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1.
Water Sci Technol ; 47(3): 157-62, 2003.
Article in English | MEDLINE | ID: mdl-12639022

ABSTRACT

The elimination of wastewater microbes is often necessary when effluent receiving waters are reused for different purposes e.g. for irrigation or as a raw water source of drinking water. In the present study, rapid sand filtration (SF) combined with the use of polyaluminium chloride coagulation was used as a pre-treatment to improve the quality of wastewater effluent before further treatment with UV irradiation. Pilot-scale experiments were run in four treatment plants in Finland. Treatment performance was followed by measuring physical and microbial parameters. Rapid sand filtration reduced suspended solids, turbidity and colour of effluents by about 90%, 70-80% and 20-50% respectively. It also improved the UV transmittance of water by up to 20%. Microbes and phosphorus were reduced by 90-99% and to 0.05 mg/L respectively. UV irradiation further reduced the number of microbes up to 99.9%. The efficiency of UV doses in pilot UV reactors was confirmed with collimated-beam device determinations and with added FRNA phages. More than 99.9% reduction of MS2 was achieved with the dose of 140mWs/cm2 in pilot UV reactors. Rapid sand filtration and the subsequent UV irradiation reduced the number of all the tested microbes to a low level, often below the detection limit. Suspended solids and the water turbidity were reduced to 1-2 mg/L and approximately 1 NTU respectively.


Subject(s)
Waste Disposal, Fluid/methods , Water Microbiology , Water Purification/methods , Water Supply , Agriculture , Bacteria/isolation & purification , Conservation of Natural Resources , Filtration , Phosphorus/isolation & purification , Silicon Dioxide , Ultraviolet Rays
2.
Invest Ophthalmol Vis Sci ; 42(13): 3110-7, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11726610

ABSTRACT

PURPOSE: To identify the tyrosine-phosphorylated protein(s) in bovine rod outer segments (ROS) that are associated with phosphatidylinositol 3-kinase (PI3K). METHODS: Glutathione-S-transferase (GST) fusion proteins containing two SH2 domains of the p85 regulatory subunit of PI3K-GST-p85 (N-SH2), GST-p85 (C-SH2), and respective SH2 mutants (N-SH2, R358A, and C-SH2, R649A)-were prepared and used to pull down tyrosine-phosphorylated proteins in bovine ROS. Protein identity was established by Western blot analysis. PI3K activity was determined in the pull-down mixtures and in immunoprecipitates by incubation with phosphatidylinositol-4,5-bisphosphate (PI-4,5-P(2)) and [gamma(32)P]adenosine triphosphate (ATP). RESULTS: The GST pull-down assays indicated the binding of a 97-kDa protein by GST-p85 (N-SH2) in tyrosine-phosphorylated (PY)-ROS that was not present in nonphosphorylated (N)-ROS. Binding was completely abolished when the Arg 358 in the N-SH2 domain was mutated to Ala. Increased binding of the p110alpha catalytic subunit to GST-p85 (N-SH2) fusion protein was also observed in the presence of the 97-kDa phosphorylated protein. Biochemical evidence indicated that the 97-kDa protein was the beta-subunit of the insulin receptor beta-subunit (IRbeta). Immunoprecipitates of PY-ROS and N-ROS with anti-PY antibodies, probed with anti-IRbeta, indicated the presence of IRbeta only in PY-ROS. Immunoprecipitates of PY-ROS and N-ROS with anti-IRbeta antibodies, probed with anti-p85 and anti-p110alpha antibodies, indicated increased amounts of both p85 and p110alpha in PY-ROS compared to N-ROS. Treatment of ROS with insulin, followed by immunoprecipitation with either anti-IRbeta or anti-PY, resulted in increased PI3K activity. Expression and phosphorylation of the cytoplasmic tail of retina insulin receptor showed direct involvement with the p85 subunit of PI3K in vitro. CONCLUSIONS: Tyrosine phosphorylation of the beta-subunit of the insulin receptor is involved in the regulation of PI3K activity in ROS.


Subject(s)
Phosphatidylinositol 3-Kinases/metabolism , Receptor, Insulin/metabolism , Rod Cell Outer Segment/metabolism , Animals , Cattle , In Vitro Techniques , Insulin/pharmacology , Isoenzymes/metabolism , Peptide Fragments/metabolism , Phosphatidylinositol 3-Kinases/chemistry , Phosphatidylinositol 3-Kinases/drug effects , Phosphorylation , Precipitin Tests , Tyrosine/metabolism
3.
Biochem Biophys Res Commun ; 288(1): 233-9, 2001 Oct 19.
Article in English | MEDLINE | ID: mdl-11594778

ABSTRACT

N-Myristoyltransferase (NMT) is an essential eukaryotic enzyme that catalyzes the cotranslational and/or posttranslational transfer of myristate to the amino terminal glycine residue of a number of important proteins especially the non-receptor tyrosine kinases whose activity is important for tumorigenesis. Human NMT was found to be phosphorylated by non-receptor tyrosine kinase family members of Lyn, Fyn and Lck and dephosphorylated by the Ca(2+)/calmodulin-dependent protein phosphatase, calcineurin. Deletion of 149 amino acids from the N-terminal end resulted in the absence of phosphorylation suggesting that the phosphorylation sites are located in the N-terminal end of NMT. Furthermore, a site-directed mutagenesis study indicated that substitution of tyrosine 100 with phenylalanine served NMT as a poor substrate for the Lyn kinase. A synthetic peptide corresponding to the amino-terminal region encompassing tyrosine 100 of NMT served as a good substrate for the Lyn and Fyn kinases. Our studies also indicated that NMT was found to interact with Lyn through its N-terminal end in a phosphorylation-dependent manner. This is the first study demonstrating the cross-talk between NMT and their myristoylated protein substrates in signaling pathways.


Subject(s)
Acyltransferases/metabolism , Myristic Acid/metabolism , src-Family Kinases/physiology , Acyltransferases/chemistry , Acyltransferases/genetics , Calcineurin/metabolism , Humans , Kinetics , Mutagenesis, Site-Directed , Peptides/metabolism , Phosphorylation , Phosphotyrosine/metabolism
4.
Water Sci Technol ; 43(12): 221-4, 2001.
Article in English | MEDLINE | ID: mdl-11464761

ABSTRACT

This study compared the efficiency of culture methods for salmonellae detection in wastewaters collected from three Finnish municipal treatment plants and from one laboratory-scale plant. The performance of one-step enrichment in Preuss tetrathionate broth was better than that of two-step enrichment (buffered peptone water pre-enrichment (BPW) and selective enrichment in Rappaport-Vassiliadis (RV) medium. The best combinations for Salmonella isolation were xylose-lysine-deoxycholate (XLD) and Rambach (RB) agars after Preuss enrichment and did not differ when brilliant green-magnesium chloride (BM) or brilliant green phenol red (BP) agars were used. The two-step enrichment inhibited the growth of both salmonellae and interfering accompanying flora. Salmonella-positive plates were generally easier to read when inoculated from RV than from Preuss medium because of less growth of competing flora. XLD and BM agars supported growth of salmonellae and inhibited growth of competing flora better than BP and Rambach agars. XLD and BM agars gave the highest numbers of salmonellae isolations but XLD and Rambach agars gave the best differentiation. Salmonella levels were < 3- > 1100 MPN/100 mL.


Subject(s)
Salmonella/isolation & purification , Waste Disposal, Fluid , Water Supply , Agar/chemistry , Culture Media/chemistry , Environmental Monitoring/methods , Indicators and Reagents/chemistry , Population Dynamics , Sensitivity and Specificity , Tetrathionic Acid/chemistry , Water Pollution/analysis , Water Purification
5.
Cell Calcium ; 29(1): 59-71, 2001 Jan.
Article in English | MEDLINE | ID: mdl-11133356

ABSTRACT

A cardiac high-molecular-weight calmodulin-binding protein (HMWCaMBP) was previously identified as a homologue of the calpain inhibitor, calpastatin. In the present study, we investigated the expression of HMWCaMBP and calpains in rat heart after ischemia and reperfusion. Western blot analysis of normal rat heart extract with a polyclonal antibody raised against bovine HMWCaMBP indicated a prominent immunoreactive band of 140kDa. Both the expression and the activity of HMWCaMBP were decreased by ischemia reperfusion. Immunohistochemical studies showed strong-to-moderate HMWCaMBP immunoreactivity in normal heart and poor immunoreactivity in ischemia-reperfused heart muscle. However, the expression of micro-calpain and m-calpain in ischemia-reperfused heart was increased as compared to normal heart. The calpain inhibitory activity of ischemia-reperfused heart tissues was significantly lower as compared to normal heart tissues. The pre-ischemic and post-ischemic perfusion of hearts with a cell-permeable calpain inhibitor suppressed the increase in calpain expression but increased the HMWCaMBP expression. In-vitro HMWCaMBP was proteolyzed by micro-calpain and m-calpain. We also measured apoptosis in normal and ischemia-reperfused tissues. An increase in the number of apoptotic bodies was observed with increased duration of ischemia and reperfusion. Bcl-2 expression did not change in any of the groups, whereas Bax expression increased with ischemia-reperfusion and correlated well with the degree of apoptosis. Our findings suggest that HMWCaMBP may sequester calpains from its substrates in the normal myocardium, but it is susceptible to proteolysis by calpains during ischemia-reperfusion. Thus, decreased expression of HMWCaMBP may play an important role in myocardial injury.


Subject(s)
Apoptosis/physiology , Calmodulin-Binding Proteins/biosynthesis , Myocardial Reperfusion Injury/metabolism , Myocardium/enzymology , Animals , Antibodies , Blotting, Western , Calmodulin-Binding Proteins/chemistry , Calmodulin-Binding Proteins/immunology , Calpain/antagonists & inhibitors , Calpain/metabolism , Glycoproteins/pharmacology , Immunoenzyme Techniques , Male , Molecular Weight , Myocardial Reperfusion Injury/pathology , Myocardium/pathology , Rats , Rats, Sprague-Dawley
6.
Biochem Biophys Res Commun ; 273(3): 1116-20, 2000 Jul 14.
Article in English | MEDLINE | ID: mdl-10891381

ABSTRACT

Earlier, we have reported that N-myristoyltransferase (NMT) activity is higher in colonic epithelial neoplasms than in normal appearing colonic tissue and that increase in NMT activity appears at an early stage in colonic carcinogenesis [Magnuson, B., Raju, R. V. S., Moyana, T. N., and Sharma, R. K. (1995) J. Natl. Cancer Inst. 87, 1630-1635]. In this study, we demonstrate increased NMT mRNA in well-differentiated adenocarcinomas. NMT and c-Src mRNA levels were generally elevated in a subset of human colon cancer cell lines. Western blotting analysis employing N-myristoyltransferase inhibitory protein (NIP(71)) antibody demonstrated low levels of NIP(71) in high-expressing c-Src cell lines and high levels of NIP(71) in low-expressing c-Src cell lines. Interestingly, down regulation of c-Src by antisense expression in the HT-29 cell line resulted in increased expression of NIP(71), suggesting c-Src may negatively regulate NIP(71) expression. Furthermore, this is the first study demonstrating the expression of NIP(71) in human colon cancer cell lines and a possible relationship to colon carcinogenesis.


Subject(s)
Acyltransferases/antagonists & inhibitors , Colonic Neoplasms/metabolism , Enzyme Inhibitors/metabolism , Proto-Oncogene Proteins pp60(c-src)/metabolism , Acyltransferases/genetics , Acyltransferases/metabolism , Animals , Blotting, Northern , Humans , Proto-Oncogene Proteins pp60(c-src)/genetics , RNA, Messenger/genetics , RNA, Messenger/metabolism , Rabbits , Tumor Cells, Cultured
7.
Protein Eng ; 13(5): 339-44, 2000 May.
Article in English | MEDLINE | ID: mdl-10835107

ABSTRACT

A B72.3 Fab/sTn(2) complex was modeled from the known structure of B72.3 Fab and the dimeric Tn-serine cluster (sTn(2)). In the complex model, the side chains of 15 heavy- and light-chain complementarity-determining region (CDR) residues and the main chains of two light-chain CDR residues contact the sTn(2) epitope. Among 15 CDR residues which contact sTn(2) in the model, two heavy-chain residues (Ser95 and Tyr97) and light-chain CDR residue (Tyr96) have been confirmed in a previous study. To test the accuracy of the computational model, further site-directed mutagenesis was performed by alanine scanning on the remaining 12 residues that are predicted in the model to have side-chain interactions with sTn(2). Of these 12 mutants, eight that are all from the heavy-chain (His32Ala, Ala33Leu, Tyr50Ala, Ser52Ala, Asn52Ala, Asp56Ala, Lys58Ala and Tyr96Ala) had significantly reduced sTn(2) affinities, and four consisting of three light-chain mutations (Asn32Ala, Trp92Ala and Thr94Ala) and one heavy-chain mutation (His35Ala) retained wild-type sTn(2) affinity. On the whole, this evidence suggests that the complex model, although not perfect, is correct in many of its features. In a more general vein, these results lend credibility to the computational modeling approach for the study of the molecular basis of antigen-antibody complexes.


Subject(s)
Antibodies, Monoclonal/chemistry , Antibodies, Neoplasm/chemistry , Amino Acid Sequence , Antibodies, Monoclonal/genetics , Antibodies, Monoclonal/immunology , Antibodies, Neoplasm/genetics , Antibodies, Neoplasm/immunology , Models, Molecular , Molecular Sequence Data , Mutagenesis, Site-Directed , Protein Conformation , Tumor Cells, Cultured
8.
J Pathol ; 191(2): 208-16, 2000 Jun.
Article in English | MEDLINE | ID: mdl-10861583

ABSTRACT

A high-molecular-weight calmodulin-binding protein (HMWCaMBP) was previously identified and purified from the cytosolic fraction of bovine heart. Based on the sequence homology, amino acid analysis, antibody reactivity, and calpain inhibition, HMWCaMBP has been identified as a homologue of the calpain inhibitor calpastatin. In the present study the expression of HMWCaMBP was investigated in normal and ischaemic human myocardium. Western blot analysis of normal human cardiac muscle extract with the polyclonal antibody raised against bovine HMWCaMBP indicated a prominent immunoreactive band with a molecular mass of 140 kD. HMWCaMBP was localized in the cytoplasm and myofilaments of cardiac myocytes. Furthermore, Western blot analysis of normal and ischaemic cardiac tissues indicated a decrease in the expression of HMWCaMBP in ischaemic tissues. These studies were further substantiated by immunohistochemical studies, indicating strong to moderate HMWCaMBP immunoreactivity in normal cardiac muscle and poor to negative immunoreactivity in ischaemic muscle. The results obtained from the rat ischaemic model suggested that the expression of cardiac HMWCaMBP was significantly decreased during ischaemia/reperfusion. In addition, micro-calpain and m-calpain expression was higher in ischaemic cardiac tissue samples than in normal controls. The calpain inhibitory activity of ischaemic cardiac tissues was significantly lower than normal cardiac tissue samples. In some cases of cardiac ischaemia, HMWCaMBP highlighted the contraction band necrosis seen at the margins of a myocardial infarct. In vitro, HMWCaMBP was proteolysed by micro-calpain and m-calpain. These results indicate that HMWCaMBP could be susceptible to proteolysis by calpains during ischaemia or reperfusion and may play a contributory role in myocardial injury.


Subject(s)
Calmodulin-Binding Proteins/metabolism , Myocardial Ischemia/metabolism , Actin Cytoskeleton/chemistry , Animals , Blotting, Western , Calmodulin-Binding Proteins/chemistry , Calmodulin-Binding Proteins/immunology , Case-Control Studies , Cattle , Cytoplasm/chemistry , Humans , Hydrolysis , In Vitro Techniques , Male , Molecular Weight , Rats , Rats, Sprague-Dawley , Reperfusion Injury/metabolism
9.
Cancer ; 88(9): 1992-9, 2000 May 01.
Article in English | MEDLINE | ID: mdl-10813869

ABSTRACT

BACKGROUND: Activated Src, which has intrinsic protein tyrosine kinase activity, has been found in human solid tumors such as colorectal and breast carcinomas. The Src gene encodes a cytoplasmic tyrosine kinase p60src, which attaches to the inner surface of the membrane after N-terminal myristoylation and is implicated in transduction of signals to the nucleus. N-myristoyltransferase (NMT) catalyzes the biochemical modification process called N-myristoylation. To investigate whether, through Src, NMT contributes to the pathogenesis of gallbladder carcinoma, the authors investigated expression of NMT and p53 in in situ and invasive carcinomas. METHODS: One hundred cases of documented gallbladder carcinoma were reviewed, and 30 cases were selected randomly to evaluate expression of NMT and p53 by immunohistochemistry in both in situ and in invasive tumor components. RESULTS: Eighteen cases (60%) of gallbladder carcinoma showed moderate to strong cytoplasmic positivity for NMT with increased intensity in the invasive component, and 12 cases (40%) were negative. The in situ component revealed mild to moderate cytoplasmic staining in 20 cases (67%), whereas the normal gallbladder mucosa showed weak to negative cytoplasmic staining. Moderate to strong p53 staining was observed in 17 in situ cases (63%) and 24 invasive cases (80%). The in situ staining patterns of p53 were unrelated to the clinical outcome of the tumor. However, moderate to strong staining of the invasive component as observed in 15 cases (50%) was associated with a mean survival of 8.8 months. Amplification of intron-8 in normal gallbladder mucosa and invasive carcinoma were similar in intensity, suggesting the absence of NMT gene amplification in these tumors. CONCLUSIONS: The increased expression of NMT in these tumors could be due to transcriptional activation. Tumors with increased expression of NMT and p53 were associated with poor clinical outcomes as evidenced by their mean survival times. NMT is likely to play a pathogenic role in gallbladder carcinoma.


Subject(s)
Acyltransferases/genetics , Carcinoma/enzymology , Gallbladder Neoplasms/enzymology , Protein Processing, Post-Translational/genetics , Acyltransferases/metabolism , Aged , Aged, 80 and over , Carcinoma/genetics , Carcinoma/pathology , Carcinoma in Situ/enzymology , Carcinoma in Situ/genetics , Cell Membrane/enzymology , Cell Membrane/ultrastructure , Coloring Agents , Cytoplasm/enzymology , Cytoplasm/ultrastructure , Female , Gallbladder/enzymology , Gallbladder/pathology , Gallbladder Neoplasms/genetics , Gallbladder Neoplasms/pathology , Gene Amplification/genetics , Gene Expression Regulation, Enzymologic , Gene Expression Regulation, Neoplastic , Genes, p53/genetics , Genes, src/genetics , Humans , Introns/genetics , Male , Middle Aged , Mucous Membrane/enzymology , Mucous Membrane/pathology , Neoplasm Invasiveness , Oncogene Protein pp60(v-src)/genetics , Oncogene Protein pp60(v-src)/physiology , Signal Transduction/genetics , Survival Rate , Treatment Outcome
10.
J Biol Chem ; 275(13): 9673-83, 2000 Mar 31.
Article in English | MEDLINE | ID: mdl-10734119

ABSTRACT

Myristoyl-CoA:protein N-myristoyltransferase (NMT, EC 2.3.1.97) catalyzes the co-translational addition of myristic acid to the amino-terminal glycine residue of a number of important proteins of diverse functions. We have isolated a full-length Arabidopsis thaliana cDNA encoding NMT (AtNMT1), the first described from a higher plant. This AtNMT1 cDNA clone has an open reading frame of 434 amino acids and a predicted molecular mass of 48,706 Da. The primary structure is 50% identical to the mammalian NMTs. Analyses of Southern blots, genomic clones, and database sequences suggested that the A. thaliana genome contains two copies of NMT gene, which are present on different chromosomes and have distinct genomic organizations. The recombinant AtNMT1 expressed in Escherichia coli exhibited a high catalytic efficiency for the peptides derived from putative plant myristoylated proteins AtCDPK6 and Fen kinase. The AtNMT was similar to the mammalian NMTs with respect to a relative specificity for myristoyl CoA among the acyl CoA donors and also inhibition by the bovine brain NMT inhibitor NIP(71). The AtNMT1 expression profile indicated ubiquity in roots, stem, leaves, flowers, and siliques (approximately 1.7 kb transcript and approximately 50 kDa immunoreactive polypeptide) but a greater level in the younger tissue, which are developmentally very active. NMT activity was also evident in all these tissues. Subcellular distribution studies indicated that, in leaf extracts, approximately 60% of AtNMT activity was associated with the ribosomal fractions, whereas approximately 30% of the activity was observed in the cytosolic fractions. The NMT is biologically important to plants, as noted from the stunted development when the AtNMT1 was down-regulated in transgenic Arabidopsis under the control of an enhanced CaMV 35S promoter. The results presented in this study provide the first direct molecular evidence for plant protein N-myristoylation and a mechanistic basis for understanding the role of this protein modification in plants.


Subject(s)
Acyltransferases/genetics , Arabidopsis/enzymology , Genome, Plant , Acyltransferases/chemistry , Acyltransferases/metabolism , Amino Acid Sequence , Animals , Arabidopsis/growth & development , Cattle , Cloning, Molecular , DNA, Complementary , Molecular Sequence Data , Phylogeny , Plants, Genetically Modified , Recombinant Proteins/chemistry , Recombinant Proteins/genetics , Recombinant Proteins/metabolism , Sequence Homology, Amino Acid
11.
Mol Cell Biochem ; 204(1-2): 135-55, 2000 Jan.
Article in English | MEDLINE | ID: mdl-10718634

ABSTRACT

Myristoylation refers to the co-translational addition of a myristoyl group to an amino-terminal glycine residue of a protein by an ubiquitously distributed enzyme myristoyl-CoA:protein N-myristoyltransferase (NMT, EC 2.3.1.97). This review describes the basic enzymology, molecular cloning and regulation of NMT activity in various pathophysiological processes such as colon cancer and diabetes.


Subject(s)
Acyltransferases , Acyl Coenzyme A/metabolism , Acyltransferases/antagonists & inhibitors , Acyltransferases/genetics , Acyltransferases/isolation & purification , Acyltransferases/metabolism , Adenocarcinoma/enzymology , Adenocarcinoma/metabolism , Animals , Calcium/metabolism , Calpain/metabolism , Colorectal Neoplasms/enzymology , Colorectal Neoplasms/metabolism , Enzyme Precursors/metabolism , Gene Expression Regulation, Enzymologic , Humans , Kinetics , Molecular Sequence Data , Oncogene Protein pp60(v-src)/metabolism , Protein Processing, Post-Translational
12.
Biochem Biophys Res Commun ; 208(2): 617-23, 1995 Mar 17.
Article in English | MEDLINE | ID: mdl-7695615

ABSTRACT

Myristoyl CoA:protein N-myristoyltransferase (NMT) catalyses the addition of myristate to the amino terminal glycine residue of a number of cellular, eukaryotic and viral proteins. The majority of the catalytic activity of spleen NMT was recovered in the soluble cytosolic fraction (98.2%) compared to the particulate fraction (19.3%). Recovery of NMT activity, from both cytosol and particulate fractions, was found to be higher than the total activity in crude homogenates, suggesting that the particulate fraction may contain an inhibitory activity towards NMT. The effects of organic solvents (ethanol and acetonitrile) on bovine spleen NMT were investigated. NMT activity was activated several-fold in a time- and concentration-dependent manner in the presence of cAMP-dependent protein-kinase derived peptide substrate as fatty acyl CoA acceptor, suggesting that the activation by organic solvents is not due to a solvent effect. Similar activation by ethanol and acetonitrile was also observed with pp60src as substrate, suggesting that the effect of solvent is on NMT and not on the substrate. Gel filtration chromatography indicated that the high catalytic activity of NMT was observed only in the presence of organic solvents: removal of organic solvents from the medium drastically reduced the catalytic activity of NMT, suggesting that NMT did not undergo covalent modification. Kinetic data indicated that ethanol enhanced the Vmax without affecting the Km.


Subject(s)
Acyltransferases/metabolism , Protein Processing, Post-Translational , Acetonitriles/pharmacology , Amino Acid Sequence , Animals , Cattle , Cell Compartmentation , Enzyme Activation/drug effects , Ethanol/pharmacology , In Vitro Techniques , Kinetics , Molecular Sequence Data , Protein Processing, Post-Translational/drug effects , Solvents , Spleen
13.
J Intern Med ; 230(2): 125-9, 1991 Aug.
Article in English | MEDLINE | ID: mdl-1865163

ABSTRACT

Twenty-seven morbidly obese patients (13 men and 14 women) with body mass index greater than or equal to 40 kg m-2 were examined. The mean age of the subjects was 36.9 +/- 8.2 years (range 23-51 years), and the mean BMI was 50.2 +/- 6.2 kg m-2 (range 40.0-62.9 kg m-2). A whole-night sleep recording was made for all patients with signs or symptoms indicative of possible obstructive sleep apnoea syndrome (OSAS). If the first nocturnal sleep recording was abnormal, it was controlled after 1 year. Eleven (10 men and one woman) of the 27 patients had an oxygen desaturation index (ODI) of 10 h-1. They were symptomatic with excessive daytime sleepiness or other daytime symptoms of OSAS. The occurrence of OSAS in men and women was 76.9 and 7.1%, respectively. Arterial hypertension was associated with OSAS, but not with smoking or the degree of obesity. Antihypertensive treatment was received by nine of the 27 patients; six of them had OSAS. Thus six of the 11 (54.5%) patients with OSAS and three of the 16 (18.8%) nonapnoeic patients were treated for arterial hypertension (Fisher exact test, P = 0.042). The odds ratio of OSAS for arterial hypertension is 5.2 (95% CI, 0.71-43.6). Vertical-banded gastroplasty was performed in 14 patients, three of whom had OSAS. The selection of patients for gastroplasty was made without taking into account the results of sleep recordings. In the three OSAS patients, a 30-38% reduction in BMI was achieved by surgery. Eight patients with OSAS were treated with an intensified dietary regimen, and the reduction in BMI ranged from -2.6 to 33%. OSAS was either cured or significantly improved in six (55%) patients, with a mean reduction in BMI of 27%, while in patients with persistent OSAS the mean reduction in BMI was only 7%.


Subject(s)
Obesity, Morbid/complications , Sleep Apnea Syndromes/etiology , Adult , Analysis of Variance , Body Mass Index , Female , Humans , Hypertension/complications , Male , Middle Aged , Obesity, Morbid/blood , Obesity, Morbid/therapy , Oxygen/blood , Sleep Apnea Syndromes/blood , Sleep Apnea Syndromes/therapy , Smoking/adverse effects , Snoring/etiology
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