Subject(s)
Blood Transfusion/methods , Plasma , Wounds and Injuries/therapy , Humans , Military Personnel , Specimen Handling , WarfareSubject(s)
Anesthesia, Intravenous/methods , Military Personnel , Warfare , Afghanistan , Anesthesiology/education , Humans , Iraq , Safety , Time Factors , United StatesABSTRACT
Loss of function mutations in the receptor tyrosine kinase TrkB pathway resulted in hyperphagia and morbid obesity in human and rodents. Conversely, peripheral or central stimulation of TrkB by its natural ligands BDNF or NT4 reduced body weight and food intake in mice, supporting the idea that TrkB is a key anorexigenic signal downstream of the melanocortin-4 receptor (Mc4r) system. Here we show that in non-human primates TrkB agonists were anorexigenic when applied centrally, but surprisingly orexigenic, leading to gain in appetite, body weight, fat deposits and serum leptin levels, when given peripherally. The orexigenic and pro-obesity effects of peripherally administered TrkB agonists appear to be dose dependent, not associated with fluid retention nor with evidence of receptor down regulation. Our findings revealed that TrkB signaling exerts dual control on energy homeostasis in the primates that could be targeted for the treatment of either wasting disorders or obesity.
Subject(s)
Appetite , Mutation , Receptor, trkB/agonists , Weight Gain , Animals , Body Weight , Brain-Derived Neurotrophic Factor/metabolism , Gene Deletion , Leptin/blood , Ligands , Macaca mulatta , Obesity/metabolism , Receptor, Melanocortin, Type 4/metabolism , Recombinant Proteins/metabolism , Signal TransductionSubject(s)
Brain Injuries/physiopathology , Hyperventilation/etiology , Hyperventilation/physiopathology , Military Personnel , Respiration, Artificial/adverse effects , Blood Gas Analysis , Brain Injuries/complications , Emergency Medical Services , Humans , Hyperventilation/prevention & control , Iatrogenic Disease , Oxygen Inhalation TherapyABSTRACT
An experimental AIDS vaccine based on attenuated, recombinant vesicular stomatitis virus (rVSV), when administered by a combination of parenteral and mucosal routes, has proven effective at preventing AIDS in a rhesus macaque model (Rose NF, et al.: Cell 2001;106:539-549). In an effort to determine the optimal route of vaccine administration we evaluated the ability of rVSV-based vaccine vectors expressing HIV-1 Env and SIV Gag proteins, when given either intramuscularly (i.m.) or intranasally (i.n.), to elicit antigen-specific cellular and humoral immune responses, and to protect from a subsequent vaginal challenge with simian-human immunodeficiency virus (SHIV89.6P). Our results demonstrate that macaques vaccinated by the i.n. route developed significantly higher antigen-specific cellular immune responses as determined by MHC class I tetramer staining, IFN-gamma ELISPOT, and cytotoxic T cell assays. However, systemic and mucosal humoral immune responses did not vary significantly with the route of vaccine administration. Given the importance of cell-mediated immune responses in slowing AIDS progression, intranasal delivery of a VSV-based AIDS vaccine may be an optimal as well as practical route for vaccination and should be considered in design of clinical trials.
Subject(s)
AIDS Vaccines/immunology , Gene Products, env/immunology , Gene Products, gag/immunology , Genetic Vectors/immunology , Vaccines, Attenuated/immunology , Vesicular stomatitis Indiana virus/immunology , AIDS Vaccines/administration & dosage , Administration, Intranasal , Animals , Antibodies, Viral/blood , Female , Gene Products, env/genetics , Gene Products, env/metabolism , Gene Products, gag/genetics , Gene Products, gag/metabolism , Genetic Vectors/administration & dosage , HIV Antibodies/blood , HIV Infections/immunology , HIV Infections/prevention & control , HIV-1/immunology , Humans , Injections, Intramuscular , Interferon-gamma/biosynthesis , Macaca mulatta , Simian Acquired Immunodeficiency Syndrome/immunology , Simian Acquired Immunodeficiency Syndrome/prevention & control , Simian Immunodeficiency Virus/immunology , T-Lymphocytes/immunology , Vaccination , Vaccines, Attenuated/administration & dosage , Vaccines, Attenuated/genetics , Vesicular stomatitis Indiana virus/geneticsABSTRACT
A juvenile rhesus macaque presented with atrophy of the musculature of its left leg. Physical examination localized the problem to the coxofemoral joint. Radiography revealed changes consistent with Legg-Calvé-Perthes (LCP) disease. Femoral head ostectomy was performed, and the femoral head was submitted for histologic examination, results of which confirmed a diagnosis of LCP.