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2.
Article in English | MEDLINE | ID: mdl-37947840

ABSTRACT

Robert Mortimer Glover's contribution as the first to identify the anaesthetic effects of chloroform went unrecognized for over 130 years. Posterity now remembers Glover as the first to experimentally demonstrate the effects of chloroform, and yet, the scope and impact of the work for which he is remembered remains largely undiscussed. This historical article returns to Glover's dissertation, for which he won the Harveian Prize in 1842, and examines its experimental findings in their historical context. Departing from the body of literature which emphasizes the clinical orientation of early anaesthesiological research, it revisits the theoretical and methodological foundations of Glover's study, which, first and foremost, sought to examine the possibility of an analogy between chemical structure and physiological effect. In doing so, it establishes that Glover was not merely the first to realize the physiological effects of chloroform or even merely the earliest figure to recognize the effects of bromoform, potassium bromide, and "bromide of mercury," over two decades before Henry Behrend's or Protheroe Smith's classic papers. My examination concludes that Glover may have been the first to propose the existence of a unique class of anaesthetic compounds, establishing Glover as an early representative of anaesthetic pharmacology as a collective body of research and clinical practice.

3.
Stud Hist Philos Sci ; 99: 46-55, 2023 06.
Article in English | MEDLINE | ID: mdl-37023665

ABSTRACT

The disease theory of alcoholism, and by extension, of addiction, forms the theoretical basis of an expansive scientific industry, one which musters tremendous resources in the service of research, rehab clinics, and government programs. Revisiting the early work on the disease theory of alcoholism, this paper analyzes the apperance of the disease theory of alcoholism in the eighteenth/nineteenth century works of Rush, Trotter, and Brühl-Cramer as emergent of a theoretical tension within the Brunonian system of medicine, that of stimulus dependence. Establishing both the shared Brunonianism of these figures and the concept of stimulus dependence, I argue it is here that one finds the nascent formulation of the modern dependence model of addiction, pushing out alternative models, such as Hufeland's toxin theory.


Subject(s)
Alcoholism , Behavior, Addictive , Medicine , Humans , Alcoholism/history , Industry
4.
Hist Philos Life Sci ; 44(4): 46, 2022 Sep 16.
Article in English | MEDLINE | ID: mdl-36112297

ABSTRACT

This article examines Kant's overlooked concept of "active play," as opposed to "free play," in connection with the influence of the Brunonian system of medicine, both of which, I propose, are central to understanding the broader significance of intoxication in Kant's post-1795 work. Beginning with a discussion of the late-18th century German reception of Brunonian theory, the idea of vital stimulus, and their importance for Kant, I assess the distinction drawn between gluttony and intoxication in The Metaphysics of Morals and Anthropology from a Practical Point of View. Both are analysed in the context of the Brunonian system of medicine, having establishing Kant's commitment to the Brunonianism system, as corroborated by Wasianski. What emerges is a novel understanding of intoxication in the work of Immanuel Kant, which brings to light a previously unexamined dynamic between imagination, intoxication, and the aesthetic.


Subject(s)
Alcoholic Intoxication , Philosophy , Anthropology/history , Esthetics , Humans , Moral Obligations , Philosophy/history
5.
Hist Psychol ; 25(4): 367-384, 2022 11.
Article in English | MEDLINE | ID: mdl-35324238

ABSTRACT

In 1878, Sigmund Freud produced his first scientific publication while a medical student in Vienna, a physiological and histological analysis of Szymon Syrski's claim to have discovered the long-sought testes of the European eel. Though he would eventually come to be known as the father of psychoanalysis, a closer look at Freud's earliest scientific publication demonstrates that he was initially positioned on the cutting edge of neo-mechanistic physiology, and academic Darwinism. Not only was the young Freud a methodologically capable physiologist, he was conceptually grounded by the anti-Lamarckian and anti-Haeckelian Darwinism of his first mentor, Carl Claus. Scholarship on Freud's life and ideas is copious and far-reaching, and yet the stature of his psychoanalytic legacy remains a significant barrier for reappraisals of his early foundations. By analyzing his first publication and the context in which it came to be, this article seeks to revisit the place of Darwin in Freud's earliest scientific work. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Subject(s)
Psychoanalysis , Testis , Male , Humans , History, 20th Century , Animals , Psychoanalysis/history , Eels , Austria
6.
J Cardiovasc Pharmacol Ther ; 15(2): 196-202, 2010 Jun.
Article in English | MEDLINE | ID: mdl-20332533

ABSTRACT

Cholesteryl ester transfer protein (CETP) plays a key role in high-density lipoprotein (HDL) cholesterol metabolism, but normal mice are deficient in CETP. In this study, transgenic mice expressing both human apolipoprotein B 100 (ApoB-100) and human CETP (hApoB100/hCETP) were used to characterize the effects of CETP inhibition and peroxisome proliferator-activated receptor alpha (PPARalpha) agonism on lipid profiles. Torcetrapib (3, 10, and 30 mg/kg), a CETP inhibitor, fenofibrate (30 mg/kg), a weak PPARalpha agonist, and GW590735 (3 and 10 mg/kg), a potent and selective PPARalpha agonist were given orally for 14 days to hApoB100/hCETP mice and lipid profiles were assessed. The average percentages of HDL, low-density lipoprotein (LDL), and very-low-density lipoprotein (VLDL) cholesterol fractions in hApoB100/hCETP mice were 34.8%, 61.6%, and 3.6%, respectively, which is similar to those of normolipidemic humans. Both torcetrapib and fenofibrate significantly increased HDL cholesterol and reduced LDL cholesterol, and there was a tendency for torcetrapib to reduce VLDL cholesterol and triglycerides. GW590735 significantly increased HDL cholesterol, decreased LDL and VLDL cholesterol, and significantly reduced triglycerides. Maximal increases in HDL cholesterol were 37%, 53%, and 84% with fenofibrate, torcetrapib, and GW590735, respectively. These results, in mice that exhibit a more human-like lipid profile, demonstrate an improved lipid profile with torcetrapib, fenofibrate, and GW590735, and support the use of selective PPARalpha agonism for the treatment of lipid disorders. In addition, these data demonstrate the use of hApoB100/hCETP transgenic mice to identify, characterize, and screen compounds that increase HDL cholesterol.


Subject(s)
Anticholesteremic Agents/pharmacology , Apolipoprotein B-100/genetics , Cholesterol Ester Transfer Proteins/antagonists & inhibitors , Cholesterol, HDL/blood , Cholesterol, LDL/blood , PPAR alpha/agonists , Animals , Cholesterol Ester Transfer Proteins/genetics , Cholesterol, VLDL/blood , Dose-Response Relationship, Drug , Fenofibrate/pharmacology , Humans , Mice , Mice, Transgenic , Propionates/pharmacology , Quinolines/administration & dosage , Quinolines/pharmacology , Thiazoles/pharmacology
7.
Exp Neurol ; 212(1): 53-62, 2008 Jul.
Article in English | MEDLINE | ID: mdl-18462720

ABSTRACT

Mismatches between tissue perfusion-weighted imaging (PWI; an index of blood flow deficit) and cellular diffusion-weighted imaging (DWI; an index of tissue injury) provide information on potentially salvageable penumbra tissue in focal stroke and can identify "treatable" stroke patients. The present pre-clinical studies were conducted to: a.) Determine PWI (using perfusion delay) and DWI measurements in two experimental stroke models, b.) Utilize these measurements to characterize selective ET(A) receptor antagonism (i.e., determine efficacy, time-to-treatment and susceptibility to treatment in the different stroke models), and c.) Determine if increasing the reduced blood flow following a stroke is a mechanism of protection. Permanent middle cerebral artery occlusion (MCAO) or sham surgeries were produced in Sprague Dawley rats (SD; proximal MCAO; hypothesized to be a model of slowly evolving brain injury with a significant penumbra) and in spontaneously hypertensive rats (SHR; distal MCAO; hypothesized to be a model of rapidly evolving brain injury with little penumbra). Infusions of vehicle or SB 234551 (3, 10, or 30 microg/kg/min) were initiated at 0, 75, and/or 180 min post-surgery and maintained for the remainder of 24 h post-surgery. Hyper-intense areas of perfusion delay (PWI) in the forebrain were measured using Gadolinium (Gd) bolus contrast. DWI hyper-intense areas were also measured, and the degree of forebrain DWI-PWI mismatch was determined. Region specific analyses (ROI) were also conducted in the core ischemic and low perfusion/penumbra areas to provide indices of perfusion and changes in the degree of tissue perfusion due to SB 234551 treatment. At 24 h post-surgery, final infarct volume was measured by DWI and by staining forebrain slices. Following SD proximal MCAO, there was a significant mismatch in the ischemic forebrain PWI compared to DWI (PWI>DWI) at 60 min which was maintained up to 150 min (all p<0.05). By 24 h post-stroke, infarct volume was identical to the area of early perfusion deficit/PWI, suggesting a slow progression of infarct development that expanded into the significant, earlier cortical penumbra (i.e., model with salvageable tissue with potential for intervention). When SB 234551 was administered within the period of peak mismatch (i.e., at 75 min post-stroke), SB 234551 provided significant dose-related reductions in cortical (penumbral) progression to infarction (p<0.05). Cortical protection was related to an increased/normalization of the stroke-induced decrease in tissue perfusion in cortical penumbra areas (p<0.05). No SB 234551-induced changes in reduced tissue perfusion were observed in the striatum core ischemic area. Also, when SB-234551 was administered beyond the time of mismatch, no effect on cortical penumbra progression to infarct was observed. In comparison and strikingly different, following SHR distal MCAO there was no mismatch between PWI and DWI (PWI=DWI) as early as 60 min post-stroke, with this early change in SHR DWI being identical to the final infarct volume at 24 h, suggesting a rapidly occurring brain injury with little cortical penumbra (i.e., model with little salvageable tissue or potential for intervention). In distal MCAO, SB 234551 administered immediately at the time of stroke did not have any effect on infarct volume in SHR. These data demonstrate that selective blockade of ET(A) receptors is protective following proximal MCAO in SD (i.e. a model similar to "treatable" clinical patients). The protective mechanism appears to be due to enhanced collateral blood flow and salvage of penumbra. Therefore, the use of PWI-DWI mismatch signatures can identify treatable stroke models characterized by a salvageable penumbra and can define appropriate time to treatment protocols. In addition, tissue perfusion information obtained under these conditions might clarify mechanism of protection in the evaluation of protective compounds for focal stroke.


Subject(s)
Brain Infarction/drug therapy , Brain/drug effects , Diffusion Magnetic Resonance Imaging/methods , Dioxoles/pharmacology , Endothelin A Receptor Antagonists , Pyrazoles/pharmacology , Stroke/drug therapy , Animals , Brain/pathology , Brain/physiopathology , Brain Infarction/pathology , Brain Infarction/physiopathology , Cerebral Arteries/drug effects , Cerebral Arteries/metabolism , Cerebral Arteries/physiopathology , Cerebrovascular Circulation/drug effects , Cerebrovascular Circulation/physiology , Dioxoles/therapeutic use , Disease Models, Animal , Dose-Response Relationship, Drug , Emergency Medical Services/standards , Infarction, Middle Cerebral Artery/drug therapy , Infarction, Middle Cerebral Artery/metabolism , Infarction, Middle Cerebral Artery/physiopathology , Male , Neuroprotective Agents/pharmacology , Neuroprotective Agents/therapeutic use , Pyrazoles/therapeutic use , Rats , Rats, Inbred SHR , Rats, Sprague-Dawley , Receptor, Endothelin A/metabolism , Stroke/pathology , Stroke/physiopathology , Time Factors , Treatment Outcome
8.
Exp Mol Pathol ; 83(1): 73-83, 2007 Aug.
Article in English | MEDLINE | ID: mdl-17434481

ABSTRACT

Central (visceral) obesity is more closely associated with insulin resistance, type 2 diabetes, and cardiovascular disease than peripheral (subcutaneous) obesity, however the underlying differences in morphology and pathophysiology between subcutaneous and visceral adipose are largely unknown. To evaluate the effects of diabetes and rosiglitazone (RSG) treatment, the expression of mitochondrial Hsp60, UCP-1 and F4/80 in inguinal subcutaneous (SC) fat, composed of white and brown adipose tissues, and epididymal (EP) fat, mainly white adipose tissue, were evaluated. In diabetic db/db mice, there was significant increased number of aggregated macrophage foci compared to db/+ mice, especially in EP fat. On the other hand, the expression of mitochondrial Hsp60 protein was suppressed in both SC and EP fat of db/db mice compared to db/+ mice, and the expression level of mitochondrial Hsp60 in db/+ mice was lower in EP fat compared with SC. In db/db mice, RSG suppressed the number of aggregated macrophage foci in EP fat, but not in SC fat. RSG ameliorated the mitochondrial Hsp60 expression and induced the expression of UCP-1 in both SC and EP fat. Taken together, these data suggest that differences exist in mitochondrial and macrophage content, and in the response to RSG between visceral and subcutaneous adipose tissue, and adipose type and distribution may be important for obesity-linked insulin resistance.


Subject(s)
Diabetes Mellitus/metabolism , Intra-Abdominal Fat/metabolism , Macrophages/metabolism , Mitochondria/metabolism , Subcutaneous Fat/metabolism , Adipocytes/cytology , Adipocytes/drug effects , Animals , Blood Glucose/metabolism , Body Weight , Cell Count , Cell Shape , Cell Size , Chaperonin 60/metabolism , Diabetes Mellitus/pathology , Disease Models, Animal , Intra-Abdominal Fat/pathology , Ion Channels/metabolism , Macrophages/cytology , Male , Mice , Mitochondrial Proteins/metabolism , Rosiglitazone , Subcutaneous Fat/pathology , Thiazolidinediones/pharmacology , Uncoupling Protein 1
9.
J Cardiovasc Pharmacol ; 41(6): 817-29, 2003 Jun.
Article in English | MEDLINE | ID: mdl-12775958

ABSTRACT

Activities of vascular smooth muscle cells (SMCs) such as proliferation, migration, and matrix production contribute to restenosis following clinical interventions of angioplasty and stent placement. Because activation of platelet-derived growth factor (PDGF)-receptor tyrosine kinase (PDGFr-TK) influences these processes and promotes restenosis, TKI963, an inhibitor of the PDGFr-TK was discovered, and its efficacy was evaluated in blocking stent-induced restenosis as analyzed by intravascular ultrasound (IVUS). TKI963, a low-molecular-weight compound, inhibited the cell-free PDGFbetar-TK with a K(i) value of 56 +/- 14 nM. TKI963 also inhibited PDGF-dependent events in human aortic SMCs (e.g., in situ PDGFr autophosphorylation, mitogenesis, chemotaxis, and collagen production with median inhibitory concentration values of approximately 300 nM) without affecting the activity of a series of membrane receptor tyrosine kinases and intracellular serine/threonine kinases. In vivo, stent-induced restenosis in the swine coronary artery was reduced by oral administration of TKI963 (1.25, 2.5, and 5 mg/kg BID, for 28 days). Late lumen cross-sectional area (CSA) loss, plaque CSA growth, and plaque volume in the stent determined by IVUS were dose-relatedly decreased (33-62% at 1.25 mg/kg BID to 66-92% at 5 mg/kg BID, depending on the parameter) compared with controls. TKI963 treatment of

Subject(s)
Coronary Restenosis/etiology , Coronary Restenosis/prevention & control , Coronary Vessels/drug effects , Quinoxalines/pharmacology , Receptors, Platelet-Derived Growth Factor/antagonists & inhibitors , Stents/adverse effects , Administration, Oral , Animals , Cell Division/drug effects , Cells, Cultured , Chemotaxis/drug effects , Collagen/biosynthesis , Coronary Vessels/metabolism , Coronary Vessels/pathology , Male , Mice , Muscle, Smooth, Vascular/drug effects , Muscle, Smooth, Vascular/metabolism , Muscle, Smooth, Vascular/pathology , Phosphorylation , Rats , Receptors, Platelet-Derived Growth Factor/metabolism , Swine, Miniature
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