Role of α2-adrenoceptors in the lateral parabrachial nucleus in the control of body fluid homeostasis

Central α2-adrenoceptors and the pontine lateral parabrachial nucleus (LPBN) are involved in the control of sodium and water intake. Bilateral injections of moxonidine (α2-adrenergic/imidazoline receptor agonist) or noradrenaline into the LPBN strongly increases 0.3 M NaCl intake induced by a combined treatment of furosemide plus captopril. Injection of moxonidine into the LPBN also increases hypertonic NaCl and water intake and reduces oxytocin secretion, urinary sodium, and water excreted by cell-dehydrated rats, causing a positive sodium and water balance, which suggests that moxonidine injected into the LPBN deactivates mechanisms that restrain body fluid volume expansion. Pretreatment with specific α2-adrenoceptor antagonists injected into the LPBN abolishes the behavioral and renal effects of moxonidine or noradrenaline injected into the same area, suggesting that these effects depend on activation of LPBN α2-adrenoceptors. In fluid-depleted rats, the palatability of sodium is reduced by ingestion of hypertonic NaCl, limiting intake. However, in rats treated with moxonidine injected into the LPBN, the NaCl palatability remains high, even after ingestion of significant amounts of 0.3 M NaCl. The changes in behavioral and renal responses produced by activation of α2-adrenoceptors in the LPBN are probably a consequence of reduction of oxytocin secretion and blockade of inhibitory signals that affect sodium palatability. In this review, a model is proposed to show how activation of α2-adrenoceptors in the LPBN may affect palatability and, consequently, ingestion of sodium as well as renal sodium excretion.

Intravitreal bevacizumab (avastin) for circumscribed choroidal hemangioma.

Circumscribed choroidal hemangiomas are rare ophthalmic entities that cause diminution in vision due to accumulation of subretinal and/or intraretinal fluid in the macular area. Various treatment options ranging from conventional laser to photodynamic therapy have been employed to destroy the tumor and reduce the exudation; however, either the inability to penetrate through the exudative fluid or the collateral retinal damage induced by these treatment modalities make them unsuitable for lesions within the macula. We evaluated the role of intravitreal bevacizumab, a pan-vascular endothelial growth factor (VEGF) inhibitor, in reducing the sub- and intraretinal fluid in three patients with circumscribed choroidal hemangiomas. All the patients had complete resolution of the serous retinal detachment that was maintained till at least 12 months after the first injection. Intravitreal bevacizumab may be used in combination with thermal laser or photodynamic therapy in treating circumscribed choroidal hemangiomas with subretinal fluid.

Lethal effects of elevated pH and ammonia on juveniles of neotropical fish Colosoma macropomum (Pisces, Caracidae).

Ammonia is the main nitrogenous waste material excreted by gills, then is oxided first to nitrite and then to nitrate. The proportion of ionized-un-ionized ammonia depends on pH and temperature, when this variables increase in a solution containing ammonia the equation goes to left, so the proportion of NH3 increases and the solution becomes more toxic. The purpose of this study was to investigate the acute lethal effects of elevated pH and ammonia on tambaqui juveniles. With a constant ammonia concentration of 5.0 mg/l NH3, there was no mortality a pH of 6.0 (control) and 7.0; but was of 10-20% a pH of 8.0 and 100% at 9.0. The lethal effects of elevated pH and un-ionized ammonia should be recognized as a potential factor contributing to the variable success of tambaqui production ponds, but this species is highly resistant in comparison with other freshwater fish.

Central lead administration inhibits water intake and sodium appetite in rats

We have demonstrated that acute third ventricle injections of lead acetate (PbAc) exert a powerful antidipsogenic effect and induce a significant increase in renal sodium excretion. In the present study we confirm the antidipsogenic effect of lead and demonstrate that central administration of this metal, in minute amounts, significantly reduces salt intake both during dehydration and after central angiotensinergic stimulation. Adult male Wistar rats had the third ventricle cannulated seven days before the experiments. During this period they had free access to distilled water and hypertonic saline solution (1.5 percent). After a 24-h period of fluid deprivation, experimental animals received third ventricle injections of PbAc (0.3, N = 8 and 3.0 nmol/rat, N = 14) while controls received sodium acetate (NaAc; 3.0 nmol/rat, N = 10). Rats treated with PbAc at the highest dose showed a significant reduction both in water and hypertonic saline intake when compared to controls. When the effect of lead administration on angiotensin II-induced water and salt intake was studied, normohydrated animals received third ventricle injections of angiotensin II (9.6 nmol/rat) after pretreatment with 3.0 nmol/rat of PbAc (experimental group, N = 10) or NaAc (controls, N = 8). The group pretreated with PbAc presented a significant reduction in both water and salt intake compared to controls. Thus, this study confirms the antidipsogenic effect of central lead injections and demonstrates that the presence of lead in the brain exerts a significant inhibition of sodium appetite

Body fluid levels of fentanyl, pethidine and midazolam following their intravenous intake in a suicidal case

Level of fentanyl, pethidine and midazolam in body fluids were estimated after suspected drug overdose. The samples were obtained from different locations of a young female body during autopsy, which was performed on the following morning [about l8hrs after death]. Pathological examination disclosed recent venipuncture marks, congestion and edema in the lungs, kidneys, liver and brain. Toxicological analysis was conducted on blood, urine, stomach contents and the used syringes present beside the body. Levels of fentanyl, pethidine and midazolam in these fluids ranged 0-1.3, 2300-5600 and 280-490 ng/ml respectively. The cause of death Was attributed to drug intoxication. Pethidine was Present at toxic levels while fentanyl and midazolam were within their therapeutic levels. The combination of these drugs can produce additive central nervous system depression. The highest levels of these drugs were found in the stomach contents. This was explained by the weak basic properties of such drugs, where their converted ions [which occurred upon contact with the acidic medium of the stomach] were trapped there during the distribution phase and consequent increase of their concentrations