Acute compartment syndrome of the thigh following total knee arthroplasty.

A 62year old man developed a compartment syndrome of the thigh after total knee arthroplasty. Twelve years previously he had a HTO of the same knee complicated by a compartment syndrome of the calf. The clinical diagnosis was confirmed with intracompartmental pressure measurement. Following fasciotomy pressures were normalized and further course was uncomplicated. Compartment syndrome of the thigh is a rare, but potentially devastating, complication following total knee arthroplasty. A previous compartment syndrome of the calf is identified as a risk factor.

Antagonism of cannabinoid 1 receptors reverses the anxiety-like behavior induced by central injections of corticotropin-releasing factor and cocaine withdrawal.

The endocannabinoid (eCB) system is an important regulator of the stress response and mediates several stress-related behaviors, including anxiety. Despite anatomical evidence that eCBs interact with the principle stress peptide, corticotropin-releasing factor (CRF), few data exist that address functional interactions between these systems. Accordingly, we examined the effects of the CB1 receptor antagonist, AM251, on behavioral anxiety induced by (1) exogenous CRF, and (2) withdrawal from chronic cocaine exposure (mediated by CRF). After behavioral testing, we collected blood and assessed plasma corticosterone levels. In Experiment 1, male Long-Evans rats were pretreated with AM251 (0, 10, 100, or 200 µg, i.c.v.), followed by CRF (0 or 0.5 µg, i.c.v.), before testing for anxiety-like behavior in the elevated plus maze (EPM). In Experiment 2, rats were exposed to cocaine (20 mg/kg, i.p.) or saline for 14 consecutive days. Forty-eight hours following cocaine exposure, rats were pretreated with AM251 (0, 10, or 100 µg, i.c.v.) and tested in the EPM. AM251 produced an anxiogenic response at the highest dose, but reversed the behavioral anxiety induced by CRF and withdrawal from chronic cocaine in a dose-dependent manner. AM251 also increased plasma corticosterone levels, but did so irrespective of CRF treatment or cocaine preexposure. Our findings suggest that the anxiogenic effects of CRF and cocaine withdrawal are mediated, at least in part, by CB1 receptor transmission, and provide evidence in support of eCB-CRF interactions that are independent of the hypothalamic-pituitary-adrenal axis.

Hippocampal neurogenesis in food-storing red squirrels: the impact of age and spatial behavior.

The adaptive significance of adult hippocampal neurogenesis remains unknown. In the laboratory, it is influenced by a variety of environmental and physiological stimuli. In the wild, it may be influenced by the reliance on spatial memory and by environmental stressors. The one common denominator in both settings is that neurogenesis declines markedly with age. Red squirrels are long-lived rodents that store food (thousands of tree cones) to permit survival under harsh winter conditions. We compared a population from the eastern North America that stores its cones singly or in small clusters with one from the west that stores its cones in large stockpiles. The reliance on spatial memory should be much greater in the east than the west, and should not decline with age, as cone storage and recovery is a yearly necessity. We found no difference between the populations in the density of young neurons and both populations showed the same decline with age. Thus, we reject the spatial memory hypothesis for adult neurogenesis in mammals in its original form. Instead, our evidence is consistent with the neurogenic reserve hypothesis in which neuronal cell production early in life leads to enhanced hippocampal function later in life according to environmental demand but without requirement for ongoing cell production as a function of site- and species-specific needs. A more general interpretation of the data leads us to consider a possible role of neurogenesis in novel, flexible episodic memories.

[Two patients with an initially unrecognised iatrogenic arteriovenous fistula and successful endovascular therapy following lumbar herniotomy and laparoscopic cholecystectomy]. / Twee patiënten met een laat herkende iatrogene arterioveneuze fistel na lumbale herniotomie en laparoscopische galblaasoperatie, en met succesvolle endovasculaire therapie.

Patient A, 46-year-old woman, underwent lumbar disc surgery in connection with a radicular syndrome and patient B, a 34-year-old man, underwent laparoscopic cholecystectomy. Both patients suffered postoperatively from dyspnoea, high central venous pressure and an abdominal bruit. Both patients had an initially unrecognised, peroperatively caused, arteriovenous fistula between the common iliac artery and the inferior vena cava. Endovascular therapy was successful. Iatrogenic arteriovenous fistulae are rare and often diagnosed late, partly because in some patients the symptoms may only develop after some delay, partly due to unfamiliarity with this complication on the part of the physician. Doppler ultrasound, CT-scanning and angiography may be used for imaging. Endovascular placement of a covered stent to close the arteriovenous fistula is the treatment of choice.

[Acute abdomen caused by a large vesical cystine calculus]. / Acute buik veroorzaakt door een grote cystineblaassteen.

A 73-year-old man underwent an emergency laparotomy because of acute abdominal pain and a palpable mass in the lower abdomen. A giant vesical calculus was found which had perforated the bladder, small intestine and sigmoid colon due to pressure necrosis. The stone had a length of 11.5 cm and weighed 1280 g. Further analysis revealed benign prostate hyperplasia, bladder diverticula and cystinuria as underlying causes. Initial therapy consisted of stone removal, partial bladder resection, a Hartmann procedure and partial resection of the small intestine. Secondarily, lifestyle advice was given and transurethral resection of the prostate followed later.

Where's my dinner? Adult neurogenesis in free-living food-storing rodents.

Postnatal hippocampal neurogenesis in wild mammals may play an essential role in spatial memory. We compared two species that differ in their reliance on memory to locate stored food. Yellow-pine chipmunks use a single cache to store winter food; eastern gray squirrels use multiple storage sites. Gray squirrels had three times the density of proliferating cells in the dentate gyrus (determined by Ki-67 immunostaining) than that found in chipmunks, but similar density of young neurons (determined by doublecortin immunostaining). Three explanations may account for these results. First, the larger population of young cells in squirrels may increase the flexibility of the spatial memory system by providing a larger pool of cells from which new neurons can be recruited. Second, squirrels may have a more rapid cell turnover rate. Third, many young cells in the squirrels may mature into glia rather than neurons. The densities of young neurons were higher in juveniles than in adults of both species. The relationship between adult age and cell density was more complex than that has been found in captive populations. In adult squirrels, the density of proliferating cells decreased exponentially with age, whereas in adult chipmunks the density of young neurons decreased exponentially with age.

Mitoxantrone resistance in a small cell lung cancer cell line is associated with ABCA2 upregulation.

The aim of this study was to find factors that could explain the accumulation difference of mitoxantrone in the BCRP1-negative GLC4-MITO cell line compared to GLC4. Comparative genomic hybridisation (CGH) was applied to determine chromosomal differences between GLC4 and GLC4-MITO. Comparative genomic hybridisation analysis revealed gain of 2q, 6p, 9q, 13q, 14q, 15q, 19q and Xp and loss of 1p, 2q, 3p, 3q, 4q, 6q, 8q, 11p, 16p, 17q, 18p, 20p and Xq. In the over-represented chromosomal areas, seven transporter genes were identified: ABCB6, ABCB2 (TAP1), ABCB3 (TAP2), ABCF1 (ABC50), ABCC10 (MRP7), ABCA2 (ABC2) and ABCC4 (MRP4). No RNA or protein upregulation was observed for ABCB6, ABCF1, ABCC10, ABCC4, ABCB2 and ABCB3, but an increased expression was detected for ABCA2 mRNA in GLC4-MITO. ABCA2 is known to be involved in resistance to estramustine. In the MTT assay, GLC4-MITO was two-fold resistant to estramustine compared to GLC4. Coincubation with estramustine and mitoxantrone increased mitoxantrone accumulation in GLC4-MITO, while this was not affected in GLC4. This suggests that estramustine is able to block mitoxantrone efflux in GLC4-MITO cells. These data reveal that cellular reduction of mitoxantrone in a mitoxantrone-resistant cell line is associated with overexpression of ABCA2.

The utility of Ki-67 and BrdU as proliferative markers of adult neurogenesis.

Adult animals continue to produce new neurons in the dentate gyrus of hippocampus. Until now, the principal method of studying neurogenesis has been to inject either tritiated thymidine or 5'-Bromo-2-deoxyuridine (BrdU) intraperitoneally followed by autoradiographic or immunohistochemical detection methods respectively. However, such exogenous markers may produce toxic effects. Our objective was to determine whether Ki-67, a nuclear protein expressed in all phases of the cell cycle except the resting phase, can be used as an alternative, endogenous marker. Using immunohistochemistry, we examined Ki-67 and BrdU expression pattern in rats. Ki-67 was expressed within the proliferative zone of the dentate gyrus and its expression pattern mimicked that of BrdU when examined soon after exogenous BrdU administration. Quantitative comparison of BrdU and Ki-67-positive cells showed 50% higher numbers of the latter when examined 24 h after the BrdU injection. This was expected, since BrdU can be incorporated into DNA only during the S-phase of the mitotic process, whereas Ki-67 is expressed for its whole duration. Experimental increases (by ischemia) or reductions (by radiation) in the number of mitotic cells produced parallel changes in BrdU and Ki-67 signals. Thus, Ki-67 is an effective mitotic marker and has most of the benefits of BrdU and none of the costs. This study provides evidence for Ki-67 to be used as a marker of proliferation in the initial phase of adult neurogenesis.

Adult neurogenesis in natural populations.

The dogma that the adult brain produces no new neurons has been overturned, but the critics are still asking, so what? Is adult neurogenesis a biologically relevant phenomenon, or is it perhaps harmful because it disrupts the existing neuronal circuitry? Considering that the phenomenon is evolutionarily conserved in all mammalian species examined to date and that its relevance has been well documented in non-mammalian species, it seems self-evident that neurogenesis in adult mammals must have a role. In birds, it has been established that neurogenesis varies dramatically with seasonal changes in song production. In chickadees, the learning behaviour related to finding stored food is also correlated with seasonal adult neurogenesis. Such studies are still nonexistent in mammals, but the related evidence suggests that neurogenesis does vary seasonally in hamsters and shows sexual differences in meadow voles. To promote studies on natural populations asking fundamental questions of the purpose and function of neurogenesis, we organized a Workshop on "Hippocampal Neurogenesis in Natural Populations" in Toronto in May 2000. The Workshop highlighted recent discoveries in neurogenesis from the lab, and focused on its functional consequences. The consensus at the Workshop was that demonstration of a role for neurogenesis in natural behaviours will ultimately be essential if we are to understand the purpose and function of neurogenesis in humans.

Concurrent density dependence and independence in populations of arctic ground squirrels.

No population increases without limit. The processes that prevent this can operate in either a density-dependent way (acting with increasing severity to increase mortality rates or decrease reproductive rates as density increases), a density-independent way, or in both ways simultaneously. However, ecologists disagree for two main reasons about the relative roles and influences that density-dependent and density-independent processes have in determining population size. First, empirical studies showing both processes operating simultaneously are rare. Second, time-series analyses of long-term census data sometimes overestimate dependence. By using a density-perturbation experiment on arctic ground squirrels, we show concurrent density-dependent and density-independent declines in weaning rates, followed by density-dependent declines in overwinter survival during hibernation. These two processes result in strong, density-dependent convergence of experimentally increased populations to those of control populations that had been at low, stable levels.

Contrasting stress response of male arctic ground squirrels and red squirrels.

A hormonal-challenge protocol was used to compare the stress response of males of Arctic ground squirrels and red squirrels during the breeding season (May). These squirrels live in the same boreal forest of the Yukon, but have very different life histories and utilize the forest in markedly different ways. Red squirrels had levels of total cortisol, maximum corticosteroid-binding capacity, and free cortisol that were 5, 7, and 2 times, respectively, those of Arctic ground squirrels. Red squirrels were resistant to suppression by an artificial glucocorticoid, dexamethasone (DEX); Arctic ground squirrels were not. Cortisol levels in red squirrels responded slowly but continuously to the ACTH injection; Arctic ground squirrels responded rapidly and then stabilized. Testosterone levels in red squirrels were extremely sensitive to the challenge, being suppressed by both DEX and ACTH; levels in Arctic ground squirrels were resistant to the challenge, being modestly suppressed by DEX and stimulated by ACTH. Energy mobilization, as measured by glucose and free fatty acid responses, was not affected. Red squirrels had four times the levels of white blood cells and higher proportions of lymphocytes and lower proportions of eosinophils than Arctic ground squirrels, indicating that the latter were in worse condition immunologically. Our evidence suggests that the functions associated with the hypothalamic-pituitary-adrenal axis are compromised in breeding male Arctic ground squirrels, but not in red squirrels. We propose that in male red squirrels this axis has evolved in the context of a stable social system based on long-lived animals with individual territories which are needed to deal with unpredictable winter food supplies. In contrast, Arctic ground squirrels escape the rigors of winter by hibernation and this hormonal axis has evolved in short-lived males in the context of intense intra-sexual competition in a social system based on female kin groups and regular male dispersal to avoid inbreeding. J. Exp. Zool. 286:390-404, 2000.

Common dynamic structure of canada lynx populations within three climatic regions

Across the boreal forest of Canada, lynx populations undergo regular density cycles. Analysis of 21 time series from 1821 onward demonstrated structural similarity in these cycles within large regions of Canada. The observed population dynamics are consistent with a regional structure caused by climatic features, resulting in a grouping of lynx population dynamics into three types (corresponding to three climatic-based geographic regions): Pacific-maritime, Continental, and Atlantic-maritime. A possible link with the North Atlantic Oscillation is suggested.

The impact of predation on burrow use by arctic ground squirrels in the boreal forest.

In sedentary animals, the choice of a suitable home site is critical to survival and reproductive fitness. However, habitat suitability may vary with predation risk. We compared habitat use of Arctic ground squirrels (Spermophilus parryii plesius) living in the boreal forest under conditions of fluctuating predation pressure. In our study area, predators show ten-year cycles in numbers that track that of their primary prey, the snowshoe hare (Lepus americanus). In 1993, we compared burrows that continued to be occupied following the period of intense predation during the hare decline of 1990-1992 with those that became vacant, and with random locations. We contrasted these sites to those in a predator exclosure where predation pressure was minimized. Burrows on control sites were located on sloped sites with high visibility. Burrows that remained occupied during the period of intense predation were more likely to be in open areas with fewer fallen trees than burrows that became vacant. We used discriminant functions derived from the control sites and found that 89% of the burrows on the predator exclosure were classified as being similar to the random locations on control sites. We conclude that the distribution of Arctic ground squirrels in the boreal forest is a direct function of predator presence.

From patterns to processes: phase and density dependencies in the Canadian lynx cycle.

Across the boreal forest of North America, lynx populations undergo 10-year cycles. Analysis of 21 time series from 1821 to the present demonstrates that these fluctuations are generated by nonlinear processes with regulatory delays. Trophic interactions between lynx and hares cause delayed density-dependent regulation of lynx population growth. The nonlinearity, in contrast, appears to arise from phase dependencies in hunting success by lynx through the cycle. Using a combined approach of empirical, statistical, and mathematical modeling, we highlight how shifts in trophic interactions between the lynx and the hare generate the nonlinear process primarily by shifting functional response curves during the increase and the decrease phases.

Increased corticosteroid binding capacity of plasma albumin but not of corticosteroid-binding globulin caused by ACTH-induced changes in free fatty acid concentrations in snowshoe hares and rabbits.

Free fatty acids (FFAs) are rapidly mobilized by ACTH and have been shown to be potent endogenous modulators of steroid-protein interactions. We increased FFA in lagomorphs by ACTH and then separated the transient increase in glucocorticoid binding capacity of plasma into that accounted for by changes in binding to albumin and to corticosteroid-binding globulin (CBG). Sequential injections of dexamethasone and ACTH into both snowshoe hares and laboratory rabbits resulted in the rapid mobilization of FFA only after the ACTH injection. The maximum corticosteroid binding capacity increase paralleled that of the FFA increase in both species. In rabbits, CBG levels remained constant over the duration of the experiment. Corticosterone binding by rabbit albumin increased in a dose-dependent fashion in response to increases in FFA (oleic and linoleic acid) concentrations. Finally, by stimulating FFA release in snowshoe hares with ACTH and separating the increase in corticosteroid binding capacity through selective denaturing of CBG by heat, we determined that the increase in plasma binding capacity was a response to changes in binding by albumin, not CBG. Thus FFA released in response to stressors in lagomorphs may effect short-term increases in steroid binding.

Effect of B-cell receptor engagement on CD40-stimulated B cells.

Activation of human B cells in vitro either by cross-linking of surface immunoglobulins (sIg) or by triggering CD40 antigen, in the presence of interleukin-10 (IL-10) and interleukin-2 (IL-2), may result in high levels of immunoglobulin secretion in vitro. We studied the combined effects of ligation of the B-cell receptor (BCR) and CD40 [with anti-CD40 monoclonal antibody (mAb)] on B-cell proliferation and production of human immunoglobulin. For this purpose highly purified splenic B cells were cultured with various combinations of anti-CD40 and IL-10/IL-2 or IL-4 in the presence of CD32-transfected L cells. Simultaneous cross-linking of the BCR was achieved by mAb held on CD32-L cells or Staphylococcus aureus (SA). We found that dual BCR and CD40 ligation with IL-10/IL-2 leads to reduced immunoglobulin G (IgG) secretion compared with B cells stimulated with either anti-CD40 and IL-10/IL-2, or compared with B cells stimulated with SA or anti-BCR mAb and IL-10/IL-2. Dual BCR and CD40 ligation with anti-immunoglobulin mAb (anti-kappa + anti-lambda light chains) but not with SA induced a similar reduction in IgM production. The reduced immunoglobulin secretion found during dual ligation is accompanied by increased proliferation. This was independent of cytokine stimulation but SA/CD40-induced proliferation was increased in the presence of IL-10/IL-2, although not with IL-4. The combination anti-kappa and anti-lambda with anti-CD40 showed a long-term suppression of IgG and IgM production (at least 14 days), while anti-kappa or anti-lambda alone, or SA, allowed a moderate recovery of immunoglobulin production by day 14. These results suggest that simultaneous B-cell antigen receptor cross-linking and CD40 engagement via CD40L on T cells induces strong initial proliferation. This may be followed later by antibody production depending on the strength of the BCR signal and the presence of the appropriate cytokines.

Impact of food and predation on the snowshoe hare cycle.

Snowshoe hare populations in the boreal forests of North America go through 10-year cycles. Supplemental food and mammalian predator abundance were manipulated in a factorial design on 1-square-kilometer areas for 8 years in the Yukon. Two blocks of forest were fertilized to test for nutrient effects. Predator exclosure doubled and food addition tripled hare density during the cyclic peak and decline. Predator exclosure combined with food addition increased density 11-fold. Added nutrients increased plant growth but not hare density. Food and predation together had a more than additive effect, which suggests that a three-trophic-level interaction generates hare cycles.

Population declines in the snowshoe hare and the role of stress.

Every 10 years snowshoe hare populations across the boreal forest of North America go through a population cycle, culminating in a decline lasting 4 or more years. We tested the hypothesis that snowshoe hares during the decline are in poor condition and less able to respond to challenges in their environment by examining the stress response of male hares. Three groups from February and May, 1991 (the second year of the hare decline in the Yukon), were compared: baseline hares were collected to obtain resting hormone levels; control hares were wild animals caught at randomly placed sites; and fed hares were wild animals caught on supplementary fed areas. The latter two groups were sequentially bled to examine their response to dexamethasone (DEX) followed by adrenocorticotropic hormone (ACTH). Trapping and handling were stressful to the experimental hares as the initial blood levels of total and free cortisol levels were higher (especially in controls), testosterone levels were lower, and glucose levels were higher in experimental hares than in baseline hares. Control and fed hares showed similar total and free cortisol responses, falling to low levels after the DEX injection and increasing rapidly in response to the ACTH injection. However, control hares were in worse condition than fed hares as indicated by the higher free cortisol levels and lower maximum corticosteroid-binding capacity (MCBC) in control hares. In addition, though testosterone levels fell in both groups in response to DEX, only the fed hares showed a large, transitory increase 30 min after the ACTH injection. An unexpected finding was a dramatic increase in MCBC levels 30 min after the ACTH injection in both experimental groups, but it was more pronounced in the fed group. We conclude that the pituitary-adrenocortical feedback system in hares from declining populations is operating normally and that they should be able to cope with acute, short-term stressors, but that they are in poor condition and are exposed to higher levels of free cortisol than fed hares in good condition.

Can the solar cycle and climate synchronize the snowshoe hare cycle in Canada? Evidence from tree rings and ice cores.

Dark marks in the rings of white spruce less than 50 yr old in Yukon, Canada, are correlated with the number of stems browsed by snowshoe hares. The frequency of these marks is positively correlated with the density of hares in the same region. The frequency of marks in trees germinating between 1751 and 1983 is positively correlated with the hare fur records of the Hudson Bay Company. Both tree marks and hare numbers are correlated with sunspot numbers, and there is a 10-yr periodicity in the correlograms. Phase analysis shows that tree marks and sunspot numbers have periods of nearly constant phase difference during the years 1751-1787, 1838-1870, and 1948 to the present, and these periods coincide with those of high sunspot maxima. The nearly constant phase relations between the annual net snow accumulation on Mount Logan and (1) tree mark ratios, (2) hare fur records before about 1895, and (3) sunspot number during periods of high amplitude in the cycles suggest there is a solar cycle-climate-hare population and tree mark link. We suggest four ways of testing this hypothesis.