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1.
Opt Express ; 29(17): 27768-27782, 2021 Aug 16.
Article in English | MEDLINE | ID: mdl-34615186

ABSTRACT

The telecommunication world is experiencing the 5th generation (5G) networks deployment including the use of millimeter wave (mmW) frequency bands to satisfy capacity demands. This leads to the extensive use of optical communications, especially the optical fiber connectivity at the last mile access and the edge networks. In this paper we outline fiber and free space optics (FSO) technologies for use as part of the 5G optical fronthaul network. We investigate two different mmW transmission schemes based on (i) the conventional analog radio over fiber transmission using one Mach-Zehnder modulator (MZM) with double sideband (DSB) optical modulation, and (ii) an optical-based frequency doubling with one MZM biased at the null point to introduce carrier suppression DSB (CS DSB) transmission and second MZM used for data modulation. Both systems are assessed in terms of the error vector magnitude, signal-to-noise ratio, dynamic range and phase noise. We consider a configuration for the fronthaul network in the frequency range 2 (FR2) at 27 and 39 GHz with the scale of bandwidth up to 400 MHz with M-quadrature amplitude modulation and quadrature phase shift keying. Results are also shown for FR1 at 3.5 GHz. Moreover, we investigate for the first time the 5G new radio signal transmission under strong turbulence conditions and show the turbulence-induced FSO link impairment. We finally demonstrate the CS DSB scheme performs well under chromatic dispersion-induced fading for the frequency up to 40 GHz and single mode fiber length of 30 km, whereas the DSB format seems more appropriate for an antenna seamless transmission.

2.
Trop Biomed ; 36(2): 475-481, 2019 Jun 01.
Article in English | MEDLINE | ID: mdl-33597409

ABSTRACT

This report describes a rare case of ophthalmic dirofilariasis in a 68-year-old woman with red and foreign body sensation in the pterygium on her right eye. Slit lamp examination demonstrated a long-slender worm moving in her pterygium. The worm was removed surgically and then identified as Diroflaria repens by sequence analysis of the small subunit ribosomal RNA (SSU) gene. The situation of dirofilariasis in Vietnam has been reviewed. Since the first described case in 2010 there have been thirteen cases reported that suggested the emerging trend of the disease. Most of the documented cases of human dirofilariasis recorded in Vietnam presented with ocular infections and the responsible agent was D. repens. With the increase of reported cases of human, much more attention should be paid on control as well as diagnosis and treatment of dirofilariasis in Vietnam.

3.
Tropical Biomedicine ; : 475-481, 2019.
Article in English | WPRIM (Western Pacific) | ID: wpr-778271

ABSTRACT

@#This report describes a rare case of ophthalmic dirofilariasis in a 68-year-old woman with red and foreign body sensation in the pterygium on her right eye. Slit lamp examination demonstrated a long-slender worm moving in her pterygium. The worm was removed surgically and then identified as Diroflaria repens by sequence analysis of the small subunit ribosomal RNA (SSU) gene. The situation of dirofilariasis in Vietnam has been reviewed. Since the first described case in 2010 there have been thirteen cases reported that suggested the emerging trend of the disease. Most of the documented cases of human dirofilariasis recorded in Vietnam presented with ocular infections and the responsible agent was D. repens. With the increase of reported cases of human, much more attention should be paid on control as well as diagnosis and treatment of dirofilariasis in Vietnam.

4.
Int J Pharm ; 475(1-2): 214-26, 2014 Nov 20.
Article in English | MEDLINE | ID: mdl-25180992

ABSTRACT

This study was the first investigation into the potential of a fixed dose combination of ritonavir and darunavir in the form of dispersible powders prepared by spray drying. A common polymer (hydroxypropyl methylcellulose, polyvinylpyrrolidone, and polyvinylpyrrolidone-vinyl acetate 64) was formulated with either ritonavir or darunavir or a combination of ritonavir and darunavir. The influence of these polymers on the supersaturation level of ritonavir and darunavir was investigated. The concentration levels of ritonavir and darunavir during these tests dropped instantly to a plateau which could be considered as amorphous solubility. Besides, the presence of darunavir always decreased the supersaturation level of ritonavir and vice versa no matter which polymers were used. Moreover, the rate and extent of release of both ritonavir and darunavir from ternary spray-dried powders were less than the releases from binary spray-dried powders. Intermolecular interaction between ritonavir and darunavir was ruled out by (1)H NMR study which means that the decrease in supersaturation level or release must be at least partially attributed to the mediated solvent process. In order to restrict the mutual influence between darunavir and ritonavir, a complex of both ritonavir and darunavir with (2-hydroxypropyl)-ß-cyclodextrin was prepared and improved the dissolution rate of both ritonavir and darunavir.


Subject(s)
Ritonavir/chemistry , Sulfonamides/chemistry , 2-Hydroxypropyl-beta-cyclodextrin , Chemistry, Pharmaceutical/methods , Darunavir , Excipients/chemistry , Hypromellose Derivatives/chemistry , Methylcellulose/chemistry , Povidone/chemistry , Powders/chemistry , Solubility , beta-Cyclodextrins/chemistry
5.
Rev Sci Instrum ; 85(12): 124701, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25554308

ABSTRACT

Sandia has successfully integrated the capability to apply uniform, high magnetic fields (10-30 T) to high energy density experiments on the Z facility. This system uses an 8-mF, 15-kV capacitor bank to drive large-bore (5 cm diameter), high-inductance (1-3 mH) multi-turn, multi-layer electromagnets that slowly magnetize the conductive targets used on Z over several milliseconds (time to peak field of 2-7 ms). This system was commissioned in February 2013 and has been used successfully to magnetize more than 30 experiments up to 10 T that have produced exciting and surprising physics results. These experiments used split-magnet topologies to maintain diagnostic lines of sight to the target. We describe the design, integration, and operation of the pulsed coil system into the challenging and harsh environment of the Z Machine. We also describe our plans and designs for achieving fields up to 20 T with a reduced-gap split-magnet configuration, and up to 30 T with a solid magnet configuration in pursuit of the Magnetized Liner Inertial Fusion concept.

6.
J Affect Disord ; 102(1-3): 237-43, 2007 Sep.
Article in English | MEDLINE | ID: mdl-17125843

ABSTRACT

BACKGROUND: In Chile, a country with a so called emerging market-economy, where rapid social and life style changes are taking place, women and the more socially disadvantaged are more at risk of becoming depressed. METHODS: Results of several studies are summarized in the context of a review of the literature. RESULTS: A third of Chilean women have depressive and/or anxiety symptoms during midpregnancy, while prevalence figures both in the early and the late postpartum period increase up to 50% in most studies. If strict operational criteria describing well defined depressive disorders are used postnatally, differences in prevalence and incidence figures arise depending on socioeconomic status. Whereas incidence rates for postpartum depression (around 9%) are very similar to those found in the northern hemisphere and do not appear to vary across different socioeconomic levels, higher prevalence rates are found among women from lower socioeconomic status. LIMITATIONS: The studies focused on current diagnostic entities and did not consider different clusters or dimensions. CONCLUSION: A shared biological etiology may be triggered by the physiology of childbirth and account for similarities in incidence across different socioeconomic levels. In turn, we hypothesize that the higher prevalence of postpartum depression (PPD) in Chilean women from lower socioeconomic status is the result of pre-existing depression and is not caused by more new cases of the illness.


Subject(s)
Bibliographies as Topic , Depression, Postpartum/psychology , Chile/epidemiology , Depression, Postpartum/diagnosis , Depression, Postpartum/epidemiology , Diagnosis, Differential , Female , Humans , Pregnancy
7.
Mech Dev ; 97(1-2): 57-72, 2000 Oct.
Article in English | MEDLINE | ID: mdl-11025207

ABSTRACT

We report here the characterization of the Drosophila homolog of the onecut homeobox gene, which encodes a protein product with one cut domain and one homeodomain. We present evidence that D-Onecut can bind to similar DNA sequences with high specificity and affinity as other Onecut proteins through the highly conserved cut domain and homeodomain. Interestingly, the cut domain alone can mediate DNA-binding, but the homeodomain cannot. However, depending upon the promoter context, we observed cooperative interactions between the two domains to confer high DNA-binding affinity and specificity. D-Onecut appears to be a moderate transcriptional activator and functions as a nuclear protein in neuronal tissues of both the CNS and PNS during development and in the adult. In the eye, D-Onecut expression is independent of glass, a transcriptional regulator of R cell differentiation. Taken together, our results suggest a role for D-Onecut in the regulation of some aspects of neural differentiation or maintenance. In support of this notion, overexpression of a putative dominant negative form of D-Onecut during eye development does not affect early cell fate specification, but severely affects photoreceptor differentiation.


Subject(s)
Drosophila Proteins , Homeodomain Proteins/physiology , Insect Proteins/physiology , Nerve Tissue Proteins , Neurons/cytology , Nuclear Proteins/physiology , Trans-Activators/physiology , Amino Acid Sequence , Animals , Base Sequence , Binding Sites , Cell Differentiation , DNA/metabolism , DNA, Complementary , DNA-Binding Proteins/metabolism , Drosophila/genetics , Drosophila/metabolism , Drosophila/physiology , Enhancer Elements, Genetic , Eye/embryology , Gene Expression Regulation , Genes, Insect , Genes, Reporter , Homeodomain Proteins/genetics , Homeodomain Proteins/metabolism , Humans , Insect Proteins/genetics , Insect Proteins/metabolism , Luciferases/genetics , Mice , Molecular Sequence Data , Nuclear Proteins/genetics , Nuclear Proteins/metabolism , Photoreceptor Cells, Invertebrate/metabolism , Recombinant Fusion Proteins/genetics , Recombinant Fusion Proteins/metabolism , Sequence Homology, Amino Acid , Trans-Activators/genetics , Trans-Activators/metabolism , Transcription Factors/genetics , Transcription Factors/metabolism , Transcription, Genetic , Zinc Fingers
8.
Clin Chem ; 46(5): 650-7, 2000 May.
Article in English | MEDLINE | ID: mdl-10794747

ABSTRACT

BACKGROUND: Cardiac depression in severe sepsis and septic shock is characterized by left ventricular (LV) failure. To date, it is unclear whether clinically unrecognized myocardial cell injury accompanies, causes, or results from this decreased cardiac performance. We therefore studied the relationship between cardiac troponin I (cTnI) and T (cTnT) and LV dysfunction in early septic shock. METHODS: Forty-six patients were consecutively enrolled, fluid-resuscitated, and treated with catecholamines. Cardiac markers were measured at study entry and after 24 and 48 h. LV function was assessed by two-dimensional transesophageal echocardiography. RESULTS: Increased plasma concentrations of cTnI (>/=0.4 microgram/L) and cTnT (>/=0.1 microgram/L) were found in 50% and 36%, respectively, of the patients at one or more time points. cTnI and cTnT were significantly correlated (r = 0.847; P <0.0001). Compared with cTnI-negative patients, cTnI-positive subjects were older, presented higher Acute Physiology and Chronic Health Evaluation II scores at diagnosis, and tended to have a worse survival rate and a more frequent history of arterial hypertension or previous myocardial infarction. In contrast, the two groups did not differ in type of infection or pathogen, or in dose and type of catecholamine administered. Continuous electrocardiographic monitoring in all patients and autopsy in 12 nonsurvivors did not disclose the occurrence of acute ischemia during the first 48 h of observation. LV dysfunction was strongly associated with cTnI positivity (78% vs 9% in cTnI-negative patients; P <0.001). In multiple regression analysis, both cTnI and cTnT were exclusively associated with LV dysfunction (P <0.0001). CONCLUSIONS: These findings suggest that in septic shock, clinically unrecognized myocardial cell injury is a marker of LV dysfunction. The latter condition tends to occur more often in severely ill older patients with underlying cardiovascular disease. Further studies are needed to determine the extent to which myocardial damage is a cause or a consequence of LV dysfunction.


Subject(s)
Shock, Septic/blood , Troponin I/blood , Troponin T/blood , Ventricular Dysfunction, Left/blood , Adolescent , Adult , Aged , Aged, 80 and over , Biomarkers/blood , C-Reactive Protein/metabolism , Calcitonin/blood , Creatine Kinase/blood , Echocardiography, Transesophageal , Humans , Isoenzymes , Middle Aged , Myocardium/metabolism , Prospective Studies , Protein Precursors/blood , Resuscitation , Shock, Septic/complications , Ventricular Dysfunction, Left/diagnostic imaging , Ventricular Dysfunction, Left/etiology
9.
Acta Clin Belg ; 54(4): 201-6, 1999 Aug.
Article in English | MEDLINE | ID: mdl-10544510

ABSTRACT

Sepsis is characterized by disturbances in liver perfusion and alterations in intrahepatic cellular functions and interactions. This provokes structural and functional liver damage as well as hepatocellular activation that is believed to perpetuate the immuno-inflammatory response. Changes in hepatic perfusion during sepsis are still poorly understood due to the heterogeneity of septic animal models and the difficult accessibility of the hepatic circulation in humans. Sinusoidal blood flow is severely compromised during sepsis due to a decline in perfused sinusoidal area in association with a decrease in sinusoidal flow velocity. Imbalances in the production of nitric oxide may account for these (micro) circulatory disorders. Interactions between liver macrophages, activated endothelial cells and hepatocytes determine the intensity of inflammation and contribute to initial liver damage. Hepatocellular injury is then enhanced by attracted and invading neutrophils. The management of hepatic dysfunction during sepsis is largely supportive and based on prevention and vigorous resuscitation including early nutritional support and adequate oxygenation. Interestingly, experimental studies suggest that pharmacological interventions with significant hemodynamic effects, such as dobutamine and nitric oxide synthase inhibitors, may adversely affect the liver during the septic process.


Subject(s)
Liver Circulation/physiology , Liver/physiopathology , Systemic Inflammatory Response Syndrome/physiopathology , Animals , Blood Flow Velocity/physiology , Cell Communication , Disease Models, Animal , Endothelium, Vascular/pathology , Endothelium, Vascular/physiopathology , Humans , Liver/immunology , Liver/pathology , Liver Circulation/immunology , Macrophages/physiology , Microcirculation/physiology , Neutrophil Activation/physiology , Neutrophil Infiltration/physiology , Nitric Oxide/metabolism , Systemic Inflammatory Response Syndrome/immunology , Vasodilator Agents/metabolism
10.
Development ; 124(17): 3303-12, 1997 Sep.
Article in English | MEDLINE | ID: mdl-9310325

ABSTRACT

In the Drosophila eye imaginal disc the photoreceptor cells (R cells) differentiate according to a precise spatial and temporal order. The sidekick (sdk) gene is necessary to prevent extra R cells from differentiating during eye disc development. The extra cell appears between R3 and R4 early in R cell clusters and is most likely the result of the mystery cell inappropriately differentiating as an R cell. Mosaic analysis shows that sdk is required neither in the R cells nor in the extra cell, suggesting that sdk is necessary in the surrounding undifferentiated cells. The sdk gene codes for a protein that is a member of the immunoglobulin superfamily, having six immunoglobulin domains, thirteen fibronectin repeats and a transmembrane domain. The protein structure is consistent with its participation in cell-cell interaction during eye development.


Subject(s)
Drosophila Proteins , Drosophila/growth & development , Drosophila/genetics , Eye Proteins/genetics , Eye/growth & development , Insect Proteins/genetics , Membrane Proteins/genetics , Neural Cell Adhesion Molecules , Amino Acid Sequence , Animals , Base Sequence , DNA, Complementary/genetics , Drosophila/metabolism , Eye/metabolism , Eye Abnormalities/genetics , Eye Abnormalities/pathology , Eye Proteins/metabolism , Female , Genes, Insect , Immunoglobulins/genetics , Insect Proteins/metabolism , Male , Membrane Proteins/metabolism , Microscopy, Electron, Scanning , Molecular Sequence Data , Mutation , Phenotype , Photoreceptor Cells/cytology , Photoreceptor Cells/growth & development , Photoreceptor Cells/metabolism
11.
FEBS Lett ; 393(2-3): 231-5, 1996 Sep 16.
Article in English | MEDLINE | ID: mdl-8814296

ABSTRACT

Anandamide (arachidonylethanolamide) is a novel lipid neurotransmitter first isolated from porcine brain which has been shown to be a functional agonist for the cannabinoid CB1 and CB2 receptors. Anandamide has never been isolated from human brain or peripheral tissues and its role in human physiology has not been examined. Anandamide was measured by LC/MS/MS and was found in human and rat hippocampus (and human parahippocampal cortex), striatum, and cerebellum, brain areas known to express high levels of CB1 cannabinoid receptors. Significant levels of anandamide were also found in the thalamus which expresses low levels of CB1 receptors. Anandamide was also found in human and rat spleen which expresses high levels of the CB2 cannabinoid receptor. Small amounts of anandamide were also detected in human heart and rat skin. Only trace quantities were detected in pooled human serum, plasma, and CSF. The distribution of anandamide in human brain and spleen supports its potential role as an endogenous agonist in central and peripheral tissues. The low levels found in serum, plasma, and CSF suggest that it is metabolized in tissues where it is synthesized, and that its action is probably not hormonal in nature.


Subject(s)
Arachidonic Acids/analysis , Brain Chemistry , Cannabinoids/analysis , Receptor, Cannabinoid, CB2 , Receptors, Drug/agonists , Animals , Arachidonic Acids/chemistry , Cerebellum/chemistry , Chromatography, Liquid , Corpus Striatum/chemistry , Endocannabinoids , Hippocampus/chemistry , Humans , Mass Spectrometry , Middle Aged , Organ Specificity , Polyunsaturated Alkamides , Rats , Receptors, Cannabinoid , Species Specificity , Swine
12.
Cardiovasc Res ; 30(2): 240-5, 1995 Aug.
Article in English | MEDLINE | ID: mdl-7585811

ABSTRACT

By its regulating effects on blood vessel tone, nitric oxide (NO) may play an important role in the coupling of oxygen delivery (DO2) to metabolic rate. We reasoned that if endogenous NO synthesis is an important modulator of oxygen extraction ratio (O2ER), then administration of a NO donor will alter oxygen extraction capabilities during a fall in blood flow. We studied the effects of the NO donor, nitroprusside, on the relationship between DO2 and oxygen uptake (VO2) during an acute reduction in DO2 induced by cardiac tamponade. Twenty-one healthy, anaesthetised, mechanically ventilated dogs were randomly divided into 3 groups. Group 1 (n = 7) served as control; Groups 2 and 3 were given sodium nitroprusside at 1.0 microgram/kg.min (n = 7), and 2.5 micrograms/kg.min intravenously (n = 7), respectively. All animals were given normal saline i.v. at a rate of 20 ml/kg.h throughout the study. Cardiac tamponade was induced by bolus injections of normal saline into the pericardial space. In the control animals the critical DO2 (DO2crit) was found at 10.1 +/- 1.5 ml/kg.min and critical O2ER (O2ERcrit) at 63.3 +/- 10.9%. Nitroprusside at the lower dose decreased systemic vascular resistance but did not significantly influence arterial pressure, cardiac output, DO2 or VO2; neither DO2crit nor O2ERcrit was altered (9.3 +/- 2.9 ml/kg.min and 70.4 +/- 20.9%). Nitroprusside at the higher dose induced significant decreases in mean arterial pressure and systemic vascular resistance, but had no significant effect on cardiac output. DO2crit (9.2 +/- 2.0 ml/kg.min) and O2ERcrit (59.8 +/- 13.2%) were similar to the control group.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Cardiac Tamponade/metabolism , Nitroprusside/pharmacology , Oxygen Consumption/drug effects , Oxygen/metabolism , Vasodilator Agents , Animals , Dogs , Female , Male , Regression Analysis , Vascular Resistance/drug effects
13.
J Chromatogr A ; 705(1): 21-45, 1995 Jun 23.
Article in English | MEDLINE | ID: mdl-7620570

ABSTRACT

The advent of matrix-assisted laser desorption/ionization mass spectrometry (MALDI-MS) and electrospray ionization mass spectrometry (ESI-MS) in the last 5 years has greatly enhanced the area of protein mass spectrometry. This paper presents an overview of the applications of protein mass spectrometry in the area of analytical biotechnology, particularly as related to biopharmaceutical research and development. These applications include the determination of protein molecular mass, peptide mapping, peptide sequencing, ligand binding, determination of disulfide bonds, active site characterization of enzymes, protein self-association and protein folding/higher order structural characterization.


Subject(s)
Biotechnology/methods , Mass Spectrometry/methods , Proteins/analysis , Amino Acid Sequence , Molecular Sequence Data , Molecular Weight , Peptide Mapping , Protein Folding
14.
Eur Surg Res ; 27(5): 292-300, 1995.
Article in English | MEDLINE | ID: mdl-7589000

ABSTRACT

We previously reported that N-acetyl-L-cysteine (NAC), an oxygen free-radical scavenger, can increase the oxygen extraction capabilities during endotoxic shock when blood flow is progressively reduced. In the present study, we investigated whether the protective effects of NAC are related to an improvement in regional blood flow following endotoxemia. Fourteen anesthetized, saline-infused and ventilated dogs were divided into two groups: 7 dogs received NAC (150 mg/kg, followed by a 20 mg/kg.h infusion), and the other 7 dogs served as a control time-matching group. Thirty minutes later all the dogs received Escherichia coli endotoxin (2 mg/kg) i.v. A saline infusion was started 30 min after endotoxin challenge to restore pulmonary artery occlusion pressure to baseline and maintain it constant. Regional blood flow was measured by ultrasonic volume flowmeter. In the control group, arterial pressure, left ventricular stroke work index and systemic vascular resistance remained lower than baseline. Mesenteric, renal and femoral arterial blood flow increased but only femoral blood flow returned to baseline levels. In the NAC group, cardiac index and left ventricular stroke work index remained higher and systemic and pulmonary vascular resistance were lower than in the control group. Blood flow in mesenteric, renal and especially femoral arteries was higher than in the control group. Fractional blood flow increased only in the femoral artery. PaO2 and PvO2 had similar courses in the two groups. A higher venous admixture was associated with a higher cardiac index and a lower pulmonary vascular resistance in the NAC group. Oxygen delivery and oxygen-uptake were higher in the NAC-treated than in the control animals throughout the study.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Acetylcysteine/pharmacology , Free Radical Scavengers/pharmacology , Regional Blood Flow/drug effects , Shock, Septic/physiopathology , Animals , Dogs , Femoral Artery/physiopathology , Hemodynamics/drug effects , Mesenteric Arteries/physiopathology , Oxygen/blood , Renal Artery/physiopathology , Shock, Septic/blood
15.
Acta Anaesthesiol Belg ; 46(3-4): 133-40, 1995.
Article in English | MEDLINE | ID: mdl-8669219

ABSTRACT

Cimetidine is commonly used for stress ulcer prophylaxis in intensive care patients. Cimetidine contains an imidazole structure. Similar drugs have been shown to inhibit steroid synthesis by blocking cytochrome P450-dependent reactions in the adrenal cortex. It is suggested that bolus injections of cimetidine suppress the normal corticosteroid production. This might be deleterious since a decreased cortisol response seems to be associated with increased mortality during chronic severe stress. We therefore performed a prospective, randomized, and controlled study to assess the effect of a short-term continuous infusion of either cimetidine or ranitidine, a non-imidazole H2-pantagonist, upon cortisol secretion in a cohort of hemodynamically stable intensive care patients. Twenty patients were consecutively enrolled following determined inclusion criteria and divided in three treatment groups: 6 controls, 7 cimetidine- and 7 ranitidinetreated subjects. Both cimetidine (1200 mg) and ranitidine (200 mg) were administered by infusion pump over 24 hrs. A short corticotropin test was done within 24 hrs after admission (d0) and repeated 7 days thereafter (d7). On both occasions, plasma cortisol was measured immediately before the test and 30 min afterwards. The three treatment groups presented a normal cortisol response at d0 and d7. Peak cortisol levels after stimulation did not show any significant difference for both the cimetidine and the ranitidine group, either at d0 or at d7. Moreover, this response at d0 and d7 was also not significantly different from the one observed in the controls. From this study we can conclude that one week treatment with conventional intravenous doses of cimetidine does not induce significant alterations of the cortisol response in hemodynamically stable ICU patients.


Subject(s)
Cimetidine/pharmacology , Histamine H2 Antagonists/pharmacology , Hydrocortisone/metabolism , Ranitidine/pharmacology , Adrenocorticotropic Hormone , Adult , Aged , Female , Humans , Male , Middle Aged , Prospective Studies
16.
J Surg Res ; 57(4): 470-9, 1994 Oct.
Article in English | MEDLINE | ID: mdl-7934024

ABSTRACT

By its microvascular and anti-inflammatory actions, prostaglandin E1 (PGE1) has been suggested both in animal models and in humans to have a therapeutic value in sepsis. To investigate whether PGE1 could improve the oxygen extraction capabilities in severe sepsis, our study focused on the relationship between oxygen uptake (VO2) and oxygen delivery (DO2) during an acute reduction in blood flow induced by cardiac tamponade in endotoxic dogs. Thirty anesthetized, ventilated dogs were divided into three groups. A first group (N = 10) served as a control receiving 20 ml/kg/hr of saline intravenously. A second group (N = 10) received PGE1 at 100 ng/kg/min along with the same saline infusion. A third group (N = 10) received the same dose of PGE1 with only 1 ml/kg/hr of saline. Thirty minutes after the initiation of this therapy, Escherichia coli endotoxin (2 mg/kg) was injected in each dog. In each group, the administration of PGE1, fluids, or both was continued throughout the study. Tamponade was then induced by repeated bolus injections of warm saline into the pericardial space. Steady-state measurements of VO2 (derived from the expired gases) and DO2 (the product of cardiac index and oxygen content) were obtained sequentially after each saline injection. The administration of PGE1 + fluids resulted in significant increases in stroke volume, cardiac index, and DO2 and reductions in systemic and pulmonary vascular resistance. Stroke volume and cardiac index were lower in the PGE1 alone than in the PGE1 + fluids group. The VO2 levels at critical DO2 (DO2crit) were identical. However, DO2crit, which was 12.2 +/- 2.8 ml/kg/min in the control group, was significantly decreased to 9.8 +/- 2.0 ml/kg/min in the PGE1 + fluids and to 9.3 +/- 2.7 ml/kg/min in the PGE1 alone group (both P < 0.05). Critical oxygen extraction ratio (O2ERcrit) which was 47 +/- 14% in the control group, was increased to 63 +/- 16% in the PGE1 + fluids group and to 61 +/- 17% in the PGE1 alone group (both P < 0.05). To investigate whether PGE1 also improves oxygen extraction capabilities in the absence of endotoxin, a second series of experiments was performed in 14 dogs, receiving saline alone (Control, N = 7) or plus PGE1 at 100 ng/kg/min (PGE1, N = 7). DO2crit was 10.7 +/- 2.9 ml/kg/min in the PGE1 group vs 10.1 +/- 1.8 ml/kg/min in the control group (NS). O2ERcrit tended to be higher in the PGE1 group than that in the control group (68 +/- 13% vs 60 +/- 15%, P = 0.054).(ABSTRACT TRUNCATED AT 400 WORDS)


Subject(s)
Alprostadil/pharmacology , Escherichia coli Proteins , Oxygen/metabolism , Sepsis/metabolism , Animals , Bacterial Toxins , Cardiac Tamponade/metabolism , Cardiac Tamponade/physiopathology , Disease Models, Animal , Dogs , Enterotoxins , Hemodynamics/drug effects , Hemodynamics/physiology , Sepsis/etiology , Sepsis/physiopathology
17.
Shock ; 2(2): 90-7, 1994 Aug.
Article in English | MEDLINE | ID: mdl-7728587

ABSTRACT

Pentoxifylline (PTX), a xanthine derivative used in the treatment of circulatory insufficiency, has been found to have protective effects in different models of sepsis. We hypothesized that this drug might improve the cellular oxygen availability following endotoxin challenge by increasing oxygen delivery (DO2) and/or tissue oxygen extraction. The oxygen extraction capabilities were studied during a reduction in blood flow induced by cardiac tamponade. Fourteen anesthetized, ventilated, and paralyzed dogs, received intravenous 2 mg/kg of Escherichia coli endotoxin followed by a continuous infusion of 20 ml/kg.h of saline. 30 min later tamponade was induced by repeated bolus injections of warm saline into the pericardial space. Seven dogs were pretreated with PTX as an intravenous bolus of 20 mg/kg, followed by a continuous infusion at 20 mg/kg.h, and the other seven dogs served as a control group. PTX largely attenuated the systemic and pulmonary vasoconstriction observed in the control group and resulted in significant increases in cardiac index, DO2 and oxygen consumption (VO2). PTX also improved ventilation/perfusion matching in the lungs as indicated by a higher PaO2 and PvO2 and a lower venous admixture than in the untreated group during cardiac tamponade (both p < .05). In addition, the critical DO2 (DO2 crit) was lower and the critical oxygen extraction ratio was higher in the PTX treated than in the control group (9.1 +/- 1.8 vs. 11.6 +/- 2.4 ml/kg.min, and 70.6 +/- 14.0 vs. 49.3 +/- 14.6%, both p < .05). The VO2/DO2 dependency slope was also steeper in the PTX-treated than in the control group (.80 +/- .28 vs. .43 +/- .19, p < .05).(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Heart/physiopathology , Hemodynamics , Oxygen Consumption/drug effects , Oxygen/blood , Pentoxifylline/pharmacology , Shock, Septic/metabolism , Shock, Septic/physiopathology , Analysis of Variance , Animals , Blood Pressure/drug effects , Cardiac Output/drug effects , Cardiac Tamponade/blood , Cardiac Tamponade/physiopathology , Dogs , Endotoxins , Female , Heart/drug effects , Heart/physiology , Heart Rate/drug effects , Hemodynamics/drug effects , Male , Regional Blood Flow , Regression Analysis , Stroke Volume/drug effects
18.
Am J Physiol ; 266(5 Pt 2): H1746-54, 1994 May.
Article in English | MEDLINE | ID: mdl-8203575

ABSTRACT

Because oxygen free radicals have been implicated in the endothelial cell damage and in the myocardial depression occurring during severe sepsis, we investigated whether N-acetyl-L-cysteine (NAC) could influence the oxygen extraction capabilities during an acute reduction in blood flow induced by cardiac tamponade after endotoxin challenge. Sixteen anesthetized, saline-infused, and ventilated dogs received Escherichia coli endotoxin (2 mg/kg) 30 min before tamponade was induced by repeated bolus injections of warm saline into the pericardial space. Thirty minutes before endotoxin administration, nine dogs received NAC (150 mg/kg, followed by a 20 mg.kg-1.h-1 infusion); the other seven dogs served as a control group. The NAC group maintained higher cardiac index, oxygen delivery (DO2), and left ventricular stroke work index, but lower systemic and pulmonary vascular resistance, than the control group. The oxygen uptake (VO2) levels at critical DO2 (DO2crit) were identical in the two groups. However, DO2crit was significantly lower in the NAC than in the control group (8.1 +/- 1.7 vs. 10.8 +/- 1.8 ml.kg-1.min-1, P < 0.01). Critical oxygen extraction ratio and the slope of the VO2-to-DO2-dependent line were higher in the NAC than in the control group (72 +/- 14 vs. 53 +/- 15% and 0.80 vs. 0.56, respectively; both P < 0.05). The peak lactate and the maximal tumor necrosis factor (TNF) levels were lower in the NAC than in the control group (5.2 +/- 0.4 vs. 7.6 +/- 0.4 mM, and 0.14 +/- 0.03 vs. 1.21 +/- 0.58 ng/ml, respectively; both P < 0.01). NAC significantly increased glutathione peroxidase activity.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Acetylcysteine/pharmacology , Endotoxins/toxicity , Hemodynamics/drug effects , Sepsis/physiopathology , Acetylcysteine/therapeutic use , Animals , Blood Pressure/drug effects , Cardiac Tamponade/physiopathology , Dogs , Endotoxins/antagonists & inhibitors , Escherichia coli , Female , Heart Rate/drug effects , Hematocrit , Hemodynamics/physiology , Lactates/blood , Male , Oxygen Consumption/drug effects , Pulmonary Artery/drug effects , Pulmonary Artery/physiopathology , Pulmonary Circulation/drug effects , Sepsis/prevention & control , Stroke Volume/drug effects , Time Factors , Vascular Resistance/drug effects , Ventricular Function, Left/drug effects , Ventricular Function, Right/drug effects
19.
Endocrinology ; 130(2): 926-32, 1992 Feb.
Article in English | MEDLINE | ID: mdl-1733734

ABSTRACT

The reverse hemolytic plaque assay (RHPA) was used in this study to further characterize the mechanism whereby low concentrations of dopamine (DA) stimulate PRL secretion in vitro. Female Sprague-Dawley rats were used as a source of anterior pituitary cells for the RHPA. Pituitary cells were infused into Cunningham chambers along with a suspension of protein-A-coated ovine red blood cells. Excess cells were rinsed from the chambers leaving a monolayer of cells attached to the glass. The cells were then incubated with solutions containing PRL antiserum (1:40) and various concentrations of DA. After 4 h, a solution containing guinea pig complement (1:60) was infused into the chambers. Thirty minutes later, the cells were fixed and plaques (zones of hemolysis) surrounding PRL-producing cells (lactotrophs) were measured and used as an index of the amount of PRL secreted. Control cells that received no DA had a mean plaque area of 8,000 microns 2 and two distinct subpopulations of plaque sizes. This biphasic population of cells consisted of a small and a large plaque producing population. The mean plaque area surrounding lactotrophs was significantly (P less than 0.05) decreased if 1 microM or 10 microM DA was present (4,500 microns 2 and 3,500 microns 2, respectively). These cells which received inhibitory concentrations of DA demonstrated a monophasic distribution of plaque-forming cells. On the other hand, mean plaque area was significantly (P less than 0.05) increased if 0.1 nM or 1 nM DA was presented to the cells (15,000 microns 2 and 14,500 microns 2, respectively). These cells receiving stimulatory doses of DA exhibited a multiphasic distribution of plaque-forming cells. The possibility that the two physiological opposing actions of DA on PRL secretion might be mediated by different GTP binding proteins was also examined using cholera toxin (CTX) and pertussis toxin (PTX). Anterior pituitary cells were pretreated with either CTX (50 micrograms/ml) or PTX (5 micrograms/ml) for 1 h before initiation of the RHPA. In the RHPA, cells received no DA, a stimulatory dose of DA (0.1 nM), or a inhibitory dose of DA (10 microM). The effects of toxin pretreatment on mean plaque area of DA-treated cells was determined. PTX pretreatment significantly attenuated the inhibitory effects of DA while having no effect on the stimulatory effects of DA on PRL secretion. CTX significantly (P less than 0.05) potentiated the stimulatory effects of DA on PRL secretion and had no effect on inhibition.(ABSTRACT TRUNCATED AT 400 WORDS)


Subject(s)
Dopamine/pharmacology , GTP-Binding Proteins/physiology , Pituitary Gland, Anterior/physiology , Prolactin/metabolism , Animals , Cells, Cultured , Cholera Toxin/pharmacology , Cross Reactions , Dose-Response Relationship, Drug , Female , Hemolytic Plaque Technique , Immune Sera , Kinetics , Pertussis Toxin , Pituitary Gland, Anterior/drug effects , Pituitary Gland, Anterior/metabolism , Prolactin/analysis , Prolactin/immunology , Rats , Rats, Inbred Strains , Virulence Factors, Bordetella/pharmacology
20.
Endocrinology ; 126(4): 2021-6, 1990 Apr.
Article in English | MEDLINE | ID: mdl-2318155

ABSTRACT

The contribution of the uterus to the regulation of PRL secretion in lactating dams and cycling female rats was investigated. Lactating animals were hysterectomized or sham operated 2 days after parturition, and the number of pups was adjusted to eight. Blood samples for PRL RIA were obtained through intra-atrial cannulae implanted 2 days before experimentation. In order to study the PRL secretory profile in undisturbed freely lactating rats, blood samples were taken every 2 h for 24 h starting at 1400 h. During early lactation (days 7-8), hysterectomy did not alter the PRL secretory profile compared to that of sham-operated controls. On days 14-15 post partum, PRL secretion followed a characteristic bimodal pattern showing two PRL surges at 1800 h and 0600 h. After hysterectomy, the early morning PRL surge disappeared and PRL secretion showed an unimodal daily rhythm reaching its peak at 1800 h. The possible effect of the absence of the uterus on suckling-induced PRL release at various stages of lactation was studied. On days 7-8, suckling stimuli after 4 h of pup deprivation induced robust PRL release. Hysterectomy did not significantly alter PRL release at this earlier stage of lactation. In control groups, the suckling-induced PRL secretory response markedly declined as the postpartum period advanced. On the other hand, the hysterectomized animals retained significantly greater responsiveness to suckling during the second half of lactation. These data indicate an inhibitory influence of the uterus on PRL secretion. The onset of this uterine effect is considerably delayed, and its influence became prominent only at a later phase of lactation. The effect of length of pup deprivation preceding the suckling stimulus, in combination with hysterectomy, was also investigated. Hysterectomy significantly increased suckling-induced PRL release after 4 and 24 h separation compared to the sham-hysterectomized animals. When the separation was longer than 48 h, the inducibility of PRL release by suckling declined and was not influenced by hysterectomy. In order to study the possible influence of the uterus on PRL secretion during the estrous cycle, regularly cycling female rats were hysterectomized at diestrus 1. Twelve days later the animals were cannulated, and serial blood samples were taken during the subsequent proestrus. Hysterectomy did not alter the PRL surge which occurred on the afternoon of proestrus indicating that the uterus does not have a major function in regulating PRL secretion on proestrus. In conclusion, hysterectomy significantly delayed the extinction of suckling-induced PRL release revealing the active role of the uterus in the regulation of this neuroendocrine reflex.


Subject(s)
Hysterectomy , Lactation/metabolism , Prolactin/metabolism , Animals , Female , Pregnancy , Proestrus/metabolism , Rats , Rats, Inbred Strains
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