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1.
Int J Parasitol Drugs Drug Resist ; 16: 174-187, 2021 08.
Article in English | MEDLINE | ID: mdl-34252686

ABSTRACT

Currently, only a few chemical drug classes are available to control the global burden of nematode infections in humans and animals. Most of these drugs exert their anthelmintic activity by interacting with proteins such as ion channels, and the nematode neuromuscular system remains a promising target for novel intervention strategies. Many commonly-used phenotypic readouts such as motility provide only indirect insight into neuromuscular function and the site(s) of action of chemical compounds. Electrophysiological recordings provide more specific information but are typically technically challenging and lack high throughput for drug discovery. Because drug discovery relies strongly on the evaluation and ranking of drug candidates, including closely related chemical derivatives, precise assays and assay combinations are needed for capturing and distinguishing subtle drug effects. Past studies show that nematode motility and pharyngeal pumping (feeding) are inhibited by most anthelmintic drugs. Here we compare two microfluidic devices ("chips") that record electrophysiological signals from the nematode pharynx (electropharyngeograms; EPGs) ─ the ScreenChip™ and the 8-channel EPG platform ─ to evaluate their respective utility for anthelmintic research. We additionally compared EPG data with whole-worm motility measurements obtained with the wMicroTracker instrument. As references, we used three macrocyclic lactones (ivermectin, moxidectin, and milbemycin oxime), and levamisole, which act on different ion channels. Drug potencies (IC50 and IC95 values) from concentration-response curves, and the time-course of drug effects, were compared across platforms and across drugs. Drug effects on pump timing and EPG waveforms were also investigated. These experiments confirmed drug-class specific effects of the tested anthelmintics and illustrated the relative strengths and limitations of the different assays for anthelmintic research.


Subject(s)
Anthelmintics , Nematoda , Animals , Anthelmintics/pharmacology , Caenorhabditis elegans , Humans , Ivermectin , Levamisole/pharmacology
2.
Molecules ; 25(12)2020 Jun 16.
Article in English | MEDLINE | ID: mdl-32560085

ABSTRACT

Transmission of human malaria parasites (Plasmodium spp.) by Anopheles mosquitoes is a continuous process that presents a formidable challenge for effective control of the disease. Infectious gametocytes continue to circulate in humans for up to four weeks after antimalarial drug treatment, permitting prolonged transmission to mosquitoes even after clinical cure. Almost all reported malaria cases are transmitted to humans by mosquitoes, and therefore decreasing the rate of Plasmodium transmission from humans to mosquitoes with novel transmission-blocking remedies would be an important complement to other interventions in reducing malaria incidence.


Subject(s)
Anopheles/parasitology , Antimalarials/therapeutic use , Malaria , Animals , Humans , Malaria/epidemiology , Malaria/prevention & control , Malaria/transmission
3.
Int J Mol Sci ; 20(17)2019 Aug 29.
Article in English | MEDLINE | ID: mdl-31470587

ABSTRACT

Optic nerve head (ONH) and retina (RET) are the main sites of damage in neurodegenerative optic neuropathies including glaucoma. Up to date, little is known about the molecular interplay between these two adjoining ocular components in terms of proteomics. To close this gap, we investigated ONH and RET protein extracts derived from porcine eyes (n = 12) (Sus scrofa domestica Linnaeus 1758) using semi-quantitative mass spectrometry (MS)-based proteomics comprising bottom-up LC-ESI MS/MS and targeted SPE-MALDI-TOF MS analysis. In summary, more than 1600 proteins could be identified from the ONH/RET tissue complex. Moreover, ONH and RET displayed tissue-specific characteristics regarding their qualitative and semi-quantitative protein compositions. Gene ontology (GO)-based functional and protein-protein interaction analyses supported a close functional connection between the metabolic-related RET and the structural-associated ONH subproteomes, which could be affected under disease conditions. Inferred from the MS findings, stress-associated proteins including clusterin, ceruloplasmin, and endoplasmin can be proposed as extracellular mediators of the ONH/ RET proteome interface. In conclusion, ONH and RET show obvious proteomic differences reflecting characteristic functional features which have to be considered for future protein biomarker profiling studies.


Subject(s)
Optic Disk/metabolism , Proteome/metabolism , Proteomics/methods , Retina/metabolism , Animals , Gene Ontology , Humans , Protein Binding , Protein Interaction Maps/genetics , Proteome/genetics , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization/methods , Sus scrofa , Tandem Mass Spectrometry/methods
4.
Int J Parasitol Drugs Drug Resist ; 8(3): 607-628, 2018 12.
Article in English | MEDLINE | ID: mdl-30503202

ABSTRACT

Many anthelmintic drugs used to treat parasitic nematode infections target proteins that regulate electrical activity of neurons and muscles: ion channels (ICs) and neurotransmitter receptors (NTRs). Perturbation of IC/NTR function disrupts worm behavior and can lead to paralysis, starvation, immune attack and expulsion. Limitations of current anthelmintics include a limited spectrum of activity across species and the threat of drug resistance, highlighting the need for new drugs for human and veterinary medicine. Although ICs/NTRs are valuable anthelmintic targets, electrophysiological recordings are not commonly included in drug development pipelines. We designed a medium-throughput platform for recording electropharyngeograms (EPGs)-the electrical signals emitted by muscles and neurons of the pharynx during pharyngeal pumping (feeding)-in Caenorhabditis elegans and parasitic nematodes. The current study in C. elegans expands previous work in several ways. Detecting anthelmintic bioactivity in drugs, compounds or natural products requires robust, sustained pharyngeal pumping under baseline conditions. We generated concentration-response curves for stimulating pumping by perfusing 8-channel microfluidic devices (chips) with the neuromodulator serotonin, or with E. coli bacteria (C. elegans' food in the laboratory). Worm orientation in the chip (head-first vs. tail-first) affected the response to E. coli but not to serotonin. Using a panel of anthelmintics-ivermectin, levamisole and piperazine-targeting different ICs/NTRs, we determined the effects of concentration and treatment duration on EPG activity, and successfully distinguished control (N2) and drug-resistant worms (avr-14; avr-15; glc-1, unc-38 and unc-49). EPG recordings detected anthelmintic activity of drugs that target ICs/NTRs located in the pharynx as well as at extra-pharyngeal sites. A bus-8 mutant with enhanced permeability was more sensitive than controls to drug treatment. These results provide a useful framework for investigators who would like to more easily incorporate electrophysiology as a routine component of their anthelmintic research workflow.


Subject(s)
Anthelmintics/pharmacology , Caenorhabditis elegans Proteins/drug effects , Caenorhabditis elegans/drug effects , Caenorhabditis elegans/physiology , Electrophysiological Phenomena/drug effects , Animals , Caenorhabditis elegans/genetics , Caenorhabditis elegans Proteins/metabolism , Caenorhabditis elegans Proteins/physiology , Drug Evaluation, Preclinical/methods , Drug Resistance , Electrophysiology/methods , Humans , Ivermectin/pharmacology , Lab-On-A-Chip Devices , Levamisole/pharmacology , Microfluidics/methods , Mutation , Nematode Infections/drug therapy
5.
Sci Rep ; 8(1): 975, 2018 01 17.
Article in English | MEDLINE | ID: mdl-29343694

ABSTRACT

Parasitic helminths infect over 1 billion people worldwide, while current treatments rely on a limited arsenal of drugs. To expedite drug discovery, we screened a small-molecule library of compounds with histories of use in human clinical trials for anthelmintic activity against the soil nematode Caenorhabditis elegans. From this screen, we found that the neuromodulatory drugs sertraline, paroxetine, and chlorpromazine kill C. elegans at multiple life stages including embryos, developing larvae and gravid adults. These drugs act rapidly to inhibit C. elegans feeding within minutes of exposure. Sertraline, paroxetine, and chlorpromazine also decrease motility of adult Trichuris muris whipworms, prevent hatching and development of Ancylostoma caninum hookworms and kill Schistosoma mansoni flatworms, three widely divergent parasitic helminth species. C. elegans mutants with resistance to known anthelmintic drugs such as ivermectin are equally or more susceptible to these three drugs, suggesting that they may act on novel targets to kill worms. Sertraline, paroxetine, and chlorpromazine have long histories of use clinically as antidepressant or antipsychotic medicines. They may represent new classes of anthelmintic drug that could be used in combination with existing front-line drugs to boost effectiveness of anti-parasite treatment as well as offset the development of parasite drug resistance.


Subject(s)
Anthelmintics/pharmacology , Chlorpromazine/pharmacology , Drug Resistance/drug effects , Paroxetine/pharmacology , Sertraline/pharmacology , Ancylostoma/drug effects , Animals , Caenorhabditis elegans/drug effects , Drug Discovery/methods , Drug Repositioning/methods , Schistosoma mansoni/drug effects
6.
J Fluency Disord ; 55: 106-119, 2018 03.
Article in English | MEDLINE | ID: mdl-28413060

ABSTRACT

PURPOSE: Brain imaging and brain stimulation procedures have now been used for more than two decades to investigate the neural systems that contribute to the occurrence of stuttering in adults, and to identify processes that might enhance recovery from stuttering. The purpose of this paper is to review the extent to which these dual lines of research with adults who stutter have intersected and whether they are contributing towards the alleviation of this impairment. METHOD: Several areas of research are reviewed in order to determine whether research on the neurology of stuttering is showing any potential for advancing the treatment of this communication disorder: (a) attempts to discover the neurology of stuttering, (b) neural changes associated with treated recovery, and (c) direct neural intervention. RESULTS AND CONCLUSIONS: Although much has been learned about the neural underpinnings of stuttering, little research in any of the reviewed areas has thus far contributed to the advancement of stuttering treatment. Much of the research on the neurology of stuttering that does have therapy potential has been largely driven by a speech-motor model that is designed to account for the efficacy of fluency-inducing strategies and strategies that have been shown to yield therapy benefits. Investigations on methods that will induce neuroplasticity are overdue. Strategies profitable with other disorders have only occasionally been employed. However, there are signs that investigations on the neurology of adults who have recovered from stuttering are slowly being recognized for their potential in this regard.


Subject(s)
Speech Therapy/methods , Stuttering/therapy , Adult , Brain , Female , Humans , Male
7.
Int J Parasitol Drugs Drug Resist ; 6(3): 314-328, 2016 12.
Article in English | MEDLINE | ID: mdl-27751868

ABSTRACT

The screening of candidate compounds and natural products for anthelmintic activity is important for discovering new drugs against human and animal parasites. We previously validated in Caenorhabditis elegans a microfluidic device ('chip') that records non-invasively the tiny electrophysiological signals generated by rhythmic contraction (pumping) of the worm's pharynx. These electropharyngeograms (EPGs) are recorded simultaneously from multiple worms per chip, providing a medium-throughput readout of muscular and neural activity that is especially useful for compounds targeting neurotransmitter receptors and ion channels. Microfluidic technologies have transformed C. elegans research and the goal of the current study was to validate hookworm and Ascaris suum host-stage larvae in the microfluidic EPG platform. Ancylostoma ceylanicum and A. caninum infective L3s (iL3s) that had been activated in vitro generally produced erratic EPG activity under the conditions tested. In contrast, A. ceylanicum L4s recovered from hamsters exhibited robust, sustained EPG activity, consisting of three waveforms: (1) conventional pumps as seen in other nematodes; (2) rapid voltage deflections, associated with irregular contractions of the esophagus and openings of the esophogeal-intestinal valve (termed a 'flutter'); and (3) hybrid waveforms, which we classified as pumps. For data analysis, pumps and flutters were combined and termed EPG 'events.' EPG waveform identification and analysis were performed semi-automatically using custom-designed software. The neuromodulator serotonin (5-hydroxytryptamine; 5HT) increased EPG event frequency in A. ceylanicum L4s at an optimal concentration of 0.5 mM. The anthelmintic drug ivermectin (IVM) inhibited EPG activity in a concentration-dependent manner. EPGs from A. suum L3s recovered from pig lungs exhibited robust pharyngeal pumping in 1 mM 5HT, which was inhibited by IVM. These experiments validate the use of A. ceylanicum L4s and A. suum L3s with the microfluidic EPG platform, providing a new tool for screening anthelmintic candidates or investigating parasitic nematode feeding behavior.


Subject(s)
Ancylostoma/physiology , Anthelmintics/pharmacology , Ascaris suum/physiology , Drug Evaluation, Preclinical/methods , Electrophysiological Phenomena/drug effects , Microfluidics/methods , Ancylostoma/drug effects , Animals , Ascaris suum/drug effects , Larva/drug effects , Larva/physiology , Parasitology/methods
9.
Nat Commun ; 6: 7976, 2015 Aug 18.
Article in English | MEDLINE | ID: mdl-26285033

ABSTRACT

The spread of open grassy habitats and the evolution of long-legged herbivorous mammals with high-crowned cheek teeth have been viewed as an example of coevolution. Previous studies indicate that specialized predatory techniques in carnivores do not correlate with the spread of open habitats in North America. Here we analyse new data on elbow-joint shape for North American canids over the past ∼37 million years and show that incipiently specialized species first appeared along with the initial spread of open habitats in the late Oligocene. Elbow-joint morphologies indicative of the behavior of modern pounce-pursuit predators emerged by the late Miocene coincident with a shift in plant communities from C3 to C4 grasses. Finally, pursuit canids first emerged during the Pleistocene. Our results indicate that climate change and its impact on vegetation and habitat structure can be critical for the emergence of ecological innovations and can alter the direction of lineage evolution.


Subject(s)
Canidae/anatomy & histology , Canidae/physiology , Ecosystem , Fossils/anatomy & histology , Predatory Behavior/physiology , Animals , North America
10.
Integr Environ Assess Manag ; 11(3): 502-13, 2015 Jul.
Article in English | MEDLINE | ID: mdl-25581135

ABSTRACT

Understanding what can be achieved and what should be avoided by environmental management decisions requires an understanding of values, or what is cared about in a decision. Decision analysis provides tools and processes for constructing objectives that transparently reflect the values being considered in environmental management decisions. The present study demonstrates parts of the initial decision analysis steps for identifying a decision context and constructing objectives for the recovery and long-term restoration of the Gulf of Mexico following the 2010 Deepwater Horizon oil spill. From a review of multiple reports, including those developed by policy makers and nongovernmental organizations, a preliminary structuring of concerns and considerations into objectives was derived to highlight features of importance in the recovery from the spill and long-term restoration. The fundamental objectives constructed for the long-term restoration context reflect broader concerns regarding well-being and quality of life. When developed through stakeholder engagement processes, clarifying objectives can potentially 1) lend insight into the values that can be affected, 2) meaningfully include stakeholders in the decision-making process, 3) enhance transparency and communication, and 4) develop high-impact management strategies reflecting broad public interests. This article is a US government work and is in the public domain in the United States of America.


Subject(s)
Environmental Policy , Environmental Restoration and Remediation , Petroleum Pollution , Communication , Decision Making , Gulf of Mexico , Humans , United States
11.
J Speech Lang Hear Res ; 58(2): 268-77, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25635376

ABSTRACT

AIMS: Developmental stuttering is now generally considered to arise from genetic determinants interacting with neurologic function. Changes within speech-motor white matter (WM) connections may also be implicated. These connections can now be studied in great detail by high-angular-resolution diffusion magnetic resonance imaging. Therefore, diffusion spectrum imaging was used to reconstruct streamlines to examine white matter connections in people who stutter (PWS) and in people who do not stutter (PWNS). METHOD: WM morphology of the entire brain was assayed in 8 right-handed male PWS and 8 similarly aged right-handed male PWNS. WM was exhaustively searched using a deterministic algorithm that identifies missing or largely misshapen tracts. To be abnormal, a tract (defined as all streamlines connecting a pair of gray matter regions) was required to be at least one 3rd missing, in 7 out of 8 subjects in one group and not in the other group. RESULTS: Large portions of bilateral arcuate fasciculi, a heavily researched speech pathway, were abnormal in PWS. Conversely, all PWS had a prominent connection in the left temporo-striatal tract connecting frontal and temporal cortex that was not observed in PWNS. CONCLUSION: These previously unseen structural differences of WM morphology in classical speech-language circuits may underlie developmental stuttering.


Subject(s)
Stuttering/pathology , White Matter/pathology , Adult , Arcuate Nucleus of Hypothalamus/diagnostic imaging , Arcuate Nucleus of Hypothalamus/pathology , Brain/diagnostic imaging , Brain/physiopathology , Brain Mapping/methods , Case-Control Studies , Corpus Striatum/diagnostic imaging , Corpus Striatum/pathology , Diffusion Magnetic Resonance Imaging , Frontal Lobe/diagnostic imaging , Frontal Lobe/pathology , Humans , Male , Stuttering/diagnostic imaging , Temporal Lobe/diagnostic imaging , Temporal Lobe/pathology , White Matter/diagnostic imaging , Young Adult
12.
Am J Speech Lang Pathol ; 24(2): 256-71, 2015 May.
Article in English | MEDLINE | ID: mdl-25633470

ABSTRACT

PURPOSE: This study compared a new adult stuttering treatment program (Modifying Phonation Intervals, or MPI) with the standard of care for reducing stuttered speech in adults (prolonged speech). METHOD: Twenty-seven adults who stutter were assigned to either MPI or prolonged speech treatment, both of which used similar infrastructures. Speech and related variables were assessed in 3 within-clinic and 3 beyond-clinic speaking situations for participants who successfully completed all treatment phases. RESULTS: At transfer, maintenance, and follow-up, the speech of 14 participants who successfully completed treatment was similar to that of normally fluent adults. Successful participants also showed increased self-identification as a "normal speaker," decreased self-identification as a "stutterer," reduced short intervals of phonation, and some increased use of longer duration phonation intervals. Eleven successful participants received the MPI treatment, and 3 received the prolonged speech treatment. CONCLUSIONS: Outcomes for successful participants were very similar for the 2 treatments. The much larger proportion of successful participants in the MPI group, however, combined with the predictive value of specific changes in PI durations suggest that MPI treatment was relatively more effective at assisting clients to identify and change the specific speech behaviors that are associated with successful treatment of stuttered speech in adults.


Subject(s)
Phonation , Speech Therapy/methods , Stuttering/therapy , Adolescent , Adult , Female , Humans , Male , Middle Aged , Prognosis , Self Efficacy , Speech Production Measurement , Stuttering/psychology , Treatment Outcome , Young Adult
14.
Brain Lang ; 127(3): 510-9, 2013 Dec.
Article in English | MEDLINE | ID: mdl-24210961

ABSTRACT

Developmental stuttering is known to be associated with aberrant brain activity, but there is no evidence that this knowledge has benefited stuttering treatment. This study investigated whether brain activity could predict progress during stuttering treatment for 21 dextral adults who stutter (AWS). They received one of two treatment programs that included periodic H2(15)O PET scanning (during oral reading, monologue, and eyes-closed rest conditions). All participants successfully completed an initial treatment phase and then entered a phase designed to transfer treatment gains; 9/21 failed to complete this latter phase. The 12 pass and 9 fail participants were similar on speech and neural system variables before treatment, and similar in speech performance after the initial phase of their treatment. At the end of the initial treatment phase, however, decreased activation within a single region, L. putamen, in all 3 scanning conditions was highly predictive of successful treatment progress.


Subject(s)
Brain/diagnostic imaging , Stuttering/diagnostic imaging , Stuttering/rehabilitation , Adult , Female , Humans , Image Processing, Computer-Assisted , Male , Middle Aged , Positron-Emission Tomography , Speech Therapy , Treatment Outcome , Young Adult
15.
Brain Lang ; 124(2): 153-64, 2013 Feb.
Article in English | MEDLINE | ID: mdl-23333668

ABSTRACT

Recent brain imaging investigations of developmental stuttering show considerable disagreement regarding which regions are related to stuttering. These divergent findings have been mainly derived from group studies. To investigate functional neurophysiology with improved precision, an individual-participant approach (N=4) using event-related functional magnetic resonance imaging and test-retest reliability measures was performed while participants produced fluent and stuttered single words during two separate occasions. A parallel investigation required participants to imagine stuttering or not stuttering on single words. The overt and covert production tasks produced considerable within-subject agreement of activated voxels across occasions, but little within-subject agreement between overt and covert task activations. However, across-subject agreement for regions activated by the overt and covert tasks was minimal. These results suggest that reliable effects of stuttering are participant-specific, an implication that might correspond to individual differences in stuttering severity and functional compensation due to related structural abnormalities.


Subject(s)
Brain/physiopathology , Imagination/physiology , Individuality , Speech/physiology , Stuttering/physiopathology , Adult , Brain Mapping , Humans , Magnetic Resonance Imaging , Male , Reproducibility of Results
16.
Lab Chip ; 12(12): 2211-20, 2012 Jun 21.
Article in English | MEDLINE | ID: mdl-22588281

ABSTRACT

This paper describes the fabrication and use of a microfluidic device for performing whole-animal chemical screens using non-invasive electrophysiological readouts of neuromuscular function in the nematode worm, C. elegans. The device consists of an array of microchannels to which electrodes are attached to form recording modules capable of detecting the electrical activity of the pharynx, a heart-like neuromuscular organ involved in feeding. The array is coupled to a tree-like arrangement of distribution channels that automatically delivers one nematode to each recording module. The same channels are then used to perfuse the recording modules with test solutions while recording the electropharyngeogram (EPG) from each worm with sufficient sensitivity to detect each pharyngeal contraction. The device accurately reported the acute effects of known anthelmintics (anti-nematode drugs) and also correctly distinguished a specific drug-resistant mutant strain of C. elegans from wild type. The approach described here is readily adaptable to parasitic species for the identification of novel anthelmintics. It is also applicable in toxicology and drug discovery programs for human metabolic and degenerative diseases for which C. elegans is used as a model.


Subject(s)
Microfluidic Analytical Techniques/methods , Action Potentials/drug effects , Animals , Anthelmintics/toxicity , Caenorhabditis elegans/drug effects , Caenorhabditis elegans/metabolism , Drug Evaluation, Preclinical , Electrophysiological Phenomena , Ivermectin/toxicity , Levamisole/toxicity , Microfluidic Analytical Techniques/instrumentation , Whole Body Imaging
17.
Brain Lang ; 122(1): 11-24, 2012 Jul.
Article in English | MEDLINE | ID: mdl-22564749

ABSTRACT

Many differences in brain activity have been reported between persons who stutter (PWS) and typically fluent controls during oral reading tasks. An earlier meta-analysis of imaging studies identified stutter-related regions, but recent studies report less agreement with those regions. A PET study on adult dextral PWS (n=18) and matched fluent controls (CONT, n=12) is reported that used both oral reading and monologue tasks. After correcting for speech rate differences between the groups the task-activation differences were surprisingly small. For both analyses only some regions previously considered stutter-related were more activated in the PWS group than in the CONT group, and these were also activated during eyes-closed rest (ECR). In the PWS group, stuttering frequency was correlated with cortico-striatal-thalamic circuit activity in both speaking tasks. The neuroimaging findings for the PWS group, relative to the CONT group, appear consistent with neuroanatomic abnormalities being increasingly reported among PWS.


Subject(s)
Brain/diagnostic imaging , Speech/physiology , Stuttering/diagnostic imaging , Adult , Aged , Brain Mapping , Humans , Image Processing, Computer-Assisted , Male , Middle Aged , Radionuclide Imaging , Speech Production Measurement
18.
Mar Pollut Bull ; 64(8): 1705-12, 2012 Aug.
Article in English | MEDLINE | ID: mdl-22498318

ABSTRACT

Phytoplankton community compositions within near-shore coastal and estuarine waters of Louisiana were characterized by group diversity, evenness, relative abundance and biovolume. Sixty-six taxa were identified in addition to eight potentially harmful algal genera including Gymnodinium sp. Phytoplankton group diversity was lowest at Vermillion Bay in February 2008, but otherwise ranged between 2.16 and 3.40. Phytoplankton evenness was also lowest at Vermillion Bay in February 2008, but otherwise ranged between 0.54 and 0.77. Dissolved oxygen increased with increased biovolume (R² = 0.85, p < 0.001) and biovolume decreased with increased light attenuation (R² = 0.34, p = 0.007), which supported the importance of light in regulating oxygen dynamics. Diatoms were dominant in relative abundance and biovolume at almost all stations and all cruises. Brunt-Väisälä frequency was used as a measure of water column stratification and was negatively correlated (p = 0.02) to diatom relative percent total abundance.


Subject(s)
Phytoplankton/classification , Bays , Diatoms/classification , Diatoms/growth & development , Environmental Monitoring , Eutrophication , Louisiana , Phytoplankton/growth & development , Seawater , Water Pollution/statistics & numerical data
19.
Am J Speech Lang Pathol ; 21(3): 264-77, 2012 Aug.
Article in English | MEDLINE | ID: mdl-22493023

ABSTRACT

PURPOSE: It is proposed that stuttering treatment, particularly for adults and adolescents who stutter, may benefit from more inventive and extensive use of functional measurement-measures that are also treatment agents. Such measures can be tailored to produce more personally significant and evidence-based treatment benefits. They may be especially useful when employed in conjunction with partial self-management and performance-contingent procedures. METHOD: Previous approaches to the definition of stuttering treatment goals and the measurement of stuttering treatment outcomes are critically reviewed. Suggestions for improvements are presented within the framework of an evidence-based and relatively standardized stuttering treatment. RESULTS AND CONCLUSION: Results from a review of existing literature and from 2 case studies show that 2 specific personally significant problems, saying one's name and addressing large audiences, were improved by implementing these strategies in treatment. Functional measures directly connected to treatment, and partially self-managed performance-contingent schedules, merit further research as methodologies that are suitable for conducting personally significant and evidence-based treatments with adults and adolescents who stutter.


Subject(s)
Evidence-Based Practice/methods , Speech Production Measurement/methods , Speech Therapy/methods , Stuttering/diagnosis , Stuttering/therapy , Adolescent , Adult , Humans , Self Care/methods
20.
Neural Dev ; 6: 15, 2011 Apr 27.
Article in English | MEDLINE | ID: mdl-21521537

ABSTRACT

BACKGROUND: The metamorphosis of Drosophila melanogaster is accompanied by elimination of obsolete neurons via programmed cell death (PCD). Metamorphosis is regulated by ecdysteroids, including 20-hydroxyecdysone (20E), but the roles and modes of action of hormones in regulating neuronal PCD are incompletely understood. RESULTS: We used targeted expression of GFP to track the fate of a larval motoneuron, RP2, in ventral ganglia. RP2s in abdominal neuromeres two through seven (A2 to A7) exhibited fragmented DNA by 15 hours after puparium formation (h-APF) and were missing by 20 h-APF. RP2 death began shortly after the 'prepupal pulse' of ecdysteroids, during which time RP2s expressed ecdysteroid receptors (EcRs). Genetic manipulations showed that RP2 death required the function of EcR-B isoforms, the death-activating gene, reaper (but not hid), and the apoptosome component, Dark. PCD was blocked by expression of the caspase inhibitor p35 but unaffected by manipulating Diap1. In contrast, aCC motoneurons in neuromeres A2 to A7, and RP2s in neuromere A1, expressed EcRs during the prepupal pulse but survived into the pupal stage under all conditions tested. To test the hypothesis that ecdysteroids trigger RP2's death directly, we placed abdominal GFP-expressing neurons in cell culture immediately prior to the prepupal pulse, with or without 20E. 20E induced significant PCD in putative RP2s, but not in control neurons, as assessed by morphological criteria and propidium iodide staining. CONCLUSIONS: These findings suggest that the rise of ecdysteroids during the prepupal pulse acts directly, via EcR-B isoforms, to activate PCD in RP2 motoneurons in abdominal neuromeres A2 to A7, while sparing RP2s in A1. Genetic manipulations suggest that RP2's death requires Reaper function, apoptosome assembly and Diap1-independent caspase activation. RP2s offer a valuable 'single cell' approach to the molecular understanding of neuronal death during insect metamorphosis and, potentially, of neurodegeneration in other contexts.


Subject(s)
Ecdysterone/pharmacology , Metamorphosis, Biological/physiology , Motor Neurons/drug effects , Animals , Animals, Genetically Modified , Cell Death/drug effects , Cell Death/genetics , DNA Fragmentation , Drosophila Proteins/genetics , Drosophila Proteins/metabolism , Drosophila melanogaster , Green Fluorescent Proteins/genetics , Larva/drug effects , Metamorphosis, Biological/drug effects , Propidium , Pupa/drug effects
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