Potentiation of gamma-vinyl GABA (vigabatrin) effects by glycine

Vigabatrin, because of its ability to increase brain GABA concentration, acts as an anticonvulsant on convulsive epileptic seizures and increases seizures in generalized non-convulsive epilepsy. Next to GABA, glycine is one of the most important inhibitory neurotransmitter amino acids. We studied the influence of glycine on the effects of treatment with vigabatrin in two rat models of generalized convulsive seizures and a rat model of spontaneous generalized non-convulsive seizures. Glycine (750 mg/kg i.p.) or vigabatrin (200 mg/kg i.p.), when given alone, provided partial protection against convulsive seizures, while combined treatment with the two drugs significantly suppressed the convulsive seizures in both the mercaptopropionic acid (MPA)-induced seizures and audiogenic seizures. In contrast to the response to treatment with each individual drug, the drug combination nearly abolished the appearance of isolated spikes on the EEG in MPA seizures. On the other hand, glycine also enhanced the aggravating effect of vigabatrin on spontaneous spike and wave discharges in a rat model of genetic absence epilepsy, whereas glycine or vigabatrin alone, at the above doses, produced only a slight, non-significant increase in spontaneous spike and wave discharges. The GABA-glycine interaction is the first example of a synergistic action of two inhibitory neurotransmitters on seizure-related pathological discharges.

[A comparative experimental study of side-to-side and end-to-side mesocaval shunt]

In this study, the side-to-side (MCS-SS) and end-to-side (MCS-ES) mesocaval shunt were performed in two groups of thioacetamide (TAA)-induced cirrhosis of rats. The anastomotic stoma was made equal to the calibre of mesenteric veins. It was found that the portal vein pressure after MCS-SS was lower than that after MCS-ES owing to the more effective drainage of both extra- and intrahepatic portal blood flow. It was also found that with MCS-SS, some inflow from the superior mesenteric vein was reserved to irrigate the liver and the content of insulin in the portal vein was not affected. The authors came to the conclusion that MCS-SS was superior to MCS-ES for less likely causing post-shunt encephalopathy and the deterioration of hepatic function.

[Clinical aspects and immunology of facial neuritis]

A clinical and immunological study was carried out in 75 patients with facial neuritis. It was found that the concentration of serum IgG and IgA were increased. The frequency of CIC in blood was higher than normal. In comparison with the controls, the difference was statistically significant (P less than 0.01). However, IgM, Ch50 and C3 levels were not deviated from normals. It was suggested that immune functions of patients with facial neuritis were abnormal. The data presented might set a clue in exploring the pathogenesis of this disease. Of these 75 cases, 2 were bilateral simultaneous Bell's palsy, 11 unilateral recurrent and bilateral alternating Bell's palsy. They might be considered as special types of Bell's palsy.

[Significance of IgM deposition in IgA nephropathy: an appraisal based on renal re-biopsy]

Repeated renal biopsies were performed in 30 patients with primary IgA nephropathy at intervals of 6-55 months during 1983-1988. Histological and immunopathological studies were conducted for each patient and comparisons were made between the 1st and 2nd biopsy. It was found that the frequency of IgM deposition in the renal glomeruli increased significantly during the course of illness from 11/30 to 21/30, while the IgA, IgG and complement (C3, C4, C1q) deposition remained rather stationary. Comparing the group of patients who were deficient in IgM deposits with those who procured this particular Ig during the illness, there were striking differences in the frequency of occurrence of nephrosis, glomerulosclerosis, severe tubular-interstitial lesion and renal insufficiency. The frequency was much higher in the IgM deposited patients In conclusion: (1) Deposition of IgM might happen during the course of IgA nephropathy as a secondary phenomenon. (2) Presence of IgM in the glomeruli immune deposits denote a poor prognosis for patients of IgA nephropathy.

The GABAergic nigro-collicular pathway is not involved in the inhibitory control of audiogenic seizures in the rat

Involvement of the GABAergic nigro-collicular pathway in the control of audiogenic seizures was examined in genetically sensitive rats by studying the effects of bilateral injections into the substantia nigra of muscimol, a gamma-Aminobutyric acid (GABA) agonist, and those of bilateral injections into the superior colliculus of picrotoxin, a GABA antagonist, and of muscimol. Microinjections of muscimol (20-80 ng/side) into the substantia nigra and microinjections into the superior colliculus of picrotoxin (20 and 40 ng/side) both failed to suppress audiogenic seizures. Following injections into the superior colliculus, audiogenic seizures were in fact facilitated by picrotoxin and suppressed by muscimol. These results suggest that the nigro-collicular GABAergic pathway is not involved in the inhibitory control over audiogenic seizures. Conversely, a different GABAergic mechanisms may be involved in the superior colliculus in the control of this form of epilepsy.

[A case-control study of lung cancer risk factors in Xuanwei]

In Xuanwei County, Yunnan Province, lung cancer mortality is the highest in China. The former studies showed that indoor burning of "smokey" coal was an important cause for high incidence of Xuanwei lung cancer. The 1:Mi matched case-control study was undertaken to examine the association with other risk factors such as smoking. 110 cases of primary lung cancer newly diagnosed and 426 controls individually matched were interviewed. Conditional logistic regression was employed to examine the effect modification and to control confounding. The analytic results showed that smoking was one of the risk factors of Xuanwei male lung cancer. No relation was found between passive smoking and female lung cancer. The association was observed for familial history of lung cancer.

[Glucocorticoid receptors on human peripheral mononuclear and polymorphonuclear leucocytes: changes in patients with yang-deficiency]

It was found that, in former works, the glucocorticoid receptors (GCR) on peripheral mixed leucocytes in patients with Yang-deficiency were decreased. In this work, the mixed leucocytes were further separated into mononuclear (MNL) and polymorphonuclear (PML) leucocytes, and GCR were determined in each part of leucocytes. GCR on MNL and PML in 6 Yang deficient patients were 3473 +/- 413 and 4433 +/- 651 sites/cell respectively, statistically significant from the normal control group (4462 +/- 962 and 5622 +/- 782 sites/cell respectively, P less than 0.05). GCR on MNL, PML and mixed leucocytes in 5 patients were determined simultaneously, and all lowered from the control group. The results were 3369 +/- 370, 4986 +/- 419 and 4524 +/- 852 sites/cell respectively, with the lowest GCR on MNL and highest on PML.

Suppression of spontaneous generalized non-convulsive seizures in the rat by microinjection of GABA antagonists into the superior colliculus

Intranigral injections of GABA agonists suppress spontaneous and chemically induced generalized non-convulsive seizures in the rat. In order to examine whether the GABAergic nigrotectal pathway could be involved in this suppression, bilateral injections of GABA antagonists were performed in the superior colliculus of rats with spontaneous generalized non-convulsive seizures. Bilateral microinjections into this structure of the GABA antagonists picrotoxin (20 and 40 ng/side) and bicuculline methiodide (5 ng/side) suppressed spike-and-wave discharges for 40 min and 20 min post injection, respectively. Unilateral injections of picrotoxin (40 ng) into the superior colliculus as well as bilateral injections of a GABA agonist (muscimol; 80 ng) did not induce significant modifications. These results show that blockade of the GABAergic transmission at the level of the superior colliculus results in a suppression of generalized non-convulsive seizures. These data support the hypothesis that the suppressive effect of intranigral injections of GABA agonists over generalized non-convulsive seizures involves, at least in part, the nigrotectal GABAergic pathway.

TCM treatment of male infertility due to seminal abnormality--a clinical observation of 82 cases

82 male patients of infertility due to seminal abnormality were treated by Ju Jing Powder with a total effective rate of 85.4%. The sperm density in seminal fluid, the total sperm number in a single ejaculation and the activity rate of sperms markedly improved as compared with those before treatment (P less than 0.01), especially the grading of sperm motility.

[Effects of Ligusticum wallichii on the plasma and CSF levels of dynorphin A1-13 in rabbits under acute experimental cerebral ischemia]

By occluding the bilateral carotid arteries of rabbits to produce bilateral partial cerebral ischemia, and by using radioimmunoassays to measure the levels of dynorphin A1-13 like immunoreactivity (ir-Dyn A1-13) in plasma and cerebrospinal fluid (CSF), the authors find that the levels of ir-Dyn A1-13 in plasma and CSF have significantly increased (P less than 0.01) after cerebral ischemia appears. The result of the Ligusticum wallichii Franch (Ligusticum) pretreatment to the test-group shows a definite improvement of the changes of ir-Dyn A1-13 levels in plasma and CSF. The severity of brain ischemic damage and neurologic dysfunction in Ligusticum-treated animals is lighter than that of saline-treated group, too. In this study, some new approaches are explored to explain the pathophysiology of cerebral ischemia and the mechanisms by which Ligusticum prevents and treats cerebral ischemia.

[Determination of traces of gallium in air by oscillographic polarography]

Gallium and its compounds in air collected by millipore filter membrane are leached by 10% HNO3 at room temperature. After being adjusted with ammonia solution to pH8-9, the leachate is filtered and the filtrate is evaporated to dryness on a water bath. The residue is dissolved with 2 ml of 10% HNO3 and then into the solution are added 0.5 ml of 5% hydroxylamine hydrochloride solution, 0.20 ml of 5% sulfosalicyclic acid solution, 0.5 ml of NaF solution (1mg F/ml) and 1 drop of methyl red solution. Let it stand for 5 min after the color of the solution turns orange by addition of 1:1 NH4OH solution. Add 0.20ml of 0.20% cupferron solution, 0.20ml of 0.5% diphenyl-guanidine solution (prepared in 95% ethanol) and 0.5ml of acetic acid-ammonium acetate buffer (pH 7.0). Then add water to make the final volume of the test solution to be 10ml and measure the height of the second derivative polarographic wave at -1.08V (vs.SCE). The sensitivity of the method is 0.005-0.10 microgram/ml, the coefficient of variation 6.8%, recovery 97.8%. Within 0.005-0.10 microgram/ml, the wave height is linear with the concentration of gallium.

[Sampling survey of mentally deficient people in Sichuan]

From first April to 15th May 1987, 145,201 people were investigated by using the ways of layer, equal probability and mass sampling. Two thousand three hundred and forty two of them were confirmed to be mentally deficient. The incidence was 16.13%. It was estimated that 1,665,000 people have mental deficiency in Sichuan. The estimated range of reliability of 95% was 1,528,000-1,801,000. One million and three hundred ninety three thousand of them only had mental deficiency, while 272,000 had other organic deficiency. Male:female ratio was 101.4:100. The incidence of 6-14 year-old was 38.14%, which was 3 times higher than that of other age groups. Mild mental deficiency was 16.4 times more than severe mental deficiency. The most common causes were hereditary diseases, encephalitis, malnutrition, cerebral trauma, pregnant diseases, etc. All of the causes belonged to preventable diseases.

[A study on pathogen antigen and serodiagnosis of Malleus and Melioidosis with McAbs]

A study on pathogen antigen and serodiagnosis of Malleus and Mlioidosis was made with McAbs which are against Ps. mallei or Ps. pseudomallei. The results showed that (1) Ps. mallei and Ps. pseudomallei express different surface antigen types respectively, and there are antigen overlapping in some degree between them; (2) Epitope 2D4 is common to Ps. mallei and Ps. pseudomallei; (3) The antibody which is similar to McAbs 4D4 or 1A9 might be a common serum antibody of Malleus and Melioidosis; and (4) McAb 3A1 is a high specific one which reacts with Ps. pseudomallei only, and with it, it is possible to resolve the immunological problem of distinguishing diagnosis between Malleus and Melioidosis.

Nonlinear dynamic behavior of cardiac oscillators

By studying a mathematical model of the effects of brief current impulses on the oscillation of cardiac cells, we have simulated the phase transition curves of the oscillators. This has permitted discussions of the interactions of two coupled sinus oscillators and the periodic stimulation of one ventricular oscillator. The results have been compared with findings from the normal electrocardiogram and applied to explain the mechanisms of some arrhythmias.

Prevalence survey of cytomegalovirus infection in children in Chengdu

Cytomegalovirus (CMV) is a common worldwide perinatal infection. Although usually asymptomatic, it may cause deafness in up to 15% of these infants. A cross-sectional study was performed to determine the age-specific prevalence of CMV seropositivity in Chinese children and to determine if any risk factors for infection could be identified. In a two-stage sampling procedure, nine districts were randomly selected from 70 citizenship districts in Chengdu, Sichuan Province, People's Republic of China. Then, 1,950 households were randomly selected from 11,886 households and interviewed. Blood was obtained from all children aged less than seven years and assayed using an enzyme-linked immunosorbent assay method. A subgroup of sera was retested at the research laboratory and also sent to the National Reference Laboratory in Beijing. Kappa values for the test agreement with the reference laboratory and retesting within the study laboratory were 0.94 and 0.86, respectively. Seropositivity averaged 52% in those aged less than one year and 60% in those between four and seven years. A higher rate of seropositivity was observed in urban versus rural children (odds ratio (OR) = 2.55), breast feeding in urban areas only (OR = 1.87), and day care versus home care setting (OR = 1.59). High CMV seroprevalence, even in the first year of life, was observed in this population of well children in Chengdu, China. An association was observed between seroprevalence and residence, method of feeding, and day care attendance.

On the relationships between rural labor productivity, family investment in education, and population quality

The authors consider "the relationships between labor productivity and population quality in order to demonstrate the importance of economic development, and of improving population quality in rural areas. This study is made on the basis of surveys conducted in 1979 and 1986 on the age-specific VP and VC [volume of production and volume of consumption] in certain areas of Jiangsu Province [China]." Population quality is defined primarily in terms of the educational status of the labor force.

Involvement of the nigral output pathways in the inhibitory control of the substantia nigra over generalized non-convulsive seizures in the rat

Activation of GABAergic transmission within the substantia nigra has been shown to suppress several forms of generalized seizures in experimental models of epilepsy. More especially, such pharmacological manipulations suppress spontaneous and chemically-induced generalized non-convulsive seizures in the rat. The aim of the present study was to examine the role of the dopaminergic and GABAergic thalamic and collicular nigral outputs in this antiepileptic effect. For this purpose, we examined the effects of output destruction on the antiepileptic effect of intranigral injections of a GABA agonist or pharmacological blockade of the neurotransmission at the nerve terminal level in rats with spontaneous absence seizures. After selective destruction of dopaminergic neurons within the substantia nigra with 6-hydroxydopamine (5 micrograms/side) or hemisection of the ascending nigral output, bilateral intranigral injection of muscimol (2 ng/side) still significantly suppressed generalized non-convulsive seizures. Bilateral lesioning of the ventromedial nucleus of the thalamus did not abolish the antiepileptic effects of intranigral muscimol (2 ng/side) and the GABA antagonist, picrotoxin, when given into this thalamic nucleus (10 ng/side) also failed to induce suppression of spike and wave discharges. The antiepileptic effects of intranigral injection of muscimol (2 ng/side) was reversed by bilateral electrolytic lesions of the superior colliculus. Blockade of the GABAergic transmission at this level with picrotoxin (40 ng/side) significantly suppressed generalized non-convulsive seizures. Finally, excitation of collicular cell bodies with low doses of kainic acid (4 and 8 ng/side) also resulted in a suppression of spike and wave discharges. These results demonstrate that the GABAergic nigrocollicular pathway is critical for the inhibitory control of the substantia nigra over generalized non-convulsive seizures. The data further suggest that antiepileptic effects observed following potentiation of GABAergic transmission in the substantia nigra result from a disinhibition of collicular cell bodies.

[Affective disturbances in patients with breast cancer]

40 cases of breast tumor (cancer group 20 cases, benign tumor group 20 cases) hospitalized from October, 1986 to April, 1987 were investigated by interview, HAMD, SCL-90 and so on. Results showed that 10 cases met diagnostic criteria of organic affective syndrome defined by DSM-III. The morbidity of depression among all cases was 25 per cent, but the morbidity of depression in breast cancer group was higher than in benign tumor group. Causes of depression in breast cancer were analysed. Authors consider that causes of depression are not relating to operation on breast, but probably relating to biological and psychosocial factors.

[Changes of glomerular fixed anionic charge sites in adriamycin nephrosis in rats]

A single intravenous injection of adriamycin (5mg per kg.) into rats induced nephrosis. In the various periods of the model, alterations of glomerular anionic sites stained with colloidal iron were analyzed quantitatively by image analyzer for the first time at home and abroad. The results showed that there was a significant decrease in glomerular anionic charge sites at 3 hours after administration of adriamycin as compared with that of the control animals (P less than 0.01). Marked loss of the anionic charge sites preceded the onset of proteinuria and was steadily increasing along with progress of the disease. The results suggest that loss of glomerular anionic charge sites may play an important role in the development of proteinuria in nephrotic syndrome.