Regional metabolic alterations in Alzheimer's disease: an in vitro 1H NMR study of the hippocampus and cerebellum.

The concentrations of selected metabolites in the hippocampus and cerebellum of 13 Alzheimer's diseased (AD) and four nondemented postmortem brains were measured using high resolution 1H NMR spectroscopy. For both the hippocampal region and the cerebellum, the putative neuronal marker N-acetyl aspartate (NAA) was significantly lower in AD brains relative to the nondemented brains. For the hippocampal region, the NAA concentration correlated inversely with semiquantitative assessments of neuronal loss and neurofibrillary tangles. The gamma-aminobutyric acid levels in both hippocampus and cerebellum of an age- and a postmortem interval-matched subset of AD brains were lower than those of the controls. Because the cerebellum is generally thought to be unaffected by AD, the NAA decrease in the Alzheimer cerebellum may be due to lesions of either the Alzheimer or non-Alzheimer type in contralateral cerebrum.

Attenuated immunogenic parasites are essential in the transfer of immunity to virulent Plasmodium berghei.

A less virulent parasite of Plasmodium berghei K173 was isolated that induced immunity against the more virulent parasite. Immunity to this parasite but not to the virulent one, could be transferred by immune spleen cells but not by immune lymph node cells. However, the immune spleen cells did transfer immunity to the virulent strain if accompanied by infection with viable parasites of the less virulent strain, but only if they were allowed to proliferate for a period of 1 week before challenge with the virulent strain. Immune spleen cells could survive two cycles of mouse to mouse transfer. The induction of immunity by transfer of immune spleen cells was associated with the production of anti-parasitic antibody.

An in vitro 1H nuclear magnetic resonance study of the temporoparietal cortex of Alzheimer brains.

The concentrations of selected metabolites in the posterior temporoparietal cortex of 13 Alzheimer's diseased (AD) and four nondemented postmortem brains (of individuals between the ages of 63 and 95) were determined using high-resolution 1H nuclear magnetic resonance (NMR) spectroscopy. The estimates for glutamate and inositol for AD brains did not show any statistically significant difference (P > 0.05) from those for the nondemented brains. The putative neuronal marker N-acetyl aspartate (NAA), creatine, and GABA were decreased in AD brains compared with the nondemented brains. The estimates for creatine, glutamate, and GABA showed significant linear correlations with those of NAA. Creatine, glutamate, GABA, and NAA appeared to be negatively correlated with the neurofibrillary tangles. Our results support a neuronal loss in the posterior temporoparietal cortices of AD brains.

The use of selegiline in Alzheimer's patients with behavior problems.

BACKGROUND: Currently there is no regimen for managing the inappropriate behavior seen in Alzheimer's disease that does not cause significant patient sedation. Preliminary evidence suggests selegiline may be effective in behavioral modification without the adverse effects observed with other regimens. The purpose of this study was to document the efficacy of selegiline in Alzheimer's patients with behavior problems. METHOD: Eight Alzheimer's patients (6 women and 2 men) ranging in age from 50 to 82 years (mean +/- SD = 74.0 +/- 10.5) were enrolled in this single-blind study. Patients received selegiline 10 mg each day for 8 weeks. Prior to drug administration and at the end of Weeks 1, 2, 4, 6, and 8, patients were evaluated for behavior (BEHAVEAD), cognitive function (Mini-Mental State Examination), and caregiver stress (Caregiver Burden Scale). RESULTS: Of eight enrolled patients, five were available for analysis. No statistically significant differences were found between mean baseline and mean 8-week scores for any of the three tests. However, clinical significance was noted by improvement in cognition (orientation and recall), caregiver stress, and behavior. Behavior was noted to improve in the areas of paranoid and delusional ideation, hallucinations, activity disturbances, anxiety, and phobias. CONCLUSION: These data suggest that some Alzheimer's patients with behavior problems may benefit from selegiline therapy.

The need for live parasites for long-term immunity in malaria.

All of the results of the various experiments support a role for living, proliferating parasites in the efficient induction of anti-parasitic as well as anti-disease (CM) immunity. Non-proliferating parasites or material from disrupted parasites are poor or non-antigens in this respect. Three possibilities as to why living parasites are important in immunity could be considered: 1. circulating parasites contain insufficient antigen to induce protective immunity, but sufficient antigen can be produced during proliferation; 2. only circulating parasites arrive at critical places (e.g. parts of the white pulp of the spleen) for the presentation of the important antigen or induction of appropriate signals. 3. Architectural changes are needed (i.e. formation of barrie-cell-complexes) for the immune response to be effective. The first possibility explains why exoantigens, as well as live, proliferating parasites are efficient inducers of anti-CM immunity. Since these immunizations have no effect on parasitemia, additional/other immune reaction(s) are needed for anti-parasitic immunity. The important role of the spleen in malaria and malaria immunity is well-known. The second possibility includes the idea that live, proliferating parasites circulate through the spleen continuously where unsatisfactory or infected erythrocytes are removed rather than in the liver. Injected killed parasites or material from them when present in the circulation is to a larger extent taken up by the Kupffer cells from the liver rather than the spleen. Presence and uptake of parasites in the spleen may provide the critical confrontation and/or delivery of signals necessary for the development of immunity.(ABSTRACT TRUNCATED AT 250 WORDS)

Geriatric Rehabilitation Unit: a 3-year outcome evaluation.

One-hundred-ninety elderly (mean age 75.8 years), disabled patients at risk of being institutionalized due to stroke, acute medical problems, dementia, and other illnesses completed a rehabilitation program at the Geriatric Rehabilitation Unit (GRU). A retrospective study to measure possible impacts of rehabilitation on functional status and placement at discharge from the GRU and on living situation 1 year postdischarge showed an improvement of functional status after rehabilitation in nearly all patients. By discharge, the number of patients with partial or total activities of daily living (ADL) independence increased from 87 to 173, ambulatory patients increased from 42 to 127, continent patients from 89 to 141 and mentally clear patients from 40 to 91. Higher ratings in these parameters at discharge were associated with better placement and significantly lower mortality 1 year postdischarge. Patients placed in noninstitutional settings had a lower (21%) mortality rate when compared with patients placed in nursing homes (mortality 45%). The GRU program is clearly associated with improved outcome of care.

[Structure, amount and composition of sulfuric, sulfonic and phosphoric esters of glycosyldiglycerides of three fucacea]. / Structures, teneurs et compositions des esters sulfuriques, sulfoniques, phosphoriques des glycosyldiglycérides de trois fucacées

The mono and polyester glycosyl sulfates or phosphate diglycerides account for a group of polar lipids which is found in large amounts in the three fucacae that are studied: Pelvetia canaliculata (L) Deen and Thur, Fucus vesiculosus (L), Fucus serratus (L). These polar lipids have been shown to have complex structures, most of them are unknown in the present nomenclature. Both quantity and composition of these polar lipids are species characteristics, forming the equipment of polar lipids for every species of algae. Glycosyl ester sulfate and phosphate diglycerides are very unstable substances when pure, moreover photolabile and thremodegradable. This extreme fragility caused many difficulties in the determination of molecular structures which require a very high purity of isolated substances, The determination of the structures, studies of quantities and composition cytological localization of these polar lipids should allow to define clearly their physiological function and importance from the biochemical and ecological point of view.

[Aliphatic alcohol sulfates: new polar lipids isolated from various Fucacea]. / Les alcools aliphatiques sulfatés: nouveaux lipides polaires isolés de diverses fucacées

Four new sulfolipids have been found in the three Fucacea from the coast of Britany P. canaliculata (L) Deen et Thur, F. vesiculosus (L), F. serratus (L). These four polar lipids form a separate group, their structures being very different from those of the glyceride by-products already known. By acid hydrolysis of these substances the aliphatic mono and dialcohols can be separated. The aliphatic hydrocarbons studied by gas chromatography and spectrometric methods (IR, MASS), have been established as being saturated C30 mono or dialcohols, saturated C18 and C20 monoinsaturated dialcohols. SAA are the only substances found: there was no sulfonate or phosphate ester in the three algae studied. The quantity and composition of SAA are not characteristic of the species. Their variations depend on the physiological and biochemical states of the thallus and on the conditions of extraction and purification.