Alteration of the responses of gastric smooth muscle to endothelin in streptozotocin-induced diabetic rats.

Diabetic gastropathy is suggested to be the result of not only an autonomic neuropathy but also to disorder of the spontaneous rhythmic motility of the gastric smooth muscle. Attempts were made to investigate the alteration of the effects of endothelin-1 (ET-1), which is known to enhance the spontaneous activity of gastrointestinal smooth muscle, on gastric activity in streptozotocin (STZ)-induced diabetic rats. STZ-induced diabetic rats were prepared by the injection of Sprague-Dawley (SD) rats with STZ (i.p.). Isometric mechanical responses were recorded in isolated circular smooth muscle strips of the stomach antrum, to measure changes in the rhythmicity of the smooth muscle. ET-1 (10 nM) significantly elevated the resting tension and the frequency of spontaneous contraction, but did not alter the amplitude of the spontaneous oscillatory contractions in normal rats. In diabetic rats, ET-1 elevated the resting tension, and spontaneous contractions were increased in frequency, however they were decreased in amplitude. In normal rats, sarafotoxin S6c (S6c, 10 nM), a selective ET(B) receptor agonist, elevated the resting tension slightly and increased both the frequency and amplitude of the spontaneous contractions. However, S6c significantly elevated the resting tension alone in STZ-induced diabetic rats. Selective stimulation of endothelin type A (ET(A)) receptors with ET-1, in the presence of a selective antagonist of ET(B) receptors, produced similar responses in the gastric muscle of both normal and diabetic rats. These results indicate that ET-1 elevates the resting tension and increases the frequency of the spontaneous oscillatory contractions in both normal and STZ-induced diabetic rats, to a similar extent. However, the specific actions on ET(B) receptors were quite different between the two: the elevating actions on the resting tension were much greater in STZ-diabetic rats than in normal rats. The results suggested the facilitation of ET(B) receptor signaling in the antrum during the pathogenesis of diabetic gastropathy.

Severe ascites with hypothyroidism and elevated CA125 concentration: a case report.

Ascites caused by hypothyroidism is rare and the pathogenesis is unclear. Several reports have presented cases of progressive ascites with hypothyroidism and elevated tumor markers. We report a 31-year-old female case with massive ascites and elevated serum CA 125 concentrations. The patient had no typical feature of hypothyroidism except an accumulation of ascitic fluid which showed elevated total protein concentration and a high serum-ascites albumin gradient (SAAG). There was no finding of malignancy. Following thyroid hormone replacement, the ascites was completely resolved accompanied by reduced concentrations of serum CA125. In general, primary hypothyroidism with ascites presents with coexisting massive pericardial or pleural effusion. The massive ascites and increased serum CA125 concentrations may have led us to make the incorrect diagnosis of ovarian malignancy. The evaluation of thyroid function is useful to determine the pathology of high-protein ascites or elevated tumor markers, and ascites may be treatable by thyroid replacement therapy.

Effects of Hypoxia on Nitric Oxide (NO) in Skin Gas and Exhaled Air.

This study confirmed the effects of hypoxia on nitric oxide (NO) concentrations in skin gas and exhaled air. NO concentrations in skin gas and exhaled air were measured by a chemiluminescence analyzer. Arterial oxygen saturation (SpO2) of the right forefinger was determined using an oxygen saturation monitor. The M ± SEM of NO concentrations in skin gas at 20.93% (control), 15.1% and 14.8% oxygen concentrations were 23.7 ± 3.6, 32.3 ± 4.7 and 36.2 ± 5.2 ppb, respectively. M ± SEM of NO concentrations in exhaled air at 20.93% (control), 15.1%, and 14.8% were 25.0 ± 5.1, 35.01 ± 5.6 and 44.9 ± 7.2 ppb, respectively. There was no significant difference in NO concentration at the absolute value of skin gas and exhaled air between normoxia and hypoxia. But significant increase was found at relative changes in skin gas at 15.1% (p<0.01) and 14.8% (p<0.01) oxygen content compared with control. Significant increase was also found at relative changes in exhaled air at 15.1% (p<0.01) and 14.8% (p<0.01) oxygen content compared with control. In conclusion, we confirmed that exposure to hypoxia elicits an increase in NO concentrations at relative changes of skin gas and exhaled air compared to normoxia.

Identification of ammonia in gas emanated from human skin and its correlation with that in blood.

Identifying and measuring the ammonia gas that emanates from human skin, which we called skin gas, has been achieved using a modified gas chromatographic system with a nitrogen-selective detector (flame-thermoionic detector: FTD). The skin gas is collected with a home-made sampling probe or bag, which is used to cover the skin surface of a subject's wrist, or a finger, for 5 min. It was proved that ammonia was present in skin gas for healthy persons and patients with hepatic disease. The average amounts of ammonia were 1.7 +/- 0.4 and 2.7 +/- 0.8 ng/cm2; furthermore, there was a significant difference between them (p < 0.05). In addition, the ammonia levels present in skin gas were correlated with that in blood (r = 0.64, p < 0.05).