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1.
Adv Protein Chem Struct Biol ; 106: 17-42, 2017.
Article in English | MEDLINE | ID: mdl-28057211

ABSTRACT

T lymphocytes (T cells) comprise a critical component of the immune system charged with diverse functions during an immune response. As a function of maturation in the thymus, T cells become quiescent and remain so until they participate in an immune response in the periphery. Recent work indicates that the control of T cell proliferation is mediated, at least in part, by chromatin architecture. Quiescent T cells possess a condensed chromatin, whereas proliferating T cells have a more open chromatin configuration. The structural maintenance of chromosome (SMC) complexes, which include Cohesin and Condensin, have long been known to play roles in modulating chromatin architecture during cell division; however, they are now known to have additional roles during interphase biology. These roles include the large-scale reorganization of chromatin as well as the regulation of specific gene loci. This review focuses on the roles that SMC complexes play in T cell development and function.


Subject(s)
Chromosomes , T-Lymphocytes/cytology , Epigenesis, Genetic , Gene Expression Regulation , Humans
2.
Faraday Discuss ; 168: 369-88, 2014.
Article in English | MEDLINE | ID: mdl-25302390

ABSTRACT

Complex Organic Molecules (COMs), such as propylene (CH3CHCH2) and the isomers of C2H4O2 are detected in cold molecular clouds (such as TMC-1) with high fractional abundances (Marcelino et al., Astrophys. J., 2007, 665, L127). The formation mechanism for these species is the subject of intense speculation, as is the possibility of the formation of simple amino acids such as glycine (NH2CH2COOH). At typical dark cloud densities, normal interstellar gas-phase chemistries are inefficient, whilst surface chemistry is at best ill defined and does not easily reproduce the abundance ratios observed in the gas phase. Whatever mechanism(s) is/are operating, it/they must be both efficient at converting a significant fraction of the available carbon budget into COMs, and capable of efficiently returning the COMs to the gas phase. In our previous studies we proposed a complementary, alternative mechanism, in which medium- and large-sized molecules are formed by three-body gas kinetic reactions in the warm high density gas phase. This environment exists, for a very short period of time, after the total sublimation of grain ice mantles in transient co-desorption events. In order to drive the process, rapid and efficient mantle sublimation is required and we have proposed that ice mantle 'explosions' can be driven by the catastrophic recombination of trapped hydrogen atoms, and other radicals, in the ice. Repeated cycles of freeze-out and explosion can thus lead to a cumulative molecular enrichment of the interstellar medium. Using existing studies we based our chemical network on simple radical addition, subject to enthalpy and valency restrictions. In this work we have extended the chemistry to include the formation pathways of glycine and other large molecular species that are detected in molecular clouds. We find that the mechanism is capable of explaining the observed molecular abundances and complexity in these sources. We find that the proposed mechanism is easily capable of explaining the large abundances of all three isomers of C2H4O2 that are observationally inferred for star-forming regions. However, the model currently does not provide an obvious explanation for the predominance of methyl formate, suggesting that some refinement to our (very simplistic) chemistry is necessary. The model also predicts the production of glycine at a (lower) abundance level, that is consistent with its marginal detection in astrophysical sources.

3.
Domest Anim Endocrinol ; 49: 70-9, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25084314

ABSTRACT

Overweight and obese conditions are common in cats and are associated with the development of a number of diseases. Knowledge of metabolic determinants and predictors of weight gain may enable better preventative strategies for obesity in cats. Lean, healthy cats were fed either a low-carbohydrate high-protein diet (n 16) or a high-carbohydrate low-protein (n 16) diet ad libitum for 8 wk. Potential determinants and predictors of final body weight assessed were body fat and lean masses, energy required for maintenance, energy requirements above maintenance for each kilogram of weight gain, insulin sensitivity index, fasting, mean 24-h and peak plasma glucose, insulin, and leptin concentrations, and fasting and mean 24-h serum adiponectin concentrations. In cats fed the low-carbohydrate high-protein diet, after adjusting for initial body weight, those with higher energy requirements for weight gain and higher fasting glucose concentration had higher final body weights (P ≤ 0.01). Predicted final body weights using initial body weight, fasting glucose and mean 24-h insulin concentrations (partial R(2) 37.3%) were imprecise. An equation using just initial body weight and fasting glucose concentration would be of more practical value, but was marginally less precise. In cats fed the high-carbohydrate low-protein diet, those with lower fasting leptin concentration initially had higher final body weights (P = 0.01). Predicted final body weights using initial body weight, energy requirements for maintenance, total body fat percentage and fasting leptin concentration (partial R(2) 39.2%) were reasonably precise. Further studies are warranted to confirm these findings and to improve the precision of predicted final body weights.


Subject(s)
Body Weight/drug effects , Cats/physiology , Dietary Carbohydrates/pharmacology , Dietary Proteins/pharmacology , Animals , Cohort Studies , Retrospective Studies
4.
Domest Anim Endocrinol ; 45(2): 79-88, 2013 Aug.
Article in English | MEDLINE | ID: mdl-23827214

ABSTRACT

Leptin and adiponectin play important roles in carbohydrate and lipid metabolism in different species. Information is limited on the effects of diet, weight gain, and fat mass on their concentrations in cats. This study compared fasting and postprandial blood leptin and total adiponectin concentrations before and after 8 wk of ad libitum feeding to promote weight gain in adult cats (n = 32) fed either a low-carbohydrate, high-protein (23% and 47% ME) or a high-carbohydrate, low-protein (51% and 21% ME) diet. There were significant effects of total, abdominal, and nonabdominal fat mass, but not diet or body weight, on mean 24-h and peak leptin (P < 0.01); observed increases in mean and peak leptin were greatest for abdominal fat mass (50% and 56% increase for every extra 100 g, respectively). After weight gain, postprandial leptin concentration increased markedly relative to when cats were lean, and the duration of the increase was longer after a mean weight gain of 37% with the low-carbohydrate, high-protein diet group compared with 17% with the high-carbohydrate, low-protein group (P ≤ 0.01). Adiponectin was lower than fasting at some time points during the postprandial period in both groups (P ≤ 0.05). For both fasting and mean 24-h adiponectin, there was no significant diet effect (P ≥ 0.19) or changes in weight gain relative to when cats were lean (P ≥ 0.29). In conclusion, fat mass, and not diet, has a large effect on postprandial leptin but not adiponectin concentrations in cats.


Subject(s)
Adiponectin/blood , Body Composition/physiology , Cats/blood , Diet/veterinary , Leptin/blood , Abdominal Fat/physiology , Animals , Cats/physiology , Dietary Carbohydrates/administration & dosage , Dietary Proteins/administration & dosage , Fasting , Humans , Postprandial Period , Weight Gain
5.
Br J Nutr ; 106 Suppl 1: S64-77, 2011 Oct.
Article in English | MEDLINE | ID: mdl-22005439

ABSTRACT

A low-carbohydrate, high-protein (LCHP) diet is often recommended for the prevention and management of diabetes in cats; however, the effect of macronutrient composition on insulin sensitivity and energetic efficiency for weight gain is not known. The present study compared the effect in adult cats (n 32) of feeding a LCHP (23 and 47 % metabolisable energy (ME)) and a high-carbohydrate, low-protein (HCLP) diet (51 and 21 % ME) on fasting and postprandial glucose and insulin concentrations, and on insulin sensitivity. Tests were done in the 4th week of maintenance feeding and after 8 weeks of ad libitum feeding, when weight gain and energetic efficiency of each diet were also measured. When fed at maintenance energy, the HCLP diet resulted in higher postprandial glucose and insulin concentrations. When fed ad libitum, the LCHP diet resulted in greater weight gain (P < 0.01), and was associated with higher energetic efficiency. Overweight cats eating the LCHP diet had similar postprandial glucose concentrations to lean cats eating the HCLP diet. Insulin sensitivity was not different between the diets when cats were lean or overweight, but glucose effectiveness was higher after weight gain in cats fed the HCLP diet. According to the present results, LCHP diets fed at maintenance requirements might benefit cats with multiple risk factors for developing diabetes. However, ad libitum feeding of LCHP diets is not recommended as they have higher energetic efficiency and result in greater weight gain.


Subject(s)
Animal Feed/analysis , Blood Glucose , Cats , Diet/veterinary , Insulin Resistance/physiology , Insulin/blood , Animal Nutritional Physiological Phenomena , Animals , Energy Metabolism , Female , Male , Weight Gain/physiology
6.
Comp Biochem Physiol C Toxicol Pharmacol ; 149(2): 196-209, 2009 Mar.
Article in English | MEDLINE | ID: mdl-19095081

ABSTRACT

The fish acute toxicity test is a mandatory component in the base set of data requirements for ecotoxicity testing. The fish acute toxicity test is not compatible with most current animal welfare legislation because mortality is the primary endpoint and it is often hypothesized that fish suffer distress and perhaps pain. Animal alternative considerations have also been incorporated into new European REACH regulations through strong advocacy for the reduction of testing with live animals. One of the most promising alternative approaches to classical acute fish toxicity testing with live fish is the fish embryo toxicity (FET) test. The FET has been a mandatory component in routine whole effluent testing in Germany since 2005 and has already been standardized at the international level. In order to analyze the applicability of the FET also in chemical testing, a comparative re-evaluation of both fish and fish embryo toxicity data was carried out for a total of 143 substances, and statistical approaches were developed to evaluate the correlation between fish and fish embryo toxicity data. Results confirm that fish embryo tests are neither better nor worse than acute fish toxicity tests and provide strong scientific support for the FET as a surrogate for the acute fish toxicity test.


Subject(s)
Animal Testing Alternatives/methods , Embryo, Nonmammalian/drug effects , Fishes , Toxicity Tests/methods , Zebrafish/physiology , Animals , European Union , Models, Biological , Species Specificity , Toxicity Tests/standards , Toxicity Tests, Acute/methods , Zebrafish/abnormalities , Zebrafish/embryology
7.
Placenta ; 26(8-9): 608-16, 2005.
Article in English | MEDLINE | ID: mdl-16085040

ABSTRACT

Dietary taurine is essential for cats and deficiency during pregnancy may lead to abortion, growth restriction or impaired neurological function of kittens. We previously described Na(+)- and Cl(-)-dependent taurine transport by system beta in fragments of freshly isolated cat placenta [Champion EE, Bailey SJ, Glazier JD, Jones CJP, Mann SJ, Rawlings JM, et al. Taurine uptake into cat placental tissue fragments. Placenta 2001;22:A.42]. Here we evaluate long term culture of cat placental explants as a model for the future study of chronic nutrient regulation of amino acid transport in this species. The cat placental explants displayed (i) Na(+)-dependent [(3)H]taurine uptake and (ii) taurine transporter protein on day 7 of culture, as observed in fresh cat placental fragments. The explants had preserved the ability to secrete PGF(2alpha) hormone until day 11 of culture and remained morphologically largely intact until day 7 of culture. This model of placental explant culture will provide an important in vitro method for the study of chronic regulation of amino acid transport in the cat.


Subject(s)
Amino Acid Transport Systems/metabolism , Placenta/metabolism , Taurine/metabolism , Animals , Biomarkers/metabolism , Cats , Dinoprost/metabolism , Female , Models, Animal , Organ Culture Techniques , Placenta/anatomy & histology
8.
Placenta ; 26(7): 585-9, 2005 Aug.
Article in English | MEDLINE | ID: mdl-15993708

ABSTRACT

Changes in tissue architecture and ultrastructure in the cat placenta during long-term explant culture have been examined over an 11-day period. Pieces of cat placenta, dissected from the lamellar region, were cultured in CMRL-1066 medium and tissue was fixed for electron microscopy at 2, 5, 7, and 11 days' culture, as well as before culture was initiated (day 0). Four samples were examined at each time point. After two days, the trophoblast basal lamina and attached cytotrophoblast cells had begun to separate from the syncytium and the cytotrophoblasts were spreading over the surface of the exposed fetal stromal compartment, and by five days were showing signs of growth. At seven days' culture, cytotrophoblast multilayering was common, and vascular and stromal components were also well preserved with collagen biosynthesis evident. By 11 days, the centre of the culture was compacted and degenerate with loss of tissue architecture, but on the outside polyp-like growths could be seen, with a well-developed covering of trophoblast containing fat and secretory droplets, lining a connective tissue matrix and stromal components. The cat placenta, therefore, like the human, has the capacity for regrowth in explant culture, including both trophoblast and stromal components.


Subject(s)
Trophoblasts/ultrastructure , Animals , Cats , Female , Microscopy, Electron, Transmission , Organelles/ultrastructure , Pregnancy , Regeneration/physiology , Time Factors , Tissue Culture Techniques , Trophoblasts/physiology
9.
Am J Physiol Regul Integr Comp Physiol ; 287(6): R1369-79, 2004 Dec.
Article in English | MEDLINE | ID: mdl-15284084

ABSTRACT

There is no knowledge of the transport mechanisms by which solutes cross the cat placenta or any other endotheliochorial placenta. Here, we investigated whether the amino acid transport systems beta and A are present in the cat placenta using a placental fragment uptake technique. Data were compared with studies in the human placenta, in which the presence of these two transport systems has been well established. A time course of [(3)H]taurine (substrate for system beta) and [(14)C]MeAIB (nonmetabolizable substrate for system A) uptake was determined in the term cat and human placental fragments in the presence and absence (choline substituted) of Na(+), and further studies were carried out over 15 min. Taurine uptake into both cat and human placenta fragments was found to be Na(+) and Cl(-) dependent, and Na(+)-dependent taurine uptake was blocked by excess beta-alanine. MeAIB uptake was found to be Na(+) dependent, and Na(+)-dependent MeAIB uptake was blocked by excess MeAIB or glycine. Western blotting and immunohistochemistry performed on cat and human placenta showed expression of TAUT and ATA2 (SNAT2), proteins associated with system beta and system A activity, respectively. This study therefore provides the first evidence of the presence of amino acid transport systems beta and A in the cat placenta.


Subject(s)
Amino Acid Transport Systems/metabolism , Chorion/physiology , Placenta/physiology , Taurine/metabolism , beta-Alanine/analogs & derivatives , Amino Acid Transport Systems/classification , Animals , Cats , Chorion/drug effects , Female , Humans , Kinetics , Models, Animal , Placenta/drug effects , Pregnancy , beta-Alanine/pharmacology
10.
Mech Ageing Dev ; 125(7): 497-505, 2004 Jul.
Article in English | MEDLINE | ID: mdl-15246745

ABSTRACT

Ageing affects feline lymphocyte homeostasis in a similar pattern to that observed in other long-lived mammalian species, contributing to increased levels of morbidity and mortality in the ageing cat. Insulin-like growth factor-I (IGF-I) is now recognised as an important endocrine regulator of immunity and has been shown to decline with age in humans and rodent species. Analysis of plasma IGF-I in adult and senior cats confirmed that the older cats had significantly lower circulating levels of IGF-I. In order to determine whether an association existed between lymphocyte subpopulations and IGF-I levels in the cat, each parameter was measured and subjected to regression analysis. A highly significant association was found in vivo between plasma IGF-I and CD4(+) T-cell values in the senior group, but no such association was observed in the adult group. In order that this relationship could be examined further, in vitro studies were undertaken to investigate the effects of physiologically relevant concentrations of recombinant human IGF-I (rhIGF-l) on peripheral blood lymphocyte (PBL) cultures from adult and senior cats. While rhlGF-I induced low-level thymidine incorporation in the lymphocytes isolated from the senior group, it did not enhance the proliferative response to T-cell mitogens, Con A and PHA in either group, nor did it rescue cells from oxidatively induced apoptosis. Furthermore, the proliferative response of PBL from seniors did not attain the magnitude of that from the adults at any concentration of rhIGF-l. We propose that the observed association is not a direct effect of IGF-I on PBL, but may be mediated through an effect of IGF-I on the thymus.


Subject(s)
Aging/physiology , Insulin-Like Growth Factor I/metabolism , Lymphocytes/physiology , Animals , Apoptosis/drug effects , Cats , Cell Proliferation/drug effects , Cells, Cultured , Deoxyribose/pharmacology , Flow Cytometry/methods , Homeostasis/physiology , Insulin-Like Growth Factor I/pharmacology , Lymphocyte Subsets , Lymphocytes/drug effects , Oxidative Stress , Recombinant Proteins/pharmacology
11.
Vet Immunol Immunopathol ; 100(1-2): 73-80, 2004 Jul.
Article in English | MEDLINE | ID: mdl-15182997

ABSTRACT

In order to assess age-related differences in feline immune status, 101 domestic short haired cats were assigned to two groups, adult (2-5 years, n=50) and senior (10-14 years, n=51). Analyses of leucocyte populations, lymphocyte subsets, complement activity, serum immunoglobulins and acute-phase proteins were undertaken and revealed significant differences between the two groups. The senior group had significantly lower WBC, lymphocyte and eosinophil counts than the adult group. Neutrophil, monocyte and basophil counts did not differ between the groups. Flow cytometry analysis, in combination with differential WBC data, revealed that the absolute values (cells/l) of T-cells, B-cells and natural killer (NK) cells were significantly lower in the older animals. While serum immunoglobulins IgA and IgM were higher in the senior group when compared with the adult group, no significant differences were observed in complement activity or in serum acute-phase proteins. Our findings suggest that age-related changes to parameters of immune status in the feline model are likely to follow a similar pattern to those observed in other long-lived mammalian species.


Subject(s)
Cats/immunology , Age Factors , Animals , Apolipoproteins/blood , Apolipoproteins/immunology , Cats/blood , Colorimetry/veterinary , Complement System Proteins/immunology , Enzyme-Linked Immunosorbent Assay/veterinary , Female , Flow Cytometry/veterinary , Haptoglobins/immunology , Immunodiffusion/veterinary , Immunoglobulins/blood , Immunoglobulins/immunology , Leukocyte Count/veterinary , Lymphocyte Subsets/immunology , Male , Serum Amyloid A Protein/immunology , Statistics, Nonparametric
12.
Placenta ; 24(5): 453-61, 2003 May.
Article in English | MEDLINE | ID: mdl-12744921

ABSTRACT

We localized alkaline phosphatase and plasma membrane calcium-ATPase (PMCA) in the cat placental syncytiotrophoblast to address their polarized distribution and their potential as markers for specific plasma membrane purification. We used enzyme- (alkaline phosphatase) and immuno- (PMCA) histochemistry and, for alkaline phosphatase, compared data to observations on the human placenta. Alkaline phosphatase activity in the cat was localized to the decidual cell membranes, to within the associated interstitial space and on the subjacent apical (maternal facing) plasma membrane of the syncytiotrophoblast. Occasional maternal capillaries were positive on their basal surface and there was focal staining within the syncytiotrophoblast. This widespread distribution is less specific than in the human placenta where alkaline phosphatase was restricted to the apical and basal plasma syncytiotrophoblast membranes, with much greater density on the apical membrane. Expression of PMCA in the cat was restricted to the basal membrane of the syncytiotrophoblast only. This specific localization of PMCA is identical to the human placenta and all other species in which its placental localization has been studied. We conclude that the plasma membranes of the cat syncytiotrophoblast show a broadly similar functional polarization to the human and that PMCA would prove a useful marker in isolation of the cat syncytiotrophoblast basal plasma membrane.


Subject(s)
Alkaline Phosphatase/metabolism , Calcium-Transporting ATPases/metabolism , Trophoblasts/enzymology , Adult , Animals , Biomarkers , Cats , Cell Membrane/enzymology , Cell Membrane/ultrastructure , Decidua/enzymology , Decidua/ultrastructure , Female , Fluorescent Antibody Technique, Indirect , Humans , Immunoenzyme Techniques , Pregnancy , Species Specificity , Trophoblasts/cytology
13.
J Inorg Biochem ; 93(1-2): 61-5, 2003 Jan 01.
Article in English | MEDLINE | ID: mdl-12538053

ABSTRACT

15N isotope effects in the nitro group and 18O isotope effects in the phenolic oxygen have been measured for the hydrolysis of ethyl p-nitrophenyl phosphate catalyzed by several metal ions. Co(III)-cyclen at pH 7, 50 degrees C, gave an 15N isotope effect of 0.12% and an 18O one of 2.23%, showing that P-O cleavage is rate limiting and the bond is approximately 50% broken in the transition state. The active catalyst is a dimer and the substrate is presumably coordinated to the open site of one Co(III), and is attacked by hydroxide coordinated to the other Co(III). Co(III)-tacn under the same conditions shows a similar 15N isotope effect (0.13%), but a smaller 18O one (0.8%). Zn(II)-cyclen at pH 8.5, 80 degrees C, gave an 15N isotope effect of 0.05% and an 18O one of 0.95%, suggesting an earlier transition state. The catalyst in this case is monomeric, and thus the substrate is coordinated to one position and attacked by a cis-coordinated hydroxide. Eu(III) at pH 6.5, 50 degrees C, shows a very large 15N isotope effect of 0.34% and a 1.6% 18O isotope effect. The large 15N isotope effect argues for a late transition state or Eu(III) interaction with the nitro group, and was also seen in Eu(III)-catalyzed hydrolysis of p-nitrophenyl phosphate.


Subject(s)
Metals/pharmacology , Organophosphorus Compounds/metabolism , Catalysis/drug effects , Cobalt/pharmacology , Europium/pharmacology , Hydrolysis/drug effects , Ions/pharmacology , Isotopes/pharmacology , Kinetics , Magnetic Resonance Spectroscopy , Molecular Structure , Nitrogen/pharmacology , Organophosphorus Compounds/chemical synthesis , Zinc/pharmacology
14.
Arch Environ Contam Toxicol ; 44(2): 237-46, 2003 Feb.
Article in English | MEDLINE | ID: mdl-12520396

ABSTRACT

Fish, mollusks, and crustaceans were caged in the tail pool of streams during a C(12)LAS (dodecyl benzene sulfonate) model ecosystem experimental program. Bioconcentration of total C(12)LAS and individual isomers and acute and chronic toxicity were investigated during this study. Toxicity endpoints were based on water and tissue (i.e., body burden) concentrations at which adverse effects were observed. At 32 days, total C(12)LAS bioconcentration factors (BCFs) for the fathead minnow and three invertebrate species ranged from 9 to 116. In general, bioconcentration was affected by isomer position, exposure concentration, and species. BCF values tended to decrease as isomer position moved from external (e.g., 2-phenyl) to internal (e.g., 5,6-phenyl). BCFs also decreased as exposure concentration increased. Mean acute 4-d LC(50) values ranged from 1.5 to >3.0 mg/L for the six species tested. Lethal body burdens associated with 50% mortality (LBB(50)) varied from 0.21 to 0.60 mmole/kg (wet weight). During the 32-day chronic exposures, the EC(20) values were 0.27 (0.204-0.352), 0.95 (0.597-1.29), and approximately 1.0 mg/L for Corbicula (length), Hyalella (survival), and fathead minnow (survival), respectively. At these EC(20) values, C(12)LAS body burdens were 0.035, 0.23, and 0.19 mmoles/kg wet weight in Corbicula, Hyalella, and fathead minnow, respectively. Fish exposed to wastewater treatment plant effluent had total C(12)LAS tissue concentrations ranging from 0.0005 to 0.0039 mmoles/kg wet weight. These concentrations are approximately 45-360 times below the tissue concentration associated with subtle effects in the model ecosystem stream exposures. Total C(12)LAS body burdens in feral and caged Corbicula exposed to WWTP effluents were approximately 0.0013 mmoles/kg; approximately 25-fold below concentrations associated with effects in stream exposures.


Subject(s)
Benzenesulfonates/toxicity , Bivalvia , Cyprinidae , Snails , Surface-Active Agents/toxicity , Water Pollutants, Chemical/toxicity , Animals , Benzenesulfonates/analysis , Body Burden , Lethal Dose 50 , Surface-Active Agents/administration & dosage , Tissue Distribution , Water Pollutants, Chemical/analysis
15.
Clin Nutr ; 21(5): 389-94, 2002 Oct.
Article in English | MEDLINE | ID: mdl-12381336

ABSTRACT

BACKGROUND AND AIMS: We previously reported a 30-day mortality following percutaneous endoscopic gastrostomy (PEG) of 8% (1988-92). Concerns over increasing mortality rates prompted us to survey current practice compared with 1988-92: assess case mix, outcome, risk factors for early death, and review practice guidelines. METHODS: 78 consecutive adults were referred for PEG over 7 months. Baseline characteristics, including age and functional status (Barthel Index), and outcome at 30 and 180 days were prospectively evaluated. RESULTS: 74 patients. Median age 69 years; male 55%. Major underlying diagnoses: cerebrovascular disease 42%, head and neck tumours 19%, motor neurone disease 4% (33%, 16% and 27% in 1988-92). Mortality rates at 30, 90 and 180 days were 19%, 35% and 42% respectively (8%, 20% and 37% in 1988-92). Univariate analysis showed that age >75 years, Barthel Index <1 and Glasgow Coma Scale < or =10 were significant risk factors for death at 30 days: odds ratios (95% confidence intervals) 3.9 (1.1-13), 5.9 (1.4-25) and 4.4 (1.2-15) respectively. CONCLUSIONS: 30-day mortality was increased from 8% to 19% between 1988-92 and 1998-99 reflecting a change in referral patterns: more elderly with cerebrovascular disease and fewer with motor neurone disease. Age and functional status should be considered when advising on PEG feeding.


Subject(s)
Cerebrovascular Disorders/surgery , Endoscopy, Gastrointestinal/mortality , Gastrostomy/mortality , Head and Neck Neoplasms/surgery , Neurodegenerative Diseases/surgery , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Multivariate Analysis , Prospective Studies , Risk Factors , Survival Rate , Time Factors , Treatment Outcome
16.
J Small Anim Pract ; 43(2): 67-73, 2002 Feb.
Article in English | MEDLINE | ID: mdl-11873951

ABSTRACT

A study was undertaken to evaluate a high fibre diet used in the management of 10 dogs with naturally occurring insulin-dependent diabetes mellitus. Following baseline measurements of health and glycaemic control, the dogs were fed a canned diet containing a blend of insoluble and soluble dietary fibres and were monitored during the ensuing four months. Switching to the high fibre diet was associated with significantly lower mean 24-hour and postprandial plasma glucose concentrations, which were maintained over the study period. The high fibre diet was also associated with significant reductions in plasma concentrations of fructosamine, glycated haemoglobin, free glycerol and cholesterol, and there were significant improvements in dog activity and demeanour. Bodyweight declined during the fourth month of feeding the diet, which is likely to have resulted from underfeeding relative to increased activity. The results indicate that a high fibre diet can significantly improve glycaemic control and quality of life in dogs with diabetes mellitus.


Subject(s)
Blood Glucose/drug effects , Diabetes Mellitus, Type 1/veterinary , Dietary Fiber/therapeutic use , Animals , Diabetes Mellitus, Type 1/diet therapy , Dogs , Female , Health Status , Male , Treatment Outcome
17.
Comp Biochem Physiol C Toxicol Pharmacol ; 130(3): 339-45, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11701390

ABSTRACT

Complete excreta collection is a pre-requisite for several protocols in protein metabolism, and lack of confidence in achieving this may be increased when working with carnivores. Recovery of p-aminobenzoic acid (PABA) as a check for complete urine collection and chromic oxide for complete faeces collection were assessed in the cat. A single oral dose of PABA (4 mg/kg BW) was excreted more slowly than has been reported in the human (82% recovery at 6 h). A daily dose of PABA proved a useful method for confirming complete urine collection in the cat, and was 99% excreted in 72 h. Chromic oxide (500 mg/cat) was administered orally and recovery of chromium in the faeces was 90% after 96 h. A HPLC method for the analysis of PABA in cat urine was developed, and from the application of the techniques to a nitrogen balance study, it was concluded that PABA and chromic oxide are useful checks for complete excreta collection in the cat.


Subject(s)
4-Aminobenzoic Acid/urine , Cats/metabolism , Cats/urine , Chromium Compounds/analysis , Feces/chemistry , 4-Aminobenzoic Acid/administration & dosage , Administration, Oral , Animals , Biomarkers/analysis , Biomarkers/urine , Body Weight , Capsules/administration & dosage , Chromatography, High Pressure Liquid , Chromium/analysis , Chromium Compounds/administration & dosage , Female , Freeze Drying , Gastrointestinal Transit , Male , Nitrogen/metabolism , Reproducibility of Results , Specimen Handling , Time Factors
18.
J Small Anim Pract ; 42(3): 122-9, 2001 Mar.
Article in English | MEDLINE | ID: mdl-11303854

ABSTRACT

Systolic hypertension was diagnosed in 30 cats. At diagnosis, 16 of those were found to be in chronic renal failure only, while five were azotaemic and either receiving treatment for hyperthyroidism (four cases) or were untreated hyperthyroid cases (one case). Two cases were untreated hyperthyroid cases with no evidence of azotaemia and the remaining seven cases had no definitive diagnosis of the underlying cause of their hypertension. The successful treatment used for the majority of cases was amlodipine, which lowered systolic blood pressure from 202.5+/-16.8 to 153.2+/-21.6 mmHg (mean+/-SD; n=29) within the first 50 days. Each case was followed for at least three months, or to the end of its natural life, and each cat was re-examined every six to eight weeks. Systolic blood pressure was kept below a target value of 165 mmHg in 58 per cent of cases treated for three months or longer. At the time of writing, 19 of the cases had died or been euthanased with a median treatment time of 203 days, one case was lost to follow-up and 10 cases were still alive, nine of which had been treated for six months or more. Amlodipine can be used for long-term control of feline systemic hypertension.


Subject(s)
Amlodipine/therapeutic use , Antihypertensive Agents/therapeutic use , Cat Diseases/drug therapy , Hypertension/veterinary , Animals , Blood Pressure , Cats , Disease-Free Survival , Female , Hypertension/drug therapy , Male , Treatment Outcome
19.
J Small Anim Pract ; 41(6): 235-42, 2000 Jun.
Article in English | MEDLINE | ID: mdl-10879400

ABSTRACT

Fifty cats with naturally occurring stable chronic renal failure (CRF) were entered into a prospective study on the effect of feeding a veterinary diet restricted in phosphorus and protein with or without an intestinal phosphate binding agent on their survival from initial diagnosis. Twenty-nine cats accepted the veterinary diet, whereas compliance (due to limited intake by the cats or owner resistance to diet change) was not achieved in the remaining 21. At diagnosis, both groups of cats were matched in terms of age, bodyweight, plasma creatinine, phosphate, potassium and parathyroid hormone (PTH) concentrations, packed cell volume and urine specific gravity. Feeding the veterinary diet was associated with a reduction in plasma phosphate and urea concentrations and prevented the increase in plasma PTH concentrations seen in cats not receiving the diet. Cats fed the veterinary diet survived for longer when compared with those that were not (median survival times of 633 versus 264 days). These data suggest that feeding a diet specifically formulated to meet the needs of cats with CRF, together with phosphate binding drugs if required, controls hyperphosphataemia and secondary renal hyperparathyroidism, and is associated with an increased survival time.


Subject(s)
Cat Diseases/diet therapy , Diet, Protein-Restricted/veterinary , Kidney Failure, Chronic/veterinary , Phosphates/administration & dosage , Animals , Blood Pressure , Cat Diseases/blood , Cat Diseases/mortality , Cat Diseases/urine , Cats , Creatinine/blood , Female , Hematocrit/veterinary , Hyperparathyroidism/diet therapy , Hyperparathyroidism/veterinary , Kidney Failure, Chronic/diet therapy , Kidney Failure, Chronic/mortality , Male , Parathyroid Hormone/blood , Phosphates/blood , Phosphorus, Dietary/administration & dosage , Potassium/administration & dosage , Potassium/blood , Prospective Studies , Survival Analysis
20.
J Nutr Health Aging ; 4(1): 54-7, 2000.
Article in English | MEDLINE | ID: mdl-10840479

ABSTRACT

Forty percent of elderly hospital admissions in the UK are undernourished, half severely so. Most continue to lose weight in hospital. not only because of disease, but also because of failure to identify and treat malnutrition and due to shortcomings in hospital food provision, upon which most patients depend for their nutritional care. Our studies have shown that more than 40% of food set before patients is left, and therefore wasted. This means that elderly patients are taking less than 70% of their energy (30-35 kcal/kg/day), and protein (1 dram/kg/day) requirements. Catering strategies, such as provision of smaller volume, high energy and protein density meals with snacks and, if necessary, proprietary oral supplements, have been shown not only to improve nutritional status of patients, but to result in improved clinical outcome. Our work has shown a relationship between malnutrition and loss of thermoregulation, which is reversed by appropriate feeding. We have also described the beneficial effects of overnight nasogastric tube feeding in undernourished patients with fractured femur. Like others, we have used a percutaneous endoscopic gastrostomy in the management of elderly patients with cerebrovascular and motor neurone disease, and have published audits of outcome in this field.


Subject(s)
Aging , Hospitalization , Nutritional Status , Aged , Body Temperature Regulation , Femoral Fractures/epidemiology , Humans , Motor Neuron Disease/therapy , Nutritional Support , Protein-Energy Malnutrition/epidemiology , Protein-Energy Malnutrition/physiopathology , Protein-Energy Malnutrition/therapy , United Kingdom
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