non-chaotic fashion. 格雷夫斯病的变异性丧失:刺激性tsh受体抗体以持续、非脉动和非混沌的方式与tsh受体结合。
Pub Date : 1994-01-01
F Schuppert, B Diegelmann, T Geest, T O Wagner, A von zur Mühlen

Thyroid-stimulating hormone (TSH) regulates thyroid growth and differentiated function by binding to the TSH-receptor (TSH-R). In Graves' disease, hyperthyroidism and goiter growth are thought to be mediated by prolonged, continued activation of the TSH-R by TSH receptor-stimulating antibodies (TSAb). However, continuous experimental stimulation of the TSH-R with TSH or TSAb leads to a desensitization of the thyrocyte with a decrease of thyroid function in vitro and in vivo. In order to clarify this discrepancy we determined serum levels of TSH-binding-inhibiting immunoglobulins (TBII) in 10 patients with GD every 10 minutes over 6h (patients 1 to 5, group A) and over 24h (patients 6 to 10, group B) using a commercially available radio ligand receptor assay (TRAK, Henning Berlin, FRG). Visual and computer analysis revealed some variation of TBII serum levels but no obvious pattern indicative of circadian variation nor major secretory peaks could be distinguished. Variation of TBII serum levels were within or only slightly above intraassay CV. Data were tested in order to decide whether the observed fluctuations are of chaotic (deterministic) or of stochastic (random) origin. In none of these tests did we find evidence for chaos in the data suggesting that the observed fluctuations reflect other sources of noise such as sampling errors or intraassay variation. We conclude that in Graves' disease, patients are rendered hyperthyroid by continued, non-pulsatile and non-chaotic binding of stimulatory antibodies to the TSH binding site of the TSH-R.

促甲状腺激素(TSH)通过与TSH受体(TSH- r)结合来调节甲状腺的生长和分化功能。在Graves病中,甲状腺功能亢进和甲状腺肿大被认为是由TSH受体刺激抗体(TSAb)对TSH- r的长期持续激活介导的。然而,用TSH或TSAb持续刺激TSH- r会导致甲状腺细胞脱敏,体内和体外甲状腺功能下降。为了澄清这一差异,我们使用市售的放射性配体受体测定法(TRAK, Henning Berlin, FRG)测定了10例GD患者的血清tsh结合抑制免疫球蛋白(TBII)水平,每10分钟测定6小时(患者1至5,A组)和24小时(患者6至10,B组)。视觉和计算机分析显示TBII血清水平有一些变化,但没有明显的昼夜变化模式,也没有明显的分泌高峰。TBII血清水平的变化在试验CV内或仅略高于试验CV。为了确定观测到的波动是混沌的(确定性的)还是随机的(随机的)起源,对数据进行了测试。在这些测试中,我们都没有发现数据混乱的证据,表明观察到的波动反映了其他噪声源,如采样误差或测定内变化。我们得出结论,在Graves病中,由于刺激抗体与TSH- r的TSH结合位点持续、非搏动性和非混沌性结合,患者呈现甲状腺功能亢进。
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引用次数: 0
A chronobiologic approach to blood pressure management: a tribute to Erna Halberg. 血压管理的时间生物学方法:向Erna Halberg致敬。
Pub Date : 1994-01-01
G Cornélissen, F Guillaume
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引用次数: 0
Melatonin and cortisol circadian secretion during ethanol withdrawal in chronic alcoholics. 褪黑激素和皮质醇在慢性酒精戒断期间的昼夜节律分泌。
Pub Date : 1994-01-01
S Fonzi, G P Solinas, P Costelli, C Parodi, G Murialdo, P Bo, A Albergati, L Montalbetti, F Savoldi, A Polleri

Changes in central neurotransmission and in hypothalamo-pituitary function occur in both ethanol (ETOH) intake and withdrawal. Melatonin (MLT) secretion is regulated by the noradrenergic system, which is activated upon ETOH withdrawal. Experimental evidence exist that pineal gland may have a role in ETOH intake and preference in rats. Twenty-four hour urinary excretion of MLT was found to be increased during ETOH intake in chronic alcoholics. In this study we have determined 24h plasma levels of MLT and cortisol in 8 chronic alcoholic males hospitalized for a detoxication program and in 8 healthy controls. The study was performed just after admission, on the first day of ETOH withdrawal and after 14 days of controlled abstinence. Circadian periodicity has been evaluated by the cosinor method. The initial determinations corresponded to the acute withdrawal phase. Twenty-four hour plasma MLT mean levels on acute withdrawal were higher than after 14 days abstinence and than those found in controls. Large interindividual differences prevented the detection of statistical significance. The cosinor analysis disclosed the loss of circadian periodicity in the acute withdrawal. Significant 24h periodicity was restored after 14 days abstinence. Cortisol levels were significantly higher than those found on day 14 and in healthy controls. Twenty-four hour periodicity was maintained in both alcoholics series. A delay in cortisol acrophase occurred in acute withdrawal. The effects of Corticotropin Releasing Hormone infusion on cortisol secretion were significantly enhanced in the acute withdrawal phase in comparison with those occurring when patients were retested and with healthy controls.

中枢神经传递和下丘脑-垂体功能的变化发生在乙醇(ETOH)的摄入和退出。褪黑激素(MLT)的分泌受去甲肾上腺素能系统的调节,该系统在ETOH戒断后被激活。实验证据表明,松果体可能在大鼠ETOH的摄入和偏好中起作用。慢性酒精中毒患者24小时尿中MLT排泄量在摄入ETOH时增加。在这项研究中,我们测定了8名因解毒计划住院的慢性酗酒男性和8名健康对照者24小时血浆中MLT和皮质醇的水平。这项研究是在入院后,在ETOH戒断的第一天和14天的控制禁欲后进行的。用余弦法计算了昼夜节律的周期性。初步测定结果符合急性停药期。急性戒断24小时血浆MLT平均水平高于戒断14天后,也高于对照组。较大的个体间差异阻碍了统计显著性的检测。余弦分析揭示了急性戒断中昼夜节律周期性的丧失。禁欲14天后,恢复了明显的24小时周期性。皮质醇水平明显高于第14天和健康对照组的水平。两组酒精中毒患者均保持24小时周期性。急性戒断时出现皮质醇顶相延迟。促肾上腺皮质激素释放激素输注对皮质醇分泌的影响在急性戒断期明显增强,与患者重新测试时和健康对照相比。
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引用次数: 0
Seasonal dependency of the effects of experimental stressors on tumor metastasis in mice bearing Lewis lung carcinoma. 实验性应激源对Lewis肺癌小鼠肿瘤转移影响的季节依赖性。
Pub Date : 1994-01-01
L Perissin, S Zorzet, V Rapozzi, D Paoletti, T Giraldi

Increasing evidence indicates that the application of stressor paradigms in experimental animals affects tumor incidence and progression. However, a high heterogeneity appears both for the animal-tumor system used and for the characteristics of the stressor employed. A high variability was observed also with the application of rotational stress, a carefully and widely characterized mild psychological stressor, to mice bearing Lewis lung carcinoma. The aim of this work has been therefore to examine the possible seasonal dependency of the effects of experimental stressors (rotational stress, forced immobilization and electric foot shock) on spontaneous lung metastasis formation in mice bearing Lewis lung carcinoma. The possible participation of pineal gland and of melatonin have also been examined including in the experimental protocol the measurement of melatonin urinary excretion. The stressor paradigms used significantly increased metastasis weight in spring, in comparison with non-stressed animals. When examined in winter, rotational stress and foot shock significantly decreased metastasis formation, in comparison with non-stressed mice. The effects of forced immobilization were not season-dependent. The melatonin urinary excretion has been measured in relation to the seasonal effects of rotational stress. Nocturnal melatonin excretion is markedly increased by rotational stress in spring and is remarkably decreased in winter. These variations in endogenous melatonin levels caused by rotational stress appear to directly correlate with the effects of the stressor or metastasis. These results lend support to the view that the mechanisms underlying the tumor enhancing action of stressors involve the psychoneuroendocrine network, and indicate the relevance of chronobiology in experimental cancer research and neuro-immuno-modulation.

越来越多的证据表明,应激源范式在实验动物中的应用影响肿瘤的发生和发展。然而,所使用的动物肿瘤系统和所使用的应激源的特征都存在高度异质性。在Lewis肺癌小鼠中,旋转应激(一种广泛存在的轻度心理应激源)的应用也观察到高度变异性。因此,这项工作的目的是研究实验应激源(旋转应激、强制固定和足电休克)对Lewis肺癌小鼠自发性肺转移形成的影响可能的季节性依赖性。还研究了松果体和褪黑激素的可能参与,包括在实验方案中对褪黑激素尿排泄的测量。与非应激动物相比,应激源模式在春季显著增加了转移重量。当在冬季检查时,与非应激小鼠相比,旋转应激和足部休克显著减少转移形成。强制固定的效果不受季节的影响。褪黑素尿排泄已被测量与旋转压力的季节性影响。夜间褪黑素分泌在春季因旋转应激而显著增加,在冬季显著减少。这些由旋转应激引起的内源性褪黑激素水平的变化似乎与应激源或转移的影响直接相关。这些结果支持了应激源促进肿瘤作用的机制涉及心理神经内分泌网络的观点,并表明时间生物学在实验性癌症研究和神经免疫调节中的相关性。
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引用次数: 0
Differences in some circadian patterns of cardiac arrhythmia, myocardial infarctions and other adverse vascular events. 心律失常、心肌梗死和其他不良血管事件的一些昼夜节律模式的差异。
Pub Date : 1994-01-01
G Cornélissen, K Tamura, B Tarquini, G Germanò, C Fersini, C Rostagno, R M Zaslavskaya, O Carandente, F Carandente, F Halberg

Background: Results from unpublished data on the incidence of adverse vascular events and from several published studies are reevaluated chronobiologically.

Methods and results: Cosinor methods indicate 1. a circadian variation in the incidence of paroxysmal supraventricular tachycardia (PST), of broadly classified ventricular arrhythmia (VAr), and of atrial fibrillation (AF); 2. a statistically significant difference in the timing of the circadian rhythm of PST and VAr versus that of AF; and 3. a further difference in the timing of these rhythms from that in the incidence of myocardial infarctions (MI). Electrocardiographic records for spans longer than 24h show the extent of day-to-day variability in circadian characteristics of the given patient and indicate the presence of even lower-frequency components, notably along the scale of a week, that may underlie weekly and half-weekly patterns of morbidity and mortality.

Conclusion: Beyond alterations in the about 1-Hz periodicity of the heart, predictable changes along the scales of the day and the week may constitute a clue to the etiopathology of a given condition and provide a basis for treatment timing. The assessment of unfavorable changes in the lower frequency components may provide a lead time long enough to prompt the institution of preventive, rather than curative, intervention.

背景:从时间生物学角度重新评估未发表的关于不良血管事件发生率的数据和一些已发表的研究结果。方法与结果:余弦法表明:1。阵发性室上性心动过速(PST)、广义室性心律失常(VAr)和房颤(AF)发病率的昼夜变化;2. 与AF相比,PST和VAr的昼夜节律时间有统计学意义;和3。这些节律的时间与心肌梗死(MI)发生率的时间有进一步的差异。超过24小时的心电图记录显示了给定患者昼夜节律特征的日常变化程度,并表明甚至更低频率成分的存在,特别是在一周的范围内,这可能是每周和半周发病率和死亡率模式的基础。结论:除了心脏周期约1hz的变化外,可预测的沿着一天和一周的变化可能构成特定疾病病因的线索,并为治疗时机提供依据。对低频成分不利变化的评估可能提供足够长的提前时间,以促使预防性而非治疗性干预的建立。
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引用次数: 0
The chronobiology of blood pressure in 1994. 血压的时间生物学研究。
Pub Date : 1994-01-01
F Halberg, D C Ilhamdjanova, O Carandente, F Carandente, A Grigoriev, E V Syutkina, M D Mitish, A Abramian, G Yatsyk, S Safin
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引用次数: 0
24h monitoring of blood pressure in pregnancy: clinical advantages. 妊娠24小时血压监测:临床优势。
Pub Date : 1994-01-01
C Benedetto, L Marozio, M Zonca, M Giarola, V Maulà, E Melzi, L Chiarolini, D Ciochetto, L Micheletti, F Coppo
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引用次数: 0
Autorhythmometry revisited: another of Erna Halberg's many legacies. 重新审视自我节律:Erna Halberg的另一项遗产。
Pub Date : 1994-01-01
L A Scheving, L E Scheving
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引用次数: 0
Circadian function of suprachiasmatic nuclei: molecular and cellular biology. 视交叉上核的昼夜节律功能:分子和细胞生物学。
Pub Date : 1994-01-01
O C Ikonomov, A G Stoynev, A C Shisheva

Suprachiasmatic nuclei (SCN) contain a circadian oscillator that is normally synchronized by the light/dark cycle. Embryonic SCN grafted into the brain of an SCN-lesioned arrhythmic host define the period of the restored circadian locomotor rhythm. Gene expression of immediate-early genes, such as c-fos and jun-B, in the ventrolateral SCN is associated with circadian synchronization by light pulses and subjected to circadian control. Vasopressin and somatostatin gene expression in dorsomedial SCN show distinct circadian rhythms with higher peptide levels occurring during the day. It is currently unknown whether the circadian oscillator in SCN resides in a single cell or is a property of cellular network. Briefly presented are some model views about the circadian oscillator in SCN and the molecular and cellular approaches to the circadian function of the nucleus.

视交叉上核(SCN)包含一个昼夜节律振荡器,通常由光/暗周期同步。胚胎SCN移植到一个SCN损伤的心律失常宿主的大脑中,确定了恢复昼夜运动节律的周期。腹侧SCN中立即早期基因(如c-fos和jun-B)的基因表达与光脉冲的昼夜同步有关,并受昼夜节律控制。抗利尿激素和生长抑素基因在背内侧SCN中的表达表现出明显的昼夜节律,白天肽水平较高。目前尚不清楚SCN中的昼夜节律振荡器是存在于单个细胞中还是细胞网络的一种特性。简要介绍了SCN中关于昼夜节律振荡器的一些模型观点以及细胞核昼夜节律功能的分子和细胞方法。
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引用次数: 0
The early maturation of the circadian system in newborns. 新生儿昼夜节律系统的早期成熟。
Pub Date : 1994-01-01
L Bollani, C Dolci, O Gerola, A Montaruli, G Rondini, F Carandente

The time of maturation of the circadian periodicity in humans has been differently considered. The present study aimed to investigate the existence of rhythmic variations in the body temperature of healthy full-term infants just after birth. We studied 19 healthy term newborns, nursed in their cribs at environment temperature of 25 degrees C and moderately dimmed artificial lighting during the night. Continuous recording of body temperature was performed with a solid memory recorder (Fiamarker) connected to a disposable rectal probe, during the first three days of life. Data were analyzed by means of single and mean cosinor methods and spectral analysis. All the newborns, except two, demonstrated a statistically significant circadian periodicity of temperature (p < .001). Acrophases were distributed along the 24h since the synchronization to environment was not yet completed. A clear ultradian fluctuation of body temperature was observed in all 19 newborns with an unexpected fall of temperature every three-four hours. Our data show that the maturation of the circadian system is probably almost complete in newborns, but the adjustment to the new environment can be expected in the subsequent weeks of life.

人类生理周期的成熟时间有不同的考虑。本研究旨在探讨健康足月婴儿出生后体温是否存在节律性变化。我们研究了19名健康的足月新生儿,他们在25摄氏度的环境温度和夜间适度昏暗的人工照明下在婴儿床里接受护理。在出生后的前三天,使用连接一次性直肠探头的固体记忆记录仪(Fiamarker)连续记录体温。采用单余弦法、平均余弦法和谱分析法对数据进行分析。除2例外,所有新生儿均表现出具有统计学意义的体温昼夜周期性(p < 0.001)。由于与环境的同步尚未完成,顶相分布在24h内。在所有19名新生儿中观察到明显的体温超昼夜波动,每3 - 4小时出现一次意外的体温下降。我们的数据表明,在新生儿中,昼夜节律系统的成熟可能几乎已经完成,但对新环境的调整可以在接下来的几周内进行。
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引用次数: 0
期刊
Chronobiologia
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