Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 38
Filter
1.
R Soc Open Sci ; 4(11): 170683, 2017 Nov.
Article in English | MEDLINE | ID: mdl-29291059

ABSTRACT

Ocean acidification (OA) is predicted to reduce reef coral calcification rates and threaten the long-term growth of coral reefs under climate change. Reduced coral growth at elevated pCO2 may be buffered by sufficiently high irradiances; however, the interactive effects of OA and irradiance on other fundamental aspects of coral physiology, such as the composition and energetics of coral biomass, remain largely unexplored. This study tested the effects of two light treatments (7.5 versus 15.7 mol photons m-2 d-1) at ambient or elevated pCO2 (435 versus 957 µatm) on calcification, photopigment and symbiont densities, biomass reserves (lipids, carbohydrates, proteins), and biomass energy content (kJ) of the reef coral Pocillopora acuta from Kane'ohe Bay, Hawai'i. While pCO2 and light had no effect on either area- or biomass-normalized calcification, tissue lipids gdw-1 and kJ gdw-1 were reduced 15% and 14% at high pCO2, and carbohydrate content increased 15% under high light. The combination of high light and high pCO2 reduced protein biomass (per unit area) by approximately 20%. Thus, under ecologically relevant irradiances, P. acuta in Kane'ohe Bay does not exhibit OA-driven reductions in calcification reported for other corals; however, reductions in tissue lipids, energy content and protein biomass suggest OA induced an energetic deficit and compensatory catabolism of tissue biomass. The null effects of OA on calcification at two irradiances support a growing body of work concluding some reef corals may be able to employ compensatory physiological mechanisms that maintain present-day levels of calcification under OA. However, negative effects of OA on P. acuta biomass composition and energy content may impact the long-term performance and scope for growth of this species in a high pCO2 world.

2.
J R Soc Med ; 97(9): 432-3, 2004 Sep.
Article in English | MEDLINE | ID: mdl-15340023

ABSTRACT

The pain that patients recollect having experienced at colonoscopy is likely to influence uptake of the procedure. We used visual analogue scales to assess recollected pain shortly before discharge, and compared these scores with assessments by the endoscopist and the attending nurse. Data were complete for 426 procedures (90%). The mean perceived pain score for patients was 3.2, for endoscopists 2.8 and for nurses 3.1. On multivariate analysis, the endoscopists' assessments of pain had little predictive value over and above those of nurses, whereas nurses' assessments remained significant when adjusted for endoscopists' assessments. Nurses were more accurate than endoscopists in gauging the pain of colonoscopy. This may be because endoscopists are focused on the video monitor while nurses are focused on the patient. More active use of nurses' assessments might help keep pain to a minimum.


Subject(s)
Clinical Competence/standards , Colonoscopy/standards , Medical Staff, Hospital/standards , Nurses/standards , Pain Measurement , Adolescent , Adult , Aged , Aged, 80 and over , Ambulatory Care , Colonoscopy/adverse effects , England , Humans , Middle Aged , Multivariate Analysis , Pain/etiology , Pain Measurement/nursing , Pain Measurement/standards , Prospective Studies
3.
J Inorg Biochem ; 81(4): 293-300, 2000 Oct 01.
Article in English | MEDLINE | ID: mdl-11065193

ABSTRACT

Myohemerythrin (Mhr) is a non-heme iron O2 carrier (with two irons in the active site) that is typically found in the retractor muscle of marine 'peanut' worms. OxyMhr may either release O2, or undergo an autoxidation reaction in which hydrogen peroxide is released and diferric metMhr is produced. The autoxidation reaction can also be promoted by the addition of certain anions to Mhr solutions. This work, using recombinant Themiste zostericola Mhrs, contrasts the results of environmental effects on these reactions. For the O2 release reaction, deltaVdouble dagger(21.5 degrees C) = +28+/-3 cm3 mol(-1), deltaHdouble dagger(1 atm) = +22+/-1 kcal mol(-1), and deltaSdouble dagger(1 atm) = +28+/-4 eu. The autoxidation reaction (pH 8.0, 21.5 degrees C, 1 atm) displays different kinetic parameters: deltaVdouble dagger = -8+/-2 cm3 mol(-1), deltaHdouble dagger = +24.1+/-0.7 kcal mol(-1), and deltaSdouble dagger = +1+/-1 eu. Autoxidation in the presence of sodium azide is orders of magnitude faster than solvolytic autoxidation. The deltaVdouble dagger parameters for azide anation and azide-assisted autoxidation reaction are +15+/-2 and +59+/-2 cm3 mol(-1), respectively, indicating that the rate-limiting steps for the Mhr autoxidation and anation reactions (including O2 uptake) are not associated with ligand binding to the Fe2 center. The L103V and L103N oxyMhr mutants autoxidize approximately 10(3)-10(5) times faster than the wild-type protein, emphasizing the importance of leucine-103, which may function as a protein 'gate' in stabilizing bound dioxygen.


Subject(s)
Hemerythrin/analogs & derivatives , Oxygen/metabolism , Animals , Hemerythrin/chemistry , Hemerythrin/genetics , Hemerythrin/metabolism , Nematoda/chemistry , Nematoda/genetics , Oxidation-Reduction , Point Mutation , Recombinant Proteins/genetics , Recombinant Proteins/metabolism
4.
Biochemistry ; 36(23): 7037-43, 1997 Jun 10.
Article in English | MEDLINE | ID: mdl-9188701

ABSTRACT

Hemerythrins (Hrs) and myohemerythrins (Mhrs) are nonheme iron proteins that function as O2 carriers in four marine invertebrate phyla. Available amino acid sequences and X-ray structures indicate that a conserved leucine, residue 103 in the Themiste zostericola Mhr sequence, occupies a site distal to the Fe-O-Fe center. The side-chain methyl groups of the analogous leucine in Themiste dyscrita oxyHr are in van der Waals contact with bound O2 in the X-ray crystal structure, and this residue may therefore play a role in stabilizing bound dioxygen with respect to autoxidation. In order to test this hypothesis, the gene for T. zostericola Mhr was synthesized and expressed in Escherichia coli. Two mutant Mhrs, L103V and L103N, were also prepared. Optical spectra and kinetics data for these three proteins are presented. Importantly, neither mutant forms a stable oxy adduct; instead, rapid autoxidation results in formation of the corresponding met forms. In addition, the L103N Mhr displays unusually rapid reduction kinetics, suggesting that the amide functionality of Asn-103 destabilizes most bound ligands and additionally promotes rapid semi-metR <==> semi-metO isomerization.


Subject(s)
Hemerythrin/analogs & derivatives , Leucine/metabolism , Pigments, Biological/metabolism , Animals , Circular Dichroism , Hemerythrin/chemistry , Hemerythrin/genetics , Hemerythrin/metabolism , Kinetics , Leucine/chemistry , Models, Chemical , Models, Molecular , Nematoda , Pigments, Biological/chemistry , Pigments, Biological/genetics , Recombinant Proteins/chemistry , Recombinant Proteins/metabolism
5.
Biochemistry ; 36(23): 7044-9, 1997 Jun 10.
Article in English | MEDLINE | ID: mdl-9188702

ABSTRACT

Myohemerythrin (Mhr) is a nonheme iron oxygen carrier found in the retractor muscles of marine "peanut" worms. The X-ray crystal structures of two recombinant Themiste zostericola Mhrs are reported to a resolution of 1.8 A. Surprisingly, the met wild-type structure (R = 17.8%) was found to contain chloride bound to Fe2, while coordinated hydroxide was found in the met L103N structure (R = 18.3%). An internal water molecule was also found distal to the Fe-O-Fe center of the mutant protein, forming hydrogen bonds with the coordinated hydroxide and the OD1 atom of Asn-103. This finding is consistent with the kinetic and spectroscopic results reported for the L103N mutant Mhr [Raner, G. M., Martins, L. J., & Ellis, W. R., Jr. (1997) Biochemistry 36, 7037-7043]. Possible roles for the side chain of residue 103 (Leu in wild-type Mhr) in gating ligand binding are also discussed.


Subject(s)
Hemerythrin/analogs & derivatives , Pigments, Biological/chemistry , Animals , Asparagine , Binding Sites , Crystallography, X-Ray , Hemerythrin/chemistry , Hemerythrin/genetics , Hydrogen Bonding , Kinetics , Leucine , Ligands , Models, Molecular , Nematoda , Pigments, Biological/genetics , Protein Conformation , Recombinant Proteins/chemistry , Water
6.
Appl Environ Microbiol ; 62(11): 4260-2, 1996 Nov.
Article in English | MEDLINE | ID: mdl-16535451

ABSTRACT

Inoculation of alfalfa seeds with any of three recombinant strains of Sinorhizobium meliloti significantly increased overall plant biomass compared with inoculation with the wild-type strains over a 3-year period at three locations. A high proportion of nodules were occupied by the inoculum strains throughout the 3-year period.

7.
Biochemistry ; 34(9): 2866-71, 1995 Mar 07.
Article in English | MEDLINE | ID: mdl-7893700

ABSTRACT

The reduction potentials of the compound II/ferric and compound I/compound II couples have been studied, using potassium hexachloroiridate as a mediator titrant, by thin-layer spectroelectrochemistry. Compound I, which is 2 equiv more oxidized than the ferric (i.e., resting) form of the enzyme, was reversibly formed via a compound II intermediate; no evidence for a ferric porphyrin pi-cation radical intermediate was obtained. At 25 degrees C, E degrees' (compound I/compound II) = 897.9 +/- 3 mV (NHE) and E degrees'-(compound II/ferric) = 869.1 +/- 2 mV. Redox thermodynamic parameters, obtained from the temperature dependences of the reduction potentials of both couples, are reported. The reaction entropies (delta S degrees rc) for the compound II/ferric and compound I/compound II couples are 19.8 +/- 3.9 and 12.1 +/- 3.7 eu, respectively. This result indicates that the reorganization energy for the macrocycle-centered couple is lower than that for the metal-centered one. Together with our observation that E degrees' for the former is ca. 30 mV greater than that for the latter, these results suggest that compound I is more reactive toward outer-sphere reductants than compound II. In particular, the electron self-exchange rates for the compound I/compound II and compound II/ferric couples are estimated to be 4.4 x 10(-1) and 4.9 x 10(-4) M-1 s-1, respectively. Surprisingly, the formation of compound I from ferric HRP is accompanied by an almost zero standard entropy (delta S degrees') change.


Subject(s)
Horseradish Peroxidase/chemistry , Electrochemistry , Isoenzymes/chemistry , Oxidation-Reduction , Spectrophotometry , Temperature , Thermodynamics
8.
Chem Biol ; 1(3): 173-83, 1994 Nov.
Article in English | MEDLINE | ID: mdl-9383387

ABSTRACT

BACKGROUND: Mononuclear non-heme iron centers are found in the active sites of a variety of enzymes that require molecular oxygen for catalysis. The mononuclear non-heme iron is believed to be the active site for catalysis, and is presumed to bind and activate molecular oxygen. The mechanism of this reaction is not understood. Phthalate dioxygenase is one such enzyme. Because it also contains a second iron site, the Rieske site, it is difficult to obtain information on the structure of the active site. We therefore used magnetic circular dichroism (MCD) spectroscopy to probe the mononuclear, non-heme Fe2+ site in this biodegradative enzyme. RESULTS: The MCD spectrum of the resting enzyme shows features indicative of one six-coordinate Fe2+ site; substrate binding converts the site to two different five-coordinate species, opening up a coordination position for O2 binding. MCD spectra of the corresponding apoenzyme have been subtracted to account for temperature-independent contributions from the Rieske site. Azide binds both to the resting enzyme to produce a new six-coordinate species, showing that one of the ferrous ligands is exchangeable, and also to the enzyme-substrate complex to form a ternary species. The low azide binding constant for the substrate-enzyme species relative to the resting enzyme indicates steric interaction and close proximity between exogenous ligand and the substrate. CONCLUSIONS: We have been able to provide some detailed structural insight into exogenous ligand and substrate binding to the non-heme Fe2+ site, even in the presence of the enzyme's [2Fe-2S] Rieske center. Further mechanistic studies are now required to maximize the molecular-level detail available from these spectroscopic studies.


Subject(s)
Oxygenases/chemistry , Oxygenases/metabolism , Binding Sites , Circular Dichroism , Ferrous Compounds/chemistry , Ferrous Compounds/metabolism , Ligands , Substrate Specificity
9.
J Inorg Biochem ; 48(2): 95-105, 1992 Nov 01.
Article in English | MEDLINE | ID: mdl-1431888

ABSTRACT

Cultures of Candida glabrata treated with CdCl2 form intracellular Cd(II) complexes that evolve with the time of culturing. Initially, glutathione (gamma ECG) appears to be the major buffering component. One type of Cd(II)-glutathione complex exists as a cadmium:sulfide (CdS) crystallite coated with glutathione. A time dependent change in the coating of the CdS particles occurs with a decrease in the (gamma ECG) content and a corresponding increase in the abundance of (gamma EC)nG peptides with (gamma EC)2G becoming the predominant peptide. The des-Gly variant (gamma EC)2 appears in significant concentration only in late cultures. The evolution in isopeptide coating appears to be dependent on the sulfide content of the CdS particles. Cellular conditions that enhance the generation of sulfide ions facilitate the conversion from gamma ECG to (gamma EC)2G.


Subject(s)
Cadmium Compounds , Cadmium/chemistry , Candida/metabolism , Glutathione/chemistry , Peptides/chemistry , Sulfides , Buffers , Crystallization , Kinetics
10.
BMJ ; 302(6783): 1025, 1991 Apr 27.
Article in English | MEDLINE | ID: mdl-1674893
11.
Endoscopy ; 20(5): 244-7, 1988 Sep.
Article in English | MEDLINE | ID: mdl-3168937

ABSTRACT

In a prospective double-blind comparison of contrast media for retrograde pancreatography, 85 consecutive patients undergoing endoscopic retrograde cholangio-pancreatography (ERCP) were randomised to receive either the non-ionic medium, iopamidol (Niopam) or the ionic medium, meglumine diatrizoate (Urografin). The quality of pancreatograms obtained was assessed "blindly" using a specially devised scoring system, and patients were observed for clinical and biochemical evidence of acute pancreatitis following ERCP. Pancreatogram scores were similar in the "Niopam" and "Urografin" groups. No patients developed clinical evidence of acute pancreatitis. Eighteen hours after ERCP median increments in serum amylase and lipase in the "Niopam" group were significantly lower and hyperamylasemia and hyperlipasemia significantly less frequent than in the "Urografin" group. Niopam may be a safer contrast medium than Urografin for retrograde pancreatography, particularly in patients in whom the risk of acute pancreatitis is high. However, in view of its relatively high cost, further direct clinical evidence of reduced toxicity is required before Niopam can be recommended for routine use at ERCP.


Subject(s)
Cholangiopancreatography, Endoscopic Retrograde , Diatrizoate Meglumine , Iopamidol , Double-Blind Method , Female , Humans , Male , Middle Aged , Prospective Studies , Random Allocation
12.
Biochemistry ; 26(1): 71-82, 1987 Jan 13.
Article in English | MEDLINE | ID: mdl-3030404

ABSTRACT

Spectroscopic and electrochemical studies, incorporating electronic spectra, electron paramagnetic resonance (EPR) spectra, resonance Raman (RR) spectra, and measurements of the redox potential, have been carried out on the blue copper protein azurin, from Alcaligenes denitrificans. These data are correlated with the refined crystal structure of this azurin and with corresponding data for other blue copper proteins. The electronic spectrum, characterized by an intense (epsilon = 5100 M-1 cm-1) charge-transfer band at 619 nm, the EPR spectral parameters (g perpendicular = 2.059, g parallel of = 2.255, A parallel of = 60 X 10(-4) cm-1), and the resonance Raman spectrum are similar to those obtained from other azurins and from plastocyanins. Both the electronic spectrum and the EPR spectrum are unchanged over the pH range 4-10.5, but major changes occur above pH 12 and below pH 3.5. A small reversible change occurs at pH approximately 11.4. In the RR spectrum the Cu-S stretching mode is shown to contribute to all of the five principal RR peaks. Deuterium substitution produces shifts in at least seven of the peaks; these shifts may be attributable, at least in part, to the NH...S hydrogen bond to the copper-ligated Cys-112. Measurements of the redox potential, using spectroelectrochemical methods, over the temperature range 4.8-40.0 degrees C, give values for delta H0' and delta S0' of -55.6 kJ mol-1 and -97.0 J K-1 mol-1, respectively. The redox potential of A. denitrificans azurin at pH 7.0, Eo', is 276 mV. These data are interpreted in terms of a copper site, in azurin, comprising three strong bonds, in an approximately trigonal plane, from Cys-112, His-46, and His-117 and much longer axial approaches from Met-121 and the peptide carbonyl oxygen of Gly-45. Spectral differences within the azurin family and between azurin and plastocyanin are attributed to differences in the strengths of these axial interactions. Likewise, the distinctly lower Eo values for azurins, as compared with plastocyanins, are related to the more copper(II)-like site in azurin [with a weaker Cu-S(Met) interaction and a Cu-O interaction not found in plastocyanin]. On the other hand, the relative constancy of the EPR parameters between azurin and plastocyanin suggests they are not strongly influenced by weakly interacting axial groups.


Subject(s)
Alcaligenes/metabolism , Azurin , Bacterial Proteins , Calorimetry , Copper , Electron Spin Resonance Spectroscopy , Models, Molecular , Plastocyanin , Protein Conformation , Spectrophotometry , Structure-Activity Relationship , X-Ray Diffraction
13.
J Biol Chem ; 261(25): 11524-37, 1986 Sep 05.
Article in English | MEDLINE | ID: mdl-3017934

ABSTRACT

The cytochrome a and a3 sites in uninhibited, detergent-solubilized cytochrome c oxidase have been studied under a wide range of conditions using thin-layer spectroelectrochemistry. The observed absorbance changes at the alpha and Soret absorbance maxima have been used together to estimate the extents of reduction of cytochromes a and a3, using the absorbance properties of these cytochromes deduced from previous measurements employing ligand inhibition of cytochrome a3. The resulting Nernst plots, combined with the results of parallel studies on the carbon monoxide-inhibited enzyme (Ellis, W. R., Jr., Wang, H., Blair, D. F., Gray, H. B., and Chan, S. I. (1986) Biochemistry 25, 161-167; Wang, H., Blair, D. F., Ellis, W. R., Jr., Gray, H. B., and Chan, S. I. (1986) Biochemistry 25, 167-171), indicate that the cytochrome a site participates in anticooperative thermodynamic interactions which involve all three of the other metal sites in the protein. Using an analysis which resolves the intrinsic thermodynamic properties of the cytochromes from the effects of the intersite interactions, the pH, temperature, and ionic strength dependences of the cytochrome reduction potentials have been measured. The standard entropy of reduction of cytochrome a in the native enzyme is large and negative, in agreement with measurements on the carbon monoxide-inhibited enzyme. The reduction potential of cytochrome a is only moderately (less than -30 mV/pH unit) dependent upon pH, which implies that its reduction is linked to the uptake, on the average, of only about 0.5 protons at pH 7.0, and significantly less at the higher pH values relevant to the mitochondrial matrix. The thermodynamic properties of cytochrome a3 were found to be different in the two enzyme batches studied: in one batch, the cytochrome a3 reduction potential decreased steeply (about -56 mV/pH unit) with increasing pH, indicating stoichiometric (1 H+/e-) coupling of protonation to reduction. In the other batch, the cytochrome a3 potential was insensitive to pH below pH 7.5 and decreased at higher pH values in a manner suggesting coupling to an ionizable group with pKa near 7.8. The temperature dependence of the cytochrome a3 reduction potential indicates that its standard entropy of reduction is more positive than that of myoglobin, another high-spin metalloprotein heme, and significantly more positive than that of cytochrome a.(ABSTRACT TRUNCATED AT 400 WORDS)


Subject(s)
Cytochromes/metabolism , Electron Transport Complex IV/metabolism , Mitochondria, Heart/enzymology , Animals , Binding Sites , Cattle , Hydrogen-Ion Concentration , Kinetics , Osmolar Concentration , Oxidation-Reduction , Potentiometry , Protein Binding , Spectrophotometry , Thermodynamics
14.
Science ; 233(4767): 948-52, 1986 Aug 29.
Article in English | MEDLINE | ID: mdl-3016897

ABSTRACT

Kinetic experiments have conclusively shown that electron transfer can take place over large distances (greater than 10 angstroms) through protein interiors. Current research focuses on the elucidation of the factors that determine the rates of long-range electron-transfer reactions in modified proteins and protein complexes. Factors receiving experimental and theoretical attention include the donor-acceptor distance, changes in geometry of the donor and acceptor upon electron transfer, and the thermodynamic driving force. Recent experimental work on heme proteins indicates that the electron-transfer rate falls off exponentially with donor-acceptor distance at long range. The rate is greatly enhanced in proteins in which the structural changes accompanying electron transfer are very small.


Subject(s)
Electron Transport , Hemeproteins/metabolism , Animals , Cytochrome c Group/metabolism , Horses/metabolism , Metalloporphyrins/metabolism , Myoglobin/metabolism , Pseudomonas aeruginosa/metabolism , Thermodynamics
15.
Gastrointest Radiol ; 11(2): 161-4, 1986.
Article in English | MEDLINE | ID: mdl-3514357

ABSTRACT

The role of ultrasound as a screening test for choledocholithiasis was prospectively assessed by comparing the results of upper abdominal ultrasound with direct cholangiography in 59 unselected symptomatic postcholecystectomy patients. Ultrasound detected duct stones in 13 of 29 patients (sensitivity, 45%) and their absence in 29 of 30 (specificity, 97%). A positive ultrasound diagnosis of choledocholithiasis was correct 13 times out of 14 (predictive value, 93%) whereas a negative diagnosis was correct on only 29 of 45 occasions (predictive value, 64%). No significant learning effect was seen. Intestinal gas obscuring the distal common duct was the most important factor limiting the ability of ultrasound to detect duct stones. Duct stones were present in 25 of 35 patients shown to have a dilated common duct on ultrasound, and in 4 of 24 with nondilated ducts; the predictive value of duct dilatation at ultrasound for duct stones was therefore 71% and that of nondilatation in excluding stones was 83%. Dilated intrahepatic bile ducts were demonstrated at ultrasound in only 17% of patients with choledocholithiasis. We conclude that ultrasound cannot reliably diagnose or exclude bile duct stones and is an inadequate screening test for the symptomatic postcholecystectomy patient.


Subject(s)
Cholangiopancreatography, Endoscopic Retrograde , Gallstones/diagnosis , Ultrasonography , Adult , Aged , Cholecystectomy , Dilatation, Pathologic/diagnosis , Female , Humans , Male , Middle Aged , Prospective Studies
16.
Biochemistry ; 25(1): 161-7, 1986 Jan 14.
Article in English | MEDLINE | ID: mdl-3006749

ABSTRACT

The reduction potential of the cytochrome a site in the carbon monoxide derivative of beef heart cytochrome c oxidase has been studied under a variety of conditions by thin-layer spectroelectrochemistry. The reduction potential exhibits no ionic strength dependence and only a 9 mV/pH unit dependence between pH 6.5 and 8.5. The weak pH dependence indicates that protonation of the protein is not stoichiometrically linked to oxidoreduction over the pH range examined. The temperature dependence of the reduction potential implies a relatively large standard entropy of reduction of cytochrome a. The measured thermodynamic parameters for reduction of cyctochrome a are (all relative to the normal hydrogen electrode) delta Go'(25 degrees C) = -6.37 kcal mol-1, delta Ho' = -21.5 kcal mol-1, and delta So' = -50.8 eu. When cytochrome c is bound to the oxidase, the reduction potential of cytochrome a and its temperature dependence are not measurably affected. Under all conditions studied, the cytochrome a site did not exhibit simple Nernstian n = 1 behavior. The titration behavior of the site is consistent with a moderately strong anticooperative interaction between cytochrome a and CuA [Wang, H., Blair, D. F., Ellis, W. R., Jr., Gray, H. B., & Chan, S. I. (1985) Biochemistry (following paper in this issue)].


Subject(s)
Carbon Monoxide/pharmacology , Cytochromes/metabolism , Electron Transport Complex IV/antagonists & inhibitors , Mitochondria, Heart/enzymology , Animals , Cattle , Cytochrome a Group , Electrodes , Hydrogen-Ion Concentration , Kinetics , Potentiometry , Spectrophotometry/methods , Thermodynamics
17.
Biochemistry ; 25(1): 167-71, 1986 Jan 14.
Article in English | MEDLINE | ID: mdl-3006750

ABSTRACT

The temperature dependence of the reduction potential of the CuA site in carbon monoxide inhibited cytochrome c oxidase has been measured with a spectroelectrochemical method adapted to the relatively weak near-infrared absorption of this copper ion. These measurements, together with parallel measurements on the 604-nm absorption due to Fea, indicate that an interaction between CuA and Fea causes the reduction potential for one of these sites to be decreased by approximately 40 mV upon reduction of the other. The temperature dependence of the CuA reduction potential indicates a relatively large and negative standard entropy of reduction of CuA (delta So' = -48.7 +/- 2.3 eu). Possible implications of the intersite redox interaction and the large standard entropy of reduction of the CuA site are discussed.


Subject(s)
Carbon Monoxide/pharmacology , Copper/metabolism , Electron Transport Complex IV/antagonists & inhibitors , Mitochondria, Heart/enzymology , Animals , Binding Sites , Cattle , Kinetics , Metalloproteins/metabolism , Oxidation-Reduction , Protein Binding , Spectrophotometry, Infrared/methods , Thermodynamics
18.
Clin Radiol ; 36(5): 507-10, 1985 Sep.
Article in English | MEDLINE | ID: mdl-3907932

ABSTRACT

The discrepancy between bile duct measurements obtained by ultrasound and retrograde cholangiography in post-cholecystectomy patients was prospectively evaluated by performing real-time biliary tract sonography on 50 patients 2-3 h prior to endoscopic retrograde cholangiography (ERC). A significant discrepancy was detected (P less than 0.001) which was greatest in 14 patients shown by cholangiography to have duct dilatation without evidence of biliary tract disease (P much less than 0.001). Factors contributing to the discrepancy included: measurement of different regions of the duct by the two techniques, loss of duct wall elasticity producing a 'floppy duct' phenomenon, the capacity of the biliary tract for rapid spontaneous change in calibre, radiographic magnification and ultrasonic underestimation of duct diameter. The sonographic diameters were significantly correlated to the diameters measured by ERC (r = 0.73). Although ERC generally agreed with ultrasound in the diagnosis of duct dilatation (specificity 90%), there was significant disagreement between the two techniques in the detection of non-dilatation, dilated or 'dilatable' systems being missed by ultrasound in 11 out of 21 (52%) of cases in which they were found by ERC. Our results suggest that, in the investigation of the symptomatic post-cholecystectomy patient, direct comparison of bile duct size measured by ultrasound and ERC is of limited clinical value.


Subject(s)
Bile Ducts/anatomy & histology , Biliary Tract Diseases/diagnosis , Cholangiography , Cholecystectomy , Ultrasonography , Adult , Aged , Animals , Bile Ducts/pathology , Cats , Dilatation , Female , Humans , Male , Middle Aged , Prospective Studies
19.
Gut ; 26(7): 730-3, 1985 Jul.
Article in English | MEDLINE | ID: mdl-4018638

ABSTRACT

One hundred and fifteen patients were reviewed between 18 months and five years after successful endoscopic biliary sphincterotomy for choledocholithiasis, postcholecystectomy in 93 (81%). Thirteen (14%) postcholecystectomy patients and 11 (50%, p less than 0.001) with intact gall bladders are dead (cause of death was ascertained in each case). Of the others, 43 were interviewed and 48 completed a postal questionnaire. Stone free common ducts had been documented in 69 (76%), presumed in 16 (17%), and not achieved in six (7%, excluded from analysis). None of the responding patients had developed serious new problems. Current symptoms of those with and without gall bladders and those with 'documented' and 'presumed' duct clearance are similar. In no case has an episode of cholangitis since sphincterotomy been confirmed and only one patient has had documented recurrent duct stones. Continued incompetence of the sphincter was shown radiologically by the presence of bile duct gas in 14 (41%) of 32 patients. These results suggest that medium term complications of endoscopic sphincterotomy are unusual.


Subject(s)
Ampulla of Vater/surgery , Bile Duct Diseases/surgery , Cholelithiasis/surgery , Postoperative Complications/etiology , Sphincter of Oddi/surgery , Adult , Aged , Alkaline Phosphatase/blood , Bile Duct Diseases/blood , Bilirubin/blood , Cholecystectomy , Cholelithiasis/blood , Endoscopy/adverse effects , Follow-Up Studies , Humans , Middle Aged
20.
Postgrad Med J ; 61(714): 313-6, 1985 Apr.
Article in English | MEDLINE | ID: mdl-4022860

ABSTRACT

Thirty-one patients with radiolucent common bile duct stones received medical treatment. Nineteen had Rowachol, a terpene preparation, eight (42%) achieving complete stone disappearance within 3 to 48 months. Fifteen (including 3 of the above) took Rowachol with bile acid (chenodeoxycholic in 11, ursodeoxycholic in 4) for 3 to 60 months: 11 (73%) achieved complete dissolution within 18 months. Persistent symptoms and complications settled on conservative management: 8 (25%) patients required admission (2 biliary colic, 1 obstructive jaundice, 4 cholangitis, 1 pancreatitis). One patient died of a myocardial infarction during recovery from pancreatitis; the other continued treatment, 2 achieving complete dissolution/disappearance. Oral dissolution therapy with Rowachol and bile acids should be considered when endoscopic sphincterotomy or surgery is not feasible, but careful attention to potential complications is required while stones persist.


Subject(s)
Cholagogues and Choleretics/therapeutic use , Gallstones/drug therapy , Monoterpenes , Oils, Volatile/therapeutic use , Terpenes/therapeutic use , Adult , Aged , Alkaline Phosphatase/blood , Chenodeoxycholic Acid/therapeutic use , Drug Combinations/therapeutic use , Drug Therapy, Combination , Female , Gallstones/enzymology , Humans , Male , Middle Aged , Ursodeoxycholic Acid/therapeutic use
SELECTION OF CITATIONS
SEARCH DETAIL
...