ABSTRACT
Nontraumatic exertional syncope can be an ominous event reflecting profound arterial hypotension, cerebral hypoperfusion, and transient loss-of consciousness that occurs most commonly in patients with underlying cardiovascular disease. In contradistinction, transient loss-of-consciousness in "healthy adults" is typically vasovagal syncope related to exaggerated orthostatic cardiovascular responses attributed to a hyper-reactive autonomic nervous system. In the present report, a 34 yo male presents to the hospital emergency department (ED) for a sudden loss of consciousness and fall ultimately related to cardiac syncope ascribed to chronic recreational marijuana use complicated by coronary vasospasm.
ABSTRACT
Eukaryotic GCN2 (general control nonderepressible 2) is a serine/threonine protein kinase that plays an essential role in modulating amino acid metabolism in response to nutrient deprivation. A wide spectrum of GCN2 functions in yeast and mammals has been characterized that spans from responses to amino acid deficiency, development, differentiation and proper functions of mammalian organs to organism's life span, tumor cell survival and immune responses. Here we demonstrate that Arabidopsis thaliana GCN2 (AtGCN2) plays crucial roles in plant growth and development. We present evidence that AtGCN2 negatively regulates seed germination under diverse environmental conditions. Our genetic data supported the notion that AtGCN2 is required for leaf morphology and normal cellular physiology by controlling chlorophyll contents. Our gene expression analyses revealed that AtGCN2 negatively regulates several transcription factor genes that play important roles in plant gibberellic acid-related crosstalk. We concluded that AtGCN2 plays pivotal roles in various cellular processes essential for normal growth and development, hence expanding the functions of this general regulator beyond being merely a stress player.
