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2.
Vet Parasitol ; 218: 87-92, 2016 Mar 15.
Article in English | MEDLINE | ID: mdl-26872933

ABSTRACT

In small ruminants, the response against gastrointestinal nematode (GIN) infections is influenced not only by the host genotype and the physiological stage but also by environmental factors, particularly the nutritional status at the time of infection. In this study we evaluated the long-term effect and the interaction between the host species and the nutritional history on the response to GIN infection in two animal models differing in their phenotypic growth and their level of GIN resistance: Black Belly sheep and Creole goats. Lambs and kids were subjected to three distinct nutritional conditions at weaning: low dietary conditions (100% of the theoretical energy requirement for maintenance, corresponding to 548v. 484KJ/Kg BW(0.75) for lambs and kids respectively and 6% of crude protein, CP), medium dietary conditions (150% of the theoretical energy requirement for maintenance and 13% CP) and high dietary conditions (200% of the theoretical energy requirement for maintenance and 20% CP). This 3-months period was followed by a 1-month period on the medium dietary conditions for all the animals before an experimental Haemonchus contortus infection. We monitored the impact of the nutritional history (nutritional condition after weaning), on the intensity of the GIN infection by measuring individual faecal egg counts (FEC), growth rate (ADG), blood eosinophil counts and other pathophysiological parameters. The FEC, growth rate and blood eosinophil counts were significantly affected by the nutritional history in lambs but not in kids. The lowest FEC was found for lambs placed in high dietary conditions, however during the same period body weight loss was observed in this group. In low dietary conditions, kids were more resistant than lambs and the ADG was higher in lambs. However, the anaemia and the level of serum pepsinogen, marker of the abomasal mucosa integrity, were higher in kids. Our data suggest that the impact of the post-weaning nutritional history on the response to an experimental H. contortus infection is significantly affected by the host species.


Subject(s)
Diet/veterinary , Goat Diseases/immunology , Haemonchiasis/veterinary , Nematode Infections/veterinary , Nutritional Status/physiology , Sheep Diseases/immunology , Animals , Blood Cell Count/veterinary , Eosinophils , Feces/parasitology , Goat Diseases/physiopathology , Goats , Growth/physiology , Haemonchiasis/immunology , Haemonchiasis/physiopathology , Haemonchus/physiology , Nematode Infections/immunology , Nematode Infections/physiopathology , Nutritional Status/immunology , Parasite Egg Count/veterinary , Pepsinogen A/blood , Sheep , Sheep Diseases/physiopathology , Weaning
3.
Biomed Res Int ; 2013: 902759, 2013.
Article in English | MEDLINE | ID: mdl-23936855

ABSTRACT

This study was carried out to evaluate the relationships of cellular changes in the abomasal mucosa and parasitological parameters, by comparing resistant and susceptible young Creole goats (kids) after experimental infection with Haemonchus contortus. The kids were infected over 2 periods (challenges 1 and 2) of 7 and 6 weeks, respectively. Fecal egg count (FEC), blood eosinophilia, packed cell volume (PCV), and body weight were weekly monitored. At the end of both challenges a subgroup of kids was slaughtered for nematode burden measurements and analysis of inflammatory cell infiltration in the abomasal mucosa. The average daily gain was higher in resistant kids after both challenges. Blood eosinophilia and FEC were higher in susceptible kids after both challenges. The number of immature worms and the means of female length were lower after challenge 2 whatever the genetic status. No differences were observed in the eosinophil and mononuclear cell infiltration between challenges 1 and 2 and resistant and susceptible kids. Globule leukocyte infiltration was found higher after the challenge 1 in resistant kids. This effect of the genetic status on globule leukocytes counts but not on the other inflammatory cell highlights the need for further study on the functional activity of these cell populations.


Subject(s)
Goats/parasitology , Haemonchiasis/parasitology , Haemonchus/pathogenicity , Abomasum/parasitology , Abomasum/pathology , Animals , Eosinophilia/blood , Feces/parasitology , Female , Goats/growth & development , Haemonchiasis/blood , Haemonchiasis/veterinary , Parasite Egg Count
4.
Neuroscience ; 162(2): 415-22, 2009 Aug 18.
Article in English | MEDLINE | ID: mdl-19442705

ABSTRACT

Several lines of evidence suggest that suicide may have, in part, a genetic predisposition. In this study, we identified a family with high rates of suicidal behavior and assessed brain gene expression levels in the proband. A neuronally-expressed solute carrier for glutamine (Sodium-coupled neutral amino acid transporter 1 (SNAT1), also known as solute carrier family 38, member 1 (SLC38A1)) was identified as severely decreased across all brain regions. Follow-up analysis by semi-quantitative polymerase chain reaction (qPCR) and Western blot confirmed the reduction of SNAT1. We categorized the SNAT1 gene in human brain, cloned the gene promoter and assessed in silico the expression pattern of SNAT1 in >25 tissues from human. Complete DNA sequencing of the SNAT1 gene was performed in the family and 276 controls. The family was homozygous for rare alleles which suggests a possible association between low expression of SNAT1 and suicidal behavior.


Subject(s)
Amino Acid Transport System A/genetics , Suicide/psychology , Adult , Amino Acid Transport System A/biosynthesis , Brain/metabolism , Female , Genetic Predisposition to Disease , Humans , Male , Middle Aged , Oligonucleotide Array Sequence Analysis , Pedigree , Polymorphism, Single Nucleotide
5.
Rev Prat ; 51(12 Suppl): S19-23, 2001 Jun 30.
Article in French | MEDLINE | ID: mdl-11505862

ABSTRACT

Hypertension, the most common cardiovascular disorder, also affects patients who want to practice a sport. Before counselling them, the physician should know the acute and chronic physiological effects of various sports. Is the activity authorised in a hypertensive? Yes, some physical activities are recommended and contribute to lower blood pressure readings. No, some other sporting activities can be dangerous and should be avoided. The choice of an antihypertensive agent should also take into account whether the hypertensive patient practices a sport, and especially if he/she participates in competitions.


Subject(s)
Exercise Therapy/methods , Hypertension/epidemiology , Hypertension/therapy , Sports , Adolescent , Adult , Aged , Antihypertensive Agents/therapeutic use , Blood Pressure , Child , Contraindications , Counseling , Exercise Therapy/adverse effects , Female , Humans , Hypertension/physiopathology , Male , Middle Aged , Patient Education as Topic , Patient Selection , Treatment Outcome
6.
J Cell Sci ; 113 ( Pt 18): 3309-19, 2000 Sep.
Article in English | MEDLINE | ID: mdl-10954428

ABSTRACT

Sequencing of the entire genome of S. cerevisiae has revealed the existence of five proteins containing EH domains. These are protein-protein interaction modules first described in mammalian Eps15, a protein that is involved in clathrin-dependent endocytosis. Two of the yeast proteins, End3p and Pan1p, are required for the internalization step of endocytosis. We report characterization of the nonessential ORF YBL047c which, like Eps15, encodes a protein with three N-terminal EH domains. Deletion of YBL047c leads to a defective fluid-phase endocytosis and to defective internalization of the pheromone (alpha)-factor and uracil permease. We therefore named YBL047c EDE1, for EH Domains and Endocytosis. Ede1p expressed as a chromosomally encoded fusion to the green fluorescent protein is localized in punctate cortical spots that only partially colocalize with actin patches. This localization is maintained when actin is depolymerized. Deletion of EDE1 impairs the diploid budding pattern, but has only a small impact on actin cytoskeleton organization, in contrast to the effects observed in pan1 cells and many end mutants impaired in proteins colocalizing with cortical actin patches. Genetic interaction was observed between EDE1 and RSP5, which encodes the ubiquitin ligase Rsp5p essential for ubiquitin-dependent endocytosis of many plasma membrane proteins, thus further emphasizing the functional link between Rsp5p and the EH domain proteins. We also observed genetic interaction between EDE1, and END3 or PAN1, suggesting that Ede1p might be part of a yeast EH network implicated in endocytosis.


Subject(s)
Endocytosis/physiology , Fungal Proteins/physiology , Saccharomyces cerevisiae Proteins , Saccharomyces cerevisiae/physiology , Ubiquitin-Protein Ligase Complexes , Actins/metabolism , Cytoskeletal Proteins , Cytoskeleton , Endosomal Sorting Complexes Required for Transport , Fungal Proteins/genetics , Fungal Proteins/metabolism , Green Fluorescent Proteins , Humans , Luminescent Proteins/genetics , Luminescent Proteins/metabolism , Microfilament Proteins , Polymers , Protein Structure, Tertiary , Recombinant Fusion Proteins/genetics , Recombinant Fusion Proteins/metabolism , Saccharomyces cerevisiae/growth & development , Saccharomyces cerevisiae/metabolism
7.
Yeast ; 16(11): 1025-33, 2000 Aug.
Article in English | MEDLINE | ID: mdl-10923024

ABSTRACT

We report here basic functional analysis of strains deleted for six open reading frames (ORFs), YNL059c and YNL148c from chromosome XIV and YOR145c, YOR152c, YOR161c and YOR162c from chromosome XV of Saccharomyces cerevisiae. ORFs were replaced with the KanMX4 resistance marker using a long flanking homology PCR strategy in FY1679 and W303 diploid strains. Replacement cassettes were constructed in plasmid pUG7 and the cognate wild-type genes were recovered by gap repair. Sporulation and tetrad analysis revealed that deletion of YNL059c/ARP5 was lethal for vegetative growth in strain W303 and caused severe growth defects in strain FY1679 while YOR145c was essential for growth in both strains. Fusion of the green fluorescent protein (GFP) gene to the 3' ends of the YNL059c/ARP5 and YOR145c coding sequences created functional chimeric genes at the respective chromosomal loci. Both Arp5-GFP and Yor145-GFP localized to the nucleus, Yor145-GFP concentrating in the nucleolus. The vectors containing the deletion cassettes and the cognate wild-type genes, the oligonucleotides, and the deletant strains are available from the EUROFAN resource centre EUROSCARF (Frankfurt).


Subject(s)
Chromosomal Proteins, Non-Histone/genetics , Chromosomes, Fungal/genetics , Genes, Essential , Nuclear Proteins/genetics , Saccharomyces cerevisiae Proteins/genetics , Saccharomyces cerevisiae/genetics , Actins/metabolism , Chromosomal Proteins, Non-Histone/metabolism , Cloning, Molecular , DNA Repair , Gene Deletion , Green Fluorescent Proteins , Luminescent Proteins/genetics , Luminescent Proteins/metabolism , Nuclear Proteins/metabolism , Open Reading Frames/genetics , Polymerase Chain Reaction , Saccharomyces cerevisiae/growth & development , Saccharomyces cerevisiae/metabolism , Saccharomyces cerevisiae Proteins/metabolism , Sequence Analysis, DNA , Species Specificity , Tubulin/metabolism
8.
Mol Biol Cell ; 10(10): 3521-38, 1999 Oct.
Article in English | MEDLINE | ID: mdl-10512884

ABSTRACT

Yeast Las17 protein is homologous to the Wiskott-Aldrich Syndrome protein, which is implicated in severe immunodeficiency. Las17p/Bee1p has been shown to be important for actin patch assembly and actin polymerization. Here we show that Las17p interacts with the Arp2/3 complex. LAS17 is an allele-specific multicopy suppressor of ARP2 and ARP3 mutations; overexpression restores both actin patch organization and endocytosis defects in ARP2 temperature-sensitive (ts) cells. Six of seven ARP2 ts mutants and at least one ARP3 ts mutant are synthetically lethal with las17Delta ts confirming functional interaction with the Arp2/3 complex. Further characterization of las17Delta cells showed that receptor-mediated internalization of alpha factor by the Ste2 receptor is severely defective. The polarity of normal bipolar bud site selection is lost. Las17-gfp remains localized in cortical patches in vivo independently of polymerized actin and is required for the polarized localization of Arp2/3 as well as actin. Coimmunoprecipitation of Arp2p with Las17p indicates that Las17p interacts directly with the complex. Two hybrid results also suggest that Las17p interacts with actin, verprolin, Rvs167p and several other proteins including Src homology 3 (SH3) domain proteins, suggesting that Las17p may integrate signals from different regulatory cascades destined for the Arp2/3p complex and the actin cytoskeleton.


Subject(s)
Actins/metabolism , Cytoskeletal Proteins , Fungal Proteins/metabolism , Saccharomyces cerevisiae Proteins , Saccharomyces cerevisiae/metabolism , Transcription Factors , Actin-Related Protein 2 , Actin-Related Protein 3 , Actins/genetics , Endocytosis/genetics , Fungal Proteins/genetics , Gene Expression Regulation, Fungal , Green Fluorescent Proteins , Humans , Luminescent Proteins , Mating Factor , Microscopy, Fluorescence , Mutation , Peptides/metabolism , Phenotype , Precipitin Tests , Receptors, Mating Factor , Receptors, Peptide/metabolism , Recombinant Fusion Proteins , Saccharomyces cerevisiae/genetics , Signal Transduction , Suppression, Genetic , Wiskott-Aldrich Syndrome/genetics , Wiskott-Aldrich Syndrome Protein
9.
Biochemistry ; 35(14): 4279-86, 1996 Apr 09.
Article in English | MEDLINE | ID: mdl-8605176

ABSTRACT

The structure of the complex of full-length Escherichia coli LexA repressor with a consensus operator DNA fragment has been probed by affinity photo-cross-linking and affinity cleavage. These methods allow the determination of approximate intermolecular distances between a given protein residue and a base or sugar moiety within the operator. In a first step unique cysteine residues were introduced in positions 7, 28, 38, or 52 of the protein. In all four cases, the original amino acid was an arginine. The four amino acids in these positions were expected to be situated on the surface of LexA interacting with DNA, as inferred from the structure of the LexA DNA binding domain [Fogh et al. (1994) EMBO J. 13, 3936-3944]. In a second step, these unique cysteine side chains of the purified proteins were chemically modified either with 4-azidophenacyl bromide or with S-(2-pyridylthio)cysteaminyl-EDTA. The first set of derivatives gives rise to UV-induced cross-linking which may be revealed by alkali/heat treatment; the second leads to direct DNA cleavage in the proximity of the derivatized amino acid. To reduce hydroxyl radical diffusion, the EDTA-iron cleavage reactions were done in the presence of high amounts of glycerol. The results indicate that amino acids 7 and 52 are near nucleotide pairs 8-12 of the operator and that amino acids 28 and 36 of LexA are near nucleotide pairs 5-8 of the operator. The results unambiguously define the orientation of the LexA DNA binding domain relative to the operator and provide support for the model of the LexA-operator complex proposed by Knegtel et al. [(1995) Proteins 21, 226-236]. Ethylation interference experiments further suggest that Arg-7 contacts the phosphate group between nucleotides 8 and 9 as predicted by the model.


Subject(s)
Bacterial Proteins/chemistry , DNA, Bacterial/chemistry , Repressor Proteins/chemistry , Serine Endopeptidases , Affinity Labels , Amino Acid Sequence , Bacterial Proteins/genetics , Bacterial Proteins/metabolism , Base Sequence , Binding Sites/genetics , Consensus Sequence , Cross-Linking Reagents , DNA, Bacterial/genetics , DNA, Bacterial/metabolism , Edetic Acid , Escherichia coli/genetics , Escherichia coli/metabolism , Iron , Models, Molecular , Molecular Sequence Data , Molecular Structure , Mutagenesis, Site-Directed , Nucleic Acid Conformation , Operator Regions, Genetic , Photochemistry , Protein Conformation , Repressor Proteins/genetics , Repressor Proteins/metabolism
10.
Proteins ; 21(3): 226-36, 1995 Mar.
Article in English | MEDLINE | ID: mdl-7784426

ABSTRACT

A structural model for the interaction of the LexA repressor DNA binding domain (DBD) with operator DNA is derived by means of Monte Carlo docking. Protein-DNA complexes were generated by docking the LexA repressor DBD NMR solution structure onto both rigid and bent B-DNA structures while giving energy bonuses for contacts in agreement with experimental data. In the resulting complexes, helix III of the LexA repressor DBD is located in the major groove of the DNA and residues Asn-41, Glu-44, and Glu-45 form specific hydrogen bonds with bases of the CTGT DNA sequence. Ser-39, Ala-42, and Asn-41 are involved in a hydrophobic interaction with the methyl group of the first thymine base. Residues in the loop region connecting the two beta-sheet strands are involved in nonspecific contacts near the dyad axis of the operator. The contacts observed in the docked complexes cover the entire consensus CTGT half-site DNA operator, thus explaining the specificity of the LexA repressor for such sequences. In addition, a large number of nonspecific interactions between protein and DNA is observed. The agreement between the derived model for the LexA repressor DBD/DNA complex and experimental biochemical results is discussed.


Subject(s)
Bacterial Proteins/chemistry , Bacterial Proteins/metabolism , DNA/metabolism , Models, Molecular , Serine Endopeptidases , Amino Acid Sequence , Base Sequence , Binding Sites , Chemical Phenomena , Chemistry, Physical , Consensus Sequence , DNA/chemistry , DNA-Binding Proteins/chemistry , DNA-Binding Proteins/metabolism , Molecular Sequence Data , Monte Carlo Method , Mutagenesis , Nucleic Acid Conformation , Protein Binding , Protein Conformation
11.
Proc Natl Acad Sci U S A ; 90(5): 2030-4, 1993 Mar 01.
Article in English | MEDLINE | ID: mdl-8446625

ABSTRACT

To address the question how the recognition helix of the LexA repressor is positioned within the major groove of operator DNA we have applied a site-specific photocrosslinking approach using a LexA mutant repressor (LexA-C52) that harbors a single cysteine side chain in position 52, close to the COOH terminus of helix 3. The LexA-C52 mutant repressor has been purified and modified site-specifically with the photoreactive azido compound 4-azidophenacyl bromide, giving rise to LexA-C52*. Here we show that LexA-C52* may be selectively photocrosslinked with two adjacent bases within each operator half-site. The crosslinked bases are located, respectively, 10 and 11 base pairs from the dyad axis of the operator. The crosslinking data imply that the LexA recognition helix is oriented opposite to what is generally observed for helix-turn-helix proteins and that this helix should form a steeper angle with respect to the plane of the base pairs than is observed for standard helix-turn-helix proteins.


Subject(s)
Bacterial Proteins/metabolism , DNA-Binding Proteins/metabolism , Operator Regions, Genetic , Repressor Proteins/metabolism , Serine Endopeptidases , Azides/chemistry , Bacterial Proteins/chemistry , Base Sequence , Binding Sites , Cross-Linking Reagents , DNA-Binding Proteins/chemistry , In Vitro Techniques , Models, Molecular , Molecular Sequence Data , Nucleic Acid Conformation , Protein Binding , Protein Structure, Secondary , Repressor Proteins/chemistry , SOS Response, Genetics
12.
Arzneimittelforschung ; 42(11A): 1406-9, 1992 Nov.
Article in German | MEDLINE | ID: mdl-1492863

ABSTRACT

The aim of this study was to verify long-term therapeutic efficacy and tolerance of dihydroergocristine (DHEC, CAS 17479-19-5) in a double blind placebo controlled study, in elderly patients with psychosyndrome characterized by memory and behaviour impairment. Two hundred patients, aged more than 65 years, were randomly divided into two groups of one hundred each. The first group received one 6-mg DHEC tablet daily for four months and the other group received placebo. The evaluation parameter for efficacy was the neuropsychological test SCAG (Scale of Clinical Assessment for Geriatrics), administered before and after 30, 60 and 120 days. The results showed a significant difference between DHEC and placebo with regard to total and partial scores of SCAG as well as to single items (mental alertness, recent memory, disorientation, anxiety, mood depression, emotional lability, motivation, uncooperativeness, fatigue, headache, tinnitus). After as few as thirty days of DHEC treatment the severity of mental and psychological symptoms was markedly decreased (p vs placebo < 0.01), as documented by significant positive changes of SCAG items. The four-month double blind period was followed by a two-month single blind period, during which patients of both groups received placebo. At the end of these two months, SCAG total score was unfavourably increased in patients previously administered DHEC, although scores were still significantly lower both versus baseline and versus previous placebo patients. Safety was good (placebo: one case of diarrhea; DHEC: one case of gastralgia and dizziness). Nine patients dropped out for reasons unrelated to treatment.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Dihydroergotoxine/therapeutic use , Neurocognitive Disorders/drug therapy , Aged , Dihydroergotoxine/adverse effects , Double-Blind Method , Female , Humans , Male , Neurocognitive Disorders/psychology , Psychometrics , Single-Blind Method
13.
J Anim Sci ; 69(4): 1657-66, 1991 Apr.
Article in English | MEDLINE | ID: mdl-1712767

ABSTRACT

Forty-seven dairy heifers of approximately 10 d of age were assigned to a factorial experiment in which a supplement of folic acid (0 or 40 mg) administered weekly by i.m. injection and level of feed intake were the two factors studied. The heifers were weaned after 5 wk of experimentation. Following weaning, and until the end of the experiment, 11 wk later, they had ad libitum access to grass hay and concentrates at two different levels, ad libitum or restricted, to allow a body weight gain of 700 g/d. A supplement of folic acid (P less than .05) and ad libitum access to feed (P less than .05) increased the mean concentration of serum folates. Blood hemoglobin and packed cell volume were not affected by the level of feed intake. However, they were both increased (P less than .05) by the supplement of folic acid. Average daily gain was analyzed over three different periods: 0 to 5 wk (before weaning), 5 to 10 wk, and 10 to 16 wk. Average daily gain was increased by the supplement of folic acid during the second period (P less than .05) and by ad libitum access to feed during the last two periods (P less than .05). Ad libitum access to feed increased (P less than .05) weight of the liver, decreased the (P less than .05) concentrations of RNA and DNA, and increased (P less than .05) the ratios of protein/DNA and RNA/DNA. The supplement of folic acid decreased (P less than .05) weight of the liver and increased the ratio RNA/DNA (P less than .05). These effects of supplement of folic acid on growth performance and on hematological cells may reflect a lack of folic acid during the weeks after weaning.


Subject(s)
Cattle/growth & development , Eating/physiology , Folic Acid/pharmacology , Liver/drug effects , Animals , Cattle/blood , Cattle/metabolism , DNA/analysis , Female , Folic Acid/administration & dosage , Folic Acid/analysis , Folic Acid/blood , Hematocrit/veterinary , Hemoglobins/analysis , Injections, Intramuscular/veterinary , Liver/chemistry , RNA/analysis , Weaning , Weight Gain/drug effects
14.
Arch Mal Coeur Vaiss ; 79(3): 324-31, 1986 Mar.
Article in French | MEDLINE | ID: mdl-2424396

ABSTRACT

Ambulatory 24 hour electrocardiography by the Holter method was carried out in 134 normal subjects (59 men, 75 women, mean age: 42.5 +/- 14 years). The average heart rate over 24 hours was 75 +/- 9 bpm, 82 +/- 10 bpm during the daytime and 64 +/- 8 bpm at night. Maximal and minimal momentary variations (over 5 minutes) were small during the night (+23% and -7%) and greater during the daytime (+47% and -16%). The heart rate slowed progressively over a two hour period before going to bed an increased progressively over a three hour period, reaching a peak and then slightly falling before getting up. The average heart rates of women were faster than in men (+5 bpm). The average heart rate fell with age from 30 years onwards (-0.4 bpm per year). Tobacco consumption did not seem to affect the heart rate. Supraventricular extrasystoles were observed in 68% of subjects during the day, and in 50% during the night; ventricular extrasystoles occurred in 42% of subjects by day and in 23% by night. Only 22% of subjects had no extrasystolic activity. Tobacco consumption and sex were unrelated to the incidence and frequency of extrasystoles. On the other hand, the incidence and frequency of extrasystoles were very significantly related to age.


Subject(s)
Electrocardiography , Heart Rate , Monitoring, Physiologic , Adolescent , Adult , Aged , Aging , Cardiac Complexes, Premature/diagnosis , Circadian Rhythm , Female , Heart Ventricles , Humans , Male , Middle Aged , Sex Factors , Smoking
16.
Arch Mal Coeur Vaiss ; 78 Spec No: 105-9, 1985 Oct.
Article in French | MEDLINE | ID: mdl-2420299

ABSTRACT

The long term efficacy and tolerance of encainide were studied in 48 patients with chronic/ventricular extrasystoles (VES) treated for 6 months. Holter monitoring was performed before treatment and at each dose increment (75 mg/day; 150 mg/day and 225 mg/day) during the first week of titration, and then after 1 month and 6 months of treatment. The dose administered in the long-term study corresponded to the minimum effective dose during the titration phase (the dose which reduced the number of VES/24 hours by at least 75%). The average number of VES/hour decreased significantly from 480.6 before treatment to 2.0 at the end of the study. The frequency of episodes of ventricular tachycardia decreased significantly during treatment. The commonest side effects were vertigo, visual disturbances and headaches. Treatment was interrupted because of side-effects or inefficacy in 6 patients. The surface ECG showed significant lengthening of the PR, QRS and QTc periods and encainide appeared to have aggravated the ventricular arrhythmias of 4 patients receiving 200 mg/day. The plasma concentrations of encainide and its two principal metabolites were measured during the titration phase, at 1 month and after 6 months of treatment. 15.6 per cent of patients were slow and 84.4% of patients were rapid metabolizers. The wide individual variations of plasma concentrations and the absence of correlation between the plasma concentrations of encainide and its metabolites and the antiarrhythmic effect suggest that the compound and its metabolites play a role in the antiarrhythmic effect of the drug.


Subject(s)
Anilides/therapeutic use , Anti-Arrhythmia Agents/therapeutic use , Cardiac Complexes, Premature/drug therapy , Tachycardia/drug therapy , Adolescent , Adult , Aged , Anilides/adverse effects , Anilides/blood , Chronic Disease , Clinical Trials as Topic , Encainide , Female , Heart Ventricles , Humans , Male , Middle Aged
17.
Am Heart J ; 110(3): 575-81, 1985 Sep.
Article in English | MEDLINE | ID: mdl-2412428

ABSTRACT

To establish long-term efficacy and safety of encainide, 48 patients with chronic premature ventricular contractions (PVCs) underwent 6 months of therapy with encainide. Twenty-four-hour ambulatory ECGs were obtained at baseline for each daily dosage of 75 mg, 150 mg, and 225 mg of encainide during the in-hospital titration period and at the end of the first and sixth months during the follow-up period. There was a significant reduction in the median hourly total PVC rates from 480.6 at baseline to 2.0 at the end of the titration period with the highest dosage and to 22.1 at the last visit of the chronic dosing period. Nearly total suppression of PVCs was observed in 56% of patients at the end of the titration period and in 30% at the end of the 6-month follow-up period. The most common side effects were vertigo, vision disturbance, and headache. PR, QRS, and QTc intervals showed consistent significant increases from baseline during the various encainide trial periods. Encainide may have worsened ventricular arrhythmia in four patients who received more than 200 mg of encainide daily. Plasma concentrations of encainide and encainide metabolites showed wide interpatient variation, and no relationship was found between antiarrhythmic efficacy and plasma levels of encainide, O-demethyl-encainide, or 3-methoxy-O-demethyl-encainide.


Subject(s)
Anilides/therapeutic use , Anti-Arrhythmia Agents/therapeutic use , Cardiac Complexes, Premature/drug therapy , Adolescent , Adult , Aged , Anilides/adverse effects , Anilides/blood , Anti-Arrhythmia Agents/adverse effects , Anti-Arrhythmia Agents/blood , Chronic Disease , Clinical Trials as Topic , Electrocardiography , Encainide , Female , France , Heart Ventricles , Humans , Male , Middle Aged
18.
Arch Mal Coeur Vaiss ; 78(4): 562-8, 1985 Apr.
Article in French | MEDLINE | ID: mdl-3923983

ABSTRACT

The object of this study was to confirm the electrophysiological effects of sotalol, a betablocker which increases the duration of the action potentials of myocardial cells, and to investigate the relationship of these effects with the doses used and plasma concentrations (PC) of the drug. 13 patients (23 to 72 years) were divided into 3 groups: Group 1 (n = 5): 0.6 mg/kg; Group 2 (n = 4): 1.2 mg/kg; and Group 3 (n = 5): 1.8 mg/kg. Measurements were performed before and 35 minutes after starting a 15 minute intravenous infusion of sotalol. At all doses, sotalol decreased the heart rate (HR), increased the corrected sinus node recovery time (CSNRT), prolonged the effective refractory periods (ERPA) and functional refractory periods (FRPA) of the right atrium. Atrioventricular conduction was depressed; prolongation of AH at an imposed rate of 100/min, prolongation of the nodal refractory periods (ERPN and FRPN), and an earlier Wenckebach point. The corrected QT interval (QTc) and ventricular refractory period (ERPV) increased. The QRS complexes and HV intervals were unchanged. Increases of CSNRT, AH, ERPN, FRPN, QTc, and ERPV were observed after the first dose (Group 1). At the dose of 1.8 mg/kg (Group 3) all parameters were modified (except the QRS and HV). All patients increased their ERPV by more than 20 p. 100. The parameters which illustrated the dose-effect relationship were the HR, ERPA, FRPN, and CSNRT. The PC of sotalol measured 60 minutes after starting the infusion were 0.58 +/- 0.23 microgram/ml (Group 1), 0.78 +/- 0.32 microgram/ml (Group 2) and 1.73 +/- 0.43 microgram/ml (Group 3).(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Heart/physiopathology , Sotalol/pharmacology , Adult , Aged , Electrophysiology , Female , Heart Function Tests , Humans , Injections, Intravenous , Male , Middle Aged , Sotalol/administration & dosage , Sotalol/blood
19.
Arch Mal Coeur Vaiss ; 76(6): 739-46, 1983 Jun.
Article in French | MEDLINE | ID: mdl-6414416

ABSTRACT

A 15 year old boy presented with palpitations of sudden onset and termination over a two month period. The heart was clinically and radiologically normal. The electrocardiogramme showed sinus rhythm with a short PR interval (0,11 sec) and narrow QRS complexes (0,08 sec) associated with an intermittent escape accelerated idioventricular rhythm (AIVR). During an attack of palpitations a regular tachycardia (250/min) with wide QRS complexes of the same configuration as those of the AIVR (left side delay). The diagnosis of ventricular tachycardia was retained. Endocavitary electrophysiological recording demonstrated preexcitation of the right ventricle associated with accelerated nodal conduction explaining the narrow QRS complexes in sinus rhythm. The wide complex tachycardias initiated and terminated by paired ventricular stimulation were identical to the spontaneous attacks and were attributed to an antidromic reciprocating rhythm. The hypothesis of a rhythm arising from the accessory pathway is suggested. This would explain the identical configuration of the QRS complexes of the AIVR and of the antidromic reciprocating-rhythm and the disappearance of the AIVR after surgical section of the accessory pathway.


Subject(s)
Electrocardiography , Wolff-Parkinson-White Syndrome/diagnosis , Adolescent , Cardiac Pacing, Artificial , Heart Ventricles/physiopathology , Humans , Male , Wolff-Parkinson-White Syndrome/physiopathology , Wolff-Parkinson-White Syndrome/surgery
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