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1.
Autism Res ; 17(4): 761-774, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38481386

ABSTRACT

Autistic individuals present with difficulties in social competence (e.g., navigating social interactions and fostering relationships). Clinical interventions widely target social cognition and social behavior, but there is inconsistent understanding of the underlying components of social competence. The present study used structural equation modeling to examine social cognition and social behavior and explore the relationship between these latent constructs. Autistic youth (ages 10-17; n = 219) and their caregivers participated in this study. Constructs of social cognition and social behavior were captured using caregiver-report and self-report rating scales, as well as observational measures and direct clinical assessments (e.g., NEPSY-II). Measurement models of social cognition and social behavior demonstrated adequate to good fit. Correlational models demonstrated adequate to poor fit, indicating latent constructs of social cognition and social behavior are not closely related in autistic youth. Exploratory examination of a subsample of male youth (n = 157) evidenced improved model fit of social behavior, specifically. Findings tease apart social cognition and social behavior as cohesive and separable constructs; results do not support a structural relationship between social cognition and social behavior. Noted treatment implications include consideration of how targeting social cognition and social behavior together or separately may support autistic youth's progress toward reaching their identified therapeutic goals and supporting their self-directed social development.


Subject(s)
Autism Spectrum Disorder , Autistic Disorder , Adolescent , Humans , Male , Latent Class Analysis , Social Behavior , Social Skills , Child , Female
2.
J Intellect Disabil Res ; 56(4): 335-50, 2012 Apr.
Article in English | MEDLINE | ID: mdl-21801261

ABSTRACT

In some neuro-developmental disorders, the combined effect of intellectual disability and atypicalities of social cognition may put individuals at increased vulnerability in their social environment. The neuro-developmental disorders Williams syndrome, characterised by 'hypersociability', and autism spectrum disorders, characterised by 'social withdrawal', are at two extremes of atypical social functioning in humans. In this article, we use Williams syndrome and autism spectrum disorders as exemplars to demonstrate how atypicalities of social cognition may contribute to social vulnerability in these populations. The lives of individuals with both these disorders are marred by an increased risk of social isolation, bullying, unsteady relationships, employment difficulties and abuse. While different behavioural interventions have been tried to improve social functioning in these populations, there has been great variability in their success. Finally, we discuss different issues regarding social independence of these individuals; including employment, safety and decision making.


Subject(s)
Child Development Disorders, Pervasive/psychology , Intellectual Disability/psychology , Social Adjustment , Social Behavior Disorders/psychology , Social Isolation , Vulnerable Populations , Williams Syndrome/psychology , Awareness/physiology , Behavior Therapy , Brain/physiopathology , Bullying , Child , Child Development Disorders, Pervasive/diagnosis , Child Development Disorders, Pervasive/physiopathology , Child Development Disorders, Pervasive/rehabilitation , Communication , Humans , Intellectual Disability/diagnosis , Intellectual Disability/physiopathology , Intellectual Disability/rehabilitation , Interpersonal Relations , Nerve Net/physiopathology , Rehabilitation, Vocational , Safety , Social Behavior Disorders/diagnosis , Social Behavior Disorders/physiopathology , Social Behavior Disorders/rehabilitation , Social Environment , Socialization , Williams Syndrome/diagnosis , Williams Syndrome/physiopathology , Williams Syndrome/rehabilitation
5.
Br Dent J ; 194(12): 646-7, 2003 Jun 28.
Article in English | MEDLINE | ID: mdl-12830167
6.
Appl Microbiol Biotechnol ; 58(6): 695-703, 2002 May.
Article in English | MEDLINE | ID: mdl-12021787

ABSTRACT

Fatty acid biosynthesis is an emerging target for the development of novel antibacterial chemotherapeutics. The dissociated bacterial system is substantially different from the large, multifunctional protein of mammals, and many possibilities exist for type-selective drugs. Several compounds, both synthetic and natural, target bacterial fatty acid synthesis. Three compounds target the FabI enoyl-ACP reductase step; isoniazid, a clinically used antituberculosis drug, triclosan, a widely used consumer antimicrobial, and diazaborines. In addition, cerulenin and thiolactomycin, two fungal products, inhibit the FabH, FabB and FabF condensation enzymes. Finally, the synthetic reaction intermediates BP1 and decynoyl- N-acetyl cysteamine inhibit the acetyl-CoA carboxylase and dehydratase isomerase steps, respectively. The mechanisms of action of these compounds, as well as the potential development of new drugs targeted against this pathway, are discussed.


Subject(s)
Anti-Infective Agents/pharmacology , Fatty Acids/antagonists & inhibitors , Enzymes/metabolism , Fatty Acids/biosynthesis
7.
Biochemistry ; 40(43): 12772-81, 2001 Oct 30.
Article in English | MEDLINE | ID: mdl-11669613

ABSTRACT

The structure of beta-ketoacyl-[acyl carrier protein] reductase (FabG) from Escherichia coli was determined via the multiwavelength anomalous diffraction technique using a selenomethionine-labeled crystal containing 88 selenium sites in the asymmetric unit. The comparison of the E. coli FabG structure with the homologous Brassica napus FabG.NADP(+) binary complex reveals that cofactor binding causes a substantial conformational change in the protein. This conformational change puts all three active-site residues (Ser 138, Tyr 151, and Lys 155) into their active configurations and provides a structural mechanism for allosteric communication between the active sites in the homotetramer. FabG exhibits negative cooperative binding of NADPH, and this effect is enhanced by the presence of acyl carrier protein (ACP). NADPH binding also increases the affinity and decreases the maximum binding of ACP to FabG. Thus, unlike other members of the short-chain dehydrogenase/reductase superfamily, FabG undergoes a substantial conformational change upon cofactor binding that organizes the active-site triad and alters the affinity of the other substrate-binding sites in the tetrameric enzyme.


Subject(s)
Alcohol Oxidoreductases/chemistry , Escherichia coli/enzymology , Allosteric Site , Binding Sites , Brassica napus/enzymology , Crystallography, X-Ray , Dimerization , Dose-Response Relationship, Drug , Kinetics , Models, Chemical , Models, Molecular , NADP/pharmacology , Protein Binding , Protein Conformation , Protein Structure, Secondary
8.
Prog Lipid Res ; 40(6): 467-97, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11591436

ABSTRACT

Fatty acid biosynthesis, the first stage in membrane lipid biogenesis, is catalyzed in most bacteria by a series of small, soluble proteins that are each encoded by a discrete gene (Fig. 1; Table 1). This arrangement is termed the type II fatty acid synthase (FAS) system and contrasts sharply with the type I FAS of eukaryotes which is a dimer of a single large, multifunctional polypeptide. Thus, the bacterial pathway offers several unique sites for selective inhibition by chemotherapeutic agents. The site of action of isoniazid, used in the treatment of tuberculosis for 50 years, and the consumer antimicrobial agent triclosan were revealed recently to be the enoyl-ACP reductase of the type II FAS. The fungal metabolites, cerulenin and thiolactomycin, target the condensing enzymes of the bacterial pathway while the dehydratase/isomerase is inhibited by a synthetic acetylenic substrate analogue. Transfer of fatty acids to the membrane has also been inhibited via interference with the first acyltransferase step, while a new class of drugs targets lipid A synthesis. This review will summarize the data generated on these inhibitors to date, and examine where additional efforts will be required to develop new chemotherapeutics to help combat microbial infections.


Subject(s)
Anti-Bacterial Agents/pharmacology , Bacteria/metabolism , Enzyme Inhibitors/pharmacology , Fatty Acids/biosynthesis , Gene Expression Regulation/drug effects , Lipids/biosynthesis , Acetyl-CoA Carboxylase/metabolism , Bacteria/genetics , Bacterial Infections/drug therapy , Bacterial Proteins/genetics , Base Sequence , Desiccation , Enzyme Inhibitors/therapeutic use , Escherichia coli/genetics , Fatty Acid Synthases/metabolism , Fatty Acids/genetics , Humans , Lipid A/biosynthesis , Models, Biological , Molecular Sequence Data , Phospholipids/biosynthesis , Protein Conformation , Sequence Alignment , Streptococcus pneumoniae/genetics
9.
AIDS Res Hum Retroviruses ; 17(12): 1205-9, 2001 Aug 10.
Article in English | MEDLINE | ID: mdl-11522189

ABSTRACT

Two neutralizing antibodies specific for the V3 sequence of HIV envelope were used to generate escape variants from the HTLV(IIIB) founder virus. The full gp120 sequence of each variant was then analyzed to identify mutations responsible for immune escape. As predicted, most escape variants harbored amino acid changes in the V3 crown sequence. However, one variant differed from its founder only within the conserved C2 region. These findings, when analyzed in conjunction with crystallographic data, suggest a new three-dimensional model for HIV envelope folding, in which the V3 loop extends across the CD4-binding face of gp120 to associate with discontinuous C2 residues. This envelope configuration may provide an effective immune defense mechanism for HIV, as the highly variable residues of the V3 loop may shield conserved amino acids pertinent to viral infection.


Subject(s)
HIV Antibodies/immunology , HIV Envelope Protein gp120/chemistry , HIV Envelope Protein gp120/genetics , HIV-1/immunology , Mutation , Peptide Fragments/chemistry , Peptide Fragments/genetics , Amino Acid Sequence , Crystallography, X-Ray , HIV Envelope Protein gp120/immunology , HIV Infections/immunology , HIV Infections/virology , HIV-1/genetics , Humans , Models, Molecular , Molecular Sequence Data , Neutralization Tests , Peptide Fragments/immunology
10.
Clin Exp Pharmacol Physiol ; 28(5-6): 472-8, 2001.
Article in English | MEDLINE | ID: mdl-11428383

ABSTRACT

1. We have an incomplete understanding of integrative cardiopulmonary control during exercise and particularly during the postexercise period, when symptoms and signs of myocardial ischaemia and exercise-induced asthma not present during exercise may appear. 2. The hypothesis is advanced that baroreflex de-resetting during exercise recovery is normally associated with (i) a dominant sympathetic vasoconstrictor effect in the coronary circulation, which, when associated with obstructive coronary disease, may initiate a potentially positive-feedback cardiocardiac sympathetic reflex (variable myocardial ischaemia with symptoms and signs); and (ii) a dominant parasympathetic bronchoconstrictor effect in the presence of bronchovascular dilatation, which, when associated with raised mediator release in the bronchial wall, reinforces the tendency for airway obstruction (variable dyspnoea results). 3. There is a need for new techniques to examine hypotheses concerning autonomic control, during and after exercise, of the coronary and bronchial circulations and the dimensions of airways. Accordingly, a new ultrasonic instrument has been designed named an 'Airways Internal Diameter Assessment (AIDA) Sonomicrometer'. It combines pulsed Doppler flowmetry with transit-time sonomicrometry of airway circumference and single-crystal sonomicrometry of airway wall thickness. Initial evaluation suggests it is relatively easy to apply during thoracotomy in recovery animals. The component devices are linear and will measure target variables with excellent accuracy. 4. In anaesthetized sheep, intubated with controlled ventilation, intravenous isoproterenol causes large increases in bronchial blood flow, a fall in arterial pressure and a reduction in airway circumference. This may reflect the dominant action of reflex vagal activity over direct beta-adrenoceptor inhibition of bronchial smooth muscle, the reflex source being baroreflex secondary to the fall in arterial pressure. These findings provide insight into the integrative mechanisms underlying the paradoxical negative effects sometimes observed when beta-adrenoceptor agonists are used in asthma.


Subject(s)
Bronchi/anatomy & histology , Bronchi/blood supply , Coronary Circulation/physiology , Exercise/physiology , Animals , Asthma/pathology , Asthma/physiopathology , Humans , Myocardial Ischemia/pathology , Myocardial Ischemia/physiopathology , Regional Blood Flow/physiology
11.
Biochemistry ; 40(14): 4293-302, 2001 Apr 10.
Article in English | MEDLINE | ID: mdl-11284685

ABSTRACT

Bacteriophage T4 encodes a transcription factor, MotA, that binds to the -30 region of middle-mode promoters and activates transcription by host RNA polymerase. The crystal structure of the N-terminal domain of MotA (MotNF) revealed a six-helix domain in which the two C-terminal alpha-helices mediate the formation of a dimer via a coiled-coil motif and hydrophobic interactions. This structure suggested that full-length MotA binds DNA as a dimer, but subsequent biochemical results have shown that a monomeric form of MotA binds DNA. In this study, gel filtration chromatography, dynamic light scattering, and NMR-based diffusion measurements show conclusively that MotNF is a monomer, and not a dimer, in solution. In addition, we have determined the monomeric solution structure of MotNF using NMR spectroscopy, and have compared this with the dimer structure observed in crystals. The core of the protein assumes the same helical conformation in solution and in crystals, but important differences are observed at the extreme C-terminus. In solution, helix alpha5 is followed by five disordered residues that probably link the N-terminal and C-terminal domains of MotA. In crystals, helix alpha5 forms the dimer interface and is followed by a short sixth helix that further stabilizes the dimer configuration. The solution structure of MotNF supports the conclusion that MotA functions as a monomer, and suggests that the existence of the sixth helix in crystals is a consequence of crystal packing. Our work highlights the importance of investigating protein structures in both crystals and solution to fully understand biomolecular structure and to accurately deduce relationships between structure and function.


Subject(s)
Bacteriophage T4/chemistry , DNA-Binding Proteins/chemistry , Peptide Fragments/chemistry , Trans-Activators/chemistry , Transcription Factors/chemistry , Viral Proteins/chemistry , Amino Acid Sequence , Chromatography, Gel , Crystallography, X-Ray , Dimerization , Light , Molecular Sequence Data , Nuclear Magnetic Resonance, Biomolecular , Protein Structure, Secondary , Protein Structure, Tertiary , Scattering, Radiation , Solutions
12.
Proc Natl Acad Sci U S A ; 98(8): 4587-92, 2001 Apr 10.
Article in English | MEDLINE | ID: mdl-11287644

ABSTRACT

The spectrum of immunogenic epitopes presented by the H2-IA(b) MHC class II molecule to CD4(+) T cells has been defined for two different (clade B and clade D) HIV envelope (gp140) glycoproteins. Hybridoma T cell lines were generated from mice immunized by a sequential prime and boost regime with DNA, recombinant vaccinia viruses, and protein. The epitopes recognized by reactive T cell hybridomas then were characterized with overlapping peptides synthesized to span the entire gp140 sequence. Evidence of clonality also was assessed with antibodies to T cell receptor Valpha and Vbeta chains. A total of 80 unique clonotypes were characterized from six individual mice. Immunogenic peptides were identified within only four regions of the HIV envelope. These epitope hotspots comprised relatively short sequences ( approximately 20-80 aa in length) that were generally bordered by regions of heavy glycosylation. Analysis in the context of the gp120 crystal structure showed a pattern of uniform distribution to exposed, nonhelical strands of the protein. A likely explanation is that the physical location of the peptide within the native protein leads to differential antigen processing and consequent epitope selection.


Subject(s)
CD4-Positive T-Lymphocytes/immunology , Epitopes/immunology , Gene Products, env/immunology , HIV Antigens/immunology , Amino Acid Sequence , Animals , Epitopes/chemistry , Female , Gene Products, env/chemistry , HIV Antigens/chemistry , Mice , Mice, Inbred C57BL , Models, Molecular , Molecular Sequence Data , Sequence Homology, Amino Acid , env Gene Products, Human Immunodeficiency Virus
13.
J Biol Chem ; 276(20): 17373-9, 2001 May 18.
Article in English | MEDLINE | ID: mdl-11279025

ABSTRACT

In Escherichia coli, the expression of fatty acid metabolic genes is controlled by the transcription factor, FadR. The affinity of FadR for DNA is controlled by long chain acyl-CoA molecules, which bind to the protein and modulate gene expression. The crystal structure of FadR reveals a two domain dimeric molecule where the N-terminal domains bind DNA, and the C-terminal domains bind acyl-CoA. The DNA binding domain has a winged-helix motif, and the C-terminal domain resembles the sensor domain of the Tet repressor. The FadR.DNA complex reveals how the protein interacts with DNA and specifically recognizes a palindromic sequence. Structural and functional similarities to the Tet repressor and the BmrR transcription factors suggest how the binding of the acyl-CoA effector molecule to the C-terminal domain may affect the DNA binding affinity of the N-terminal domain. We suggest that the binding of acyl-CoA disrupts a buried network of charged and polar residues in the C-terminal domain, and the resulting conformational change is transmitted to the N-terminal domain via a domain-spanning alpha-helix.


Subject(s)
Acyl Coenzyme A/metabolism , Bacterial Proteins/chemistry , Bacterial Proteins/metabolism , DNA, Bacterial/metabolism , Escherichia coli/genetics , Escherichia coli/metabolism , Gene Expression Regulation, Bacterial , Repressor Proteins/chemistry , Repressor Proteins/metabolism , Bacterial Proteins/genetics , Binding Sites , Crystallography, X-Ray , DNA, Bacterial/chemistry , DNA, Bacterial/genetics , Models, Molecular , Nucleic Acid Conformation , Protein Structure, Secondary , Recombinant Proteins/chemistry , Recombinant Proteins/isolation & purification , Recombinant Proteins/metabolism , Repressor Proteins/genetics , Transcription Factors/metabolism
14.
J Biol Chem ; 276(9): 6551-9, 2001 Mar 02.
Article in English | MEDLINE | ID: mdl-11050088

ABSTRACT

The beta-ketoacyl-acyl carrier protein (ACP) synthases are key regulators of type II fatty acid synthesis and are the targets for two natural products, thiolactomycin (TLM) and cerulenin. The high resolution structures of the FabB-TLM and FabB-cerulenin binary complexes were determined. TLM mimics malonyl-ACP in the FabB active site. It forms strong hydrogen bond interactions with the two catalytic histidines, and the unsaturated alkyl side chain interaction with a small hydrophobic pocket is stabilized by pi stacking interactions. Cerulenin binding mimics the condensation transition state. The subtle differences between the FabB-cerulenin and FabF-cerulenin (Moche, M., Schneider, G., Edwards, P., Dehesh, K., and Lindqvist, Y. (1999) J. Biol. Chem. 244, 6031-6034) structures explain the differences in the sensitivity of the two enzymes to the antibiotic and may reflect the distinct substrate specificities that differentiate the two enzymes. The FabB[H333N] protein was prepared to convert the FabB His-His-Cys active site triad into the FabH His-Asn-Cys configuration to test the importance of the two His residues in TLM and cerulenin binding. FabB[H333N] was significantly more resistant to both antibiotics than FabB and had an affinity for TLM an order of magnitude less than the wild-type enzyme, illustrating that the two-histidine active site architecture is critical to protein-antibiotic interaction. These data provide a structural framework for understanding antibiotic sensitivity within this group of enzymes.


Subject(s)
3-Oxoacyl-(Acyl-Carrier-Protein) Synthase/antagonists & inhibitors , Cerulenin/pharmacology , Enzyme Inhibitors/pharmacology , Isoenzymes/antagonists & inhibitors , Thiophenes/pharmacology , 3-Oxoacyl-(Acyl-Carrier-Protein) Synthase/chemistry , Binding Sites , Cerulenin/chemistry , Isoenzymes/chemistry , Structure-Activity Relationship , Thiophenes/chemistry , Thiophenes/metabolism
15.
J Biol Chem ; 276(1): 616-23, 2001 Jan 05.
Article in English | MEDLINE | ID: mdl-10967102

ABSTRACT

Penicillin-binding protein 5 (PBP 5) of Escherichia coli functions as a d-alanine carboxypeptidase, cleaving the C-terminal d-alanine residue from cell wall peptides. Like all PBPs, PBP 5 forms a covalent acyl-enzyme complex with beta-lactam antibiotics; however, PBP 5 is distinguished by its high rate of deacylation of the acyl-enzyme complex (t(12) approximately 9 min). A Gly-105 --> Asp mutation in PBP 5 markedly impairs this beta-lactamase activity (deacylation), with only minor effects on acylation, and promotes accumulation of a covalent complex with peptide substrates. To gain further insight into the catalytic mechanism of PBP 5, we determined the three-dimensional structure of the G105D mutant form of soluble PBP 5 (termed sPBP 5') at 2.3 A resolution. The structure is composed of two domains, a penicillin binding domain with a striking similarity to Class A beta-lactamases (TEM-1-like) and a domain of unknown function. In addition, the penicillin-binding domain contains an active site loop spatially equivalent to the Omega loop of beta-lactamases. In beta-lactamases, the Omega loop contains two amino acids involved in catalyzing deacylation. This similarity may explain the high beta-lactamase activity of wild-type PBP 5. Because of the low rate of deacylation of the G105D mutant, visualization of peptide substrates bound to the active site may be possible.


Subject(s)
Bacterial Proteins , Carrier Proteins/chemistry , Escherichia coli/enzymology , Hexosyltransferases , Muramoylpentapeptide Carboxypeptidase/chemistry , Mutation/genetics , Peptidyl Transferases , Acylation , Amino Acid Sequence , Binding Sites , Carrier Proteins/genetics , Carrier Proteins/metabolism , Crystallography, X-Ray , Kinetics , Models, Molecular , Molecular Sequence Data , Muramoylpentapeptide Carboxypeptidase/genetics , Muramoylpentapeptide Carboxypeptidase/metabolism , Penicillin-Binding Proteins , Penicillins/metabolism , Protein Binding , Protein Structure, Secondary , Protein Structure, Tertiary , Sequence Alignment , beta-Lactamases/chemistry
16.
J Biol Chem ; 276(11): 8231-8, 2001 Mar 16.
Article in English | MEDLINE | ID: mdl-11078736

ABSTRACT

The molecular details that govern the specific interactions between acyl carrier protein (ACP) and the enzymes of fatty acid biosynthesis are unknown. We investigated the mechanism of ACP-protein interactions using a computational analysis to dock the NMR structure of ACP with the crystal structure of beta-ketoacyl-ACP synthase III (FabH) and experimentally tested the model by the biochemical analysis of FabH mutants. The activities of the mutants were assessed using both an ACP-dependent and an ACP-independent assay. The ACP interaction surface was defined by mutations that compromised FabH activity in the ACP-dependent assay but had no effect in the ACP-independent assay. ACP docked to a positively charged/hydrophobic patch adjacent to the active site tunnel on FabH, which included a conserved arginine (Arg-249) that was required for ACP docking. Kinetic analysis and direct binding studies between FabH and ACP confirmed the identification of Arg-249 as critical for FabH-ACP interaction. Our experiments reveal the significance of the positively charged/hydrophobic patch located adjacent to the active site cavities of the fatty acid biosynthesis enzymes and the high degree of sequence conservation in helix II of ACP across species.


Subject(s)
3-Oxoacyl-(Acyl-Carrier-Protein) Synthase/chemistry , Acyl Carrier Protein/metabolism , 3-Oxoacyl-(Acyl-Carrier-Protein) Synthase/metabolism , Amino Acid Sequence , Binding Sites , Magnetic Resonance Spectroscopy , Models, Molecular , Molecular Sequence Data , Protein Conformation , Protein Structure, Secondary
17.
Clin Exp Pharmacol Physiol ; 27(12): 1022-7, 2000 Dec.
Article in English | MEDLINE | ID: mdl-11117224

ABSTRACT

1. The Darwin hypothesis that human and animal expressions of emotion are the product of evolution and are tied to patterns of autonomic activity specified to progress the emotion remains under challenge. 2. The sigh is a respiratory behaviour linked with emotional expression in animals and humans from birth to death. The aim of the present study was to explore Darwin's hypothesis with respect to tied autonomic activity underlying sigh-induced changes in the bronchial and coronary circulations. 3. Awake dogs were prepared using pulsed ultrasonic flow probes on the right bronchial artery, parent intercostal artery and brachial artery, or on the right, circumflex and anterior descending coronary arteries. Central venous (CVP) and arterial pressures (AP) were measured; heart rate and flow conductances were derived. Three spontaneous sighs were monitored before and during random blockade of individual and combinations of cholinoceptors, alpha-adrenoceptors and beta-adrenoceptors using methscopolamine, phentolamine and propranolol infusions. The data were subject to a 2(3) factorial analysis. 4. A spontaneous sigh is marked by a transient fall and return (< 3 s) in CVP of 18 mmHg (from 4 +/- 1 to -14 +/- 2 mmHg), usually followed by apnoea lasting 23 +/- 2 s. There is an immediate tachycardia and small rise in AP (phase 1) then, during apnoea, bradycardia and a fall in AP (phase 2). During phase 2, bronchial and coronary blood flow and conductance rise two- to three-fold over 30s (peak at 8s). The vascular changes are absent in parent intercostal and brachial beds.


Subject(s)
Autonomic Nervous System , Behavior, Animal , Bronchi/blood supply , Coronary Circulation/physiology , Respiratory Mechanics/physiology , Animals , Blood Pressure , Central Venous Pressure , Dogs , Emotions , Heart Rate , Nitric Oxide Synthase/antagonists & inhibitors , Receptors, Adrenergic, alpha/physiology , Receptors, Adrenergic, beta/physiology , Receptors, Cholinergic/physiology
18.
Clin Exp Pharmacol Physiol ; 27(12): 1028-33, 2000 Dec.
Article in English | MEDLINE | ID: mdl-11117225

ABSTRACT

1. Fentanyl, a synthetic mciro-opioid receptor agonist, is the preferred induction and maintenance anaesthetic agent in cardiac surgery. 2. Its actions on myocardial blood flow are poorly understood. There are reports of intra-operative myocardial ischaemia. Its reported actions on cardiorespiratory control vary widely, but do involve hypertension, bradycardia and peripheral vasoconstriction. 3. Accordingly, the postulate that fentanyl would cause coronary vasoconstriction and myocardial disadvantage was examined in awake dogs with a continuous wave Doppler flow probe mounted on the circumflex coronary artery. 4. Continuous intravenous infusion of fentanyl citrate (550 ng/kg per min) raised plasma concentrations of fentanyl to 3.37 ng/mL in a linear fashion at 20 min. There was a fall in core temperature of 0.7 degrees C and, although no apparent depression of ventilation or fall in arterial or coronary sinus PO2, there was a rise in PCO2 and H+ concentration. Some dogs salivated and panted transiently. Thus, fentanyl may reset temperature regulation in low doses but, at higher doses, is associated with metabolic acidosis. 5. In sinus rhythm, the arterial pressure of the dogs fell slightly, then rose to 115% of resting control. Circumflex flow and conductance rose early, then conductance steadily declined to 83%. Heart rate fell, then rose before returning to pre-infusion levels. The early circumflex coronary vasodilator effects, but not the later vasoconstrictor effects, were reduced in dogs with paced hearts. 6. In dogs with paced hearts, a dose-effect study using 138, 275, 550 and 1100 ng/kg per min fentanyl suggested that, at low plasma concentrations of 1-2 ng/mL, vasodilatation does occur in both coronary and systemic circulations; however, at higher doses, intense coronary and systemic vasoconstriction supervenes. 7. The dose-response effect of fentanyl on arterial baroreflex control of circumflex conductance was examined during the immediate 8 s circumflex vasodilator response to a step rise in aortic pressure caused by inflation of an intra-aortic balloon. At low plasma concentrations of fentanyl, baroreflex control of circumflex conductance appears to be enhanced but, with increasing plasma concentrations of fentanyl, appears to be depressed. 8. Therefore, the effects of fentanyl are dose dependent. At low plasma concentrations, left ventricular blood flow and its baroreflex control is enhanced but, at higher concentrations, it is depressed.


Subject(s)
Analgesics, Opioid/pharmacology , Anesthetics, Intravenous/pharmacology , Baroreflex , Coronary Circulation/physiology , Fentanyl/pharmacology , Animals , Blood Pressure , Dogs , Dose-Response Relationship, Drug , Female , Infusions, Intravenous , Male , Vascular Resistance , Vasodilation
19.
Clin Exp Pharmacol Physiol ; 27(12): 1034-8, 2000 Dec.
Article in English | MEDLINE | ID: mdl-11117226

ABSTRACT

1. The regional coronary circulation is under the control of local metabolic and myogenic factors, but is also influenced by autonomic systems, including sympathetic and parasympathetic nerves. 2. General anaesthetic agents influence not only local control through changes in metabolic demand, but also neural control through suppression of autonomic influence. 3. Anaesthetic agents have differing effects on reflex control systems, which are dependent on coronary territory and ventricular rate. 4. Effects of anaesthesia should be taken into account when interpreting results in anaesthetized models of coronary control.


Subject(s)
Anesthetics, Inhalation/pharmacology , Coronary Circulation/physiology , Enflurane/pharmacology , Halothane/pharmacology , Isoflurane/pharmacology , Animals , Baroreflex , Blood Pressure/drug effects , Chemoreceptor Cells , Dogs , Heart Rate/drug effects , Receptors, Cholinergic/physiology
20.
Clin Exp Pharmacol Physiol ; 27(12): 1039-44, 2000 Dec.
Article in English | MEDLINE | ID: mdl-11117227

ABSTRACT

1. Previous work from this laboratory and others has shown that powerful autonomic influences modulate coronary flow. In particular, the parasympathetic nervous system produces vasodilatation when activated by baroreceptors via the vagus nerve. 2. Differences exist in baroreflex coronary vasodilator mechanisms among the right, circumflex and anterior descending coronary vascular beds in the awake chronically instrumented dog. 3. Our hypothesis is that neurogenic acetylcholine acting from the adventitial side and endothelial nitric oxide from the luminal aspect of coronary smooth muscle compete with powerful intrinsic myogenic constrictor mechanisms to regulate regional flow conductance. 4. There is also increasing evidence that heterogeneity of control systems exists in different-sized coronary vessels within an individual coronary vascular bed. 5. It is concluded that coronary vessels in vascular beds can no longer be assumed to respond in a uniform manner to neural, myogenic, metabolic or humoral factors. 6. These new perspectives of regional control mechanisms have important implications for understanding pathophysiological mechanisms inducing and sustaining tachyarrhythmias involved in ischaemic heart disease.


Subject(s)
Coronary Circulation/physiology , Acetylcholine/physiology , Animals , Baroreflex , Coronary Vessels/anatomy & histology , Coronary Vessels/innervation , Coronary Vessels/metabolism , Dogs , Hemodynamics , Humans , Muscle, Smooth, Vascular/anatomy & histology , Muscle, Smooth, Vascular/innervation , Muscle, Smooth, Vascular/metabolism , Nitric Oxide Synthase/physiology , Nitric Oxide Synthase Type III , Vascular Resistance
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