Utilidad de la telemedicina en la atención pediátrica urgente durante la pandemia por COVID-19 / Usefulness of telemedicine in urgent pediatric care during the COVID-19 pandemic

Introducción: nuestro sistema sanitario ha sufrido una reorganización sin precedentes priorizando la atención de los pacientes con sintomatología COVID-19. El uso de telemedicina se presenta como una alternativa útil en la era pos-COVID. El objetivo del estudio fue valorar la utilidad del servicio de mensajería de Twitter como herramienta de telemedicina para el cribado de patología urgente. Material y métodos: estudio descriptivo, retrospectivo y transversal de un programa de telemedicina desarrollado por un equipo de especialistas en Pediatría y sus Áreas Específicas durante el estado de alarma. Se recogieron datos demográficos, número y motivos de consultas según signos, síntomas y su forma de presentación (texto, foto o vídeo). Se analizó el número de consultas resueltas, derivaciones y el grado de satisfacción. Resultados: se atendió un total de 182 consultas realizadas en su mayoría por mujeres (71%), durante las primeras semanas del confinamiento (70%). El 100% fueron mensajes de texto, acompañados casi en un tercio de los casos de material audiovisual (27,2% fotos, 4,6% vídeos). La edad media de los pacientes atendidos fue de 2,72 ± 2,74 y los principales motivos de consulta: fiebre, exantemas y dificultad respiratoria. El 18,13% tuvo relación con la COVID-19, y solamente el 8,24% fue derivado. Conclusiones: aunque la telemedicina no puede reemplazar la valoración presencial y todavía existen limitaciones técnicas y legales, nuestros resultados sugieren que podría ser una alternativa prometedora para mejorar el acceso, reducir los tiempos de triaje, coordinar los recursos disponibles, y disminuir el riesgo de contagio y saturación de las instalaciones sanitarias (AU)

Introduction: our healthcare system has undergone an unprecedented reorganization, prioritizing the care of patients with COVID-19 symptoms. Telemedicine has emerged as a useful alternative in the post-COVID era. The aim of the study was to assess the usefulness of the Twitter® messaging service as a telemedicine tool for the screening of urgent pathology.Material and methods: cross-sectional, retrospective and descriptive study of a telemedicine programme developed by a team of specialists in paediatrics and its subspecialities during the state of alarm. We collected demographic data and the number and reasons for consultations based on the presenting signs and symptoms and how they were conveyed (text, photo and/or video). We analysed the number of resolved concerns, referrals and the degree of user satisfaction.Results: the service managed a total of 182 consultations, mostly made by women (71%) and during the first weeks of the survey (70%). All consultations included text, accompanied in almost 1/3 of the cases by audiovisual content (27.2% photo, 4.6% video). The average age of the managed patients was 2.72 ± 2.74 years and the main reasons for consultation were fever, exanthema and respiratory difficulty. Of all consultations, 18.13% were related to COVID-19, and only 8.24% led to referral.Conclusions: although telemedicine cannot replace face-to-face assessment and there are still technical and legal limitations, our results suggest that it could be a promising alternative to improve access, reduce triage times, coordinate available resources, and decrease the risk of contagion and the saturation of health care facilities. (AU)

Sugar and protein digestion in flowerpiercers and hummingbirds: a comparative test of adaptive convergence.

Flowerpiercers are the most specialized nectar-feeding passerines in the Neotropics. They are nectar robbers that feed on the sucrose-rich diet of hummingbirds. To test the hypothesis that flowerpiercers have converged with hummingbirds in digestive traits, we compared the activity of intestinal enzymes and the gut nominal area of cinnamon-bellied flowerpiercers (Diglossa baritula) with those of eleven hummingbird species. We measured sucrase, maltase, and aminopeptidase-N activities. To provide a comparative context, we also compared flowerpiercers and hummingbirds with 29 species of passerines. We analyzed enzyme activity using both standard allometric analyses and phylogenetically independent contrasts. Both approaches revealed the same patterns. With the exception of sucrase activity, hummingbirds' digestive traits were indistinguishable from those of passerines. Sucrase activity was ten times higher in hummingbirds than in passerines. Hummingbirds and passerines also differed in the relationship between intestinal maltase and sucrase activities. Maltase activity was two times higher per unit of sucrase activity in passerines than in hummingbirds. The sucrase activity of D. baritula was much lower than that of hummingbirds, and not unlike that expected for a passerine of its body mass. With the exception of aminopeptidase-N activity, the digestive traits of D. baritula were not different from those of other passerines.

Hummingbirds pay a high cost for a warm drink.

Endotherms must warm ingested food to body temperature. Food warming costs may be especially high for nectar-feeding birds, which can ingest prodigious volumes. We formulated a mathematical model to predict the cost of warming nectar as a function of nectar temperature and sugar concentration. This model predicts that the cost of warming nectar should: (1) decrease as a power function of nectar concentration, and (2) increase linearly with the difference between body temperature and nectar temperature. We tested our model on rufous hummingbirds (Selasphorus rufus). A typical experiment consisted of feeding birds nectar of a given concentration at 39 degrees C (equivalent to body temperature) and then at 4 degrees C, and vice versa. We used the percentage change in metabolic rate between the two food temperatures to estimate the cost of warming nectar. The model's predictions were accurately met. When birds had to hover rather than perch during feeding bouts, estimated food-warming costs were only slightly lower. The cost of warming nectar to body temperature appears to be an important yet overlooked aspect of the energy budgets of nectar-feeding birds. Hummingbirds feeding on 5% sucrose solutions at 4 degrees C have to increase their metabolic rate by an amount equivalent to that elicited by a 15 degrees C drop in ambient temperature.

Renal structure in neotropical bats: using stable isotopes to explore relationships between diet and morphology.

The relationship between kidney structure and diet was examined in several species of bats from the tropics. The trophic level of the bats was determined by their stable nitrogen isotopic composition (delta15 N). The results indicate that the relative thickness of the renal medulla is directly related to the trophic level of the bats. Additionally, we also determined the relationship between body mass and kidney structure. Relative medullary thickness was reciprocally related to body mass in animalivorous bats but no relationship was found in phytophagous bats. Stable isotope analysis provided a quantitative approximation of diet to test its relationship with kidney structure.

The membrane-bound intestinal enzymes of waxwings and thrushes: adaptive and functional implications of patterns of enzyme activity.

Cedar waxwings (Bombycilla cedrorum) feed predominantly on fruits that are rich in simple sugars and low in nitrogen, supplementing this diet with arthropod prey during the summer months as well as flowers and tree sap in springtime. In contrast, thrushes feed extensively on fatty, protein-rich invertebrate prey, supplemented with sugary and lipid-rich fruits. Simple sugars and fats are digested and/or absorbed by distinctly different physiological mechanisms, which suggests the possibility of contrasting digestive strategies in animals specialized to diets containing one of these two energy sources. In this study, we quantified enzymatic activity of three membrane-bound intestinal enzymes of cedar waxwings and five species of thrushes to explore this aspect of their digestive physiology. These enzymes catalyze the final steps in the digestion of carbohydrates (sucrase-isomaltase and maltase-glucoamylase) and protein (aminopeptidase-N). The two carbohydrases are homologous enzymes with overlapping functions; both enzymes catalyze the hydrolysis of maltase and isomaltase. The membrane-bound digestive enzyme systems that we described for cedar waxwings and thrushes can be explained by the particular nutrients contained within their respective natural diets. Consistent with previous work, cedar waxwings displayed intestinal sucrase activity, whereas thrushes did not. Correspondingly, cedar waxwings eat some foods containing sucrose, whereas thrushes do not. Sucrase-isomaltase conferred all maltase and isomaltase activity in cedar waxwings. In contrast, all maltase and isomaltase activity in thrushes was necessarily sucrase independent, which indicated the presence of maltase-glucoamylase. The absence of sucrase-independent maltase activity in cedar waxwings suggests that sucrase-isomaltase obviates the need for maltase-glucoamylase. Indeed, total maltase and isomaltase activities were much higher in cedar waxwings than in thrushes. Neither waxwings nor thrushes eat starchy foods; sucrase-isomaltase in waxwings and maltaseglucoamylase in thrushes probably function in digesting glycogen in animal foods. We suggest that digestive traits associated with specialization to monosaccharide-rich fruits (lack of a grinding gizzard) by frugivorous waxwings and thrushes may prevent utilization of starchy seeds. Total aminopeptidase-N activity in cedar waxwings was indistinguishable from the allometric pattern among thrush species, but the distribution of this enzyme along the intestines of waxwings and thrushes was distinctly different, which demonstrates that total enzyme activity can be insufficient as a descriptor of the functional activity of brush border enzymes. Aminopeptidase-N activity peaked in the anterior part of the intestines of thrushes and in the terminal portion of the intestines of waxwings, which suggests contrasting strategies for protein digestion from fatty versus sugary diets, respectively.

Diet and the evolution of digestion and renal function in phyllostomid bats.

Bat species in the monophyletic family Phyllostomidae feed on blood, insects, small vertebrates, nectar, fruit and complex omnivorous mixtures. We used nitrogen stable isotope ratios to characterize bat diets and adopted a phylogenetically informed approach to investigate the physiological changes that accompany evolutionary diet changes in phyllostomids. We found that nitrogen stable isotopes separated plant-eating from animal-eating species. The blood of the latter was enriched in (15)N. A recent phylogenetic hypothesis suggests that with the possible exception of carnivory, which may have evolved twice, all diets evolved only once from insectivory. The shift from insectivory to nectarivory and frugivory was accompanied by increased intestinal sucrase and maltase activity, decreased trehalase activity, and reduced relative medullary thickness of kidneys. The shift from insectivory to sanguinivory and carnivory resulted in reduced trehalase activity. Vampire bats are the only known vertebrates that do not exhibit intestinal maltase activity. We argue that these physiological changes are adaptive responses to evolutionary diet shifts.

Does gut function limit hummingbird food intake?

Many nectar-feeding bird species decrease food intake when sugar concentration in food is increased. This feeding response can be explained by two alternative hypotheses: compensatory feeding and physiological constraint. The compensatory feeding hypothesis predicts that if birds vary intake to maintain a constant energy intake to match energy expenditures, then they should increase intake when expenditures are increased. Broad-tailed hummingbirds were presented with sucrose solutions at four concentrations (292, 584, 876, and 1,168 mmol L(-1)) and exposed to two environmental temperatures (10 degrees and 22 degrees C). Birds decreased volumetric food intake in response to sugar concentration. However, when they were exposed to a relatively sudden drop in environmental temperature and, hence, to an acute increase in thermoregulatory energy expenditures, they did not increase their rate of energy consumption and lost mass. These results support the existence of a physiological constraint on feeding intake. A simple chemical reactor model based on intestinal morphology and in vitro measurements of sucrose hydrolysis predicted observed intake rates closely. This model suggests that intestinal sucrose hydrolysis rates were near maximal and, thus, may have imposed limits to sugar assimilation. Although sugar assimilation was high (95%), the proportions of excreted sucrose, glucose, and fructose found in excreta differed significantly. The monosaccharides glucose and fructose were about eight and three times more abundant than sucrose, respectively. Broad-tailed hummingbirds are small high-altitude endotherms that face unpredictable weather and the energetic expense of premigratory fattening. Digestive processes have the potential to impose severe challenges to their energy budgets.

Dietary modulation of intestinal enzymes of the house sparrow (Passer domesticus): testing an adaptive hypothesis.

Insectivorous/frugivorous passerine species studied so far lack the ability to modulate intestinal maltase activity, in contrast to galliformes. We tested for dietary modulation of small intestine (SI) enzymes including maltase in house sparrows to understand whether the difference between the galliformes on the one hand, and the passerines on the other, reflects a phylogenetic pattern (maltase modulated in galliformes but not passerines), a dietary pattern (maltase modulated in granivores but not insectivore/frugivores), some other pattern, or chance. We also tested the prediction that intestinal peptidase activity would be increased on a high protein (HP) diet. Birds were fed three diets high in starch, protein, or lipid for 10 days. For birds on the HP diet (60.3% protein) we observed the predicted upward modulation of aminopeptidase-N activity, as compared with the lower-protein, high starch (HS) (12.8% protein) diet. In contrast, birds eating the HS diet had similar maltase and sucrase activities, and only slightly higher isomaltase activity, compared with birds eating the high protein (HP), starch-free diet. Birds eating high lipid (HL) diet had low activities of both carbohydrases and peptidase. Considering that the statistical power of our tests was adequate, we conclude that house sparrows show little or no increase in carbohydrases in response to elevated dietary carbohydrate. We cannot reject the hypothesis that maltase lability among avian species has a phylogenetic component, or that high dietary fat has a depressing effect on both carbohydrase and peptidase activities.

Use of saguaro fruit by white-winged doves: isotopic evidence of a tight ecological association.

We report the use of stable isotope and crop content analyses to quantify the use of saguaro (Carnegiea gigantea) nectar and fruit by migratory desert white-winged doves (Zenaida asiatica mearsnii). Saguaro resources had characteristically 13C-enriched CAM values (δ13C=-12.8±0.7‰ SD VPDB and -13.1±0.5‰ SD VPDB for nectar and fruit, respectively) relative to other food plants used by doves (δ13CC3=-24.9±3.3‰ SD VPDB). The water contained in saguaro nectar and fruit was deuterium enriched (δD=19.6±2.0‰ SD VSMOW and 48.4±1.6‰ SD VSMOW for nectar and fruit, respectively) relative to other water sources (ranging from -41 to -19‰ VSMOW). During the fruiting season, there was a positive correlation between δ13C in dove liver tissues and percent of saguaro in crop contents. A two-point mixing model indicated that during the peak of saguaro fruit use, most of the carbon incorporated in dove tissues was from saguaro. Desert white-winged doves appear to be saguaro specialists. Averaged over the period when doves were resident, saguaro comprised about 60% of the total carbon incorporated into dove tissues. Tissue δ13C and δD of body water showed a significant positive correlation, indicating that doves were using saguaro as a source of both nutrients and water. However, at the peak of saguaro utilization, the doves' body-water δD was more positive (by about 20‰) than saguaro fruit water. We hypothesize that this enrichment is due to fractionated evaporative water losses by doves. Using dove carbon isotope data and a two end-point mixing model we estimate that, on average, doves consume the equivalent of 128 saguaro fruits per season; each fruit contains on average 26.0±14.8 g SD of pulp (wet mass) of which 19.4 g is water. Stable isotopes have been used to produce qualitative re-constructions of animal diets. Our study shows that they can be used to provide quantitative estimates of the flow of nutrients from resources into consumers as well.

An experimental test of dietary enzyme modulation in pine warblers Dendroica pinus.

Modulation of gut function is important in an ecological and evolutionary context because it likely determines what food items an animal can and cannot eat. We examined how diet affects activity of digestive enzymes in an omnivorous bird, the pine warbler (Dendroica pinus). Pine warblers were fed insect-based, fruit-based, and seed-based diets for approximately 54 d. We then measured activity of amylase, maltase, sucrase, aminopeptidase-N, trypsin, chymotrypsin, carboxypeptidase A, carboxypeptidase B, pancreatic lipase, and carboxyl ester lipase. We predicted that carbohydrase activities would be highest in birds fed the diet highest in carbohydrates (fruit based), protease activities would be highest in those fed the diet highest in protein (insect based), and lipase activities would be highest in those fed the diets highest in lipid (insect based and seed based). Also, we predicted that pine warblers would exhibit greater dietary modulation of enzyme activity than reported for a less omnivorous congener, the yellow-rumped warbler (Dendroica coronata). All predictions were upheld, supporting the hypothesis that pine warblers modulate the activity of digestive enzymes in proportion to demand from substrates in the diet.

The tau of continuous feeding on simple foods.

Chemical reactor theory under the premise of maximization of net rate of nutrient absorption has been used to predict throughput time, tau, of digesta in animals. Animals that feed on hexoses, such as many vertebrate fruit and nectar eaters, are of central interest in testing reactor theory because they use no hydrolysis before absorption and, hence, should provide valuable, simplified test cases. Graphical methods based on batch reactors and used to make such predictions in the past can give optimal gut throughput times (tauopt) identical with predictions from continuous plug-flow reactor models derived here: in animals with passive, linear uptake alone, tauopt should decline as hexose concentration of food increases. If saturating active uptake is involved, however, a minimum in tauopt (maximum in ingestion rate) is predicted at intermediate hexose concentration, the exact location of this minimum depending on costs of ingestion as well as on uptake kinetics. That is, tauopt first falls to a minimum with increasing hexose concentration and then increases. Optimal throughput time rises as uptake sites become saturated because there is little gross gain and no net gain from increased ingestion rate when uptake already is nearly saturated. It also rises with increasing costs of ingestion. The continuous-time analytic solutions provided here further make the novel and very general prediction of high sensitivity to decreasing tau below tauopt.

Food ingestion and water turnover in hummingbirds: how much dietary water is absorbed?

Hummingbirds are specialized nectarivores that feed on dilute solutions of sugars with trace amounts of amino acids and electrolytes. Their diets contain excess water that, if absorbed, must be eliminated. It has been hypothesized that in hummingbirds only a small fraction of this dietary water may be absorbed in the intestine. Here, we report the results of experiments designed to examine the relationship between nectar intake and water turnover in hummingbirds. Our results also allow the estimation of water absorption across the intestine and therefore test the hypothesis that ingested water in hummingbirds passes largely unabsorbed through the gastrointestinal tract. We found that fractional and total water turnover increased linearly with water ingestion. At low sucrose concentrations, food intake rates between four and five times body mass per 12 h were not unusual. A simple mass-balance model suggested that 78 % of ingested water was absorbed in the gastrointestinal tract and hence must be processed by the kidneys. However, fractional water absorption was variable and did not appear to be correlated with food or water intake parameters. Our results do not lend support to the hypothesis that the bulk of dietary water passes through the intestine unabsorbed. Although hummingbird kidneys appear well suited to excrete large volumes of dilute urine, rates of energy assimilation in hummingbirds may be constrained by excess water elimination when these birds are feeding on nectars with a low sugar concentration.

Test, rejection, and reformulation of a chemical reactor-based model of gut function in a fruit-eating bird.

We explored modulation of retention time in cedar waxwings (Bombycilla cedrorum) by feeding them diets varying in hexose concentration. Our goals were to (1) test three predictions of a chemical reactor-based model of how guts might respond optimally to diet shifts; (2) determine whether modulation of retention time can occur quickly, thereby facilitating rapid changes in diet; (3) tease apart the relative influence of ingestion rate and nutrient concentration on retention time; and (4) examine the degree of axial mixing in the intestine and its relationship with retention time. The model's predictions were rejected: mean retention time did not decrease, ingestion rate did not increase, and glucose assimilation efficiency did not decrease with increased hexose concentration of the diet. Instead, birds displayed maximal intake rate at intermediate sugar concentration, and mouth to cloaca mean retention times increased with hexose concentration. Significant modulation of retention time occurred quickly, within 3 h of exposure to a different diet. Birds did equally well in terms of total energy assimilated on diets differing 3.3-fold in hexose concentration (from 500 mmol/L to 1660 mmol/L) but showed reduced intake when fed food with low hexose concentration (110 mmol/L). Far more variation in retention time was explained by direct effects of ingestion rate than by direct effects of hexose concentration. Finally, a gut dispersion index that measured degree of axial mixing was positively correlated with mean retention time, indicating that higher retention times are accompanied by increased axial mixing. We propose a modification of the assumptions of the original model. The resulting "osmotic constraint" model better captures the interaction between feeding rate and digestive function in fruit-eating birds.

Natural abundance variations in stable isotopes and their potential uses in animal physiological ecology.

Chemical, biological, and physical processes lead to distinctive "isotopic signatures" in biological materials that allow tracing of the origins of organic substances. Isotopic variation has been extensively used by plant physiological ecologists and by paleontologists, and recently ecologists have adopted the use of stable isotopes to measure ecosystem patterns and processes. To date, animal physiological ecologists have made minimal use of naturally occurring stable isotopes as tracers. Here we provide a review of the current and potential uses of naturally occurring stable isotopes in animal physiological ecology. We outline the physical and biological processes that lead to variation in isotopic abundance in plants and animals. We summarize current uses in animal physiological ecology (diet reconstruction and animal movement patterns), and suggest areas of research where the use of stable isotopes can be fruitful (protein balance and turnover and the allocation of dietary nutrients). We argue that animal physiological ecologists can benefit from including the measurement of naturally occurring stable isotopes in their battery of techniques. We also argue that animal physiologists can make an important contribution to the emerging field of stable isotopes in biology by testing experimentally the plethora of assumptions upon which the techniques rely.

Dietary flexibility and intestinal plasticity in birds: a field and laboratory study.

The adaptive modulation hypothesis posits that the expression of digestive proteins should be modulated in response to intake of their respective substrates. A corollary of this hypothesis suggests that dietary flexibility and digestive plasticity should be correlated. We examined these two hypotheses in two granivorous Chilean birds (Zonotrichia capensis and Diuca diuca) that differ in dietary breadth. D. diuca is a strict granivore, whereas Z. capensis also eats insects. In field-caught birds, the activity of the intestinal dipeptidase aminopeptidase-N was positively correlated with intake of insects in Z. capensis but not in D. diuca. This is the first field documentation of modulation of intestinal enzymes by diet in birds. Intestinal maltase and sucrase activities were not correlated with seed (vs. insect) intake in either species. In the laboratory, captive birds of both species exhibited similar modulation of membrane-bound intestinal hydrolases when fed on synthetic diets of contrasting carbohydrate and protein composition. Maltase, sucrase, and aminopeptidase-N activities were significantly higher in birds fed on the carbohydrate-free than those on the carbohydrate-containing diet. Activities of the three enzymes were positively correlated. Therefore, this increase probably resulted from nonspecific increases of all enzymes resulting from intake of the carbohydrate-free diet. Principal components analysis separating the effect of diet on specific and on nonspecific modulation revealed that diet had a strong effect on nonspecific activity of intestinal enzymes in both Z. capensis and D. diuca. Diet also significantly affected aminopeptidase-N activities when the effect of diet on nonspecific modulation was removed. Birds fed on the carbohydrate-free, high-protein diet had significantly higher specific aminopeptidase-N activities than those fed on the carbohydrate-containing diet. Our results cast doubts on the notion that dietary flexibility and the plasticity of the gut's enzymes are necessarily correlated and on the general validity of the adaptive modulation hypothesis.

Dietary modulation of intestinal hydrolytic enzymes in yellow-rumped warblers.

Many birds exhibit seasonal switches in diet and thus alter the nutrients predominating their food intake. We tested for dietary modulation of small intestine (SI) enzymes in yellow-rumped warblers, a species for which such diet changes are well documented. Birds were fed three diets formulated from either fruit, insect, or seed. We predicted that SI carbohydrases and peptidases would be modulated in direct correlation with relative levels of dietary carbohydrate and protein, respectively. Aminopeptidase N activity was about twice as high in birds eating the highest protein content diet. In contrast, there was no significant dietary effect on any of the carbohydrase activities. There was a proximal-to-distal decrease in activities of all the carbohydrases but not aminopeptidase N. The carbohydrase levels of yellow-rumps are relatively low when compared with other species in the same family and most similar to lower levels found in primarily insectivorous birds rather than in primarily granivorous or nectarivorous species. Considering this and the fact that they do not exhibit dietary modulation of carbohydrase levels, we conclude that yellow-rumps are not highly adapted for handling dietary carbohydrates, especially starch, although they might still efficiently break down and absorb sucrose and maltose if retention time were sufficiently long.

Ontogenesis of intestine morphology and intestinal disaccharidases in chickens (Gallus gallus) fed contrasting purified diets.

Two groups of growing posthatching Cornish x Rock cross chickens were fed with either a carbohydrate-containing (52.5%) or a carbohydrate-free diet. At 36 days after hatching some of the chicks in each group were shifted to the opposite diet. Chickens fed on a carbohydrate-containing diet grew faster and achieved higher asymptotic masses than chickens fed on a carbohydrate-free diet. Chickens fed on a carbohydrate-free diet had longer intestines and larger intestinal areas than chickens of the same mass fed on a carbohydrate-containing diet. In both groups sucrase and maltase activity (standardized by either intestinal area or mass) increased from day 1 to approximately day 17. After day 17, chickens fed on a carbohydrate-containing diet exhibited 1.8 and 1.9 times higher sucrase and maltase activities per unit intestinal area, respectively, than chickens fed on a carbohydrate-free diet. Analysis of covariance was used to estimate the contribution of sucrase and the sucrase-independent maltases to maltase activity, and to estimate the effect of diet on the sucrase-independent maltases. Sucrase contributed 80% and 75% of the maltase activity in carbohydrate and carbohydrate-free fed chickens, respectively. Chickens shifted from a carbohydrate-free to a carbohydrate diet converged in gross intestinal morphology and intestinal sucrase and maltase levels with carbohydrate-fed chickens within 8 days. Chickens shifted from carbohydrate to carbohydrate-free diets, in contrast, did not show appreciable changes in intestinal length and after 8 days had not reduced levels of sucrase and maltase to those of chickens fed on the carbohydrate-free diet. A comparison of integrated maltase intestinal activity with published data on glucose uptake showed that the ratio of maltose hydrolysis to glucose uptake seemed to be about 7 and to remain relatively invariant during ontogeny. Because so little is known about the interaction between hydrolysis and uptake in vivo, it is difficult to determine if this relatively high ratio represents excess hydrolytic capacity or if it is needed to provide high lumenal glucose concentrations that maximize uptake.

Intestinal disaccharidases in five species of phyllostomoid bats.

1. Intestinal disaccharidases were studied in nectarivorous (Leptonycteris curasoae and Glossophaga soricina), frugivorous (Artibeus jamaicensis and Sturnira lilium), and insectivorous (Pteronotus personatus) adult bats. 2. Adult bats lacked measurable lactase activity. With the exception of trehalase activity, which was present only in P. personatus, nectar- and fruit-eating bats exhibited higher disaccharidase activities standardized by intestinal nominal area than insect-eating P. personatus. 3. Maltase and sucrase activities were significantly linearly correlated. 4. Apparent affinity of sucrase varied almost 5-fold among species. This variation may reflect unstirred layer effects resulting from sucrase being a membrane bound enzyme rather than differences in the "true" affinity of sucrase in solution. 5. Passerine birds showed higher maltase activity per unit of sucrase activity than bats and hummingbirds. Maximal sucrase and maltase activities standardized per intestinal nominal area are 1.5-2 times higher in hummingbirds than in nectar-feeding bats.

Physiological constraint on feeding behavior: intestinal membrane disaccharidases of the starling.

Animals clearly choose what they eat and can even choose among chemically different sugars. The physiological and biochemical mechanisms that constrain feeding choices are largely unknown. In this study, European starlings (Sturnus vulgaris) preferred mixture solutions of D-glucose plus D-fructose to equimolar (double molar caloric value) solutions of sucrose. Intubation feeding of sucrose did not increase blood glucose levels. Sucrose is a useless energy source for these birds because they lack a single digestive enzyme (sucrase) on the small intestinal brush border membrane. However, the membranes possessed separate maltase and isomaltase disaccharidases. This expression pattern and expression patterns of membrane disaccharidases among mammals suggest a role for intestinal enzymes in the coevolutionary interactions between vertebrates and their plant food sources.

Angiotensin converting enzyme in brush-border membranes of avian small intestine.

Angiotensin converting enzyme activity was identified in brush-border membranes purified from the small intestinal epithelium of the common grackle, Quiscalus quiscula. Angiotensin converting enzyme was enriched 20-fold in the membrane preparation, compared with intestinal epithelial cell scrapes, and was coenriched with the brush-border markers, alkaline phosphatase and aminopeptidase N. The kinetics of hydrolysis of N-[3-(2-furyl)acryloyl]-L-phenylalanylglycylglycine (FAPGG) gave a Vmax of 907 +/- 41 units g-1 and a Km of 55 +/- 6 mumol l-1. The avian intestinal angiotensin converting enzyme was inhibited by the antihypertensive drug, Ramipril, with a median inhibitory concentration (IC50) of 1 nmol l-1. In the light of previous studies on angiotensin converting enzyme in mammalian epithelia, these results may implicate a physiological role for angiotensin converting enzyme in regulating electrolyte and fluid uptake in bird small intestines.