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1.
Front Plant Sci ; 13: 1057914, 2022.
Article in English | MEDLINE | ID: mdl-36714712

ABSTRACT

Fusarium head blight (FHB) is a fungal disease of wheat (Triticum aestivum.L) that causes yield losses and produces mycotoxins which could easily exceed the limits of the EU regulations. Resistance to FHB has a complex genetic architecture and accurate evaluation in breeding programs is key to selecting resistant varieties. The Area Under the Disease Progress Curve (AUDPC) is one of the commonly metric used as a standard methodology to score FHB. Although efficient, AUDPC requires significant costs in phenotyping to cover the entire disease development pattern. Here, we show that there are more efficient alternatives to AUDPC (angle, growing degree days to reach 50% FHB severity, and FHB maximum variance) that reduce the number of field assessments required and allow for fair comparisons between unbalanced evaluations across trials. Furthermore, we found that the evaluation method that captures the maximum variance in FHB severity across plots is the most optimal approach for scoring FHB. In addition, results obtained on experimental data were validated on a simulated experiment where the disease progress curve was modeled as a sigmoid curve with known parameters and assessment protocols were fully controlled. Results show that alternative metrics tested in this study captured key components of quantitative plant resistance. Moreover, the new metrics could be a starting point for more accurate methods for measuring FHB in the field. For example, the optimal interval for FHB evaluation could be predicted using prior knowledge from historical weather data and FHB scores from previous trials. Finally, the evaluation methods presented in this study can reduce the FHB phenotyping burden in plant breeding with minimal losses on signal detection, resulting in a response variable available to use in data-driven analysis such as genome-wide association studies or genomic selection.

2.
Transpl Infect Dis ; 16(5): 713-23, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25200928

ABSTRACT

INTRODUCTION: Cytomegalovirus (CMV) and human adenovirus (ADV) infections are causes of morbidity after stem cell transplantation. Antigen (Ag)-specific T cells are essential for the control of viral infections. However, in vivo expansion potential of T-cell subpopulations is hardly predictable in humans. Furthermore, ex vivo identification of human T cells with repopulating capacity for adoptive T-cell transfer has been difficult. METHODS: We analyzed Ag-specific T-cell populations, subdivided according to the expression of different THELPER- 1 (Th1) cytokines. Isolation by flow cytometry was based on interferon-gamma (IFN)-γ, interleukin (IL)-2, or tumor necrosis factor-alpha (TNF-α) secretion of T cells after ex vivo stimulation with the Ags hexon (for ADV) and pp65 (for CMV). Isolated T cells were expanded and examined for functional characteristics, expansion/differentiation potential, and naïve, effector memory, central memory, and late effector phenotypes. RESULTS: Isolation based on IFN-γ production provides a T-cell population with a mixture of early, central memory, and effector memory T cells, high expansion potential, and effective cytokine production. Selection of T cells with Ag-specific expression of IL-2 or TNF-α, however, results in a T-cell population with reduced proliferation and lower effector potential after expansion. CONCLUSION: We conclude that the exclusive secretion of IFN-γ in the human antiviral T-cell responses preferentially leads to higher repopulation capacities of antiviral T cells, compared to IL-2 or TNF-α secreting T-cell populations.


Subject(s)
CD8-Positive T-Lymphocytes , Interferon-gamma/metabolism , Interleukin-2/metabolism , Th1 Cells/immunology , Th1 Cells/metabolism , Tumor Necrosis Factor-alpha/metabolism , Adaptive Immunity , CD8-Positive T-Lymphocytes/chemistry , Capsid Proteins/immunology , Cell Differentiation , Cell Proliferation , Cells, Cultured , Humans , Immunologic Memory , Interferon-gamma/analysis , Interleukin-2/analysis , L-Selectin/analysis , Leukocyte Common Antigens/analysis , Lymphocyte Count , Phosphoproteins/immunology , Th1 Cells/chemistry , Tumor Necrosis Factor-alpha/analysis , Viral Matrix Proteins/immunology
3.
Phytopathology ; 101(10): 1209-16, 2011 Oct.
Article in English | MEDLINE | ID: mdl-21635143

ABSTRACT

Septoria tritici blotch (STB) is one of the most important leaf spot diseases in wheat worldwide. The goal of this study was to detect chromosomal regions for adult-plant resistance in large winter wheat populations to STB. Inoculation by two isolates with virulence to Stb6 and Stb15, both present in the parents, was performed and STB severity was visually scored plotwise as percent coverage of flag leaves with pycnidia-bearing lesions. 'Florett'/'Biscay' and 'Tuareg'/'Biscay', each comprising a cross of a resistant and a susceptible cultivar, with population sizes of 316 and 269 F(7:8) recombinant inbred lines, respectively, were phenotyped across four and five environments and mapped with amplified fragment length polymorphism, diversity array technology, and simple sequence repeat markers covering polymorphic regions of ≈1,340 centimorgans. Phenotypic data revealed significant (P < 0.01) genotypic differentiation for STB, heading date, and plant height. Entry-mean heritabilities (h(2)) for STB were 0.73 for 'Florett'/'Biscay' and 0.38 for 'Tuareg'/'Biscay'. All correlations between STB and heading date as well as between STB and plant height were low (r = -0.13 to -0.20). In quantitative trait loci (QTL) analysis, nine and six QTL were found for STB ratings explaining, together, 55 and 51% of phenotypic variation in 'Florett'/'Biscay' and 'Tuareg'/'Biscay', respectively. Genotype-environment and QTL-environment interactions had a large impact. Two major QTL were detected consistently across environments on chromosomes 3B and 6D from 'Florett' and chromosomes 4B and 6B from 'Tuareg', each explaining 12 to 17% of normalized adjusted phenotypic variance. These results indicate that adult-plant resistance to STB in both mapping populations was of a quantitative nature.


Subject(s)
Ascomycota/physiology , Chromosome Mapping/methods , Plant Diseases/microbiology , Plant Immunity/genetics , Quantitative Trait Loci/genetics , Triticum/genetics , Amplified Fragment Length Polymorphism Analysis , Chromosomes, Plant/genetics , Crosses, Genetic , Genetic Markers , Minisatellite Repeats , Phenotype , Plant Leaves/genetics , Plant Leaves/immunology , Plants, Genetically Modified/genetics , Plants, Genetically Modified/immunology , Triticum/immunology
4.
Theor Appl Genet ; 117(1): 29-35, 2008 Jun.
Article in English | MEDLINE | ID: mdl-18379754

ABSTRACT

Fusarium head blight (FHB) is one of the most important wheat diseases that causes yield and quality losses as well as contamination with deoxynivalenol (DON). This study aimed for marker-based introduction of three previously mapped QTLs from two German winter wheat resistance sources into an elite background unrelated to the mapping population. A double cross (DC) served as initial population that combined two resistance donor-QTL alleles from "Dream" (Qfhs.lfl-6AL, Qfhs.lfl-7BS) and one donor-QTL allele from "G16-92" on chromosome 2BL with two high yielding, susceptible elite winter wheats ("Brando", "LP235.1"). The initial population of 600 DC-derived F(1) lines was selected with SSR markers for the respective QTLs. After two marker-selection steps, each of eight marker classes was represented by 9-22 lines possessing the respective donor-QTL allele or all possible combinations thereof in the homozygous state. The effect of the QTLs was estimated by field tests at four locations inoculated with Fusarium culmorum. Resistance was measured as the mean of multiple FHB ratings (0-100%). Marker classes incorporating only one QTL were not significantly more resistant than the class without any QTL, the combination of two donor-QTL alleles reduced FHB significantly. On average, lines with Qfhs.lfl-6AL were significantly taller than lines without this QTL. A considerable variation for FHB resistance was found in all marker classes. Marker-based introduction of two QTLs enhanced mean FHB rating by about 40 percentage points, the selected plants, however, were, on average, significantly taller. Both findings strongly support a phenotypic selection following after marker-based introduction of effective QTLs.


Subject(s)
Fusarium , Plant Diseases/genetics , Quantitative Trait Loci , Triticum/genetics , Alleles , Crosses, Genetic , Genetic Markers , Plant Diseases/immunology , Plant Diseases/microbiology , Triticum/microbiology
5.
Theor Appl Genet ; 111(4): 747-56, 2005 Aug.
Article in English | MEDLINE | ID: mdl-15947905

ABSTRACT

Fusarium head blight (FHB), mainly caused by Fusarium graminearum and F. culmorum, can significantly reduce the grain quality of wheat (Triticum aestivum L.) due to mycotoxin contamination. The objective of this study was to identify quantitative trait loci (QTLs) for FHB resistance in a winter wheat population developed by crossing the resistant German cultivar Dream with the susceptible British cultivar Lynx. A total of 145 recombinant inbred lines (RILs) were evaluated following spray inoculation with a F. culmorum suspension in field trials in 2002 in four environments across Germany. Based on amplified fragment length polymorphism and simple sequence repeat marker data, a 1,734 cM linkage map was established assuming that the majority of the polymorphic parts of the genome were covered. The area under disease progress curve (AUDPC) was calculated based on the visually scored FHB symptoms. The population segregated quantitatively for FHB severity. Composite interval mapping analysis for means across the environments identified four FHB resistance QTLs on chromosomes 6AL, 1B, 2BL and 7BS. Individually the QTLs explained 19%, 12%, 11% and 21% of the phenotypic variance, respectively, and together accounted for 41%. The QTL alleles conferring resistance on 6AL, 2BL and 7BS originated from cv. Dream. The resistance QTL on chromosome 6AL partly overlapped with a QTL for plant height. The FHB resistance QTL on 7BS coincided with a QTL for heading date, but the additive effect on heading date was of minor importance. The resistance QTL on chromosome 1B was associated with the T1BL.1RS wheat-rye translocation of Lynx.


Subject(s)
Chromosome Mapping , Fusarium , Immunity, Innate/genetics , Phenotype , Plant Diseases/microbiology , Quantitative Trait Loci , Triticum/genetics , Area Under Curve , Crosses, Genetic , Germany , Microsatellite Repeats/genetics , Nucleic Acid Amplification Techniques , Polymorphism, Restriction Fragment Length
6.
Theor Appl Genet ; 108(7): 1229-35, 2004 May.
Article in English | MEDLINE | ID: mdl-14740087

ABSTRACT

Phenotypic variability for resistance against non-parasitic leaf spots (NPLS) has been observed between varieties. For the genetic characterization of NPLS resistance, a population with 430 doubled haploid (DH) lines was developed from the cross between the NPLS-resistant Hordeum vulgare breeding line IPZ24727 and the NPLS-sensitive barley cultivar Barke. A molecular map was constructed based on 164 AFLPs, 30 SSRs and one STS marker derived from the mlo gene. Field trials were performed over four environments in which NPLS and other agronomic traits were assessed. Estimates of genotypic variance were highly significant for NPLS. Moreover, no transgression was found for the trait. Quantitative trait loci (QTLs) for NPLS resistance were mapped in the DH population on chromosomes 1H, 4H, and 7H, with the most important effect on chromosome 4H. The QTLs for NPLS explained together 39% of the phenotypic and 49% of the genotypic variance, thereby showing additive gene action. Consequently, marker-assisted selection for improving NPLS resistance is possible.


Subject(s)
Chromosome Mapping , Hordeum/genetics , Phenotype , Quantitative Trait Loci/genetics , Agriculture/methods , Crosses, Genetic , Immunity, Innate/genetics , Minisatellite Repeats/genetics , Plant Diseases/genetics , Polymorphism, Restriction Fragment Length
7.
Theor Appl Genet ; 106(8): 1420-4, 2003 May.
Article in English | MEDLINE | ID: mdl-12750784

ABSTRACT

The powdery mildew resistance gene Pm22, identified in the Italian wheat cultivar Virest and originally assigned to wheat chromosome 1D, was mapped to chromosome 7A with the aid of molecular markers. Mapping of common AFLP and SSR markers in two wheat crosses segregating for Pm22 and Pm1c, respectively, indicated that Pm22 is a member of the complex Pm1 locus. Pm22 also showed a pattern of resistance reaction to a differential set of Blumeria graminis f. sp. tritici isolates that was distinguishable from those from other Pm1 alleles in lines Axminster/8*Cc ( Pm1a), MocZlatka ( Pm1b), Weihenstephan Stamm M1N ( Pm1c) and Triticum spelta var. duhamelianum TRI 2258 ( Pm1d). Based on these results, the gene symbol Pm1e is proposed for the powdery mildew resistance gene in cv. Virest.


Subject(s)
Genes, Plant , Triticum/genetics , Chromosome Mapping , Chromosomes, Plant , Genetic Linkage , Triticum/microbiology
8.
Theor Appl Genet ; 107(3): 503-8, 2003 Aug.
Article in English | MEDLINE | ID: mdl-12768240

ABSTRACT

Fusarium head blight (FHB, scab) causes severe yield and quality losses, but the most serious concern is the mycotoxin contamination of cereal food and feed. The cultivation of resistant varieties may contribute to integrated control of this fungal disease. Breeding for FHB resistance by conventional selection is feasible, but tedious and expensive. The aim of this work was to detect QTLs for combined type I and type II resistance against FHB and estimate their effects in comparison to the QTLs identified previously for type II resistance. A population of 364, F1 derived doubled-haploid (DH) lines from the cross 'CM-82036' (resistant)/'Remus' (susceptible) was evaluated for components of FHB resistance during 2 years under field conditions. Plants were inoculated at anthesis with a conidial suspension of Fusarium graminearum or Fusarium culmorum. The crop was kept wet for 20 h after inoculation by mist-irrigation. Disease severity was assessed by visual scoring. Initial QTL analysis was performed on 239 randomly chosen DH lines and extended to 361 lines for putative QTL regions. Different marker types were applied, with an emphasis on PCR markers. Analysis of variance, as well as simple and composite interval mapping, revealed that two genomic regions were significantly associated with FHB resistance. The two QTLs on chromosomes 3B (Qfhs.ndsu-3BS) and 5A (Qfhs.ifa-5A) explained 29 and 20% of the phenotypic variance, respectively, for visual FHB severity. Qfhs.ndsu-3BS appeared to be associated mainly with resistance to fungal spread, and Qfhs.ifa-5A primarily with resistance to fungal penetration. Both QTL regions were tagged with flanking SSR markers. These results indicate that FHB resistance was under the control of two major QTLs operating together with unknown numbers of minor genes. Marker-assisted selection for these two major QTLs appears feasible and should accelerate the development of resistant and locally adapted wheat cultivars.


Subject(s)
Fusarium , Plant Diseases/genetics , Quantitative Trait Loci/genetics , Triticum/genetics , Analysis of Variance , Chromosome Mapping , Crosses, Genetic , Immunity, Innate/genetics , Minisatellite Repeats , Polymorphism, Restriction Fragment Length
9.
Theor Appl Genet ; 104(1): 84-91, 2002 Jan.
Article in English | MEDLINE | ID: mdl-12579431

ABSTRACT

Fusarium head blight (FHB, scab) is a fungal disease of wheat and other small cereals that is found in both temperate and semi-tropical regions. FHB causes severe yield and quality losses, but the most-serious concern is the possible mycotoxin contamination of cereal food and feed. Breeding for FHB resistance by conventional selection is feasible, but tedious and expensive. This study was conducted to identify and map DNA markers associated with FHB resistance genes in wheat. A population of 364 F(1)-derived doubled-haploid (DH) lines from the cross 'CM-82036' (resistant)/'Remus' (susceptible) was evaluated for Type II resistance (spread within the spike) during 2 years under field conditions. Marker analysis was performed on 239 randomly chosen DH lines. Different marker types were applied, with an emphasis on AFLP and SSR markers. Analysis of variance, as well as simple and composite interval mapping, were applied. Three genomic regions were found significantly associated with FHB resistance. The most-prominent effect was detected on the short arm of chromosome 3B, explaining up to 60% of the phenotypic variance for Type II FHB resistance. A further QTL was located on chromosome 5A and a third one on 1B. The QTL regions on 3B and 5A were tagged with flanking SSR markers, the 1B QTL was found associated with the high-molecular-weight glutenin locus. These results indicate that FHB resistance is under control of a few major QTLs operating together with unknown numbers of minor genes. Marker-assisted selection for these major QTLs involved in FHB resistance appears feasible and should accelerate the development of resistant and agronomically improved wheat cultivars.

10.
EMBO J ; 15(9): 2031-49, 1996 May 01.
Article in English | MEDLINE | ID: mdl-8641269

ABSTRACT

The complete nucleotide sequence of Saccharomyces cerevisiae chromosome X (745 442 bp) reveals a total of 379 open reading frames (ORFs), the coding region covering approximately 75% of the entire sequence. One hundred and eighteen ORFs (31%) correspond to genes previously identified in S. cerevisiae. All other ORFs represent novel putative yeast genes, whose function will have to be determined experimentally. However, 57 of the latter subset (another 15% of the total) encode proteins that show significant analogy to proteins of known function from yeast or other organisms. The remaining ORFs, exhibiting no significant similarity to any known sequence, amount to 54% of the total. General features of chromosome X are also reported, with emphasis on the nucleotide frequency distribution in the environment of the ATG and stop codons, the possible coding capacity of at least some of the small ORFs (<100 codons) and the significance of 46 non-canonical or unpaired nucleotides in the stems of some of the 24 tRNA genes recognized on this chromosome.


Subject(s)
Chromosomes, Fungal , Saccharomyces cerevisiae/genetics , Amino Acid Sequence , Base Sequence , Centromere , Chromosome Mapping , Codon, Terminator , Molecular Sequence Data , Multigene Family , Open Reading Frames , RNA, Transfer/chemistry , Telomere
11.
Nervenarzt ; 67(3): 219-28, 1996 Mar.
Article in German | MEDLINE | ID: mdl-8901280

ABSTRACT

Within the framework of the vulnerability-stress model of schizophrenia, it is assumed that there is a specific relationship between the factors "expressed emotion" in the family of the patients and "psychophysological activation" of the patients. High expressed emotion would go together with a rise in psychophysiological activation. The aim of this study was to test whether psychophysiological correlates of an emotional family atmosphere could be found in the case of 2 schizophrenic patients in remission and their relatives (parents). The patients and their respective relatives were examined psychophysiologically during a baseline condition (alone), non-verbal interaction, and a discussion of relevant conflict areas. Among other things, three electrodermal parameters were recorded as autonomous measures of activation: SCL, number and amplitudes of nsSCs. The Camberwell Family Interview was used for assignment of EE. In addition, psyhopathological symptoms, reciprocal behavior assessment and agreement in various areas of life with self-assessment scales were recorded for patients and relatives. Despite the effectiveness of the experimental conditions, the EE categories were not reflected in any of the recorded measurements on the psychophysiological level. However, the EE categories were clearly reflected in the psychological parameters. HEE relatives proved to be less in agreement with others within the family, and they tended to be psychopathologically more conspicuous. The mutual behavior assessment for HEE couples was more negative than for LEE couples. The overlapping effects that could be a possible explanation of the psychophysiological findings and the results of the psychological correlates are discussed. Possibilities for improvement and further research strategies are suggested.


Subject(s)
Arousal , Family/psychology , Schizophrenia/diagnosis , Schizophrenic Psychology , Stress, Psychological/complications , Adult , Emotions , Female , Galvanic Skin Response , Humans , Male , Parent-Child Relations , Psychiatric Status Rating Scales , Schizophrenia/rehabilitation
12.
Compr Psychiatry ; 37(1): 62-7, 1996.
Article in English | MEDLINE | ID: mdl-8770529

ABSTRACT

The influence of different hierarchical guidelines in various classification systems on the diagnosis of anxiety disorders and hypochondriasis was investigated. Using a semistructured polydiagnostic interview (including DSM-III, DSM-III-R, and the 1987 draft version of ICD-10), lifetime diagnoses were determined in B2 outpatients with a DSM-III-R anxiety disorder. In all diagnostic systems, half of our patients exhibited the descriptive features of hypochondriasis. As demonstrated, the formulation of restrictive hierarchical rules--as in DSM-III--contributes to the concept of "primary" hypochondriasis, while secondary hypochondriasis remains underdiagnosed. Concordance rates for hypochondriasis were high between DSM-III-R and ICD-10, but not with DSM-III. Although hypochondriasis showed a strong association with the clinical course of panic disorder (PD), it could not be explained as a consequence of greater illness severity of PD with agoraphobia (AP). Our data underline the conceptualization of hypochondriasis as a phenomenologically homogeneous diagnostic category that may be differentiated from comorbid psychiatric conditions.


Subject(s)
Anxiety Disorders/epidemiology , Hypochondriasis/epidemiology , Psychiatric Status Rating Scales/statistics & numerical data , Adult , Aged , Agoraphobia/classification , Agoraphobia/diagnosis , Agoraphobia/epidemiology , Anxiety Disorders/classification , Anxiety Disorders/diagnosis , Comorbidity , Diagnosis, Differential , Female , Humans , Hypochondriasis/diagnosis , Hypochondriasis/psychology , Male , Middle Aged
13.
Theor Appl Genet ; 90(5): 601-6, 1995 Apr.
Article in English | MEDLINE | ID: mdl-24174015

ABSTRACT

RFLP markers for the wheat powdery mildew resistance genes Pm1 and Pm2 were tagged by means of near-isogenic lines. The probe Whs178 is located 3 cM from the Pm1 gene. For the powdery mildew resistance gene Pm2, two markers were identified. The linkage between the Pm2 resistance locus and one of these two probes was estimated to be 3 cM with a F2 population. Both markers can be used to detect the presence of the corresponding resistance gene in commercial cultivars. "Bulked segregant analysis" was applied to identify linkage disequillibrium between the resistance gene Pm18 and the abovementioned marker, which was linked to this locus at a distance of 4 cM. Furthermore, the RAPD marker OPH-111900 (5'-CTTCCGCAGT-3') was selected with pools created from a population segregating for the resistance of 'Trigo BR 34'. The RAPD marker was mapped about 13 cM from this resistance locus.

14.
Behav Res Ther ; 32(6): 593-603, 1994 Jul.
Article in English | MEDLINE | ID: mdl-8085987

ABSTRACT

The existence of subjective symptoms arising from high blood pressure (BP) remains controversial. Few studies have been performed which compare symptoms of hypertensives and normotensives. The results of these studies are inconsistent. The present study investigates the intensities and prevalences of symptoms of hypertensives and normotensives and the relationship between symptoms and BP for both groups. During a 30-day period, 45 patients with primary hypertension and 45 normotensive controls documented BPs and intensities of 13 symptoms daily as well as mood and life satisfaction weekly. Starting on day 3 hypertensives received beta-blocker therapy (bopindolol, 1 mg/day). The BP values of the hypertensives normalized during the study, while the BPs of the normotensives did not change. At the beginning, hypertensives showed higher prevalences and intensities of the symptoms and poorer mood and life satisfaction. After normalization of BP, hypertensives attained scores similar to those of normotensives in all measured categories. Calculating within-S correlations between symptom intensities and systolic BPs, 70% of the hypertensives, but only 27% of the normotensives, showed at least one significant correlation. The differences observed between untreated hypertensives and the normotensive control group with respect to the prevalence and intensity of symptoms provide convincing evidence that untreated hypertensives are by no means symptom-free. The within-S correlations of the present study documented well the close relationship between symptoms and actual BP for a percentage of hypertensives.


Subject(s)
Blood Pressure , Hypertension/psychology , Quality of Life , Somatoform Disorders/psychology , Adult , Aged , Aged, 80 and over , Antihypertensive Agents/therapeutic use , Blood Pressure/drug effects , Female , Humans , Hypertension/drug therapy , Male , Middle Aged , Personality Inventory , Sick Role , Somatoform Disorders/drug therapy
15.
Theor Appl Genet ; 86(8): 959-63, 1993 Sep.
Article in English | MEDLINE | ID: mdl-24194004

ABSTRACT

The objective of this study was to identify molecular markers linked to genes for resistance to powdery mildew (Pm) in wheat using a series of 'Chancellor' near-isogenic-lines (NILs), each having one powdery mildew resistance gene. A total of 210 probes were screened for their ability to detect polymorphism between the NILs and the recurrent parent. One of these restriction fragment length polymorphism (RFLP) markers (Xwhs179) revealed polymorphism not only between the NILs for the Pm3 locus, but also among NILs possessing different alleles of the Pm3 locus. The location of the marker Xwhs179 was confirmed to be on homoeologous chromosome group 1 with the help of nullitetrasomic wheat lines. The linkage relationship between this probe and the Pm3 locus was estimated with double haploid lines derived from a cross between wheat cvs 'Club' and 'Chul' (Pm3b). The genetic distance was determined to be 3.3±1.9 cM.

16.
Psychother Psychosom Med Psychol ; 41(11): 429-36, 1991 Nov.
Article in German | MEDLINE | ID: mdl-1771228

ABSTRACT

The interaction between psychological and physiological factors was studied with a field approach in 28 patients with cardiac phobia and 20 healthy controls. A 24-hour ambulatory ECG was recorded, and the subjects were instructed to report their activities and any cardiac perception during this period. Additionally, psychological tests assessing well-being (Bf-S), bodily complaints (B-L), and state and trait anxiety (Stai-S and Stai-T) were administered. The groups did not differ in the mean cardiovascular parameters, however patients with cardiac phobia and healthy controls showed clear differences in the strength and direction of correlations between psychological and physiological variables. The incidence of cardiac perceptions was about the same in both groups, but only patients with cardiac phobia attributed the perceptions to an internal stimulus and associated the perceptions with anxiety. Depending on the anxiety elicited by the cardiac perceptions, the patients with cardiac phobia showed heart rate accelerations, which did not occur in healthy controls. This study confirms a psychosomatic process between psychological and physiological variables, which seems to be able to explain the development and maintenance of cardiac phobia.


Subject(s)
Arousal/physiology , Neurocirculatory Asthenia/psychology , Sick Role , Adult , Electrocardiography , Female , Humans , Male , Neurocirculatory Asthenia/physiopathology , Personality Inventory/statistics & numerical data , Psychometrics
17.
Psychol Med ; 21(2): 413-21, 1991 May.
Article in English | MEDLINE | ID: mdl-1715091

ABSTRACT

A comparative study of diabetics with autonomic neuropathy (N = 13) as against non-neuropathic diabetics (N = 16) and healthy control persons (N = 20) was carried out with respect to heart rate both at rest and under stress, frequency of cardiac arrhythmias in a 24-h ECG and accuracy of heartbeat and arrhythmia perception. In the subjects with diabetic autonomic neuropathy, the spontaneous variability and stress-induced reactivity of the heart rate as well as the number of tachycardic episodes were reduced, whereas the frequency of ventricular extrasystoles was somewhat increased. Impaired heartbeat perception and a complete loss of perception of arrhythmias as a consequence of neuropathic deafferentation could be demonstrated. Cardiac perception disorders also play a vital role in other clinical problems, e.g. silent myocardial infarction and lack of awareness of hypoglycaemia in diabetes mellitus.


Subject(s)
Arousal , Arrhythmias, Cardiac/psychology , Autonomic Nervous System Diseases/psychology , Diabetic Neuropathies/psychology , Heart Rate , Perception , Adult , Arousal/physiology , Arrhythmias, Cardiac/diagnosis , Arrhythmias, Cardiac/physiopathology , Autonomic Nervous System/physiopathology , Autonomic Nervous System Diseases/diagnosis , Autonomic Nervous System Diseases/physiopathology , Cardiac Complexes, Premature/diagnosis , Cardiac Complexes, Premature/physiopathology , Cardiac Complexes, Premature/psychology , Diabetic Neuropathies/diagnosis , Diabetic Neuropathies/physiopathology , Female , Heart/innervation , Heart Rate/physiology , Humans , Male , Neurologic Examination , Perception/physiology , Posture/physiology , Tachycardia/diagnosis , Tachycardia/physiopathology , Tachycardia/psychology
18.
Anaesthesist ; 40(2): 79-84, 1991 Feb.
Article in German | MEDLINE | ID: mdl-2048708

ABSTRACT

Although the general pharmacokinetics of midazolam (M) are well documented, little is known about the possible effects of a thigh tourniquet on the distribution and elimination of this drug. METHOD. Institutional approval for the study and individual informed consent were obtained. We studied 30 patients (ASA-I) without premedication who electively underwent a surgical procedure of the lower limb. Patients were divided into three groups of 10. The procedure was done in groups I and II with and in group III without tourniquet use. Anesthesia was induced in groups I and II with 0.1 mg/kg M, fentanyl 5 micrograms/kg, alcuronium-dichloride 0.15 mg/kg and etomidate 0.1-0.2 mg/kg i.v. and maintained with enflurane 0.3-1.0 vol.-%. About 20 min after midazolam injection and after exsanguination the tourniquet was applied on the proximal thigh in group I. In group II anesthesia was induced with etomidate 0.2 mg/kg and alcuronium-dichloride 0.15 mg/kg i.v., and maintained about 20 min with enflurane 1.0-1.5 vol.-% until exsanguination and tourniquet application. After this, these patients also received 0.1 mg/kg M and 5 micrograms/kg fentanyl i.v. Through an indwelling arterial line, blood samples were obtained prior to and 2, 15, 30, 45, 60, 75, 90, 105, 120, 135, 150, 165 and 180 min after M injection. Plasma M levels were measured by high-performance liquid chromatography with UV detection. These concentrations were fitted to a two-compartment open model. Comparison between groups was performed using the Kruskal-Wallis test and p less than 0.05 was considered to indicate significance. RESULTS. The groups were all comparable in age and weight, and groups I and II also in duration of thigh ischemia. Midazolam elimination half-time (t beta 1/2) was significantly shorter in group II than in groups III and I (52 min vs 126 min and 139 min; p less than 0.05). Of the calculated distribution volumes (volume of the central compartment, volume in the steady state and volume in the elimination phase), only the volume in the steady state was significantly smaller in group II than in groups III and I (p less than 0.05). Groups III and I did not differ significantly in the computed parameters. The measured initial midazolam mean concentrations in group II were twice those in groups III and I (655 ng/ml vs 323 ng/ml and 332 ng/ml). Since clearance was not significantly different between any two groups, the shorter t beta 1/2 in group II was probably due to the reduced distribution volume. CONCLUSION. These data demonstrate that in the presence of a thigh tourniquet the timing of the injection - before or after application of the tourniquet is of decisive importance. Injection after the application of a tourniquet leads to an higher plasma level and shortens the elimination half-life.


Subject(s)
Leg/surgery , Midazolam/pharmacokinetics , Preanesthetic Medication , Tourniquets , Adult , Female , Humans , Leg/blood supply , Male , Midazolam/administration & dosage , Midazolam/blood , Middle Aged , Thigh
19.
Behav Res Ther ; 29(2): 137-45, 1991.
Article in English | MEDLINE | ID: mdl-2021376

ABSTRACT

In panic disorder bodily sensations appear to play an important role as a trigger for anxiety. In our psychophysiological model of panic attacks we postulate the following vicious circle: individuals with panic attacks perceive even quite small increases in heart rate and interpret these changes as being catastrophic. This elicits anxiety and a further increase in heart rate. To evaluate this model we conducted a field study of 28 subjects with panic attacks and 20 healthy controls. A 24 hr ambulatory ECG was recorded and the subjects were instructed to report any cardiac perceptions during this period and to rate the anxiety elicited by these perceptions. The incidence of cardiac perceptions was about the same in both groups, but only subjects with panic attacks reported anxiety associated with such perceptions. Analysis of the ECGs revealed that in both groups heart rate accelerations preceded cardiac perceptions. Following cardiac perceptions, the healthy controls showed a heart rate deceleration, whereas the subjects with panic attacks had a further acceleration. This heart rate increase after cardiac perceptions was positively related to the level of anxiety elicited by the perceptions. These results provide clear evidence in support of the vicious circle model of panic attacks.


Subject(s)
Anxiety Disorders/etiology , Heart Rate/physiology , Panic , Perception , Adult , Anxiety Disorders/psychology , Awareness/physiology , Electrocardiography , Feedback/physiology , Female , Humans , Male , Models, Psychological
20.
Eur J Biochem ; 177(1): 35-45, 1988 Oct 15.
Article in English | MEDLINE | ID: mdl-3181157

ABSTRACT

The outer segments of the long arm of laminin have recently been shown to mediate attachment of many cell types and to stimulate neurite outgrowth. For a structural characterization of this part of the molecule we prepared, by limited elastase digestion of laminin, fragments E3 and E8, previously identified as a globular heparin-binding domain and as a 35-nm-long rod with a terminal globule, respectively. Fragment E3 is a domain adjacent to fragment E8. Both structures together comprise the complete terminal half of the long arm. Our data confirm current models, which predict that the C-terminal segments from all three chains contribute to its structure. The B chains terminate at the end of the rod like domain, while the large terminal globule is formed by A-chain structures only. In addition to fragment E3, two new fragments T1 and T2 obtained by tryptic cleavage of fragment E8 were characterized as substructures of the globular domain. Screening of a mouse cDNA library with synthetic oligonucleotides allowed isolation of an 1.8-kb cDNA clone encoding 547 C-terminal amino acids of the A chain and some 196 nucleotides of the 3'-untranslated region including a single polyadenylation site. The clone contained portions of domain T2 and the complete heparin binding domain E3 which was thus identified as the most C-terminal domain of the A chain. Sequence alignment indicated that the terminal globule is formed by homologous repeats of some 140 residues having no counterpart in the B chains.


Subject(s)
Laminin/analysis , Amino Acid Sequence , Base Sequence , Binding Sites , Chromatography/methods , Cloning, Molecular , DNA/analysis , Electrophoresis/methods , Laminin/genetics , Molecular Sequence Data , Nucleic Acid Hybridization , Pancreatic Elastase , RNA, Messenger/analysis , Sequence Homology, Nucleic Acid
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