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1.
Philos Trans R Soc Lond B Biol Sci ; 378(1881): 20220194, 2023 07 17.
Article in English | MEDLINE | ID: mdl-37246385

ABSTRACT

Species respond to climate change with range and abundance dynamics. To better explain and predict them, we need a mechanistic understanding of how the underlying demographic processes are shaped by climatic conditions. Here, we aim to infer demography-climate relationships from distribution and abundance data. For this, we developed spatially explicit, process-based models for eight Swiss breeding bird populations. These jointly consider dispersal, population dynamics and the climate-dependence of three demographic processes-juvenile survival, adult survival and fecundity. The models were calibrated to 267 nationwide abundance time series in a Bayesian framework. The fitted models showed moderate to excellent goodness-of-fit and discriminatory power. The most influential climatic predictors for population performance were the mean breeding-season temperature and the total winter precipitation. Contemporary climate change benefitted the population trends of typical mountain birds leading to lower population losses or even slight increases, whereas lowland birds were adversely affected. Our results emphasize that generic process-based models embedded in a robust statistical framework can improve our predictions of range dynamics and may allow disentangling of the underlying processes. For future research, we advocate a stronger integration of experimental and empirical studies in order to gain more precise insights into the mechanisms by which climate affects populations. This article is part of the theme issue 'Detecting and attributing the causes of biodiversity change: needs, gaps and solutions'.


Subject(s)
Birds , Climate Change , Animals , Bayes Theorem , Population Dynamics , Seasons
2.
Eur J Neurol ; 26(6): 903-e64, 2019 Jun.
Article in English | MEDLINE | ID: mdl-30629793

ABSTRACT

BACKGROUND AND PURPOSE: Myeloproliferative neoplasms (MPNs) - polycythemia vera, essential thrombocythemia and primary myelofibrosis - are associated with increased risk for ischaemic cerebrovascular events (ICVEs). Due to their low prevalence, MPNs often remain undiagnosed as the cause of ICVEs. METHODS: Case records at the University of Tübingen between 2014 and 2017 were screened to identify patients with MPN-related ICVEs. Clinical features, brain imaging, laboratory findings, applied treatments and neurological outcomes were assessed. RESULTS: In all, 3318 patients with ICVEs were identified, and amongst them 17 patients with MPN-related ICVEs were included in a retrospective study. In 58% of these patients, ICVEs were the first manifestation of the underlying MPN; 24% presented with transient ischaemic attack and 76% with ischaemic stroke. Potentially concurrent ICVE etiologies were noted in 70% of the patients. The majority (94%) of patients were positive for the JAK2 V617F mutation, whilst in 29% recurrent ICVEs (range two to three) were noted prior to MPN diagnosis. Early MPN diagnosis and management was the only significant prognostic factor for ICVE recurrence (P < 0.001). DISCUSSION: Evidence is provided that, although rare, MPNs represent an underdiagnosed cause of recurrent ICVEs. High clinical awareness is warranted to identify an underlying MPN in patients presenting with sustained, abnormal blood count findings. Clinical algorithms for prompt MPN diagnosis and initiation of MPN treatment (e.g. cytoreductive therapy, phlebotomy) are required. As MPN management comprises a significant protective factor against ICVE recurrence, induction of MPN treatment should be regarded as an integral component of secondary stroke prevention in MPN-associated ICVEs.


Subject(s)
Brain Ischemia/etiology , Myeloproliferative Disorders/complications , Stroke/etiology , Aged , Female , Humans , Male , Middle Aged , Recurrence , Retrospective Studies
3.
Eur J Neurol ; 24(9): 1125-1134, 2017 09.
Article in English | MEDLINE | ID: mdl-28681489

ABSTRACT

BACKGROUND AND PURPOSE: High-resolution ultrasound is a valuable tool in supporting the diagnosis of multifocal motor neuropathy (MMN) but longitudinal data under therapy are lacking. METHODS: The change in peripheral nerve ultrasound pattern in patients with MMN was assessed over time. Patients with MMN received a thorough initial examination and follow-up over a period of 6-12 months using high-resolution ultrasound of the cervical roots and the nerves of the arms and legs, nerve conduction studies, Medical Research Council Sum Score (MRCSS) and Rotterdam Inflammatory Neuropathy Cause and Treatment Group (INCAT) score to evaluate changes under treatment. The Ultrasound Pattern Sum Score (UPSS) was used as standardized peripheral nerve ultrasound protocol. RESULTS: Seventeen patients with MMN received initial examinations of whom 12 were successfully followed up. All patients with MMN showed at least localized but often multifocal peripheral nerve enlargement. An enlarged overall cross-sectional area as well as enlarged single fascicles (>3 mm²) in clinically and electrophysiologically affected (>90%) and unaffected (>70%) nerves were found. The UPSS did not correlate with clinical disability at both visits. However, the change in clinical disability (evaluated as difference in MRCSS) and the change in UPSS correlated significantly inversely (P = 0.004). CONCLUSIONS: High-resolution sonography of peripheral nerves revealed multifocal nerve enlargement in MMN. Distinct enlargement patterns may support the diagnosis. Ultrasound findings did not correlate well with clinical severity or electrophysiological findings at initial presentation. As changes in UPSS correlated significantly with the clinical course in terms of muscle strength (MRCSS), sonographic assessment may represent a useful tool for therapeutic monitoring.


Subject(s)
Motor Neuron Disease/diagnostic imaging , Motor Neuron Disease/drug therapy , Action Potentials , Adult , Aged , Anatomy, Cross-Sectional , Carpal Tunnel Syndrome/diagnostic imaging , Carpal Tunnel Syndrome/drug therapy , Demyelinating Diseases/diagnostic imaging , Demyelinating Diseases/drug therapy , Electric Stimulation , Electrophysiological Phenomena , Female , Follow-Up Studies , Humans , Immunoglobulins, Intravenous/therapeutic use , Immunosuppressive Agents/therapeutic use , Longitudinal Studies , Male , Middle Aged , Peripheral Nerves/diagnostic imaging , Ultrasonography
4.
Med Klin Intensivmed Notfmed ; 111(8): 703-707, 2016 Nov.
Article in German | MEDLINE | ID: mdl-26459456

ABSTRACT

BACKGROUND: During the last two decades major efforts in clinical research have led to the establishment of intravenous thrombolysis as the first line acute therapy for ischemic stroke. More recently, data from successful phase III trials have provided proof of the efficiency of mechanical recanalization in acute stroke. The fact that the efficiency of the available therapies can be increased through faster delivery is well documented; however, many institutions dealing with the emergency care of stroke patients lack organizational or infrastructural arrangements to optimize time efficiency in the diagnostic and therapeutic workup. CONCLUSION: Many of these arrangements have been well evaluated, can be implemented at reasonable costs and have been proven to increase the beneficial effects of thrombolytic therapy.


Subject(s)
Brain Ischemia , Stroke , Thrombolytic Therapy , Fibrinolytic Agents , Humans , Thrombectomy
5.
Eur J Neurol ; 23(2): 375-81, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26470854

ABSTRACT

BACKGROUND AND PURPOSE: Recently, the CRYSTAL AF trial detected paroxysmal atrial fibrillation (AF) in 12.4% of patients after cryptogenic ischaemic stroke (IS) or cryptogenic transient ischaemic attack (TIA) by an insertable cardiac monitor (ICM) within 1 year of monitoring. Our aim was (i) to assess if an AF risk factor based pre-selection of ICM candidates would enhance the rate of AF detection and (ii) to determine AF risk factors with significant predictive value for AF detection. METHODS: Seventy-five patients with cryptogenic IS/TIA were consecutively enrolled if at least one of the following AF risk factors was present: a CHA2DS2-VASc score ≥4, atrial runs, left atrium (LA) size >45 mm, left atrial appendage (LAA) flow ≤0.2 m/s, or spontaneous echo contrast in the LAA. The electrocardiographic and echocardiographic criteria were chosen as they have been repeatedly reported to predict AF; the same applies for four of the six items of the CHA2DS2-VASc score. The study end-point was the detection of one or more episodes of AF (≥2 min). RESULTS: Seventy-four patients underwent implantation of an ICM; one patient had AF at the date of implantation. After 6 months, AF was detected in 21/75 patients (28%), after 12 months in 25/75 patients (33.3%). 92% of AF episodes were asymptomatic. LA size >45 mm and the presence of atrial runs were independently associated with AF detection [hazard ratio 3.6 (95% confidence interval 1.6-8.4), P = 0.002, and 2.7 (1.2-6.7), P = 0.023, respectively]. CONCLUSIONS: The detection rate of AF is one-third after 1 year if candidates for an ICM after cryptogenic IS/TIA are selected by AF risk factors. LA dilation and atrial runs independently predict AF.


Subject(s)
Atrial Fibrillation/diagnosis , Electrocardiography/instrumentation , Ischemic Attack, Transient/diagnosis , Monitoring, Physiologic/instrumentation , Stroke/diagnosis , Aged , Aged, 80 and over , Atrial Fibrillation/diagnostic imaging , Female , Humans , Ischemic Attack, Transient/diagnostic imaging , Male , Middle Aged , Risk Factors , Stroke/diagnostic imaging , Ultrasonography
7.
Int J Sports Med ; 33(11): 903-8, 2012 Nov.
Article in English | MEDLINE | ID: mdl-22706940

ABSTRACT

Recompression during decompression has been suggested to possibly reduce the risk of decompression sickness (DCS). The main objective of the current study was to investigate the effects of FLIRT (First Line Intermittent Recompression Technique) on bubble detection in man. 29 divers underwent 2 simulated dives in a dry recompression chamber to a depth of 40 msw (500 kPa ambient pressure) in random order. A Buehlmann-based decompression profile served as control and was compared to an experimental profile with intermittent recompression during decompression (FLIRT). Circulating bubbles in the right ventricular outflow tract (RVOT) were monitored by Doppler ultrasound and quantified using the Spencer scoring algorithm. Heat shock protein 70 (HSP70), thrombocytes, D-Dimers and serum osmolarity were analyzed before and 120 min after the dive. Both dive profiles elicited bubbles in most subjects (range Spencer 0-4). However, no statistically significant difference was found in bubble scores between the control and the experimental dive procedure. There was no significant change in either HSP70, thrombocytes, and D-Dimers. None of the divers had clinical signs or symptoms suggestive of DCS. We conclude that FLIRT did not significantly alter the number of microbubbles and thus may not be considered superior to classical decompression in regards of preventing DCS.


Subject(s)
Decompression Sickness/prevention & control , Decompression/methods , Diving/physiology , Adult , Algorithms , Blood Platelets/metabolism , Decompression/adverse effects , Fibrin Fibrinogen Degradation Products/metabolism , HSP70 Heat-Shock Proteins/metabolism , Heart Ventricles/metabolism , Humans , Male , Osmolar Concentration , Ultrasonography, Doppler , Young Adult
8.
Ultraschall Med ; 32 Suppl 2: E31-7, 2011 Dec.
Article in English | MEDLINE | ID: mdl-21894599

ABSTRACT

PURPOSE: To compare joint inflammation assessment using subjective grading of power Doppler ultrasonography (PDUS) and contrast-enhanced ultrasonography (CEUS) versus computer-aided objective CEUS quantification. MATERIALS AND METHODS: 37 joints of 28 patients with arthritis of different etiologies underwent B-mode ultrasonography, PDUS, and CEUS using a second-generation contrast agent. Synovial thickness, extent of vascularized pannus and intensity of vascularization were included in a 4-point PDUS and CEUS grading system. Subjective CEUS and PDUS scores were compared to computer-aided objective CEUS quantification using Qontrast® software for the calculation of the signal intensity (SI) and the ratio of SI for contrast enhancement. RESULTS: The interobserver agreement for subjective scoring was good to excellent (κ = 0.8 - 1.0; P < 0.0001). Computer-aided objective CEUS quantification correlated statistically significantly with subjective CEUS (P < 0.001) and PDUS grading (P < 0.05). The Qontrast® SI ratio correlated with subjective CEUS (P < 0.02) and PDUS grading (P < 0.03). Clinical activity did not correlate with vascularity or synovial thickening (P = N. S.) and no correlation between synovial thickening and vascularity extent could be found, neither using PDUS nor CEUS (P = N. S.). CONCLUSION: Both subjective CEUS grading and objective CEUS quantification are valuable for assessing joint vascularity in arthritis and computer-aided CEUS quantification may be a suitable objective tool for therapy follow-up in arthritis.


Subject(s)
Arthritis/diagnostic imaging , Contrast Media/administration & dosage , Diagnosis, Computer-Assisted/methods , Image Enhancement/methods , Image Interpretation, Computer-Assisted/methods , Joints/blood supply , Joints/diagnostic imaging , Phospholipids , Sulfur Hexafluoride , Ultrasonography, Doppler, Color/methods , Ultrasonography, Doppler/methods , Ultrasonography/methods , Adult , Aged , Arthritis, Rheumatoid/diagnostic imaging , Diagnosis, Differential , Female , Granulation Tissue/blood supply , Granulation Tissue/diagnostic imaging , Humans , Hypertrophy , Male , Middle Aged , Osteoarthritis/diagnostic imaging , Regional Blood Flow/physiology , Software , Spondylarthritis/diagnostic imaging , Synovial Membrane/blood supply , Synovial Membrane/diagnostic imaging , Synovial Membrane/pathology , Video Recording/methods
9.
J Neural Transm (Vienna) ; 110(11): 1241-55, 2003 Nov.
Article in English | MEDLINE | ID: mdl-14628189

ABSTRACT

Seven randomised comparative studies were conducted in healthy volunteers to compare the pharmacokinetic and pharmacodynamic profiles of selegiline hydrochloride in a new formulation designed for buccal absorption "Zydis Selegiline" (1.25-10 mg) with conventional selegiline hydrochloride tablets "conventional selegiline tablets" (10 mg). A total of 156 healthy volunteers participated in these studies. Plasma concentrations of selegiline and its primary metabolites, N-desmethylselegiline (DMS), l-amphetamine (AMT), and l-methamphetamine (MET) were measured using Gas Chromatography Mass Spectrometry (GCMS) and gas liquid chromatography (GLC) assays. Inhibition of monoamine-oxidase type B (MAO-B) and monoamine oxidase type A (MAO-A) activity was determined by measurement of as beta-phenylethylamine (PEA) by GCMS and 5-hydroxyindoleacetic acid (5-HIAA) by High Performance Liquid Chromatography (HPLC) assays. Almost a third (2.96 mg) of a 10 mg selegiline dose in Zydis Selegiline was absorbed pre-gastrically (predominantly buccally) within 1 minute. Mean [SD] area-under-the curve (AUC(0- infinity)) values following Zydis Selegiline 10 mg (5.85 [7.31] ng.h/mL) were approximately five times higher than those following conventional selegiline tablets 10 mg (1.16 [1.05] ng.h/mL). In contrast, plasma concentrations of metabolites were significantly ( p<0.001) lower following Zydis Selegiline 10 mg than following conventional selegiline tablets 10 mg. Plasma concentrations of selegiline and its metabolites increased in a dose-dependent manner over the dose-range Zydis Selegiline 1.25-5 mg. Bioavailability was determined using AUC and peak plasma concentrations (C(max)). The C(max) of selegiline was similar following administration of Zydis Selegiline 1.25 mg (1.52 ng/mL) or conventional selegiline tablets 10 mg (1.14 mg/mL). The range of values for AUC(0- infinity) and C(max) following Zydis Selegiline 1.25 mg were entirely contained within the range following conventional selegiline tablets 10 mg, with a much higher variability of plasma selegiline concentrations occurring after conventional selegiline tablets than after Zydis Selegiline. As expected, peak plasma concentrations for DMS, AMT and MET were consistently lower after Zydis Selegiline 1.25 mg (1.19, 0.34, 0.93 ng/ml, respectively) than after conventional selegiline tablets 10 mg (18.37, 3.60, 12.92 ng/ml, respectively). A significant (r=0.0001) correlation between daily PEA excretion (a measure of brain MAO-B inhibition) and the log-transformed AUC((0-t)) for selegiline was demonstrated. Mean daily PEA excretion was similar following Zydis Selegiline 1.25 mg and conventional selegiline tablets 10 mg (13.0 microg versus 17.6 microg). In contrast, there was no correlation between PEA excretion and selegiline metabolites, indicating that selegiline metabolites do not significantly inhibit MAO-B. Urinary excretion of 5-HIAA (used as a marker for MAO-A inhibition) was unrelated to plasma concentrations of selegiline or DMS following single or repeat dosing of Zydis Selegiline 1.25 mg or conventional selegiline tablets 10 mg. However, comparison of treatment groups revealed a significantly lower excretion of 5-HIAA in the conventional selegiline tablets 10 mg group than in the Zydis Selegiline 1.25 mg group after repeated administration over 13 days. In summary, by reducing the opportunity for first-pass metabolism, the absorption of selegiline from Zydis Selegiline was more efficient and less variable than from conventional selegiline tablets. Compared with conventional selegiline tablets 10 mg, Zydis Selegiline 1.25 mg yielded similar plasma concentrations of selegiline and degree of MAO-B inhibition, but markedly reduced concentrations of the principal metabolites. Thus, the lower but equally MAO-B inhibitory dose of selegiline in Zydis Selegiline 1.25 mg, which is associated with lower concentrations of potentially harmful metabolites, could offer a safer and more predictable treatment in the management of patients with Parkinson's disease.


Subject(s)
Monoamine Oxidase Inhibitors/pharmacokinetics , Monoamine Oxidase/drug effects , Selegiline/pharmacokinetics , Administration, Oral , Adult , Aged , Amphetamine/blood , Biological Availability , Chemistry, Pharmaceutical , Dose-Response Relationship, Drug , Female , Humans , Hydroxyindoleacetic Acid/blood , Male , Metabolic Clearance Rate/drug effects , Metabolic Clearance Rate/physiology , Methamphetamine/blood , Middle Aged , Monoamine Oxidase/metabolism , Monoamine Oxidase Inhibitors/blood , Monoamine Oxidase Inhibitors/chemistry , Phenethylamines/blood , Phenethylamines/urine , Selegiline/blood , Selegiline/chemistry
10.
Forsch Komplementarmed Klass Naturheilkd ; 10(6): 298-302, 2003 Dec.
Article in German | MEDLINE | ID: mdl-14707477

ABSTRACT

BACKGROUND: The currently employed methods for quality assurance in student education are frequently considered as being inadequate. In the present study the request to plan a budget for the treatment of patients with ankylosing spondylitis is presented as an additional method to assess the influence of a teaching course on the student's attitude towards certain interventions. How would medical students distribute financial resources for the treatment of patients with ankylosing spondylitis? Does a course 'Excursion to a Spa' lead to changes in budgeting by the student? MATERIAL AND METHODS: Before and after a 4-day excursion to Bad Gastein (health resort primarily for patients with rheumatic diseases) to become better acquainted with the local treatment modalities medical students in semester 8.4 +/- 3.8 (5th year in medical school) were asked how they would distribute a fixed sum of EUR 5,000.- (= 100%) for a prospective period of 5 years over 9 given forms of treatment in a patient with ankylosing spondylitis in order to provide optimal improvement of the disease and quality of life. RESULTS: Before the excursion the students distributed the budget as follows: drug therapy 15%, spa therapy 17%, physical therapy 14%, exercise therapy 19%, massage therapy 11%, unconventional therapies 5%, psychological therapy 7%, changes in the household environment 8%, private pleasure 4%. After the excursion to the spa the medical students assigned more financial means on spa therapy (p = 0.024, Wilcoxon test) and unconventional therapies (p = 0.015). CONCLUSION: Creating a budget for a defined disease appears to be a useful instrument for assessing the influence of a teaching course on medical students' attitude towards certain interventions and for detecting imbalances in the presentation of therapy procedures or discrepancies between the presentation and the aims of teaching.


Subject(s)
Complementary Therapies , Education, Medical/standards , Health Resorts , Rheumatic Diseases/therapy , Spondylitis, Ankylosing/therapy , Complementary Therapies/economics , Complementary Therapies/education , Complementary Therapies/standards , Germany , Humans , Hydrotherapy , Quality Control , Time Factors , Treatment Outcome
11.
Article in German | MEDLINE | ID: mdl-11340315

ABSTRACT

OBJECTIVE: An influence on organ-associated blood flow is considered as a possible mechanism of action of reflex zone massage of the feet (FRZM) therapy. In the present study we investigated whether changes in intestinal blood flow can be achieved by FRZM. MATERIAL AND METHODS: 32 healthy adults (19 women and 13 men) were randomly assigned to the treatment or the placebo group. Subjects of the treatment group received foot massage on the zones assigned to the intestines and those of the placebo group received massage on zones unrelated to the intestines. Before, during and after FRZM, the blood flow velocity, the peak systolic and the end diastolic velocities in the superior mesenteric artery as well as the resistive index as a parameter of vascular resistance were calculated. RESULTS: During FRZM, in the subjects of the treatment group there was a significant reduction in the resistive index (p = 0.021), suggesting an increase in the blood flow in the superior mesenteric artery and the subordinate vascular system. In contrast, there were no significant changes in the resistive index in the subjects of the placebo group. CONCLUSION: The reduction in the resistive index observed in the treatment group supports the assumption that FRZM improves blood flow in the organs considered to be associated with the specific foot zones, at least during the therapy process.


Subject(s)
Intestines/blood supply , Massage , Mesenteric Artery, Superior/physiology , Adult , Blood Flow Velocity , Female , Foot , Humans , Male , Mesenteric Artery, Superior/diagnostic imaging , Placebos , Reference Values , Regional Blood Flow , Ultrasonography, Doppler, Color , Vascular Resistance
12.
Wien Med Wochenschr ; 149(19-20): 561-3, 1999.
Article in German | MEDLINE | ID: mdl-10637968

ABSTRACT

Nineteen patients with fibromyalgia underwent a course of treatment with EMG-biofeedback (EMG-BFB) technique. On completion of treatment, there was a statistically significant lowering of sensitivity to pain at pressure points typical for fibromyalgia (p = 0.017), which could be observed also 2 months after completion of treatment. In addition, there was a reduction both in the affective (p = 0.04) and in the sensory (p = 0.007) components of pain. Furthermore, there was a statistically significant improvement in the accompanying disease parameters of sleep disturbance (p = 0.004) and head ache (p = 0.031). Since EMG-BFB training might contribute not only to a reduction of pain and muscle tension but also to an improvement of quality of life, it can be recommended as part of a multimodal pain therapy in fibromyalgia patients.


Subject(s)
Biofeedback, Psychology , Electromyography , Fibromyalgia/therapy , Adult , Biofeedback, Psychology/physiology , Female , Fibromyalgia/physiopathology , Humans , Male , Middle Aged , Pain Measurement , Pain Threshold/physiology , Quality of Life , Treatment Outcome
13.
Exp Toxicol Pathol ; 48(4): 233-41, 1996 Jun.
Article in English | MEDLINE | ID: mdl-8811289

ABSTRACT

24 hours after an i.v. injection of 2 mg Sephadex G 200 particles ovalbumin sensitized Sprague Dawley rats show an antigen specific bronchial hyperreactivity and an unspecific hyperreactivity against serotonin. The aim of this study was to investigate the effects of Sephadex on blood parameters and lung pathology to find the morphological substrate of bronchial hyperreactivity in this animal model. In the blood neutrophilia (p < 0.01) but no eosinophilia was present. We conclude that a blood eosinophilia needs not to be necessarily correlated with hyperreactivity of the airways like claimed by other investigators for this animal model. Histologically we found that Sephadex particles are trapped in smaller-diameter arteries of the lung and lead to a granulomatous arteritis consisting mainly of ED1 positive and widely ED2 negative macrophages interspersed with eosinophils and neutrophils. Larger vessels not occluded by particles showed perivascular oedema with infiltration of eosinophils. We report here for the first time a significant hypertrophy of PAS positive goblet cells (p < 0.01) accompanied by a peribronchial infiltration with eosinophils (p < 0.01) and macrophages positive for ED1, ED2 and Ox-6 (p < 0.01) but not Ox-19 positive T-lymphocytes. The authors suggest that the peribronchial inflammation contributes importantly to the onset of bronchial hyperreactivity in this animal model and that the hypertrophy of goblet cells indicates the pathophysiological importance of peribronchial leukocytes.


Subject(s)
Bronchial Hyperreactivity/chemically induced , Bronchial Hyperreactivity/pathology , Dextrans/toxicity , Animals , Blood Cell Count , Bronchial Hyperreactivity/immunology , Dextrans/administration & dosage , Female , Histocytochemistry , Immunohistochemistry , Injections, Intravenous , Ovalbumin/toxicity , Rats , Rats, Sprague-Dawley
14.
Berl Munch Tierarztl Wochenschr ; 108(2): 66-9, 1995 Feb.
Article in German | MEDLINE | ID: mdl-7786281

ABSTRACT

Sprague-Dawley rats of both sexes were treated for three months with BM 15,766, an inhibitor of cholesterol biosynthesis in conjunction with standard or high-fat and high-cholesterol diets. In serum and livers of all drug-treated rats lowered cholesterol concentration associated with an increase of 7-dehydrocholesterol (7-DHC) was found. Electron microscopy of the liver showed a distinct proliferation of peroxisomes and an increase of dumb-bell shaped mitochondria in the pericentral zone 3. Abnormal-shaped peroxisomes with DAB-negative loops attached to their membranes were found in the intermediate zone 2. These alterations were more accentuated in drug-treated rats fed standard diet, then in treated rats receiving a high-fat and high-cholesterol diet. The observations demonstrate, that the increase of 7-DHC is due to the inhibition of 7-DHC-delta 7-reductase by BM 15.766 and emphasize the zonal heterogeneity of hepatocytes. The relevance of these observations for the investigation of the human Smith-Lemli-Opitz syndrome, in which also decreased plasma-cholesterol levels and an increase of 7-DHC were reported, is discussed.


Subject(s)
Anticholesteremic Agents/pharmacology , Cholesterol/biosynthesis , Dehydrocholesterols/metabolism , Liver/metabolism , Microbodies/drug effects , Piperazines/pharmacology , Animals , Dehydrocholesterols/blood , Female , Liver/ultrastructure , Male , Mitochondria, Liver/drug effects , Rats , Rats, Sprague-Dawley
15.
Arch Toxicol ; 66(5): 327-33, 1992.
Article in English | MEDLINE | ID: mdl-1610295

ABSTRACT

The effects of bezafibrate administered at 10 and 50 mg/kg/day for 7 days to male Sprague-Dawley (SD) and Lewis rats were investigated in order to determine the interrelation between the changes in serum and hepatic lipid contents and activities of selected peroxisomal, microsomal and mitochondrial enzymes in the two rat strains. In both strains, bezafibrate effectively reduced serum and hepatic lipids, increased the liver weight, induced a proliferation of peroxisomes, and selectively elevated the activities of carnitine acetyltransferase and of the enzymes of the peroxisomal beta-oxidation system. Moreover, immunoblotting revealed that the drug specifically enhanced the concentration of only those peroxisomal enzymes involved in fatty acid beta-oxidation. The data obtained demonstrate that although the responses initiated by bezafibrate are qualitatively similar in both strains, they differ in their magnitude in a dose-dependent manner, with the Lewis strain exhibiting a more pronounced response than the SD rats. These results show that dose-dependent strain differences as well as the generally known species differences should be taken into account in pharmacological and toxicological evaluations of fibrates in rodents. Furthermore, generalization and extrapolation from rodent studies should be treated with great caution.


Subject(s)
Bezafibrate/pharmacology , Hypolipidemic Agents/pharmacology , Microbodies/enzymology , Animals , Biomarkers , Blotting, Western , Cholesterol/blood , Enzyme Induction/drug effects , Lipid Metabolism , Lipids/blood , Liver/drug effects , Liver/metabolism , Male , Microbodies/drug effects , Microsomes, Liver/drug effects , Microsomes, Liver/enzymology , Mitochondria, Liver/drug effects , Mitochondria, Liver/enzymology , Organ Size/drug effects , Rats , Rats, Inbred Lew , Rats, Inbred Strains , Species Specificity , Triglycerides/blood
16.
Agents Actions Suppl ; 37: 107-13, 1992.
Article in English | MEDLINE | ID: mdl-1632287

ABSTRACT

In rat hepatocyte cultures daltroban reduced 14C-acetate incorporation stronger into cholesterol (CH) esters than into free CH. Further data suggest that the reduction of cellular sterols by daltroban is independent from its TXA2 receptor antagonistic activity and caused by reduced capacity of ACAT depending CH esterification. In rabbits fed CH-enriched diet treatment with daltroban led to an inhibition of platelet aggregation and to a significant reduction of progression of atherosclerosis. Both reduced CH esterification and TXA2 receptor antagonism may contribute to the diminution of progression of atherosclerosis by daltroban.


Subject(s)
Coronary Artery Disease/prevention & control , Lipid Metabolism , Phenylacetates/pharmacology , Sulfonamides/pharmacology , Thromboxanes/antagonists & inhibitors , 15-Hydroxy-11 alpha,9 alpha-(epoxymethano)prosta-5,13-dienoic Acid , Animals , Cells, Cultured , Cholesterol Esters/biosynthesis , Coronary Artery Disease/blood , Diet, Atherogenic , In Vitro Techniques , Male , Microsomes/enzymology , Microsomes/metabolism , Phenylacetates/therapeutic use , Prostaglandin Endoperoxides, Synthetic/pharmacology , Rabbits , Rats , Sterol O-Acyltransferase/metabolism , Sulfonamides/therapeutic use , Vasoconstrictor Agents/pharmacology
17.
Exp Pathol ; 41(2): 57-69, 1991.
Article in English | MEDLINE | ID: mdl-1828033

ABSTRACT

These studies have examined aortic atherogenesis in cholesterol-fed rabbits and have correlated the effects of daltroban to the pathomechanism of the vessel wall lesions. After feeding a 0.5% cholesterol-enriched diet for 96 d atherosclerotic alterations were seen, which exhibited a proximo-distal pattern, to which the branching of the aorta contributed considerably. Depending on their localization and size a varying cellular constitution of the plaques was obvious. Large plaques, which were mainly seen in the aortic arch and the proximal descending thoracic aorta, consisted of numerous proliferating cells, masses of fibrillar ground substance, clusters of foam cells, and rarely contained cholesterol crystals and necroses. Emerging plaques mainly found in distal thoracic and abdominal aorta imposed as fatty streaks. Daltroban treatment, used in a clinically relevant doses of 10 mg/kg b. wt. per day, reduced extension and protrusional area of plaques to about 40%, which was evaluated using a newly developed computerized morphormetric method, in association with significant reductions in free cholesterol content within the aorta. The results suggest that daltroban inhibits the progression of atherosclerosis in cholesterol-fed rabbits. This effect may be related to its antagonistic interaction with the thromboxane A2 receptor and also to an inhibition of the cholesterol metabolism.


Subject(s)
Aorta/pathology , Arteriosclerosis/pathology , Hypercholesterolemia/pathology , Phenylacetates/therapeutic use , Sulfonamides/therapeutic use , Thromboxanes/antagonists & inhibitors , Animals , Aorta/metabolism , Arteriosclerosis/drug therapy , Arteriosclerosis/metabolism , Cholesterol/blood , Cholesterol, Dietary/administration & dosage , Disease Models, Animal , Hypercholesterolemia/metabolism , Male , Phenylacetates/pharmacology , Rabbits , Receptors, Prostaglandin/antagonists & inhibitors , Receptors, Prostaglandin/drug effects , Receptors, Thromboxane , Sulfonamides/pharmacology , Thromboxanes/metabolism
19.
Exp Pathol ; 30(3): 157-64, 1986.
Article in English | MEDLINE | ID: mdl-3792486

ABSTRACT

72 male and 72 female rats of the strain Can-Hoe-Wiga received standard diet in a long-term study (24 months). A group of equal size received the beta-blocker BM 51.052 administered at a dose of 900 ppm in the feed. The animals in the drug group showed a 20 to 30% delay in body weight gain in comparison with the control animals. These drug-treated animals showed, similarly to experiments with a restrictive diet, a lower death rate, fewer glomerulopathies, and lower creatinine and protein levels in the serum. In addition, there were fewer tumour bearers, the total number of tumours was less, and the malignancy and formation of metastases was reduced. This experiment shows the importance which should be attached to the course of body weight gain during a long-term study. Only if these parameters are taken into consideration, an interpretation of the experimental results is possible.


Subject(s)
Neoplasms, Experimental/etiology , Animals , Blood Proteins/metabolism , Body Weight/drug effects , Creatinine/blood , Diet , Female , Male , Neoplasms, Experimental/prevention & control , Propanolamines/pharmacology , Rats , Rats, Inbred Strains
20.
Exp Pathol ; 28(4): 235-43, 1985.
Article in English | MEDLINE | ID: mdl-3830743

ABSTRACT

The Caw-Hoe-Wiga strain of the Sprague-Dawley rat was observed for a period of ten years (1974--1983). In toxicity studies, a gradual increase of food intake could be noted in 12- to 13-week-old rats. The food intake of males was 21 g in 1974 and 27 g in 1983; in females 16 g in 1974 and 19 g in 1984. Correspondingly, a gradual increase of body weight was measured. The body weight of males was 400 g in 1974 and 470 g in 1983; of females 240 g in 1974 and 285 g in 1983. The gradual increase of food intake and body weight was followed by a gradual increase in the incidence of spontaneous tumors, 1974: 5% and 1983: 13%. Our experiments support the opinion of a causal connection between food intake, body weight and incidence of spontaneous tumors. Tumors can appear in any age group, but tumors. occur more often in older animals. In our studies, the increase in the incidence of spontaneous tumors was proportional to the increase in age: At 15 months only 6%, at 32 months 86%. 32% of the tumors were located in the mammary glands, 27% in the hypophysis, 12% in skin and appendages, and 9% in other endocrine organs. The comparison of toxicity and carcinogenicity studies revealed no change in the tumor spectrum, but strain-related tumors appeared earlier in life, more frequently and more often multifocally towards the end of the 10-year observation period.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Neoplasms/veterinary , Rats, Inbred Strains , Rodent Diseases/epidemiology , Adrenal Gland Neoplasms/epidemiology , Adrenal Gland Neoplasms/etiology , Adrenal Gland Neoplasms/veterinary , Aging , Animals , Animals, Laboratory , Body Weight , Eating , Female , Male , Mammary Glands, Animal , Neoplasms/epidemiology , Neoplasms/etiology , Pituitary Neoplasms/epidemiology , Pituitary Neoplasms/etiology , Pituitary Neoplasms/veterinary , Rats , Rodent Diseases/etiology , Skin Neoplasms/epidemiology , Skin Neoplasms/etiology , Skin Neoplasms/veterinary , Thyroid Neoplasms/epidemiology , Thyroid Neoplasms/etiology , Thyroid Neoplasms/veterinary
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