ABSTRACT
Metabolic abnormalities are frequent in patients with schizophrenia and bipolar disorder (BD), leading to a high prevalence of diabetes and metabolic syndrome in this population. Moreover, mortality rates among patients are higher than in the general population, especially due to cardiovascular diseases. Several neurobiological systems involved in energy metabolism have been shown to be altered in both illnesses; however, the cause of metabolic abnormalities and how they relate to schizophrenia and BD pathophysiology are still largely unknown. The "selfish brain" theory is a recent paradigm postulating that, in order to maintain its own energy supply stable, the brain modulates energy metabolism in the periphery by regulation of both allocation and intake of nutrients. We hypothesize that the metabolic alterations observed in these disorders are a result of an inefficient regulation of the brain energy supply and its compensatory mechanisms. The selfish brain theory can also expand our understanding of stress adaptation and neuroprogression in schizophrenia and BD, and, overall, can have important clinical implications for both illnesses (AU)
Alterações metabólicas são frequentes em pacientes com esquizofrenia e transtorno bipolar (TB), levando a uma alta prevalência de diabetes e síndrome metabólica nessa população. Além disso, as taxas de mortalidade entre pacientes são mais altas do que na população geral, especialmente em decorrência de doenças cardiovasculares. Vários sistemas neurobiológicos envolvidos no metabolismo energético têm demonstrado alterações nas duas doenças; no entanto, a causa das alterações metabólicas e a forma como elas se relacionam com a fisiopatologia da esquizofrenia e do TB ainda são arenas em grande parte desconhecidas. A teoria do "cérebro egoísta" é um paradigma recente que postula que, para manter estável seu próprio fornecimento de energia, o cérebro modula o metabolismo da energia na periferia regulando tanto a alocação quanto a ingestão de nutrientes. Apresentamos neste artigo a hipótese de que as alterações metabólicas observadas nesses transtornos são resultado de uma regulação ineficiente do fornecimento de energia do cérebro e seus mecanismos compensatórios. A teoria do cérebro egoísta também pode expandir nosso entendimento sobre a adaptação ao estresse e a neuroprogressão na esquizofrenia e no TB, e, acima de tudo, pode ter implicações clínicas importantes para as duas doenças (AU)
Subject(s)
Humans , Schizophrenia/metabolism , Bipolar Disorder/metabolism , Brain/metabolism , Schizophrenia/etiology , Schizophrenia/physiopathology , Stress, Psychological/physiopathology , Bipolar Disorder/etiology , Bipolar Disorder/physiopathology , Adaptation, Physiological/physiology , Disease Progression , Disease Susceptibility/physiopathology , Energy Metabolism , AllostasisABSTRACT
BACKGROUND & OBJECTIVES: Trypanosomiasis has remained a major set-back in the development of livestock farming in tropical Africa. Thus the need for ascertaining the trypanotolerant levels of domestic animal breeds and possible improvement on them cannot be over-emphasised. METHODS: Level of trypanotolerance in animals was compared between sexes using albino mice infected with a Nigerian strain of Trypanosoma brucei brucei at a 50% mouse lethal dose (MLD50). RESULTS: The male mice showed unrestrained parasite growth with a prepatent period (PP) of two days and a mean survival period (MSP) of six days corresponding to a gradual decrease in packed cell volume (PCV), body weight, diet response and white blood cells (WBC) count to the time of death. Their female counterparts showed a PP of three days and MSP often days with a similar PCV gradient but a refractory WBC count. There was no significant difference in the differential leucocytes count in both sexes. However, the eosinophils count was significantly higher in the infected animals. It was found that female albino mice exercised more parasite restraint than their male counterparts. INTERPRETATION & CONCLUSION: The result suggests that the female animals may be more trypanotolerant hence may be more useful in protein production in trypanosomiasis endemic areas. However, further research using large domestic breeds like goats and sheep may be required to confirm the hypothesis.
Subject(s)
Animals , Body Weight , Disease Susceptibility/physiopathology , Eosinophils , Female , Hematocrit , Leukocyte Count , Male , Mice , Nigeria , Sex Factors , Survival Analysis , Trypanosoma brucei brucei/pathogenicity , Trypanosomiasis, African/physiopathologyABSTRACT
The aim of this work was to study the prevalence of bacterial infections in hospitalized patients with liver cirrhosis and to compare clinical, bacteriological and evolution features of patients with (group 1) and without bacterial infection (group 2). 132 hospitalized patients with liver cirrhosis were prospectively studied and 61 episodes of bacterial infections were diagnosed in 52 (27 spontaneous bacterial peritonitis (44.3 per cent) 16 urinary tract infections (26.2 per cent), 10 pneumonias (16.4 per cent), 3 spontaneous bacteremias (4.9 per cent) and 5 miscellaneous infections (8.2 per cent)). 26 per cent of infections were nosocomial. Child-Pugh score was 12 ñ 2 in group 1 vs 10 ñ 2 in group 2 (p=0.047). 65 per cent of identified microorganisms were gram negative and 61.5 per cent of these were E. coli. Hospital mortality of group 1 was 29 per cent and that of group 2 was 9 per cent (p=0.002). It is concluded that there is a high prevalence of bacterial infections in hospitalized cirrhotic patients, that is associated to a high mortality