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1.
Int. j. morphol ; 33(1): 213-221, Mar. 2015. ilus
Article in English | LILACS | ID: lil-743788

ABSTRACT

All organs of the immune system are innervated and almost all neurotransmitter receptors are present on immune cells. We studied the effects of sympathetic innervation in the development of amebic liver abscess (ALA) in rats. Our results showed that lack of sympathetic innervation promote a decrease in size of ALA. We found scarce amoebas, increased the number of neutrophils and a few collagen fibers surrounding the abscess, meanwhile in control group, we observed abscesses areas with typical necrosis including trophozoites and neutrophils. Macrophages were differentially distributed surrounding abscess area in control and vehicle groups, but equally located in and outside of the abscesses in sympathectomized rat. No significant differences were observed on NK cells in analysed groups. In cytokines quantification studies, we observed down-expression of IFN-g and TNF-a, moreover, we found overexpression of IL-10 in sympathectomized and ALA group. In conclusion, our results suggest that elimination of sympathetic nerve fibers in a model rat of amebic liver abscess induces reduction of the innate immune response and presence of amebas through the liver at seven days post-inoculation.


Todos los órganos del sistema inmune están inervados y casi todos los receptores para neurotransmisores están presentes en las células de la respuesta inmune. Nosotros estudiamos el efecto de la inervación simpática en el desarrollo del Absceso Hepático Amebiano (AHA) en ratas. Nuestros resultados muestran que la inervación simpática promueve una disminución en el tamaño del AHA. Nosotros encontramos áreas fibróticas bien definidas con algunas amibas, mayor número de neutrófilos y pocas fibras de colágena rodeando el área de daño, mientras que en el grupo control, nosotros observamos áreas con necrosis, trofozoítos y pocos neutrófilos en el área fibrótica. Los macrófagos se observaron distribuidos en el área fibrótica en los animales simpatectomizados, mientras que en los controles encontramos a los macrófagos distribuidos en la periferia del absceso. No se encontró diferencia significativa en la distribución y cantidad de células NK. En el estudio de citocinas nosotros observamos una disminución de IFN-g y TNF-a y un incremento de IL-10 en animales simpatectomizados. En conclusión, nuestros resultados sugieren que la eliminación de las fibras del sistema nervioso simpático en el modelo de AHA en rata, reduce la respuesta inmune innata y persisten amebas en el tejido dañados a los 7 días post-inoculación.


Subject(s)
Animals , Male , Rats , Liver Abscess, Amebic/immunology , Sympathetic Nervous System/immunology , Sympathetic Nervous System/metabolism , Entamoeba histolytica , Immunity, Innate , Immunohistochemistry , Liver Abscess, Amebic/metabolism , Microscopy, Electron, Transmission , Neurotransmitter Agents/immunology , Rats, Wistar , Sympathectomy, Chemical
2.
Article in English | IMSEAR | ID: sea-135410

ABSTRACT

Background & objectives: Regulation of renal function and haemodynamics are under a direct control from the renal sympathetic nerves and renal denervation produces overt diuresis and natriuresis in several mammalian species. However, the inter-related series of changes in renal function and haemodynamics following acute renal denervation (ARD) is not fully understood. Thus, we aimed to investigate and relate the changes in renal function and haemodynamics following acute unilateral renal denervation in anaesthetized Sprague Dawley (SD) rats. Methods: Male SD rats were fasted overnight, anaesthetized with sodium pentobarbitone (60 mg/kg ip), denervated by application of phenol to the left renal artery and maintained on an intravenous (iv) infusion of isotonic saline for 2 h. Throughout this period, six urine and plasma samples were taken at 20-min intervals to study kidney function parameters. In a different set of experiments, renal nerve stimulation (RNS) was carried out to characterize the changes in renal vasoconstrictor responses following ARD. Results: Denervated animals showed significantly (P<0.05 vs. control innervated rats) higher urine flow rate (UFR), absolute sodium excretion (UNaV), fractional sodium excretion (FENa) and glomerular filtration rate (GFR). The renal vasoconstrictor responses to RNS were significantly (P<0.05) lower in denervated rats as compared to the innervated counterparts. However, no appreciable differences were seen in the mean arterial pressure (MAP), plasma sodium (PNa), basal renal blood flow (RBF) and basal renal vascular resistance (RVR) in both innervated and denervated SD rats. Interpretation & conclusions: Natriuresis, diuresis, enhanced GFR and impaired vasoconstriction in response to RNS are typical and instant responses to ARD in SD rats. Renal sympathetic nerves serve more important role in salt and water conservation than in dynamic autoregulation of RBF under normal sympathetic tone; yet, their effects on renal haemodynamics become more evident in the presence of augmented renal sympathetic nerve activity (RSNA).


Subject(s)
Animals , Diuresis , Hemodynamics , Kidney/innervation , Kidney/physiology , Male , Phenol/administration & dosage , Rats , Rats, Sprague-Dawley , Sympathectomy, Chemical
3.
Journal of Korean Medical Science ; : 849-852, 2009.
Article in English | WPRIM | ID: wpr-223648

ABSTRACT

Unilateral obstruction or injury to the vas deferens can result in significant injury to the contralateral testicle. Although various pathways have been proposed, the mechanism of contralateral testicular deterioration remains controversial. The present animal study was performed to evaluate the effects of unilateral vasectomy on ipsilateral and contralateral testicular histology and fertility in rats that were chemically sympathectomized neonatally. The study comprised 40 male albino rats: 20 received a placebo and the other 20 underwent chemical sympathectomy neonatally. When 60 days old, each group of 20 rats was divided into two groups that underwent either a sham operation or an operation to create unilateral left vasectomy. Eight weeks after surgery, each male rat was housed with two known fertile female rats for 25 days, and then their testes were harvested. Mean seminiferous tubular diameters (MSTD) and mean testicular biopsy scores (MTBS) were determined for each testis. Although MSTD and MTBS were not significantly different between groups, chemical sympathectomy prevented the decrease in total fertility rates of the rats with unilateral left vasectomy in our study. Prevention of this decrease by chemical sympathectomy suggests that the sympathetic nervous system may play a role in the testicular degeneration associated with vasectomy.


Subject(s)
Animals , Female , Male , Rats , Fertility/drug effects , Oxidopamine/toxicity , Sympathectomy, Chemical , Testis/drug effects , Vasectomy
4.
Journal of Southern Medical University ; (12): 1968-1970, 2008.
Article in Chinese | WPRIM | ID: wpr-321780

ABSTRACT

<p><b>OBJECTIVE</b>To evaluate the effect of chemical lumbar sympathectomy (CLS) on relieving refractory pain in the lower limbs.</p><p><b>METHODS</b>Twenty-four patients with refractory pain in the lower limbs underwent CLS under X-ray guidance, and 2 ml contrast agent was injected at 1/3 of the second L2 vertebrae (the L2 sympathetic ganglion). Lidocaine was then injected followed by injection of 7% phenol for performing CLS. The visual analog scale was used to assess the pain severity before and after CLS. The effect of CLS on relieving lower limb pain was compared with that of oral pain-relieving medication.</p><p><b>RESULTS</b>The lower limb pain was obviously relieved as shown by significantly decreased VAS scores in these patients after CLS. CLS exhibited a much more potent effect of pain relief in the lower limbs than the oral medication.</p><p><b>CONCLUSION</b>CLS produces significant analgesic effects to relieve refractory pain in the lower limbs.</p>


Subject(s)
Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Analgesia , Methods , Lidocaine , Lower Extremity , Pain, Intractable , Therapeutics , Phenol , Sympathectomy, Chemical , Methods
5.
Article in English | IMSEAR | ID: sea-45923

ABSTRACT

The purpose of this study was to assess the effectiveness of chemical lumbar sympathectomy in relieving pain and healing ischaemic ulcers in patients with peripheral vascular diseases. Thirty-one consecutive patients with ischaemic/ gangrenous lower limb ulcers, referred to the BPKIHS, Pain Clinic were observed prospectively after chemical lumbar sympathectomy using modified Reid Technique with 3 ml of 70% alcohol each at L2 and L3 level under fluoroscopic guidance. Pain relief and ulcer healing were noted in the follow up. Moreover, patients' abilities to resume at least part of their day to day work were also noted at three months follow up. Of the total 31 patients, 16 had Buerger's disease and the remaining 15 had non-Buerger's ischaemic ulcers of which 7 were diabetic. There was significant decrease in the pain score from mean+/-SD of 8.3+/-0.9 (pre-block) to 4.2+/-2.5 (post-block after 3 days) in zero to 10 Numerical Analogue Scale (NAS). By 3 months, 6 patients declined for follow up; 19(76%) of the remaining 25 patients reported pain relief, 18(72%) reported healing or decrease in the size of ulcers and 11(44%) were able to resume at least part of their usual work. Minor complications occurred in 5 patients and amputation was needed in 6 patients. Fluoroscopy- guided chemical lumbar sympathectomy is feasible, safe and effective in relieving pain and promoting ulcer healing in patients with ischaemic lower limb ulcers due both to Buerger's disease and non-Buerger's peripheral vascular diseases.


Subject(s)
Adult , Aged , Diabetic Angiopathies/therapy , Female , Fluoroscopy/methods , Follow-Up Studies , Gangrene/etiology , Humans , Ischemia/therapy , Leg Ulcer/therapy , Lumbosacral Region , Male , Middle Aged , Pain/etiology , Peripheral Vascular Diseases/therapy , Prospective Studies , Sympathectomy, Chemical/methods , Thromboangiitis Obliterans , Wound Healing
6.
Acta Physiologica Sinica ; (6): 422-427, 2003.
Article in Chinese | WPRIM | ID: wpr-290949

ABSTRACT

In the present study, using fast cyclic voltammetry (FCV), atomic absorption/flame emission spectrophotometry and immunohistochemistry, we investigated the correlation between iron levels and degeneration of dopaminergic neurons in rat nigrostriatal system during the early 6-OHDA lesions in the medial forebrain bundle (MFB). The results showed that 1 d or 3 d after lesions in MFB, there was a 45% or 66% reduction, respectively, in the density of tyrosine hydroxylase (TH) immunoreactive cells in the substantia nigra (SN) of the lesioned side accompanied by an increase in iron staining intensity and iron concentration; while there was no change in dopamine (DA) release in the striatum (Str) of the lesioned side compared with the unlesioned side and the normal rats. There was no difference in the iron staining and concentration of SN and DA release of Str on the lesioned side between one-day group and three-days group. These results suggest that an iron level elevation in SN may be involved at the early stage of degeneration of DA neurons in SN. However, DA release in Str was unchanged due to the immense compensatory mechanism of DA system.


Subject(s)
Animals , Female , Rats , Corpus Striatum , Metabolism , Pathology , Dopamine , Metabolism , Iron , Metabolism , Medial Forebrain Bundle , Physiology , Nerve Degeneration , Neurons , Physiology , Oxidopamine , Pharmacology , Rats, Wistar , Substantia Nigra , Metabolism , Pathology , Sympathectomy, Chemical
7.
Immune Network ; : 109-114, 2002.
Article in Korean | WPRIM | ID: wpr-37605

ABSTRACT

BACKGROUND: To investigate the role of sympathetic nervous system (SNS) in moxibustion-induced immunomodulation, the effects of chemical sympathectomy on moxibustion-induced changes in splenic NK cell cytotoxicity, T and B cell proliferation were studied in Sprague-Dawley male rats. METHODS: Chemical sympathectomy was achieved with intraperitoneal injection of 6-hydroxydopamine 50 mg/kg/day for 3 successive days. Direct moxibustion (6-minute interval, 9 moxa ball, each of which weighing 0.007 g and burning for 40 seconds) was applied on unilateral anterior tibial muscle region where Zusanli (ST36) acupoint is located, once a day for 7 successive days. NK cell cytotoxicity was measured by 4hr-51Cr release assay. Mitogen-induced lymphocyte proliferation was analyzed by [3H]-thymidine incorporation assay. RESULTS: NK cell cytotoxicity was suppressed by moxibustion, more in sympathectomized rats than in vehicle-treated rats. T cell proliferation induced by concanavalin A was not affected by moxibustion. B cell proliferation induced by lipopolysaccharide showed no significant change in vehicle- treated rats, but an increase in sympathectomized rats by moxibustion. Sympathectomy alone induced augmentation of NK cell cytotoxicity and suppression of T cell proliferation. CONCLUSION: These results suggest that SNS has no direct relation with moxibution-induced immunomodulation but has an important role in the mechanism to keep the homeostasis of immune system by tonically inhibiting excessive changes of various immune components.


Subject(s)
Animals , Humans , Male , Rats , Acupuncture Points , B-Lymphocytes , Burns , Cell Proliferation , Concanavalin A , Homeostasis , Immune System , Immunomodulation , Injections, Intraperitoneal , Killer Cells, Natural , Lymphocytes , Moxibustion , Muscle, Skeletal , Oxidopamine , Rats, Sprague-Dawley , Spleen , Sympathectomy , Sympathectomy, Chemical , Sympathetic Nervous System , T-Lymphocytes
8.
Korean Journal of Anesthesiology ; : 432-439, 2000.
Article in Korean | WPRIM | ID: wpr-17533

ABSTRACT

BACKGROUND: A non-randomized, uncontrolled study was undertaken with a retrospective medical record review to evaluate the effect of pain relief of chemical lumbar sympathectomy in patients with peripheral vascular occlusive disease. This was conducted to assess whether the long term outcome of ischemic limbs could be changed and to identify predictable medical factors of patients who would be helped by this procedure. METHODS: A total of 47 patients with Buerger's disease (n = 20) and arteriosclerosis obliterans (n = 17) referred by vascular surgery for the management of ischemic pain were enrolled. All other conservative and surgical management efforts had already failed and were not indicated. The following were evaluated before and after the neurolytic lumbar sympathetic blocks: the stages of disease by Fontaine classification, main sites and numbers of occlusion, pain scores before and after the procedure, physical findings, amputation sites, and medications as well as amounts given and other risk factors. RESULTS: Buerger's disease tends to progress rapidly and aggressively. It is more painful than arteriosclerosis obliterans and is peripherally involved, with higher incidences of complications. Chemical sympathectomy has significant pain relief effects in both groups. Differences in long term outcome measured by amputation could not be found in both groups. No significant risk factors could be identified. No side effects were reported in both groups. CONCLUSIONS: Chemical lumbar sympathectomy has a good analgesic effect for pain in walking. This, however showed no long-term limb-saving effect.


Subject(s)
Humans , Amputation, Surgical , Arterial Occlusive Diseases , Arteriosclerosis Obliterans , Arteriosclerosis , Classification , Extremities , Incidence , Medical Records , Retrospective Studies , Risk Factors , Sympathectomy , Sympathectomy, Chemical , Thromboangiitis Obliterans , Walking
9.
Korean Journal of Anesthesiology ; : 442-446, 1999.
Article in Korean | WPRIM | ID: wpr-160255

ABSTRACT

BACKGROUND: Monitoring the skin temperature changes of the palm during video endoscopic thoracic sympathicotomy has been used as a measure of the success of the surgery. When general anesthesia is used during sympathicotomy, increases of skin temperature on the ipsilateral palm is less than that observed in percutaneous chemical sympathectomy. Contralateral skin temperature has been found to be decreased. So we measured palmar skin temperature on both sides during sympathicotomy to learn whether we can use it as a indicator of success under general anesthesia, and to see contralateral sympathetic responses. METHODS: Thirty patients have been examined. The skin temperature of both their thenar areas was measured before sympathicotomy, and 5 and 10 minutes after sympathicotomy under general anesthesia, using N2O, O2, enflurane, vecuronium. RESULTS: Under general anesthesia, there was a significant increase of post-sympathicotomy skin temperature on the ipsilateral palm, in contrast to a decrease on contralateral ones. The absolute value was minimal but statistically significant. CONCLUSIONS: Thoracic sympathicotomy may producc simultaneous but different types of sympathetic response on both sides of the hands, though this response is lessened with a use of general anesthesia because inhalation anesthetics induced central and peripheral sympathetic inhibition. We conclude that continuous and careful monitoring of palmar skin temperature yields useful information about intraoperative success during thoracic sympathicotomy under general anesthesia and that we should conduct further study of the contralateral sympathetic response.


Subject(s)
Humans , Anesthesia, General , Anesthetics, Inhalation , Enflurane , Hand , Hyperhidrosis , Skin Temperature , Skin , Sympathectomy, Chemical , Vecuronium Bromide
10.
Korean Journal of Anesthesiology ; : 29-39, 1998.
Article in Korean | WPRIM | ID: wpr-93595

ABSTRACT

BACKGROUND: Neuropathic pain produced by nerve injury has the characteristics of enhanced pain responses - allodynia. To understand the pathophysiology of the neuropathic pain, We evaluated the effect of NMDA antagonists and chemical sympathectomy on the c-fos mRNA expression. METHODS: We have divided rats(Sprague-Dawley, N=24) that their left L5 and L6 nerve were tightly ligated into two groups. In NMDA antagonist group(N=17), We injected 10 g MK801 and 10 g 5-amino-phosphonovalerate in three ways, intrathecally before the ligation, after ligation and subcutaneous continuously. Then behavioral tests for mechanical allodynia and cold allodynia were performed. After the test of allodynia,the expression of c-fos were assessed by Northern blot hybridization. In chemical sympathectomy group(N=7), We injected 70 mg/kg guanethidine into the peritoneum in two ways, before the ligation and after ligation. Then same methods were performed in NMDA antagonist group as well. RESULTS: Intrathecal NMDA antagonists before the ligation supressed the elevation of c-fos mRNA expression. Intrathecal NMDA antagonists on the 7 days after the ligation reduced the c-fos mRNA expression and neuropathic pain. Continuous treatment of subcutaneous NMDA antagonists supressed the development of neuropathic pain and the elevation of c-fos mRNA expression. Chemical sympathectomy before the ligation did not supress the elevation of c-fos mRNA expression. Chemical sympathectomy on the 7 days after the ligation reduced neuropathic pain and the elevation of c-fos mRNA expression. CONCLUSIONS: NMDA receptor is related to the induction and maitenance of neuropatic pain, and sympathetic nervous system has a main role in the already induced neuropathic pain.


Subject(s)
Animals , Rats , Blotting, Northern , Dizocilpine Maleate , Guanethidine , Hyperalgesia , Ligation , N-Methylaspartate , Neuralgia , Peritoneum , RNA, Messenger , Sympathectomy , Sympathectomy, Chemical , Sympathetic Nervous System
11.
Korean Journal of Urology ; : 437-442, 1998.
Article in Korean | WPRIM | ID: wpr-25304

ABSTRACT

PURPOSE: The chemical sympathectomy is now widely performed procedure for vascular diseases of extremities. But it has been reported that this procedure may produce ejaculatory failure in men. We investigated the changes of the contractility of the vas deferens after chemical sympathectomy by 6-hydroxydopamine, and whether these changes can be recovered by the pretreatment of testosterone. MATERIALS AND METHODS: The rats were divided into 5 groups, which were 1) control 2) 6-hydroxydopamine 100mg group 3) 6-hydroxydopamine 100mg + testosterone100mg group 4) 6-hydroxydopamine 200mg group 5) 6-hydroxydopamine 200mg + testosterone 100mg group. 6-hydroxydopamine was injected intraperitoneally in each group at day 1, 3, 5 and killed at day 6. Testosterone was Injected intraperitoneally 30 minutes prior to 6-hydroxydopamine injection at day 1 . The vas deferns was quickly dissected out and the contractilities by electrical field stimulation, phenylephrine, acetylcholine and KCI were compared with control group. RESULTS: In prostatic vas, the phasic contractions were reduced only in 6-hydroxy- dopamine 200mg group and recovered incompletely by testosterone. Tonic contractions in prostatic vats were reduced in 6-hydroxydopamine looms group and 6-hydroxydopamine 100mg+testosterone 100mg group at 4, 8, 16Hz field stimulation and there was no significant difference between the two groups. The contractilies in 6-hydroxydopamine 200mg group and 6-hydroxydopamine 200mg+testosterone 100mg group were reduced at all frequencies, and testosterone pretreatment group showed slightly recovered contractility at 32, 64Hz, but less than those of control. In epididymal vas, the phasic and tonic contractions were reduced in all groups compared to control except in 6-hydroxydopamine 100mg+testosterone looms group at 32, 64Hz. The effects of 6-hydroxydopamine on phenylephrine or acetylcholine induced contraction showed supersensitivity, however, testosterone pretreatments had no effects on their supersensitivity. In the response to KCI, there was no difference in all the experimental groups. CONCLUSIONS: It seems that chemical sympathectomy results in decreased contraction of the vas deferens, which is the main cause of ejaculatory failure. Although there is some protective effect by testosterone pretreatment, but it is thought that it is not so sufficient to prevent ejaculatory failure. But we suggest that there are possibilities of protective effect of testosterone by altering the dose and time of administration.


Subject(s)
Animals , Humans , Male , Rats , Acetylcholine , Dopamine , Extremities , Oxidopamine , Phenylephrine , Sympathectomy , Sympathectomy, Chemical , Testosterone , Thoracic Surgery, Video-Assisted , Vas Deferens , Vascular Diseases
12.
Korean Journal of Anesthesiology ; : 293-303, 1996.
Article in Korean | WPRIM | ID: wpr-63923

ABSTRACT

BACKGROUND: We studied the time course of gene expression of dynorphin, enkephalin, c-fos, and the changes of allodynia, and the effect of chemical sympathectomy on the gene expression and allodynia in neuropathic rat. METHODS: In two groups of rat (Sprague-Dawley), the left L5 and L6 spinal nerves were tight ligated. In gene expression group (N=25), behavioral tests for mechanical allodynia and cold allodynia were perfomed for the next two weeks. After the test of allodynia, the expression of dynorphin, enkephalin, c-fos were assessed by Northern blot hybridization. In chemical sympathectomy group (N=16), after chemical sympathectomy (guanethidine 70 mg/kg intraperitoneally, from postoperative 7 days to 9 days), the changes of allodynia and the gene expression of enkephalin, c-fos were tested. RESULTS: Mechanical allodynia and cold allodynia was developed on the postoperative 3, 5, 7, 14 days. Preprodynorphin mRNA expression was reached peak level at the postoperative 8 hrs, sustained increase by the postoperative 3 days, but preproenkephalin mRNA expression increased slightly after operation. c-Fos mRNA expression was increased immediately at the postoperative 30 min, 1 hr, returned to normal level thereafter, and increased again on the postoperative 3, 5, 7 days that neuropathic pain was developed. Mechanical allodynia and cold allodynia were decreased by chemical sympathectomy. The increased c-fos mRNA expression and pain at postoperative 7 days was reduced by chemical sympathectomy. CONCLUSION: These results suggest that the transient gene expression of dynorphin and c-fos after tight ligation of L5 and L6 spinal nerves induces the development neuropathic pain, and late c-fos expression is related to neuropathic pain.


Subject(s)
Animals , Rats , Blotting, Northern , Dynorphins , Enkephalins , Gene Expression , Hyperalgesia , Ligation , Neuralgia , RNA, Messenger , Spinal Nerves , Sympathectomy, Chemical
13.
Korean Journal of Anesthesiology ; : 304-309, 1996.
Article in Korean | WPRIM | ID: wpr-63922

ABSTRACT

BACKGROUND: Treatments of neuropathic pain were included Ca blocker, steroid medication, epidural or spinal local anesthetics, intravenous reserpine and phenoxybenzamine and operative sympathectomy. This study was performed to evaluation the effects of laser radiation and intraperitoneal guanethidine to the neuropathic pain. METHODS: The neuropathic pain were produced by the tight ligation of L5 and L6 spinal nerves in the adult rats (Sprague-Dawley) withdrawl response to the non-noxious stimulation(mechanical allodynia) were increased and response to the cold stimulation (cold allodynia) were increased too. After that, we injected 50 mg/kg guanethidine intraperitoneally and radiated the He-Ne laser to the operated site to evaluate the effect of chemical sympathectomy and laser radiation. RESULTS: Mechanical allodynia was significantly reduced(p<0.05) 1st and 2nd day after chemical sympathectomy. Cold allodynia was significantly reduced(p<0.05) 1st day after chemical sympathectomy. Mechanical and cold allodynia were not significantly reduced after laser radiation. CONCLUSIONS: It was suggested that the chemical sympathectomy via intraperitoneal injection of guanethidine 50 mg/kg had the therapeutic effect of neuropathic pain in the surgically operated rat which was ligated L5, 6 spinal nerve.


Subject(s)
Adult , Animals , Humans , Rats , Anesthetics, Local , Guanethidine , Hyperalgesia , Injections, Intraperitoneal , Ligation , Neuralgia , Phenoxybenzamine , Reserpine , Spinal Nerves , Sympathectomy , Sympathectomy, Chemical , Sympathetic Nervous System
14.
Cir. gen ; 17(3): 174-6, jul.-sept. 1995. ilus
Article in Spanish | LILACS | ID: lil-173763

ABSTRACT

Objetivo: Informar la experiencia clínica de los autores con el empleo de la simpatectomía lumbar en el anciano. Diseño: Informe de casos, observacional, retrospectivo y sin grupo control. Sede: Hospital A.B.C. México, D.F. Pacientes y métodos: Se estudiaron pacientes ancianos (mayores de 60 años), quienes presentaron insuficiencia arterial severa en miembros pélvicos. Se hizó estudio clínico, ultrasonográfico y angiográfico en todos ellos. Resultados: Correspondieron al sexo masculino 10 pacientes y 5 al femenino, sus edades fueron de 75 a 92 años, 10 presentaron claudicación intermitente de los 20 a 50 pasos y 5 no caminaban. En todos hubo dolor severo en pierna y pie. El US Doppler demostró pulso en femorales y poplíteas, sin flujo distal en tibiales, la arteriografía demostró obstrucción en diferentes niveles con presencia de circulación colateral. Se efecturaon 15 simpatectomías lumbares, quirúrgica en 12 y química en 3; ocho bajo anestesia general, cuatro mediante bloqueo epidural y 3 con anestesia local. La mejoría fue buena a regular en 14 de los 15 enfermos; seis de ellos (40 por ciento) requirieron de amputación, el 60 por ciento restante (9 enfermos) mejoraron entre 6 y 12 meses. Cinco fallecieron por problemas cardiovasculares y/o renales. Conclusión: Aunque la respuesta clínica a la simpatectomía lumbar es buena, ya que mejora las condiciones clínicas del paciente, es sólo un método paliativo


Subject(s)
Aged , Humans , Male , Female , Aged , Amputation, Surgical , Anesthesia, Epidural/statistics & numerical data , Anesthesia, General/statistics & numerical data , Anesthesia, Local/statistics & numerical data , Atherosclerosis/surgery , Extremities/surgery , Geriatrics , Sympathectomy, Chemical/methods , Sympathectomy , Vascular Diseases/surgery
15.
Braz. j. med. biol. res ; 28(10): 1109-12, Oct. 1995. tab
Article in English | LILACS | ID: lil-161003

ABSTRACT

Twenty-one-day old male Wistar rats were injected subcutaneously with guanethidine (GUA) at doses of 5 and 10 mg kg-1 day-1 for 20 days. Animals were sacrificed by decapitation during the prepubertal (41 days of age) and early-pubertal (51 days of age) periods of sexual development. The tests were collected, frozen in liquid N2 and stored at -70oC until determination of testicular progesterone (P), androstenedione (A) and testosterone (T). Higher levels of P (2.18 +/- 0.24 ng/g, control = 1.24 +/- 0.16 ng/g) associated with decreased with decreased levels of androgens (A = 0.26 +/- 0.06 ng/g T = 2.05 +/- 0.19 ng/g; control = 1.86 +/- 0.76 ng/g and 8.48 +/- 1.16 ng/g, respectively) were observed in 10 mg GUA-treated rats of prebubertal age, while only P levels (3.12 +/- 0.51 ng/g, control = 1.73 +/- 0.27 ng/g) were incresead in rats of early pubertal...


Subject(s)
Animals , Male , Rats , Androgens/biosynthesis , Guanethidine/administration & dosage , Sexual Maturation/physiology , Sympathectomy, Chemical/adverse effects , Rats, Wistar , Sexual Maturation/drug effects
16.
Braz. j. med. biol. res ; 26(6): 639-46, Jun. 1993. tab, graf
Article in English | LILACS | ID: lil-148717

ABSTRACT

1. The internal genital organs of prepubertal, 21-day old male Wistar rats were sympathectomized by ip injection of guanethidine (G), at doses of 5 mg/kg per day (N = 10) or 10 mg/kg per day (N = 10), for 20 days. Controls (N = 10) received saline. 2. Plasma testosterone level (measured by radioimmunoassay) decreased significantly in sympathectomized rats from 4.11 +/- 0.57 to 1.76 +/- 0.37 ng/ml (5 mg/kg G) and to 1.17 +/- 0.26 ng/ml (10 mg/kg G). Plasma levels of luteinizing and follicle-stimulating hormones and of prolactin were unaltered. 3. Chemical denervation caused a significant decrease in ventral prostate wet weight from 74.3 +/- 5.5 to 59.3 +/- 4.7 mg (5 mg/kg G) and to 54.6 +/- 4.1 mg (10 mg/kg G) and in seminal vesicle wet weight from 36.5 +/- 6.8 to 31.7 +/- 5.2 mg (5 mg/kg G) and to 21.3 +/- 1.6 mg (10 mg/kg G). 4. The potential secretory activity of the prostate (measured in terms of fructose content) decreased significantly in guanethidine-treated rats from 0.38 +/- 0.02 to 0.30 +/- 0.02 mg/g (5 mg/kg G) and to 0.20 +/- 0.02 mg/g (10 mg/kg G). The seminal vesicle fructose content (0.33 +/- 0.04 mg/g for controls), however, was not altered by chemical denervation. 5. Our data suggested that sympathetic neurons may be involved in the control of LH receptors, at least in the prepubertal phase of sexual development. They may also be directly related to growth and secretory activity of the male accessory sex glands


Subject(s)
Animals , Male , Rats , Prostate/growth & development , Sympathectomy, Chemical , Seminal Vesicles/growth & development , Guanethidine , Organ Size , Prostate , Radioimmunoassay , Rats, Wistar , Testosterone/blood
17.
Journal of the Korean Neurological Association ; : 308-315, 1992.
Article in Korean | WPRIM | ID: wpr-210685

ABSTRACT

The central dopaminergic receptor is believed to suppress the cardiovascular system So it may be involved in the blood pressure regulation But, it's action is still controversial. Furthermore, the mechanisms involved in the central dopaminergic receptor-induced blood pressure regulation is unclear. So, present study was performed in order to clarify the effects of central dopaminergic receptor and to investigate the mechamisms involved in it. Lisuride a D2-receptor agonist, and clonidine, a alpha2-receptor agonist, were administered into lateral ventricle in rat and the changes of blood pressure were compared The results were as follows; 1. Intracerebroventricular administration of lisuride amd clonidine from 0.3 ug to 10 ug elicited dose related decrease of blood pressure and heart rate. The potencies were similar in both drugs. 2. Centrally administered sulpiride, a D2-antagonist, blocked only the lisuride-induced hypotension while the clonidine induced hypotension was blocked only by centrally adrninistered tolazoline, a alpha2-antagonist. Intravenous administration of both antagonists elicited no or minimal attenuabon of agonists effects. 3. After desipramine pretreatment, which increases the norepinephrine concentration lisuride elicited somewhat further decrease of blood pressure than normal, while clonidine administration caused rather increase in blood pressure. 4. After chemical sympathectomy by 6-hydroxydopamine, lisuride administration still elicited strong suppression of blood pressure. From thses above results, it is concluded that central dopaminergic receptor activation decrease the blood pressure. Suppression of the norepinephrine release at the sympathetic nerve terminal is not related with central dopaminergic receptor induced hypotension.


Subject(s)
Animals , Rats , Administration, Intravenous , Blood Pressure , Cardiovascular System , Clonidine , Desipramine , Heart Rate , Hypotension , Lateral Ventricles , Lisuride , Norepinephrine , Oxidopamine , Sulpiride , Sympathectomy, Chemical , Tolazoline
18.
Korean Journal of Anesthesiology ; : 1037-1047, 1992.
Article in Korean | WPRIM | ID: wpr-148495

ABSTRACT

We produced the cauaalgiform pain by unilateral 1/3-1/2 ligation of sciatic nerve in rats.. Withdrawal thresholds to non-noxious stimulation were reduced(mechanical allodynia), and withdrawal thresholds to heat stimulation were reduced(heat hyperalgesia) too. After that, we injected 50 mg/kg guanethidine intraperitoneally for the study of the effects of chemical sympathectomy in postopertive 7th day, 37th day respectively. The results were as follows 1) Mechanical allodynia was alleviated partially in 12 hours, first day after sympathectomy. 2) Heat hypera1gesia was alleviated completely in first day to 4th day after sympathectomy, and reappeared after 5th day.


Subject(s)
Animals , Rats , Causalgia , Guanethidine , Hot Temperature , Hyperalgesia , Ligation , Sciatic Nerve , Sympathectomy , Sympathectomy, Chemical
19.
Braz. j. med. biol. res ; 23(11): 1181-4, 1990. ilus
Article in English | LILACS | ID: lil-91624

ABSTRACT

Intraperitoneal injection of guanethidine (50 mg Kg-1 day-1) in newborn rats produeces complete and permanent sympathectomy. The present study was performed to evaluate the effect of this form of denervation on the onset of puberty in female rats. Treatment began 7 days after birth and was maiantained for 3 weeks. In the 45th day, animals were killed by decaptation and plasma LH and FSH levels wee measured. Based on the day of vaginal opening (puberty index), the results show that guanethidine induces a delay in the onset of puberty. The concentrations of LH and FSH in the plasma were not statistically different from those in control rats


Subject(s)
Rats , Animals , Female , Guanethidine , Sexual Maturation/physiology , Sympathetic Nervous System , Sympathectomy, Chemical , Follicle Stimulating Hormone/blood , Luteinizing Hormone/blood , Rats, Inbred Strains , Vagina/drug effects
20.
Mem. Inst. Oswaldo Cruz ; 84(4): 549-56, out.-dez. 1989. tab, ilus
Article in English | LILACS | ID: lil-85199

ABSTRACT

Tissue parasitism, inflammatory process (histologic methods) and sympathetic denervation (glyoxylic acid-induced histofluorescence for demonstration of catecholamines) were studied in the heart (atrium and verntricle) and the submandibular gland of rats infected with the Y strain of Trypanosoma cruzi. In the heart paralleling intense parasitism and inflammatory process, the sympathetic denervation started at day 6 of infection and at the end of the acute phase (day 20) practically no varicose nerve terminals were found in both myocardium and vessels. In the submandibular gland, in spite of the rarity of anastigote pseudocysts and the scarcity of inflammatory foci, slight to moderate (days 13-15 of infection) or moderate to severe denervation (day 20) was found. At day 120 of infection both organs exhibited normal pattern of sympathetic innervation and only the heart showed some inflammatory foci and rare psudocysts (ventricle). Our data suggest the involvement of circulating factors in the sympathetic denervation phenomena but indicate that local inflammatory process is, at least, an aggravating factor


Subject(s)
Rats , Animals , Male , Female , Chagas Cardiomyopathy/pathology , Submandibular Gland/pathology , Myocardium/pathology , Sympathectomy, Chemical , Chagas Cardiomyopathy/therapy , Heart/parasitology , Rats, Inbred Strains , Submandibular Gland/innervation
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