Seizure: An Adverse Effect of Regadenoson in Myocardial Perfusion Imaging.

Regadenoson is a selective adenosine 2a (A2a) receptor agonist that is used in cardiac stress testing to evaluate for ischemic heart disease and has largely replaced adenosine in the modern era. Since adenosine receptors are involved in synaptic transmission between neurons throughout the central nervous system (CNS) including the cerebral cortex, hippocampus, and other structures as well, regadenoson can lower the seizure threshold in susceptible individuals. Epileptogenic activity is an uncommon yet potentially severe adverse effect of regadenoson use, and therefore, more awareness is required in screening patients at risk and evaluating alternate ways to investigate coronary artery disease (CAD) in susceptible individuals.

A cell number counting factor alters cell metabolism.

It is still not clear how organisms regulate the size of appendages or organs during development. During development, Dictyostelium discoideum cells form groups of approximately 2 x 10(4) cells. The cells secrete a protein complex called counting factor (CF) that allows them to sense the local cell density. If there are too many cells in a group, as indicated by high extracellular concentrations of CF, the cells break up the group by decreasing cell-cell adhesion and increasing random cell motility. As a part of the signal transduction pathway, CF decreases the activity of glucose-6-phosphatase to decrease internal glucose levels. CF also decreases the levels of fructose-1,6-bisphosphate and increases the levels of glucose-6-phosphate and fructose-6-phosphate. In this report, we focus on how a secreted signal used to regulate the size of a group of cells regulates many basic aspects of cell metabolism, including the levels of pyruvate, lactate, and ATP, and oxygen consumption.