Metabolic availability of amino acids in humans.

Knowledge of amino acid bioavailability and the effect of combining complementary protein sources are required to determine how to best meet an individual's protein and indispensable amino acid needs. Traditionally, protein quality of foods has been assessed using digestibility data. Digestibility may overestimate bioavailability of some amino acids particularly those more susceptible to heat and processing. The indicator amino acid oxidation (IAAO) method has been validated and applied to determine amino acid bioavailability termed metabolic availability of the first limiting amino acid of a proteinaceous food. The metabolic availability of the limiting amino acid in the test protein is determined as a ratio of the indicator amino acid oxidation response to graded intakes of the test protein compared to the indicator response to a reference protein (crystalline amino acid patterned after egg protein). The IAAO method has also been applied to assess the effect of protein complementation directly in humans on the overall protein quality of the diet. The results demonstrate that protein complementation augments the limiting amino acid supply and increases protein synthesis.

Peak Slope Ratio of the Recruitment Curves Compared to Muscle Evoked Potentials to Optimize Standing Configurations with Percutaneous Epidural Stimulation after Spinal Cord Injury.

Background: Percutaneous spinal cord epidural stimulation (pSCES) has effectively restored varying levels of motor control in persons with motor complete spinal cord injury (SCI). Studying and standardizing the pSCES configurations may yield specific motor improvements. Previously, reliance on the amplitude of the SCES-evoked potentials (EPs) was used to determine the correct stimulation configurations. Methods: We, hereby, retrospectively examined the effects of wide and narrow-field configurations on establishing the motor recruitment curves of motor units of three different agonist-antagonist muscle groups. Magnetic resonance imaging was also used to individualize SCI participants (n = 4) according to their lesion characteristics. The slope of the recruitment curves using a six-degree polynomial function was calculated to derive the slope ratio for the agonist-antagonist muscle groups responsible for standing. Results: Axial damage ratios of the spinal cord ranged from 0.80 to 0.92, indicating at least some level of supraspinal connectivity for all participants. Despite the close range of these ratios, standing motor performance was enhanced using different stimulation configurations in the four persons with SCI. A slope ratio of ≥1 was considered for the recommended configurations necessary to achieve standing. The retrospectively identified configurations using the supine slope ratio of the recruitment curves of the motor units agreed with that visually inspected muscle EPs amplitude of the extensor relative to the flexor muscles in two of the four participants. Two participants managed to advance the selected configurations into independent standing performance after using tonic stimulation. The other two participants required different levels of assistance to attain standing performance. Conclusions: The findings suggest that the peak slope ratio of the muscle agonists-antagonists recruitment curves may potentially identify the pSCES configurations necessary to achieve standing in persons with SCI.

Interlaboratory method validation of slope ratio determination for anticoagulant activity of leeches / 中国药理学通报

Aim To investigate the slope ratio method for the determination of anticoagulant activity of leeches. Methods Three batches of leeches, four groups of Japanese medical vermiculite yinpian and fifteen groups of leech preparations were chosen, with contrast medicinal leeches herbs and Philippine cattle leech contrast medicinal materials, and different concentrations of leaching solutions were prepared in parallel. APTT value was determined after anticoagulant activity was determined by slope ratio method for the joint validation of laboratory, intermediate precision and accuracy between the linear range. Results The slope ratio method was accurate and accurate in the determination of anticoagulant activity of leeches, with linearity between 64% and 156% relative titer level. Conclusion Slope ratio method can be used to determine the anticoagulant activity of leeches.

Bone collision detection method for robot assisted fracture reduction based on force curve slope.

BACKGROUND AND OBJECTIVE: The application of robot technology in fracture reduction ensures the minimal invasiveness and accurate operation process. Most of the existing robot assisted fracture reduction systems don't have the function of bone collision detection, which is very important for system safety. In view of the deficiencies in the research of this field, a broken bone collision detection method based on the slope ratio of force curve was proposed in this paper, which could realize the real-time detection. METHODS: In order to analyze the factors influencing the slope of force curve, a collision mechanical model based on three-element viscoelastic model was established. The effects of four factors on the slope ratio of the force curve were studied based on the mechanical model. The proposed collision detection model was analyzed in detail. By drawing slope ratio curves under various experimental conditions, the universality of the collision detection model was proved; by comparative simulation, the differences between the slope ratio curves before and after optimization were analyzed. The factors that affect the performance of the detection model were also analyzed. RESULTS: The results of collision experiments show that the increase of moving speed of distal bone and soft tissue mass reduces the slope ratio, while the increase of collision angle increases the slope ratio. In the verification experiment, the minimum main peak of KRopt curve is 14.16 and the maximum is 220.7, the maximum interference value before the peak is 6.1. When the detection threshold is 10, the model can detect the collision state of the broken bone. It is also proved that after optimization, the model can effectively filter out invalid waveforms and reduce the occurrence of false detections. When a=5 and b=40, the detection model has sufficient stability and a low detection time delay. CONCLUSION: This research developed a broken bone collision detection method based on the slope ratio of the force curve. After optimization, the method has good adaptability under a variety of experimental conditions. The collision of broken bones can be judged by setting an appropriate detection threshold. The application of this method in the robot fracture reduction system will improve the safety of the system.

Analysis of maximal expiratory flow-volume curves in adult survivors of preterm birth.

Adult survivors of very preterm (≤32 wk gestational age) birth without (PRE) and with bronchopulmonary dysplasia (BPD) have variable degrees of airflow obstruction at rest. Assessment of the shape of the maximal expiratory flow-volume (MEFV) curve in PRE and BPD may provide information concerning their unique pattern of airflow obstruction. The purposes of the present study were to 1) quantitatively assess the shape of the MEFV curve in PRE, BPD, and healthy adults born at full-term (CON), 2) identify where along the MEFV curve differences in shape existed between groups, and 3) determine the association between an index of MEFV curve shape and characteristics of preterm birth (i.e., gestational age, mass at birth, duration of oxygen therapy) in PRE and BPD. To do so, we calculated the average slope ratio (SR) throughout the effort-independent portion of the MEFV curve and at increments of 5% of forced vital capacity (FVC) between 20 and 80% of FVC in PRE (n = 19), BPD (n = 25), and CON (n = 20). We found that average SR was significantly higher in PRE (1.34 ± 0.35) and BPD (1.33 ± 0.45) compared with CON (1.03 ± 0.22; both P < 0.05) but similar between PRE and BPD (P = 0.99). Differences in SR between groups occurred early in expiration (i.e., 20-30% of FVC). There was no association between SR and characteristics of preterm birth in PRE and BPD groups (all P > 0.05). The mechanism(s) of increased SR during early expiration in PRE/BPD relative to CON is unknown but may be due to differences in the structural and mechanical properties of the airways.

Application of the slope-ratio growth assay technique to estimate tryptophan availability in soybean meal fed to young rats.

The slope-ratio assay for rat was used to determine whether tryptophan (Trp) availability in soybean meal (SBM) is affected by the presence of other amino acids (AAs). In a preliminary study, rats were fed graded levels of Trp-supplemented diets to establish the Trp concentration range over which the weight gain response was linear. This range was found to be from 0.04% to 0.12% Trp. Subsequently, rats were fed basal (0.045% Trp) or Trp-supplemented diets from three different sources: l-Trp alone, SBM, or l-Trp mixed with other AAs to reflect AA levels in the test SBM (AA-mix). Weight gain in rats increased linearly with supplemental Trp intake (p < .05) for all Trp sources. Compared to the slope achieved with l-Trp alone, the estimated availability of Trp in SBM was 84.4%, while for the AA-mix it was 93.4%. It is evident that the 6.6% reduction in l-Trp availability in AA-mix is due to metabolic costs derived from excess levels of other AAs beside Trp, given that the absorption of crystalline l-Trp in the small intestine is 100%. In conclusion, the Trp availability of SBM was estimated to be around 90.4% (i.e., 84.4/93.4 × 100) after correcting for the effects of the other AAs in SBM.

Further evaluation of a slope-ratio precision-fed rooster assay and a limit-fed broiler chicken growth assay for relative metabolizable energy and relative bioavailable energy values of fats and oils.

Three slope-ratio precision-fed rooster assays were conducted wherein roosters were precision-fed 0, 5, 10, 15, or 20% (levels varied among experiments) refined soy oil, refined corn oil (RCO), poultry fat, crude soy oil, crude corn oil, palm oil, vegetable blend acid oil 1 and 2, soy acid oil, tallow, or choice white grease as part of a ground corn diet. Multiple regression slope-ratio analysis of nitrogen-corrected true metabolizable energy regressed on dietary fat level was used to estimate relative metabolizable energy (RME) values. The RME values were calculated as the regression coefficient of the test lipid divided by the regression coefficient of the reference refined soy oil or RCO (set at 100%). The results of the rooster experiments indicated that only the RME values of palm oil 1 (83%) and tallow (74%) were significantly lower (P < 0.05) than that of refined soy oil or RCO. It was observed that the differences among fat sources were often greater at the higher inclusion levels of 15 and 20%. In addition to the slope-ratio precision-fed rooster assays, a limit-fed broiler chicken growth assay was conducted. The broilers were limit-fed to 70% of their expected daily intake from 11 to 20 d of age, and four lipid sources (RCO, palm oil 2, choice white grease, and vegetable blend acid oil 2) were tested at 0, 5, and 10% inclusion levels. Multiple regression slope-ratio analysis of body weight gain regressed on dietary fat intake indicated that the relative bioavailability values (RBV) of palm oil 2 (80%) and choice white grease (85%) were significantly lower than the 100% for RCO (P < 0.05), whereas the RBV of the vegetable blend acid oil 2 (93%) was not significantly different from 100%. In general, both the precision-fed rooster assay and the limit-fed broiler chicken assay were able to detect differences in RME or RBV among lipids; however, using higher inclusion rates of 15 or 20% of the lipids may increase sensitivity of the rooster assay.

Relative metabolizable energy values for fats and oils in young broilers and adult roosters.

Our goal was to determine if relative bioavailability values (RBV) for fats and oils (lipids) determined in adult roosters are different than RBV determined with young broiler chickens. Lipids that were expected to have widely varying ME content were evaluated using a slope-ratio approach in adult roosters (Exp. 1) via the precision-fed rooster assay (PFRA) and broiler chicks via a growth assay (Exp. 2). The same lipids were tested in both experiments and were refined corn oil (RCO), a 2:1 blend of stearic acid (C18:0) with RCO (SAB1), a 1:1 blend of C18:0 with RCO (SAB2), tallow (TW), poultry fat (PF), and corn oil from a corn ethanol plant (DDGSCO). In Exp. 1, roosters were tube-fed diets containing 0, 5, and 10% of supplemental lipid in ground corn. In Exp. 2, diets consisted of 0, 5, and 10% supplemental lipid in an amino-acid fortified corn-soybean meal diet. Chicks were limit-fed test diets from 10 to 20 d posthatch to maintain energy as the growth-limiting factor. The TMEn of diets or BW gain of chicks were regressed on supplemental lipid level. The RBV were calculated as the regression coefficient of the test lipid divided by that of RCO. For Exp. 1 a non-linear response was observed for SAB2; however, the RBV for SAB1 (22%), TW (72%), PF (96%), and DDGSCO (90%) were as expected. The RBV of SAB1 and TW were lower (P < 0.001) than RCO, while PF and DDGSCO were not different than RCO. For Exp. 2, BW increased linearly in proportion to the energy content of the lipid sources. The RBV of SAB1 (22%), SAB2 (46%), and TW (76%), were lower (P < 0.001) than RCO, while PF (96%) and DDGSCO (97%) were not different than RCO. Excellent agreement was obtained for RBV between the two assays, with rooster and chick values being similar and the ranking of the lipids being the same for the two assays.

A slope-ratio precision-fed rooster assay for determination of relative metabolizable energy values for fats and oils.

The precision-fed rooster assay (PFRA) frequently yields TMEn values for fats and oils in excess of their gross energies. Six experiments were conducted to determine if the PFRA could be combined with a slope-ratio type assay to yield more useful lipid TMEn values. In experiment (EXP) 1, refined corn oil (RCO) was fed to conventional and cecectomized roosters at zero, 5, 10, 15, and 20% of a ground corn diet. In EXP 2 through 6, lipids were fed to conventional roosters at zero, 5, and 10% in a ground corn diet. Palomys (a novel lipid), high stearidonic acid soybean oil (SDASO), 2 animal-vegetable blends (AV1, AV2), a vegetable-based oil blend (VB), and corn oil from an ethanol plant (DDGSCO) were evaluated and compared to refined soybean oil (RSO) or RCO as the reference lipid. Multiple linear regression of diet TMEn on supplemental lipid level generated regression coefficients that were used to calculate relative bioavailability values (RBV). In EXP 1, RCO was a suitable reference material as TMEn linearly increased up to 20% RCO inclusion. There were some minor differences in TMEn of RCO between conventional and cecetomized bird types. In EXP 2, Palomys was found to have a lower (P < 0.05) RBV (87%) than RCO. In EXP 3, there were no significant differences between SDASO and RSO. In EXP 4, the RBV of AV2 (79%) was lower (P < 0.05) than RCO, while the RBV of AV1 was not different from RCO. The RBV of DDGSCO (116%) was higher (P < 0.05) than RCO in EXP 5. The RBV of VB (84%) was lower (P < 0.001) than RCO in EXP 6; however, this may be an underestimation for low levels of VB, as there was an interaction (P < 0.01) between lipid type and lipid supplementation level. These results indicate that the precision-fed slope-ratio rooster assay can detect differences among lipids and yields practically useful lipid TMEn values.

Bioavailability of D-methionine relative to L-methionine for nursery pigs using the slope-ratio assay.

This experiment was conducted to determine the bioavailability of D-methionine (Met) relative to L-Met for nursery pigs using the slope-ratio assay. A total of 50 crossbred barrows with an initial BW of 13.5 kg (SD = 1.0) were used in an N balance study. A Met-deficient basal diet (BD) was formulated to contain an adequate amount of all amino acids (AA) for 10-20 kg pigs except for Met. The two reference diets were prepared by supplementing the BD with 0.4 or 0.8 g L-Met/kg at the expense of corn starch, and an equivalent concentration of D-Met was added to the BD for the two test diets. The pigs were adapted to the experimental diets for 5 d and then total but separated collection of feces and urine was conducted for 4 d according to the marker-to-marker procedure. Nitrogen intakes were similar across the treatments. Fecal N output was not affected by Met supplementation regardless of source and consequently apparent N digestibility did not change. Conversely, there was a negative linear response (P < 0.01) to Met supplementation with both Met isomers in urinary N output, which resulted in increased retained N (g/4 d) and N retention (% of intake). No quadratic response was observed in any of the N balance criteria. The estimated bioavailability of D-Met relative to L-Met from urinary N output (g/4 d) and N retention (% of intake) as dependent variables using supplemental Met intake (g/4 d) as an independent variable were 87.6% and 89.6%, respectively; however, approximately 95% of the fiducial limits for the relative bioavailability estimates included 100%. In conclusion, with an absence of statistical significance, the present study indicated that the mean relative bioequivalence of D- to L-Met was 87.6% based on urinary N output or 89.6% based on N retention.

Quantifying the shape of the maximal expiratory flow-volume curve in mild COPD.

Maximal expiratory flow-volume (MEFV) curve evaluation using absolute and percent predicted values of flow and volume are used to diagnose respiratory disease, but the shape of the curve is rarely used. Three mathematical methods were used to quantify shape of MEFV curves in subjects with mild COPD (n=19) and matched healthy controls (n=15). Those with mild COPD had a significantly greater slope-ratio (SR) (1.90 ± 0.24 vs. 1.28 ± 0.32) and Beta-angle (160 ± 6.7 vs. 186 ± 15.0) compared to healthy individuals (p<0.05). The flow-ratio method showed no difference between groups. A significant positive SR-volume relationship during expiration was observed in a greater number of mild COPD subjects (94%) compared to controls (20%) (p<0.001). With its increased spatial resolution and the potential to discern etiology behind specific curvature, we suggest using the SR method when available. The change in SR throughout expiration could help identify those who fall within the lower limit of normal lung function and those who may have pathological obstruction.

Clinical usefulness of checking wheezing and flow volume loop in methacholine bronchoprovocation test / 천식및알레르기

BACKGROUND: In methacholine bronchoprovocation test, lung function is traditionally measured by using forced vital capacity maneuver which depends on patient's effort. And insufficient breath may result in a false positive test. OBJECTIVE: To evaluate the additional indices of airflow obstruction in the interpretation of methacholine bronchoprovocation test. METHOD: FEV1/FVC, configuration index of flow-volume loop (Slope-Ratio), modified Borg dyspnea score, and wheezing in addition to FEV1 were measured before and after methacholine challenge. RESULTS: The changes of the measurements after methacholine challenge were significantly greater in patients with airway hyperresponsiveness (AHR). However, only 9 out of 29 (31.0%) patients with AHR developed all of indices and 6.9% did not show any evidence of obstruction except dyspnea. On the contrary, 40% of patients without AHR showed positive in two or more indices and 2 of them were hyperresponsive to histamine. Among patients with AHR, those without dyspnea and wheezing on challenge showed significantly lower baseline Borg score, FEV1, FEV1/FVC, and PC20, and were older than those with them (p<0.05). CONCLUSION: Methacholine-induced deltaFEV1 is related to, but not concordant with other indices of airflow obstruction. Development of dyspnea and wheezing depends on age, etc. For an accurate interpretation of methacholine bronchoprovocation test, it maybe necessary to consider these variables.