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1.
Plant Biol (Stuttg) ; 16(2): 323-31, 2014 Mar.
Article in English | MEDLINE | ID: mdl-23926925

ABSTRACT

Chlorophyll a fluorescence (ChlF) and leaf morphology were assessed in two sites in Europe (Kaltenborn, Germany, and Satakunta, Finland) within a forest diversity experiment. Trees at Satakunta, planted in 1999, form a stratified canopy, while in Kaltenborn the trees are 7 years old, with no apparent canopy connection among broadleaf species. The following ChlF parameters from measured OJIP transient curves were examined: F(V)/F(M) (a proxy for maximum quantum yield); ΨEo (a proxy for efficiency in transferring an electron from reduced QA to the electron transport chain); I-P phase (a proxy for efficiency of reducing final acceptors beyond PSI); and PItot (total performance index for potential energy conservation from photons absorbed by PSII to reduction of PSI end acceptors). At Satakunta F(V)/F(M) and ΨEo in Betula pendula were higher in monocultures and lower in mixed plots, perhaps due to increasing light availability in mixed plots, which can induce photoinhibition. The opposite trend was observed in Picea abies, which was shaded in mixed plots. At Kaltenborn F(V)/F(M) decreased in Fagus sylvatica and P. abies in mixed plots due to competition both above- and belowground. At Satakunta LMA increased in B. pendula leaves with increasing species richness. Leaf area of ten leaves was reduced in F. sylvatica in mixed plots at Kaltenborn. By up-scaling the overall fluorescence response to plot level (PItot_plot ), a significant positive correlation with tree diversity was found at Kaltenborn, but not at Satakunta. This could suggest that competition/facilitation processes in mixed stands play a significant role in the early stages of forest establishment, but then tend to be compensated in more mature stands.


Subject(s)
Betula/physiology , Biodiversity , Chlorophyll/physiology , Fagus/physiology , Light , Photosynthesis , Plant Leaves/physiology , Electron Transport , Finland , Fluorescence , Germany , Photons , Photosystem II Protein Complex/physiology , Trees/physiology
2.
Plant Biol (Stuttg) ; 16(4): 801-8, 2014 Jul.
Article in English | MEDLINE | ID: mdl-24112772

ABSTRACT

Climate change is one of the major issues nowadays, and Mediterranean broadleaf species have been suggested to fill possible future gaps created by climate change in Central European forests. To provide a scientific-based foundation for such practical strategies, it is important to obtain a general idea about differences and similarities in the physiology of Central European and Mediterranean species. In the present study, we evaluated the onset of leaf senescence of a broad spectrum of oak species under the Central European climate in a common garden experiment. Degradation of the photosynthetic apparatus of evergreen (Quercus ilex, Q. suber), semi-evergreen (Q.×turneri, Q.×hispanica) and deciduous oaks (Q. robur, Q. cerris, Q. frainetto, Q. pubescens) was monitored as chlorophyll content and analysed chlorophyll fluorescence induction transients. In the deciduous species, a significant decline in chlorophyll content was observed during autumn/winter, with Q. pubescens showing the slowest decline. Analysis of fluorescence induction transients revealed a significant decline in quantum efficiency of the primary photochemistry and reaction centre density and later, a decrease in quantum efficiency of end acceptor reduction. Alterations in fluorescence parameters were compared to the decline in chlorophyll content, which occurred much more slowly than expected from the fluorescence data. The evergreen species showed no decline in chlorophyll content, nor different chlorophyll a fluorescence induction behaviour despite temperature falling below 0 °C. The hybrids showed intermediate behaviour between their parental evergreen and deciduous taxa.


Subject(s)
Aging/physiology , Photosynthesis/physiology , Quercus/physiology , Chlorophyll/metabolism , Fluorescence , Quercus/metabolism
3.
Neuropharmacology ; 41(2): 186-99, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11489455

ABSTRACT

SB-243213 (5-methyl-1-[[-2-[(2-methyl-3-pyridyl)oxy]-5-pyridyl]carbamoyl]-6-trifluoromethylindoline hydrochloride) is a new, selective 5-hydroxytryptamine (5-HT)2C receptor inverse agonist. SB-243213 has high affinity for the human 5-HT2C receptor (pK(i) 9.37) and greater than a 100-fold selectivity over a wide range of neurotransmitter receptors, enzymes and ion channels. In in vitro functional studies, SB-243213 acted as an inverse agonist at the human 5-HT2C receptor with a pK(b) of 9.8. In in vivo studies, SB-243213 was a potent inhibitor of central 5-HT2C receptor-mediated function in rats, blocking meta-chlorophenylpiperazine-induced hypolocomotion with an ID50 of 1.1 mg/kg p.o. and a long duration of action (>8 h). In rats, SB-243213 exhibited anxiolytic-like activity in both the social interaction and Geller-Seifter conflict tests. Importantly, unlike diazepam, chronic administration of SB-243213 did not result in the development of either tolerance to the anxiolytic-like effects or withdrawal anxiogenesis. Furthermore, in rodents, SB-243213 did not affect seizure threshold, did not increase body weight or induce catalepsy, but attenuated the haloperidol-induced catalepsy. SB-243213 did not affect amphetamine-, MK-801- or phencyclidine-induced hyperactivity. In conclusion, SB-243213 may possess an improved anxiolytic profile compared to benzodiazepines. SB-243213 also modulates dopaminergic transmission, lacks pro-psychotic properties and may have utility in the treatment of schizophrenia and motor disorders.


Subject(s)
Anti-Anxiety Agents/pharmacology , Indoles/pharmacology , Motor Activity/drug effects , Pyridines/pharmacology , Receptors, Serotonin , Social Behavior , Animals , Anti-Anxiety Agents/adverse effects , Anti-Anxiety Agents/therapeutic use , Anxiety/drug therapy , Anxiety/psychology , Catalepsy/chemically induced , Catalepsy/drug therapy , Diazepam/adverse effects , Dose-Response Relationship, Drug , Drug Tolerance/physiology , Humans , Indoles/therapeutic use , Inositol Phosphates/metabolism , Male , Motor Activity/physiology , Pyridines/therapeutic use , Rats , Rats, Sprague-Dawley , Receptor, Serotonin, 5-HT2C , Receptors, Serotonin/metabolism , Substance Withdrawal Syndrome/drug therapy , Substance Withdrawal Syndrome/psychology
4.
Psychopharmacology (Berl) ; 153(2): 203-9, 2001 Jan 01.
Article in English | MEDLINE | ID: mdl-11205420

ABSTRACT

RATIONALE: Orexins A and B have recently been discovered and shown to be derived from preproorexin, primarily expressed in the rat hypothalamus. Orexin-A has been ascribed a number of in vivo functions in the rat after intracerebroventricular (ICV) administration, including hyperphagia, neuroendocrine modulation and, most recently, evidence for a behavioural response characterised by an increase in grooming. OBJECTIVES: Here, we have investigated the orexin-receptor subtypes involved in the grooming response to orexin-A (3 microg, ICV) in the rat. METHODS: Male rats, habituated to clear Perspex behavioural observation boxes, were pretreated with antagonists with mixed selectivity for OX1, OX2, 5-HT2B and 5-HT2C receptor subtypes prior to the administration of orexin-A and the intense grooming response elicited by this peptide assessed. RESULTS: Pretreatment of rats with a mixed OX1/5-HT2B/2C receptor antagonist 1-(4-methylsulfanylphenyl)-3-quinolin-4-ylurea (SB-284422), revealed a significant, but incomplete, blockade of orexin-A-induced grooming. Despite the low potency of orexin-A at 5-HT2B and 5-HT2C receptors in vitro (pKi<5), studies were undertaken to determine whether downstream 5-HT2B or 5-HT2C receptors mediate in the grooming-elicited by orexin-A. Whilst the selective 5-HT2B receptor antagonist, SB-215505 (3 mg/kg, PO, 5-HT2B, pKi=8.58; OX1, pKB < 5.15) failed to effect orexin-A-induced grooming, the selective 5-HT2C receptor antagonist, SB-242084 (1 mg/kg, IP, 5-HT2C, pKi = 8.95; OX1, pKB < 5.1) potently antagonised the grooming response to this peptide. This suggested that the partial blockade of orexin-A-induced grooming obtained with SB-284422 might be attributable to its 5-HT2C and/or OX1 receptor blocking activity. However, complete blockade of orexin-A-induced grooming by the subsequently identified selective OX1 receptor antagonist 1-(2-methylbenzoxazol-6-yl)-3-[1,5]naphthyridin-4-yl urea hydrochloride, SB-334867-A (OX1, pKB = 7.4; OX2, pKB = 5.7), devoid of appreciable affinity for either 5-HT2B (pKi < 5.3) or 5-HT2C (pKi < 5.4) receptors, provides the first definitive evidence that a central behavioural effect of orexin-A (grooming) is mediated by OX1 receptors. CONCLUSIONS: This data suggests that orexin-A indirectly activates 5-HT2C receptors downstream from OX1 receptors to elicit grooming in the rat. The use of SB-334867-A in vivo will enable the role of OX,1 receptors within the rat central nervous system to be further characterised.


Subject(s)
Carrier Proteins/pharmacology , Grooming/drug effects , Intracellular Signaling Peptides and Proteins , Neuropeptides/pharmacology , Neurotransmitter Agents/pharmacology , Receptors, Neuropeptide/metabolism , Receptors, Serotonin/drug effects , Animals , Cloning, Molecular , Male , Motor Activity/drug effects , Orexin Receptors , Orexins , Piperazines/pharmacology , Quinolines/pharmacology , Rats , Rats, Sprague-Dawley , Receptor, Serotonin, 5-HT2C , Receptors, G-Protein-Coupled , Serotonin Receptor Agonists/pharmacology
5.
Bioorg Med Chem Lett ; 10(16): 1863-6, 2000 Aug 21.
Article in English | MEDLINE | ID: mdl-10969986
7.
J Med Chem ; 43(6): 1123-34, 2000 Mar 23.
Article in English | MEDLINE | ID: mdl-10737744

ABSTRACT

The evolution, synthesis, and biological activity of a novel series of 5-HT(2C) receptor inverse agonists are reported. Biarylcarbamoylindolines have been identified with excellent 5-HT(2C) affinity and selectivity over 5-HT(2A) receptors. In addition, (pyridyloxypyridyl)carbamoylindolines have been discovered with additional selectivity over the closely related 5-HT(2B) receptor. Compounds from this series are inverse agonists at the human cloned 5-HT(2C) receptor, completely abolishing basal activity in a functional assay. The new series have reduced P450 inhibitory liability compared to a previously described series of 1-(3-pyridylcarbamoyl)indolines (Bromidge et al. J. Med. Chem. 1998, 41, 1598) from which they evolved. Compounds from this series showed excellent oral activity in a rat mCPP hypolocomotion model and in animal models of anxiety. On the basis of their favorable biological profile, 32 (SB-228357) and 40 (SB-243213) have been selected for further evaluation to determine their therapeutic potential for the treatment of CNS disorders such as depression and anxiety.


Subject(s)
Anti-Anxiety Agents/chemical synthesis , Antidepressive Agents/chemical synthesis , Indoles/chemical synthesis , Pyridines/chemical synthesis , Receptors, Serotonin/metabolism , Serotonin Receptor Agonists/chemical synthesis , Administration, Oral , Animals , Anti-Anxiety Agents/chemistry , Anti-Anxiety Agents/metabolism , Anti-Anxiety Agents/pharmacology , Antidepressive Agents/chemistry , Antidepressive Agents/metabolism , Antidepressive Agents/pharmacology , Cell Line , Humans , Indoles/chemistry , Indoles/metabolism , Indoles/pharmacology , Models, Molecular , Motor Activity/drug effects , Pyridines/chemistry , Pyridines/metabolism , Pyridines/pharmacology , Radioligand Assay , Rats , Receptor, Serotonin, 5-HT2A , Receptor, Serotonin, 5-HT2B , Receptor, Serotonin, 5-HT2C , Serotonin Receptor Agonists/chemistry , Serotonin Receptor Agonists/metabolism , Serotonin Receptor Agonists/pharmacology , Structure-Activity Relationship
8.
Br J Pharmacol ; 126(3): 572-4, 1999 Feb.
Article in English | MEDLINE | ID: mdl-10188965

ABSTRACT

Atypical neuroleptics produce fewer extrapyramidal side-effects (EPS) than typical neuroleptics. The pharmacological profile of atypical neuroleptics is that they have equivalent or higher antagonist affinity for 5-HT2 than for dopamine D2 receptors. Our aim was to identify which 5-HT2 receptor contributed to the atypical profile. Catalepsy was defined as rats remaining immobile over a horizontal metal bar for at least 30 s, 90 min after dosing. Radioligand binding assays were carried out with homogenates of human recombinant 5-HT2A, 5-HT2B and 5-HT2C receptors expressed in Human Embryo Kidney (HEK293) cells. Haloperidol (1.13 mg kg(-1) i.p.) induced catalepsy in all experiments. The selective 5-HT2C/2B receptor antagonist, SB-228357 (0.32-10 mg kg(-1) p.o.) significantly reversed haloperidol-induced catalepsy whereas the 5-HT2A and 5-HT2B receptor antagonists, MDL-100907 (0.003-0.1 mg kg(-1) p.o.) and SB-215505 (0.1-3.2 mg kg(-1) p.o.) respectively did not reverse haloperidol-induced catalepsy. The data suggest a role for 5-HT2C receptors in the anticataleptic action of SB-228357.


Subject(s)
Catalepsy/prevention & control , Dopamine Antagonists/pharmacology , Haloperidol/pharmacology , Receptors, Serotonin/drug effects , Serotonin Antagonists/pharmacology , Animals , Binding, Competitive/drug effects , Catalepsy/chemically induced , Cell Line , Fluorobenzenes/pharmacology , Humans , Indoles/pharmacology , Male , Piperidines/pharmacology , Quinolines/pharmacology , Radioligand Assay , Rats , Rats, Sprague-Dawley , Receptor, Serotonin, 5-HT2A , Receptor, Serotonin, 5-HT2B , Receptor, Serotonin, 5-HT2C , Receptors, Serotonin/metabolism
9.
Bioorg Med Chem ; 7(12): 2767-73, 1999 Dec.
Article in English | MEDLINE | ID: mdl-10658582

ABSTRACT

A model series of 5-HT2C antagonists have been prepared by rapid parallel synthesis. These N-substituted phenyl-N'-pyridin-3-yl ureas were found to have a range of 5-HT2C receptor affinities and selectivities over the closely related 5-HT2A receptor. Extrapolation of simple SAR, derived from this set of compounds, to the more active but synthetically more complex 1-(3-pyridylcarbamoyl)indoline series allowed us to target optimal substitution patterns and identify potent and selective 5-HT(2C/2B) antagonists.


Subject(s)
Phenylurea Compounds/chemistry , Phenylurea Compounds/pharmacology , Pyridines/chemistry , Pyridines/pharmacology , Receptors, Serotonin/drug effects , Serotonin Antagonists/chemistry , Serotonin Antagonists/pharmacology , Animals , Humans , In Vitro Techniques , Kinetics , Magnetic Resonance Spectroscopy , Models, Chemical , Phenylurea Compounds/chemical synthesis , Pyridines/chemical synthesis , Receptor, Serotonin, 5-HT2B , Receptor, Serotonin, 5-HT2C , Receptors, Serotonin/metabolism , Serotonin Antagonists/chemical synthesis , Structure-Activity Relationship
10.
J Med Chem ; 41(10): 1598-612, 1998 May 07.
Article in English | MEDLINE | ID: mdl-9572885

ABSTRACT

The synthesis, biological activity, and molecular modeling of a novel series of substituted 1-(3-pyridylcarbamoyl)indolines are reported. These compounds are isosteres of the previously published indole urea 1 (SB-206553) and illustrate the use of aromatic disubstitution as a replacement for fused five-membered rings in the context of 5-HT2C/2B receptor antagonists. By targeting a region of space previously identified as sterically allowed at the 5-HT2C receptor but disallowed at the 5-HT2A receptor, we have identified a number of compounds which are the most potent and selective 5-HT2C/2B receptor antagonists yet reported. 46 (SB-221284) was selected on the basis of its overall biological profile for further evaluation as a novel, potential nonsedating anxiolytic agent. A CoMFA analysis of these compounds produced a model with good predictive value and in addition good qualitative agreement with both our 5-HT2C receptor model and our proposed binding mode for this class of ligands within that model.


Subject(s)
Anti-Anxiety Agents , Indoles , Models, Molecular , Pyridines , Receptors, Serotonin/drug effects , Serotonin Antagonists , Animals , Anti-Anxiety Agents/chemical synthesis , Anti-Anxiety Agents/chemistry , Anti-Anxiety Agents/metabolism , Anti-Anxiety Agents/pharmacology , Conditioning, Operant/drug effects , Conflict, Psychological , Indoles/chemical synthesis , Indoles/chemistry , Indoles/metabolism , Indoles/pharmacology , Male , Motor Activity/drug effects , Pyridines/chemical synthesis , Pyridines/chemistry , Pyridines/metabolism , Pyridines/pharmacology , Rats , Rats, Sprague-Dawley , Receptor, Serotonin, 5-HT2B , Receptor, Serotonin, 5-HT2C , Receptors, Serotonin/metabolism , Serotonin Antagonists/chemical synthesis , Serotonin Antagonists/chemistry , Serotonin Antagonists/metabolism , Serotonin Antagonists/pharmacology , Social Behavior , Structure-Activity Relationship
11.
Neuropharmacology ; 36(4-5): 609-20, 1997.
Article in English | MEDLINE | ID: mdl-9225286

ABSTRACT

SB 242084 has a high affinity (pKi 9.0) for the cloned human 5-HT2C receptor and 100- and 158-fold selectivity over the closely related cloned human 5-HT2B and 5-HT2A subtypes respectively. SB 242084 had over 100-fold selectivity over a range of other 5-HT, dopamine and adrenergic receptors. In studies of 5-HT-stimulated phosphatidylinositol hydrolysis using SH-SY5Y cells stably expressing the cloned human 5-HT2C receptor, SB 242084 acted as an antagonist with a pKb of 9.3, which closely resembled its corresponding receptor binding affinity. SB 242084 potently inhibited m-chlorophenylpiperazine (mCPP, 7 mgkg i.p. 20 min pre-test)-induced hypolocomotion in rats, a model of in vivo central 5-HT2C receptor function, with an ID50 of 0.11 mg/kg i.p., and 2.0 mg/kg p.o. SB 242084 (0.1-1 mg/kg i.p.) exhibited an anxiolytic-like profile in the rat social interaction test, increasing time spent in social interaction, but having no effect on locomotion. SB 242084 (0.1-1 mg/kg i.p.) also markedly increased punished responding in a rat Geller-Seifter conflict test of anxiety, but had no consistent effect on unpunished responding. A large acute dose of SB 242084 (30 mg/kg p.o.) had no effect on seizure susceptibility in the rat maximal electroshock seizure threshold test. Also, while SB 242084 (2 and 6 mg/kg p.o. 1 hr pre-test) antagonized the hypophagic response to mCPP, neither acute nor subchronic administration of the drug, for 5 days at 2 or 6 mg/kg p.o. twice daily, affected food intake or weight gain. The results suggest that SB 242084 is the first reported selective potent and brain penetrant 5-HT2C receptor antagonist and has anxiolytic-like activity, but does not possess either proconvulsant or hyperphagic properties which are characteristic of mutant mice lacking the 5-HT2C receptor.


Subject(s)
Aminopyridines/pharmacology , Brain/metabolism , Indoles/pharmacology , Receptors, Serotonin/metabolism , Serotonin Antagonists/pharmacology , Aminopyridines/pharmacokinetics , Animals , Anxiety/chemically induced , Anxiety/psychology , Conflict, Psychological , Electroshock , Feeding Behavior/drug effects , Humans , Indoles/pharmacokinetics , Male , Motor Activity/drug effects , Phosphatidylinositols/metabolism , Piperazines/pharmacology , Rats , Rats, Sprague-Dawley , Receptors, Serotonin/drug effects , Serotonin Antagonists/pharmacokinetics , Serotonin Receptor Agonists/pharmacology , Social Behavior , Tumor Cells, Cultured
12.
Neuroreport ; 7(9): 1457-60, 1996 Jun 17.
Article in English | MEDLINE | ID: mdl-8856697

ABSTRACT

The behavioural effects of m-chlorophenylpiperazine (mCPP) in rats and its clinical effects in man are thought to be related to its action at 5-HT2B/2C receptors. However, although mCPP is a partial agonist at these subtypes in rat, its efficacy at human 5-HT2B/2C receptors is unknown. We therefore investigated the activity of mCPP at cloned human 5-HT2B and 5-HT2C receptors. mCPP was a partial agonist at the human 5-HT2C receptor but antagonized the human 5-HT2B receptor. Therefore, while supporting the proposal that at least some of the clinical effects of mCPP are likely to be mediated via stimulation of the 5-HT2C receptor, this study also suggests that any 5-HT2B receptor-mediated effects are more likely to result from receptor blockade than from receptor activation.


Subject(s)
Kidney/drug effects , Piperazines/pharmacology , Serotonin Antagonists/pharmacology , Animals , Cell Line , Cloning, Molecular , Humans , Kidney/cytology , Kidney/embryology , Logistic Models , Rats , Serotonin Receptor Agonists/pharmacology
16.
Microsc Res Tech ; 26(3): 196-208, 1993 Oct 15.
Article in English | MEDLINE | ID: mdl-8241559

ABSTRACT

The lingual epithelium is innervated by special sensory (taste) and general sensory (trigeminal) nerves that transmit information about chemical stimuli introduced into the mouth to the higher brain centers. Understanding the cellular mechanisms involved in eliciting responses from these nerves requires a detailed understanding of the contributions of both the paracellular and transcellular pathways. In this paper we focus on the contribution of these 2 pathways to the responses of salts containing sodium and various organic anions in the presence and absence of amiloride. Electrophysiological recordings from trigeminal nerves, chorda tympani nerves, and isolated lingual epithelia were combined with morphological studies investigating the location (and permeability) of tight junctions, the localization of amiloride-inhibitable channels, and Na-K-ATPase in taste and epithelial cells. Based on these measurements, we conclude that diffusion across tight junctions can modulate chorda tympani and trigeminal responses to sodium-containing salts and rationalize the enhancement of taste responses to saccharides by NaCl.


Subject(s)
Chorda Tympani Nerve/physiology , Signal Transduction/physiology , Taste/physiology , Tongue/physiology , Trigeminal Nerve/physiology , Animals , Dogs , Electrophysiology , Epithelium/metabolism , Epithelium/physiology , Epithelium/ultrastructure , Female , Immunoenzyme Techniques , Intercellular Junctions/physiology , Male , Rats , Rats, Sprague-Dawley , Sodium Channels/metabolism , Sodium-Potassium-Exchanging ATPase/metabolism , Tongue/metabolism , Tongue/ultrastructure
17.
Brain Res ; 615(2): 218-28, 1993 Jul 02.
Article in English | MEDLINE | ID: mdl-8364732

ABSTRACT

Each chorda tympani (CT) nerve innervates taste cells in fungiform papillae on one side of the anterior two-thirds of mammalian tongues. In this study, three effects of unilateral CT transection were investigated: (1) the persistence of taste cells on the ipsilateral and contralateral sides; (2) the ability of the CT to modulate ion transport across the ipsilateral and contralateral sides of canine lingual lingual epithelia; and (3) the effect on contralateral CT responses. Unilateral transection of dog CT caused the mean number of taste buds/fungiform papilla on the ipsilateral side to decrease from five to zero by 29-30 days after surgery. Taste buds reappeared after 44 days but in reduced numbers (two taste buds/papilla). This reappearance of taste buds after 44 days is consistent with the time predicted for the CT to regenerate and reach the anterior portion of the tongue. The number of taste buds/papilla remained unchanged on the contralateral side. Measurements of the short-circuit current (Isc) across both ipsilateral and contralateral sections of isolated canine lingual epithelia were performed at various times after unilateral CT transection. Both sides responded similarly. The Isc began to decline after 3 days, reached a minimum after approximately 18 days (approximately 40% of control Isc) and increased to control values after approximately 40 days. This includes experiments performed 30 days after surgery, when no taste buds were present on the ipsilateral side and the Isc was 80% of control values. For all times after CT transection, amiloride, an epithelial Na+ channel blocker, inhibited Isc. Thus, epithelial cells in dog tongue have amiloride-inhibitable pathways. These results show that proteins involved in active Na+ transport across lingual epithelial can be modulated by CT nerve fibers.


Subject(s)
Chorda Tympani Nerve/physiology , Tongue/metabolism , Animals , Biological Transport/physiology , Denervation , Dogs , Epithelium/metabolism , Female , Ions , Male , Nerve Fibers/physiology , Rats , Rats, Sprague-Dawley , Taste Buds/physiology
18.
Chest ; 101(1): 93-6, 1992 Jan.
Article in English | MEDLINE | ID: mdl-1309500

ABSTRACT

We report the cases of two lung transplant recipients (one heart-lung and one single lung) who eventually developed cytomegalovirus (CMV) pneumonitis after documentation of increasing CMV DNA titers in sequential bronchoalveolar lavage (BAL) specimens by polymerase chain reaction (PCR) amplification. To our knowledge, this is the first report that semiquantitation of PCR-amplified DNA can detect an increase in CMV DNA titer in BAL specimens prior to the onset of clinical symptoms or detection of infection by traditional techniques in lung transplant patients. The results obtained in these two cases suggest that DNA titer measurement on sequential BAL samples may differentiate latency from active viral replication and, thus, provide an opportunity for clinical intervention before the development of overt clinical symptoms.


Subject(s)
Cytomegalovirus/isolation & purification , DNA, Viral/analysis , Heart-Lung Transplantation , Lung Transplantation , Lung/microbiology , Adult , Bronchoalveolar Lavage Fluid/cytology , Cytomegalovirus/genetics , Cytomegalovirus Infections/diagnosis , Cytomegalovirus Infections/microbiology , Female , Gene Amplification , Graft Rejection , Humans , Male , Middle Aged , Pneumonia, Viral/diagnosis , Pneumonia, Viral/microbiology , Polymerase Chain Reaction , Postoperative Complications
19.
J Heart Lung Transplant ; 10(2): 322-4, 1991.
Article in English | MEDLINE | ID: mdl-2031932

ABSTRACT

Single lung transplantation may be performed without pump oxygenation in the majority of patients. From April 1987 to August 1989, 3 of 12 patients undergoing single lung transplantation required pump oxygenation. One patient required pump oxygenation because of a marked drop in oxygen saturation during test clamping of the pulmonary artery; one patient was brought to the operating room while receiving extracorporeal membrane oxygenation; and one patient had such markedly elevated pulmonary artery pressures that pump oxygenation was used to lower pressure in the pulmonary circuit, allowing safe pulmonary artery clamping. These three patients had cannulas placed in the femoral vein and femoral artery. The latter two patients manifested marked upper body oxygen desaturation while maintaining excellent lower body oxygen saturation during their transplant procedures. Ventricular fibrillation, induced by alternating current, was used as a means to correct this differential perfusion. Should pump oxygenation be necessary during single lung transplantation, the region of the body adjacent to the arterial cannula may be perfused with oxygenated blood, and the remainder of the patient may be perfused with deoxygenated blood. Induced ventricular fibrillation is one method to correct this potentially fatal problem.


Subject(s)
Cardiopulmonary Bypass , Femoral Artery , Femoral Vein , Intraoperative Complications/etiology , Lung Transplantation , Oxygenators , Extracorporeal Membrane Oxygenation , Humans
20.
Transplantation ; 50(6): 955-9, 1990 Dec.
Article in English | MEDLINE | ID: mdl-2124009

ABSTRACT

The long-term success of heart-lung transplantation is limited by the development of bronchiolitis obliterans, possibly as a form of chronic lung allograft rejection. In the present study, we have characterized by immunohistochemical staining the lymphocytes infiltrating the lesions of bronchiolitis obliterans in one patient following heart-lung transplantation. The finding that the preponderant cells expressed the CD8 (putative cytotoxic/suppressor) marker lends support to the notion that chronic rejection is at least one mechanism for the development of bronchiolotis obliterans following heart-lung transplantation.


Subject(s)
Bronchiolitis Obliterans/immunology , Heart-Lung Transplantation/adverse effects , Lymphocyte Subsets/immunology , Adult , Antigens, Differentiation, T-Lymphocyte/analysis , Bronchiolitis Obliterans/etiology , Bronchoalveolar Lavage Fluid/cytology , Bronchoalveolar Lavage Fluid/immunology , CD4 Antigens/analysis , CD8 Antigens , Female , Graft Rejection , Histocompatibility Antigens Class II/analysis , Humans , Immunohistochemistry , Postoperative Complications
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