Some bio-medical mechanisms in athletic prowess / Algunos de los mecanismos biomédicos de las proezas atléticas

Variations in somato-genetic patterns in muscle-fibre biology, biochemical metabolic pathways and pulmonary physiology are hypothesized to have been concentrated by natural selection over the centuries in the Afrocentric peoples displaced from West Africa to the New World. These phenotypic and genotypic characteristics are attributed to provide the athletic prowess so well documented in African-Americans. Not the least of coincidence seems to be the influence of the compensatory mechanisms on oxygen transport and its availability to the tissues, in response to the sickle cell gene. The reduced availability coupled with reduced myoglobin in the preponderant fast-twitch muscle fibres which are adapted for rapid energy (ATP) regeneration, all give a NET outcome of muscle anatomical and biochemical advantages which support outstanding performances in athleticism.

Existe la hipótesis de que los patrones somatogenéticos en la biología fibromuscular, las vías meta-bólicas bioquímicas, y la fisiología pulmonar, se han concentrado mediante selección natural a lo largo de siglos, en los pueblos afrocéntricos desplazados desde C1frica Occidental al Nuevo Mundo. A estas características fenotípicas y genotípicas se les atribuye las proezas atléticas, tan bien docu-mentadas en los afroamericanos. Tampoco parece ser coincidencia en lo más mínimo, la influencia de los me-canismos compensatorios de transporte de oxígeno, y su disponibilidad en los tejidos, en respuesta al gene de la célula falciforme. Esta disponibilidad reducida acoplada con la mioglobina reducida en las fibras musculares de contracción rápida preponderantes que están adaptadas para la rápida re-generación de energía (ATP), producen de conjunto un resultado neto en términos de ventajas musculares anatómicas y bioquímicas que constituyen la base de las actuaciones destacadas en el atletismo.

Changes in some liver enzymes in streptozotocin-induced diabetic rats fed sapogenin extract from bitter yam (Dioscorea polygonoides) or commercial diosgenin / Cambios en Algunas Enzimas Hepáticas en ratas con Diabétes Inducida Mediante Estreptozotocina, Alimentadas con Extracto de Sapogenina de ñame Amargo (Dioscorea polygonoides) o Diosgenina Comercial

The effects of steroidal sapogenin extract from bitter yam or commercial diosgenin on liver enzyme changes were investigated Diabetic male Wistar rats were fed diets supplemented with 1 steroidal sapogenin extract or commercial diosgenin for three weeks. Plasma glucose levels and the activities of hepatic glucose-6-phosphatase, pyruvate kinase and glucose-6-phosphate dehydrogenase were assessed Liver total cholesterol, HDL-cholesterol and total phospholipid were also measured. Plasma glucose decreased significantly (p < 0.05) in diabetic rats fed the three test diets compared to the diabetic control. The three test diets significantly decreased glucose-6-phosphatase activity compared to the diabetic control The activities of ATP-citrate lyase, pyruvate kinase and glucose-6-phosphate dehydrogenase were significantly reduced in the liver of diabetic rats compared to normal control. Supplementation of the diet with bitter yam steroidal sapogenin extract or commercial diosgenin did not significantly alter ATP citrate lyase and pyruvate kinase activities but significantly increased glucose-6-phosphate dehydrogenase activity in the liver compared to diabetic rats. This study shows that the feeding of the two test diets to diabetic rats results in alterations in the metabolism of glucose with subsequent reduction in plasma glucose concentration

Se investigaron los efectos del extracto de sapogenina esteroidal del ñame amargo o la diosgenina comercial, sobre los cambios enzimáticos del hígado. A ratas Wistar machos con diabetes les fueron suministradas dietas con suplementos de 1% de extracto de sapogenina esteroidal o diosgenina comercial por espacio de tres semanas. Se evaluaron los niveles de glucosa plasmática y las actividades de la glucosa-6-fosfatasa hepática, el piruvato kinasa y la glucosa-6-fosfato deshidrogenasa. Asimismo fueron medidos el colesterol total del hígado, el colesterol HDL y el fosfolípido total. La glucosa plasmática disminuyó significativamente (p < 0.05) en las ratas diabéticas a las que se les alimentó con las tres dietas de la prueba, en comparación con el control diabético. Las tres dietas de la prueba disminuyeron significativamente la actividad de la glucosa-6-fosfatasa en comparación con el control diabético. Las actividades de la ATP-citrato liasa, la piruvato kinasa y la glucosa-6-fosfato deshidrogenasa disminuyeron significativamente en el hígado de las ratas diabéticas, en comparación con el control normal. El suplemento dietético con extracto de sapogenina esteroidal de ñame amargo o la diosgenina comercial no alteró de manera significativa las actividades de la ATP-citrato liasa y la piruvato kinasa, pero aumentó significativamente la actividad de la glucosa-8-fosfato deshidrogenasa en el hígado, en comparación con las ratas diabéticas. Este estudio demuestra que la alimentación con las dos dietas de prueba suministrada a las ratas diabéticas, produce alteraciones en el metabolismo de la glucosa, con la consiguiente reducción de la concentración de glucosa plasmática

The effect of phytic acid on the levels of blood glucose and some enzymes of carbohydrate and lipid metabolism / El Efecto del ácido fítico sobre los niveles de la glucosa en sangre y sobre algunas enzimas del metabolismo de carbohidratos y lípidos

In this study, six groups of rats were fed as follows: Groups 1 and 2 were fed formulated diets supplemented with zinc or without zinc respectively. Groups 3 and 4 were fed formulated diets supplemented with zinc plus phytic acid extracted from sweet potato (Ipomea batatas) or commercial phytic acid respectively. Groups 5 and 6 were fed formulated diets supplemented with phytic acid extract from sweet potato or commercial phytic acid respectively. The animals were fed for three weeks and then sacrificed The activities of key enzymes of carbohydrate and lipid metabolism as well as transaminases in the liver were determined. Blood glucose level was also assessed. Phytic acid extract consumption from sweet potato and commercial phytic acid plus zinc supplement lowered blood glucose levels. There was no significant change in the activity of 6-phosphogluconate dehydrogenase among the groups. Similarly, phytic acid supplementation showed no significant decrease in the activity of pyruvate kinase compared to the group fed formulated diets. There was a significant increase in the activity of glucose-6-phosphate dehydrogenase in the groups fed phytic extract from sweet potato compared to the other groups. The activities of malic enzyme and ATP-citrate lyase in this study were not significantly altered among the groups. There is a lowering of blood glucose levels which is desirable for diabetics who consume sweet potato diets. The changes in some of the hepatic metabolic enzymes are geared towards compensating for the decreased glycolytic responses

En este estudio, se alimentaron seis grupos de ratas de la forma que a continuación se describe. Los grupos 1 y 2 fueron alimentados con dietas formuladas con o sin suplemento de zinc respectivamente. Los grupos 3 y 4 fueron alimentados con dietas formuladas con suplemento de zinc más ácido fítico extraído del boniato (Ipomea batatas) o el ácido fítico comercial respectivamente. Los grupos 5 y 6 fueron alimentados con dietas formuladas con suplemento de extracto de ácido fítico del boniato o ácido fítico comercial respectivamente. Los animales fueron alimentados durante tres semanas y luego sacrificados. Se determinó la actividad de las enzimas claves del metabolismo de carbohidratos y lípidos, así como las transaminasas en el hígado. Asimismo se evaluó el nivel de glucosa en sangre. El consumo de extracto de ácido fítico del boniato y el ácido fítico comercial más el suplemento de zinc, diminuyeron los niveles de glucosa en sangre. No hubo cambios significativos en la actividad de la 6-fosfogluconato deshidrogenasa entre los grupos. De modo similar, la suplementación con ácido fítico no mostró una disminución significativa de la actividad de la piruvato kinasa en comparación con el grupo alimentado con dietas formuladas. Sin embargo, hubo un aumento significativo en la actividad de la glucosa-6-fosfato deshidrogenasa en los grupos alimentados con extracto fítico de boniato en comparación con los otros grupos. No hubo alteración significativa de las actividades de la enzima málica y la ATP-citrato liasa en este estudio. Hay una disminución de los niveles de glucosa en sangre, deseable para los diabéticos que consumen dietas de boniato. Los cambios en algunas de las enzimas metabólicas hepáticas están encaminados a compensar la disminución de las respuestas glicolíticas.

Lead pollution and amelioration measures in the community of Frazers Content, St Catherine, Jamaica

Lead poisoning, especially in children, is a preventable disease. Many children are exposed to this hazard, especially in poor communities, because of a paucity of information on lead poisoning and increasing economic hardships. In 1994, the case of the poor suburban community of Frazers Content, St Catherine, Jamaica, came to the public attention because of the high frequency of hospital admissions, or outpatient treatment, of children for lead poisoning. This paper reviews a Blue Cross of Jamaica-led-initiative aimed at the clean up and education of the Frazers Content community. The following four-pronged approach was employed: environmental and biological sampling and sample analysis, health education, decontamination and community clean up and entrepreneurial activities. The project outputs included: training of 17 community wardens and 22 schoolteachers; the clean up of 64 residences which had lead levels in excess of 500 ppm; the establishment of an entombment site for the contaminated soil in accordance with the Jamaica Natural Resources Conservation Authority and training of residents in entrepreneurial skills, chicken and rabbit rearing and nursery establishment. The paper includes discussion of the lessons learnt and recommendations for future action.

The efficacy of acarbose in type 2 diabetes mellitus in Jamaica

The efficacy and tolerability of acarbose was studied in type 2 diabetic patients eating a typical Jamaican diet. The study was an open label parallel group study without placebo control. Of the 51 subjects recruited, five (9.8) did not complete the study and were excluded from further analysis. Six (13) of the remaining 46 had adverse side effects and did not complete the protocol. Of the remaining 40 (Gp A), acarbose was added to their previous regime of diet alone (n = 15), [Gp B], oral hypoglycaemic agents, OHAs (n = 17), [Gp C], or insulin (n = 8), Gp D]. In addition, during the run-in period all subjects had one session each with a dietitian and a diabetes educator. Over a 3-month period, significant reductions in average glucose (mmol) were observed in Gp B 10.5 +/- 1.1 to 8.4 +/- 0.9 (p < 0.027) and, from 11.0 +/- 1.0 to 8.7 +/- 0.7 (p < 0.01) in Gp C. Similarly, total glycosylated haemoglobin fell from 14.8 +/- 1.1 to 12.2 +/- 1.0 (p < 0.016) in Gp B, from 14.9 +/- 1.1 to 11.9 +/- 1.1 (p < 0.002) in Gp C, and from 14.1 +/- 1.4 to 11.8 +/- 1.4 (p < 0.02) in Gp D. Twenty-three per cent (23) of the patients experienced flatulence; 7.5, changes in bowel habits and 5, abdominal cramps and discomfort. Acarbose is effective as monotherapy and as combination therapy with oral hypoglycaemic agents or insulin. Side effects were common, but tolerable.

Jamaican patients' understanding of diabetes mellitus

Ambulant and hospitalized patients with diabetes mellitus were interviewed by two trained interviewers to obtain information about their knowledge of the illness and the communication they had received about it. Sixty to seventy per cent of patients claimed that no explanation about the illness was given to them at the time of diagnosis. This poor communication occurred in both public and private medical services. Fifty-seven per cent of the patients' knowledge of the illness was in general poor. The hospitalized patients did learn about the illness while there, but still claimed that they learnt nothing. These data are examined in the context of the nature of the doctor-patient communication style and effect. Jamaican diabetic patients need to be better informed about their illness; despite short patient-physician contact time, an effort to explain the nature of the illness at the time of diagnosis would be worthwhile. This will need subsequent assessment and reinforcement by involving a team approach.

Insulin receptor studies of erythrocytes and mononuclear leucocytes in phasic insulin diabetes mellitus

This study was designed to investigate any diferences in cellular binding of insulin between phasic insulin-dependent (malnutrition-related) diabetes mellitus (PIDDM) and insulin-dependent, non-insulin-dependent, and normal controls. Isolated, washed red and white blood cells obtained after 12 - 14hr fast, were separately incubated with varying concentrations of non-radioactive insulin, and a fixed quantity of radioactively labellede insulin. After the 3hr incubation, cells were washed with buffer, and radioactivity determined on an autogamma counter. Percentage binding, receptor sites number and affinity were all determined by linear regression of the Scathard plot. Fasting plasma insulin and glucose levels were were also assayed. The results obtained showed decreased binding of insulin in red blood cells (11.3+or -1.3%) and white blood cells 2.9 + or -o.5%) in PIDDM. This was due to decreased receptor sites (red blood cells 39+ or -11; white blood cells 0.5+ or -0.11x 10 to the 4th) as well as decreased affinity (red blood cells 0.14+ or -0.03 x 10 to the 9th M-1; white blood cells 0.17 + or -0.04 x10 to the 9th M-1) when compared to the normal and diabetic (both insulin and non-insulin-dependent) controls. Phasic insulin-dependent diabetes (malnutition-related diabetes mellitus) is characterized by decreased red and white cellular binding to insiulin, in addition to decreased production of insulin

The Mauriac syndrome

An insulin-dependent diabetic was diagnosed at the age of 7 years. After two years of satisfactory control she began to have several bouts of hospitalization with hyperglycaemic ketoacidosis, and developed tender hepatomegaly, which persisted to age 11 years. With restabilisation of her diabetes, the liver regressed and she continued to maintain good health for another 1 1/2 years when she died suddenly while asleep. Post-mortem examination by the coroner revealed ascites in the abdomen, hepatomegaly and fatty metamorphosis of the liver. Her diabetes control required up to 2.3 i. u. insulin per Kg body weight per day plus a 1,900 calorie diet. Her growth was well below the tenth percentile, weight for height (Harvard charts). This clinical picture of high insulin dosage, hepatomegaly, unstable diabets and growth failure approximates to the Mauriac syndrome

Renal subcapsular islet cell transplantation in the dog: a preliminary report

During the last two decades, islet cell transplantation has been pursued both experimentally and clinically in an effort to ameliorate diabetes mellitus. At present, however, islet cell transplantation still remains at the experimental stages as far as the treatment of diabetes is concerned. Also, culture of islet cells has proved to be rather frustrating and difficult. No consistent techniques have been developed, and simplified methods for islet cell preparation and adequate sites for islet cell placement would allow for further progress in this area. Ultimately, rejection remains the greatest obstacle to success. We report a simplified technique for enriching dog pancreatic islet cells. This preparation was injected into the renal subcapsular space in both homograft (3 experiments) and heterograft (3 experiments) situations. After six weeks, nephrectomy was performed, and histochemical techniques demonstrated many groups of live islets in between the tubules in the renal cortex. No acinar cells were observed. Blood samples from the renal artery and renal vein at the time of nephrectomy revealed an average 36.9% increase in insulin concentraction on the renal veins, supporting an active secretory role of these transplanted islet cells. This technique points to (i) the possible role of a "renal factor" in promoting growth of islet cells and (ii) the feasibility of successful transplantarion of enriched islet cells as a potential approach to the curative treatment of diabetes mellitus

Assessment of patient compliance in a diabetic clinic using glycated proteins compared with blood sugar measurements

Thity non-insulin-dependent (NID) and 10 insulin-requiring (IR) patients were randomly selected in the Diabetic Outpatients Clinic at the University Hospital of the West Indies. There were 29 (72.5%) female and 11(27.5%) male patients with a median age of 53.1 years (range 11-79) and a mean body mass indez of 25.5 (range 17.7-35.3). Mean duration of diabetes 10+ years (range 2-25 years). They had all been attending the diabetic clinic for minimum of two years. The patinets were followed up at 30-day intervals for 90 days and at each visit, detailed checks were done of their blood count, chemistry and metabolic profile; in particular, the fasting blood sugar, fructosamine in the IR group, glycosylated haemoglobin and fasting insulin levels in the NID group were determined. Deposite the close moniring of this select group, their control as assessed by fasting blood sugar and glycated protein levels revealed uniformaly unsatisfactory results. These findings have an important implication on recent Pan American World Health data which reveal that diabetes mellitus is now the leading cause of death in the Caribbean

Em-plaque subdural sarcoidosis: a rare neurological entity

En-plaque subbdural sarcoidosis is reported in a 74-year-old black woman. The diagnosis was mad at autopsy. The patient also had adenocarcinoma of the sigmoid colon with liver metastases. Subdural sarcoidosis is very rare in that only four cases have been previously reported, all of which were diagnosed clinically and treated

Toxicity of the hyperglycaemic-inducing extract of the Annatto (Bixa orellana) in the dog

The Annatto seed coat extract, which is commonly used in folklore in treating diabetes mellitus, has been investigated for its effects on blood sugar levels in the dog. An alkali-soluble hyperglycaemia-inducing fraction was detected, and detailed studies revealed toxic effects in the pancreas and liver accompanied by hyperglycaemia and apparent tendency to increased insulin levels. The toxicity was diminished by feeding riboflavin. The relevance of this finding points to a possible aetiological role in the development of amlnutrition-related diabetes mellitus and also to the potential toxicity inherent in the widespread use of folklore medicines