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1.
Horm Metab Res ; 45(2): 96-101, 2013 Feb.
Article in English | MEDLINE | ID: mdl-22752958

ABSTRACT

Patients with adrenal insufficiency (AI) receive first glucocorticoid replacement dose after waking, resulting in a 3-5 h delay compared to physiological secretion. Impaired quality of life (QoL) and fatigue might be due to this delayed dose scheme. Modified-release glucocorticoid preparations might have therapeutic advantages. Exploratory pilot study including 14 patients with AI was conducted in a single university center. Patients on morning dose prednisolone (5 mg) were included, switched to modified-release prednisone (5 mg) at 10 PM for 3 months, and then switched back on standard prednisolone. 3 standardized questionnaires (GBB-24, MFI, and AddiQoL) investigating complaints and fatigue were completed at baseline, after 3, and 6 months. Data regarding clinical and hormonal parameters were assessed. Modified-release prednisone showed significant improvement in one of 4 scales of GBB-24 and positive trends to better scores in 3 of 4 scales. The global score of discomfort improved significantly. The MFI showed also significant improvement in 3 of 5 scales and positive trend to better scores in 2 scales. Significant changes to better scores were seen in 4 out of 30 items of the AddiQoL. Modified-release prednisone showed decreased complaints and fatigue compared to standard prednisolone indicating importance of glucocorticoid increase in early morning hours before waking.


Subject(s)
Adrenal Insufficiency/drug therapy , Fatigue/prevention & control , Glucocorticoids/administration & dosage , Hormone Replacement Therapy , Prednisone/administration & dosage , Quality of Life , Addison Disease/drug therapy , Addison Disease/physiopathology , Adrenal Insufficiency/physiopathology , Aged , Circadian Rhythm , Delayed-Action Preparations/administration & dosage , Delayed-Action Preparations/therapeutic use , Drug Administration Schedule , Fatigue/etiology , Female , Follow-Up Studies , Germany , Glucocorticoids/therapeutic use , Humans , Male , Middle Aged , Patient Preference , Pilot Projects , Prednisone/therapeutic use , Severity of Illness Index , Surveys and Questionnaires
2.
Am J Bot ; 86(5): 640-5, 1999 May.
Article in English | MEDLINE | ID: mdl-10330066

ABSTRACT

Shade-avoidance responses were examined for two species common to the coastal redwood forest, Sequoia sempervirens and Satureja douglasii. Sequoia seedlings demonstrated a shade-avoidance response when given end-of-day far-red light by increased hypocotyl, epicotyl, and first-node extension, and greater total number of needles and reduced anthocyanin concentration. Thus, Sequoia seedlings respond as sun-adapted plants. Satureja has several leaf monoterpene chemotypes that occur in different light environments including the redwood forest, and the types responded differently to the light treatments. The pulegone type responded to end-of-day far-red light as a sun-adapted plant with significant extension growth, increased leaf area and chlorophyll, and reduced anthocyanin. The isomenthone type responded as a shade-tolerant plant and did not exhibit extension growth nor a change in other parameters with end-of-day far-red light. However, the carvone and bicyclic types had variable responses depending on the parameter studied, which indicated genetic variation for these traits.

3.
J Chem Ecol ; 20(6): 1223-80, 1994 Jun.
Article in English | MEDLINE | ID: mdl-24242340

ABSTRACT

Characteristics of higher plant terpenoids that result in mediation of numerous kinds of ecological interactions are discussed as a framework for this Symposium on Chemical Ecology of Terpenoids. However, the role of terpenoid mixtures, either constitutive or induced, their intraspecific qualitative and quantitative compositional variation, and their dosage-dependent effects are emphasized in subsequent discussions. It is suggested that little previous attention to these characteristics may have contributed to terpenoids having been misrepresented in some chemical defense theories. Selected phytocentric examples of terpenoid interactions are presented: (1) defense against generalist and specialist insect and mammalian herbivores, (2) defense against insect-vectored fungi and potentially pathogenic endophytic fungi, (3) attraction of entomophages and pollinators, (4) allelopathic effects that inhibit seed germination and soil bacteria, and (5) interaction with reactive troposphere gases. The results are integrated by discussing how these terpenoids may be contributing factors in determining some properties of terrestrial plant communities and ecosystems. A terrestrial phytocentric approach is necessitated due to the magnitude and scope of terpenoid interactions. This presentation has a more broadly based ecological perspective than the several excellent recent reviews of the ecological chemistry of terpenoids.

4.
J Chem Ecol ; 17(9): 1837-57, 1991 Sep.
Article in English | MEDLINE | ID: mdl-24257924

ABSTRACT

Experiments were performed to assess the effect of four foliar essential oil phenotypes from a coastal redwood (Sequoia sempervirens) population on isolates ofPleuroplaconema sp., its ubiquitous endophytic fungus. Isolates were exposed to essential oils extracted from their trees of origin and from other trees. The hypotheses tested were: (1) redwood leaf essential oils extracted from distinct trees would have a differential effect onPleuroplaconema sp. growth, and (2) growth of isolates from a particular tree would be differentially affected when exposed to essential oil phenotypes different from that of their tree of origin. The essential oil phenotypes were differentially inhibitory, but the pattern of inhibition did not support the second hypothesis.Pleuroplaconema sp. showed low average tolerance to all of the essential oils; two phenotypes reduced growth 70-80% and the other two 50-60% at the dose tested. The overall growth response of individual isolates to all treatments suggests that more than one fungus genotype per tree was represented in the experiment. The variability in tolerance of individual isolates to the essential oils was low for three phenotypes. The low tolerance ofPleuroplaconema sp. to redwood essential oils, in spite of its predominance and specialization in this conifer, is discussed considering: (1) the possible pathogenic ancestry of this fungus, and (2) that essential oil phenotypes may be important in controlling the activity ofPleuroplaconema sp. after it colonizes the leaf.

5.
Oecologia ; 63(2): 215-224, 1984 Aug.
Article in English | MEDLINE | ID: mdl-28311016

ABSTRACT

Seedlings of the Caesalpinoids Hymenaea courbaril, H. parvifolia and Copaifera venezuelana, emergent trees of Amazonian rainforest canopies, and of the Araucarian conifers Agathis microstachya and A. robusta, important elements in tropical Australian rainforests, were grown at 6% (shade) and 100% full sunlight (sun) in glasshouses. All species produced more leaves in full sunlight than in shade and leaves of sun plants contained more nitrogen and less chlorophyll per unit leaf area, and had a higher specific leaf weight than leaves of shade plants. The photosynthetic response curves as a function of photon flux density for leaves of shade-grown seedlings showed lower compensation points, higher quantum yields and lower respiration rates per unit leaf area than those of sun-grown seedlings. However, except for A. robusta, photosynthetic acclimation between sun and shade was not observed; the light saturated rates of assimilation were not significantly different. Intercellular CO2 partial pressure was similar in leaves of sun and shade-grown plants, and assimilation was limited more by intrinsic mesophyll factors than by stomata. Comparison of assimilation as a function of intercellular CO2 partial pressure in sun- and shade-grown Agathis spp. showed a higher initial slope in leaves of sun plants, which was correlated with higher leaf nitrogen content. Assimilation was reduced at high transpiration rates and substantial photoinhibition was observed when seedlings were transferred from shade to sun. However, after transfer, newly formed leaves in A. robusta showed the same light responses as leaves of sun-grown seedlings. These observations on the limited potential for acclimation to high light in leaves of seedlings of rainforest trees are discussed in relation to regeneration following formation of gaps in the canopy.

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