Real-time protein unfolding: a method for determining the kinetics of native protein denaturation using a quantitative real-time thermocycler

Protein stability can be monitored by many different techniques. However, these protocols are often lengthy, consume large amounts of protein, and require expensive and specialized instruments. Here we present a new protocol to analyze protein unfolding kinetics using a quantified real-time thermocycler. This technique enables the analysis of a wide range of denaturants (and their interactions with temperature change) on protein stability in a multi-well platform, where samples can be run in parallel under virtually identical conditions and with highly sensitive detection. Using this set-up, researchers can evaluate the half-maximal rate of protein denaturation (Knd), maximum rate of denaturation (Dmax), and the cooperativity of individual denaturants in protein unfolding (µ-coefficient). Both lysozyme and hexokinase are used as model proteins and urea as a model denaturant to illustrate this new method and the kinetics of protein unfolding that it provides. Overall, this method allows the researcher to explore a large number of denaturants, at either constant or variable temperatures, within the same assay, providing estimates of denaturation kinetics that have been previously inaccessible.

Regulation of tail muscle arginine kinase by reversible phosphorylation in an anoxia-tolerant crayfish

Freshwater crayfish, Orconectes virilis, can experience periodic exposures to hypoxia or anoxia due to low water flow (in summer) or ice cover (in winter) in their natural habitat. Hypoxia/anoxia disrupts energy metabolism and triggers mechanisms that to support ATP levels while often also suppressing ATP use. Arginine kinase (AK) (E.C. 2.7.3.3) is a crucial enzyme involved in energy metabolism in muscle, gating the use of phosphagen stores to buffer ATP levels. The present study investigated AK from tail muscle of O. virilis identifying changes to kinetic properties, phosphorylation state and structural stability between the enzyme from aerobic control and 20 h anoxic crayfish. Muscle AK from anoxia-exposed crayfish showed a significantly higher (by 59%) K (m) for L: -arginine and a lower I(50) value for urea than the aerobic form. Several lines of evidence indicated that AK was converted to a high phosphate form under anoxia: (a) aerobic and anoxic forms of AK showed well-separated elution peaks on DEAE ion exchange chromatography, (b) ProQ Diamond phosphoprotein staining showed a 64% higher bound phosphate content on anoxic AK compared with the aerobic form, and (c) treatment of anoxic AK with alkaline phosphatase reduced K (m) L: -arginine to aerobic levels whereas incubation of aerobic AK with protein kinase A catalytic subunit raised the K (m) to anoxic levels. The physiological consequence of anoxia-induced AK phosphorylation may be to suppress AK activity in the phosphagen-synthesizing direction and, together with reduced cellular pH and ATP levels, promote the phosphagen-catabolizing direction under anoxic conditions. This is first time that AK has been shown to be regulated by reversible phosphorylation.

Use of sublingual glyceryl trinitrate as a supplement to volatile inhalational anaesthesia in a case of uterine inversion

We present a case of uterine inversion in which glyceryl trinitrate was used via the sublingual route, as opposed to the intravenous route, in association with volatile inhalational anaesthesia in order to achieve relaxation of the uterus. A transient, but significant, hypotensive response occurred, which was easily corrected with a colloid infusion and vasopressors. Sublingual glyceryl trinitrate is easily administered, has a fast onset of action and may have a role in situations where rapid relaxation of the uterus is required.

The assessment of intramuscular discrimination using signal detection theory: its potential contribution to chiropractic

INTRODUCTION

Most studies on sensory changes after manual therapies have focused on pain sensitivity. This ignores the wider range of sensory alternations that may be important in assessing patient functioning and neglects the issue of bias, which is inherent in most methods of pain assessment employing threshold methodology. Signal detection theory (SDT) addresses the issue of bias and provides a measurement of intramuscular discrimination--the ability to discriminate between two stimuli--which can be assessed over the full range of sensation. This paper will discuss the strengths and limitations of SDT and report on the effects of trigger point therapy and manipulation on intramuscular discrimination to illustrate the potential contribution of this methodology to chiropractic.

METHODS

Intramuscular needle electrodes were used to provide a pair of electrical stimuli to the forearm extensor muscles. Subjects were asked to assess the differences between stimuli before and after treatment. The treatments consisted of manual trigger point therapy applied to the forearm extensors, cervical spine manipulation and a control treatment.

RESULTS

After the trigger point therapy, there was a significant improvement in the ability of the subjects to discriminate between intramuscular signals to treated muscle. Some individual subjects showed alterations in ability to discriminate after cervical spine manipulation but the effect was not significant in the group as a whole.

CONCLUSIONS

The methodology of signal detection theory provides a promising, bias-free method of assessing changes in intramuscular sensation after various treatments. In these experiments, trigger point therapy was found to enhance intramuscular discrimination, suggesting that a peripheral reflex may be involved.

Sacroiliac joint manipulation decreases the H-reflex

Joint manipulation is widely utilized clinically to decrease pain and increase the range of motion of joints displaying limited mobility. Evidence of efficacy is based on subjective reports of symptom improvement as well as on the results of clinical trials. Experiments were designed to determine whether or not sacroiliac joint manipulation affects the amplitude of the Hoffman (H) reflex. Surface EMG recordings of the reflex response to electrical stimulation of the tibial nerve in the popliteal fossa were made from the soleus muscle. The averaged amplitudes of H-reflexes were compared on both legs before and after either sacroiliac joint manipulation or a sham procedure. H-reflex amplitude was significantly decreased (12.9%) in the ipsilateral leg (p < 0.001) following a sacroiliac joint manipulation while there was no significant alteration following the sham intervention. There was no significant alteration in reflex excitability in the contralateral leg to the sacroiliac joint manipulation. To further investigate the mechanism of these reflex alterations, the local anaesthetic cream EMLA (Astra Pharmaceuticals) was applied to the skin overlying the sacroiliac joint and the experiments were repeated on a different group of subjects. This was intended to determine if excitation of cutaneous afferents was responsible for the reflex excitability changes. There was still a significant decrease in reflex excitability (10.6%) following sacroiliac joint manipulation (p < 0.001). These findings indicate that joint manipulation exerts physiological effects on the central nervous system, probably at the segmental level. The fact that the changes persisted in the presence of cutaneous anaesthesia suggests that the reflex changes are likely to be mediated by joint and/or muscle afferents.

The effect of therapeutic muscle stretch on neural processing

Therapeutic muscle stretch is a commonly used procedure despite little evidence in support of efficacy or information about the mechanisms underlying the various methods. The purpose of this work was to compare the sequential application of static and ballistic muscle stretch with static muscle stretch alone, using the electrically elicited Hoffmann reflex (H-reflex) as a measure of excitability of homonymous motoneurons. The foot was passively dorsiflexed and either maintained in this position or rapidly and repeatedly dorsiflexed at a velocity of 1.0 radian/sec. Hoffmann reflexes were taken using established criteria under control conditions and during stretch conditions. An analysis of variance indicated a significant difference (p < 0.05) between condition means, with H-reflex amplitude reducing to 60 and 15% of the control value during static and ballistic stretch, respectively. Since reductions in alpha-motoneuron pool excitability correlate with increased flexibility, ballistic stretch applied following static stretch appears more effective than static stretch alone.

Discriminability of electrocutaneous stimuli after topical anesthesia: detection-theory measurement of sensitivity to painful stimuli

In three experiments on the psychophysical measurement of pain, electrocutaneous currents were applied to the volar surface of the forearm. In the first experiment, a conventional category scaling method was compared with the rating method of signal detection. The results of both methods were analyzed in detection-theory terms to derive receiver operating characteristic curves and measures of the discriminability of adjacent currents. The rating method yielded larger discriminability values than the category scale did, and that method was therefore used in the subsequent experiments to examine the effect of a topical anesthetic on discriminability. When the stimuli were applied through surface electrodes, no effect of the topical anesthetic on discriminability was found, but when the stimuli were applied to a more localized area by intradermal needle electrodes, a dose-dependent effect of the anesthetic on discriminability occurred. For this experiment, the slope of the cumulative sensitivity function increased with increasing elapsed time since the removal of the anesthetic. This result is congruent with the theory that discriminability can serve as a measure of sensitivity to painful stimuli.

The behaviour of different factor VIII concentrates in a chromogenic factor X-activating system

A chromogenic factor Xa generation method has been developed for comparing the co-factor activity of factor VIII concentrates at physiological factor VIII concentrations (1 iu/ml). In the presence of thrombin all concentrates gave similar rapid rates of factor Xa generation, but in the absence of thrombin there were major differences between the rates of Xa generation between different products. High purity products, particularly those prepared by monoclonal antibody purification from plasma and recombinant sources, gave more rapid Xa generation than most intermediate-purity products. There was a very strong correlation between the rate of Xa generation and the difference in factor VIII potency by one-stage and two-stage assays. These results suggest the possible presence of small amounts of activated factor VIII in some concentrates, but differences in von Willebrand factor content could also contribute towards the different rates of factor Xa generation observed.

Pre-spinal convergence between thoracic and visceral nerves of the rat

Dichotomizing sensory axons have been demonstrated in a number of species and are of significance in understanding the possible mechanisms underlying referred pain. The present study reviews work employing fluorescent dyes as tracers to demonstrate afferent dichotomization in the peripheral nervous system. Dichotomization between the intercostal and splanchnic nerves of the rat was demonstrated by means of intraneural transport of Diamidino yellow or Fast blue. Frequency of pre-spinal somato-visceral convergence averaged 2% (range 0.1-21%). Average frequency of convergence was 8.3% (range 2-23.1%) between internal and external intercostal nerves. Control experiments in which axoplasmic transport was inhibited by vinblastine ruled out the possibility of errors from non-axoplasmic transport of the markers. Thoraco-visceral pre-spinal convergence occurs in the rat and is variable in extent.

Need satisfaction in terminal care settings

Research comparing hospice and conventional programs of care for the terminally ill has identified few measurable differences in the care provided to patients and their families. Nonetheless, hospice recipients frequently express a higher level of satisfaction with their program of care. This study compared the ability of hospice and conventional care settings to meet the basic emotional needs of families during a member's dying and death from cancer. In addition, the relationship of basic needs satisfaction, perceptions about the nurse, and overall satisfaction with the program of care were explored. One hundred bereaved familial care givers completed a mail questionnaire concerning their perceptions of care at the site of a family member's death. The sites were (1) the home, with care provided by a Medicare certified, community-based hospice program: (2) a hospital affiliated with a Medicare certified, community-based hospice program; (3) a hospital with its own hospice program; and (4) a conventional (non-hospice) hospital. Analyses of quantitative data supported two hypotheses about significant differences between hospice and conventional care. The conventional care group demonstrated the lowest levels of basic needs satisfaction, satisfaction with the psycho-social support of the nurse, and overall program satisfaction. As predicted, overall satisfaction with care was consistent across hospice groups. However, home hospice care provided the highest quality of basic needs satisfaction and the highest level of satisfaction with the nurse. Significant Pearson correlations supported the hypothesis that overall satisfaction is negatively related to unmet basic needs (r = -0.69) and positively related to the psycho-social support received from nurses (r = 0.73).(ABSTRACT TRUNCATED AT 250 WORDS)

High molecular weight aggregate content of heated and unheated factor VIII products determined by fast-protein liquid chromatography

The molecular-weight distribution of proteins in factor VIII concentrates has been analysed by fast-protein liquid chromatography. The proportion of high-molecular-weight (HMW) aggregates in one product increased on freeze-drying and heating, with fibrinogen and fibronectin being the main protein components of the HMW peak. In all other concentrates, the HMW peak was less than or equal to 5% of the total protein content and there were no differences in HMW content according to purity or method of viral inactivation.

Inhibition of interleukin-2 secretion by factor VIII concentrates: a possible cause of immunosuppression in haemophiliacs

The inhibitory effect of factor VIII concentrate products on IL-2 secretion by human T-cells was investigated. The six products used widely in the U.K. showed very different activities varying from almost total inhibition to no significant effect. There appeared to be no obvious relationship between inhibitory activity and protein composition but factor VIII itself was not responsible for the effect as affinity purified products were entirely non-inhibitory. The two wet-heated products were most inhibitory whereas dry-heated products were less inhibitory or non-inhibitory. However, a wet-heated version of a non-inhibitory dry-heated product was also non-inhibitory, suggesting that the composition of the concentrate rather than anti-viral treatment is important for immunosuppressive activity. A product treated by the solvent/detergent procedure showed considerable inhibitory activity. Immunoglobulin and albumin products did not inhibit IL-2 secretion to any significant extent, but factor IX concentrates were inhibitory. We suggest that inhibition of IL-2 secretion by factor VIII concentrates may be related to the immunosuppression observed in haemophiliacs treated with high dose factor VIII products and that our results should be considered by clinicians and manufacturers of factor VIII products.

Assay discrepancies with highly purified factor VIII concentrates

We have assayed two different monoclonal-antibody-purified concentrates (A and B) and one conventional concentrate (C), against the 3rd International Standard for factor VIII concentrate, using one-stage, two-stage and chromogenic methods. One-stage assays performed with immunodepleted plasmas gave lower potencies than with haemophilic plasma for all concentrates, though the discrepancies were most marked for the two highly purified products. The absence of von Willebrand factor in one of the immunodepleted plasmas appeared to contribute towards the low potencies observed. In addition, potencies of product A were 50% higher by one-stage assays (haemophilic plasma) than by two-stage or chromogenic methods. These results indicate the need for careful evaluation of assay methodologies for assessment of factor VIII:C activity in highly purified concentrates.

Effects of environmental temperature on the development of a noradrenergic thermoregulatory mechanism in the rat

Rats reared at 30 degrees C do not exhibit the same thermoregulatory competence during cold exposure as do rats reared at 20 degrees C. They are even more clearly distinguished by the absence of an hypothermic response to intrahypothalamic noradrenaline (IH-NA). In one series of experiments, different groups of rats all received 120 days 30 degrees C-exposure and 20 days 20 degrees C-exposure. The 20 degrees C-exposure occurred at different ages in different treatment groups. At 140 days of age, bilateral IH-NA injections (each 10 micrograms/1 microliter CSF) were administered in conscious rats and the body temperature response observed. An hypothermic response to IH-NA was observed in groups whose exposure to 20 degrees C terminated between 20 and 80 days of age. In a second series of experiments, duration of rearing at 20 degrees C varied but always started at 40 days of age. Responses to IH-NA in 140-day-old adults indicated that the exposure required to induce 50% of the hypothermic response of control (20 degrees C-reared) rats was approximately 17 days. These data suggest that there is an hypothalamic noradrenergic mechanism implicated in the control of body temperature whose development is affected by environmental temperature in a duration-dependent manner. The period during which this effect may be exerted extends into adulthood.

Contralateral intramuscular acupuncture-like electrical stimulation differentially changes the short-latency responses to muscle stretch

Measurements were made from the human first dorsal interosseous and extensor digitorum communis muscles of the surface electromyographic activity reflexly produced by brief stretch of the muscle. For the first dorsal interosseous muscle, reflex EMG activity was also produced by electrical stimulation of the ulnar nerve at the wrist. The procedures were carried out before, during, and after 25 min of nonspecific, low-frequency electrical stimulation to the contralateral arm delivered through intramuscular electrodes. Control stimulation was delivered subcutaneously. The EMG recorded during a maintained contraction was rectified, filtered, and averaged. Two reflex components (M1 and M2) of the EMG response to muscle stretch or ulnar nerve stimulation were investigated. During nonspecific intramuscular stimulation to the contralateral arm, M1 responses of the extensor digitorum communis were depressed, initially by 37%. The effect began to fade during stimulation but extended beyond it. Reflex responses were elicited alternately by brief stretch of the first dorsal interosseus muscle and by electrical stimulation of the ulnar nerve in the same experiment. Nonspecific intramuscular stimulation to the contralateral arm depressed the M1 response to stretch, but had no effect on the M1 response to electrical stimulation. It is concluded that nonspecific intramuscular electrical stimulation reduces the amplitude of the M1 component of the response to brief stretch of contralateral muscle, either through depression of fusimotor activity or inhibition of oligosynaptic pathways that contribute to the early reflex response.

Brain stem projections of the glossopharyngeal nerve and its carotid sinus branch in the rat

Transganglionic transport of horseradish peroxidase or lectin-conjugated horseradish peroxidase from an application site in the cervical trunk of the glossopharyngeal (IXth cranial) nerve of the rat produced extraperikaryal reaction product characteristic of axon terminal processes in three regions of the brain stem: (1) the nucleus of the tractus solitarius, from approximately 2.5 mm rostral to the obex to approximately 3 mm caudal to the obex; (2) the spinal trigeminal nucleus at the level of obex; (3) the cuneate fasciculus, approximately 3 mm caudal to the obex. In contrast, labelling of the carotid sinus nerve, a branch of the glossopharyngeal nerve which conveys chemoreceptor and baroreceptor afferent fibers from the carotid bifurcation, revealed a restricted central projection to within 1 mm of the obex and corresponding to the intermediate region of the glossopharyngeal nerve projection to the nucleus of the tractus solitarius. Two distinct aggregations of label were observed: (1) rostral to the obex, within the lateral and dorsomedial subnuclei of the nucleus of the tractus solitarius; (2) caudal to the obex, within the commissural and ventrolateral subnuclei of the nucleus of the tractus solitarius. Between these two sites the density of labelling was reduced. Retrogradely labelled neurons were demonstrated in the inferior salivatory nucleus and in the nucleus ambiguus after application of lectin-conjugated horseradish peroxidase to the glossopharyngeal nerve. Of the labelled neurons in the nucleus ambiguus (approximately 100), 25% contributed fibers to the carotid sinus nerve. The concentration of extraperikaryal reaction product located rostral to the obex after labelling of the carotid sinus nerve closely matches descriptions of the region of afferent terminations from carotid and aortic baroreceptors in the cat. The concentration of label caudal to the obex may therefore correspond to the region of afferent terminations from carotid chemoreceptors. This study may therefore provide some basis for a separation of the central synapses of primary afferent fibers from the carotid baroreceptors and chemoreceptors in the rat. The labelled neurons of the nucleus ambiguus provide the anatomical substrate for centrifugal control of carotid chemoreceptor activity.

Static and dynamic response characteristics, receptive fields, and interaction with noxious input of midline medullary thermoresponsive neurons in the rat

Thermal clamping of deep-body temperature and 16 fields covering the total truncal skin surface enabled characterization of thermal transmission neurons distributed in a midline medullary location. The total data set comprised 136 neurons from 54 female rats. Relative abundance of neuronal types was 27 to 34 to 75 for cold-responsive, warm-responsive, and thermally unresponsive neurons. Response maxima of thermoresponsive neurons to static thermal stimulation of the total truncal surface were 55 +/- 4 ips (mean +/- SE) at 5 degrees C for cold-responsive neurons and 6.0 +/- 1.6 ips at 35 degrees C for warm-responsive neurons. Dynamic thermal stimulation of the total truncal surface at rates up to +/- 1.6 degrees C/s failed to reveal a clear dynamic thermosensitivity in either cold- or warm-responsive neuronal pools. Instead, the data suggest a preferential passing of the static response relative to the dynamic response. Cutaneous thermal receptive fields were diffuse, occupying most of the truncal surface. Subparts of these fields drove thermoresponsive neurons to variable extents, suggesting convergence from unequally represented multiple cutaneous sources. Noxious stimulation at widely distributed body sites consistently augmented activity in cold-responsive neurons. A thermoregulatory rather than somatesthetic role is proposed for the midline medullary neurons studied here.

Reflex origin for the slowing of motoneurone firing rates in fatigue of human voluntary contractions

During fatigue from a sustained maximal voluntary contraction (m.v.c.) the mean motoneurone discharge rates decline. In the present experiments we found no recovery of firing rates after 3 min of rest if the fatigued muscle was kept ischaemic, but near full recovery 3 min after the blood supply was restored. Since 3 min is thus sufficient time for recovery of any central changes in excitability, the results support the hypothesis that, during fatigue, motoneurone firing rates may be regulated by a peripheral reflex originating in response to fatigue-induced changes within the muscle.

Rearing rats (Rattus norvegicus) at 30 degrees C does not alter sensitivity to noradrenaline

Rats reared from birth at 30 degrees C show a permanent deficit in body temperature regulation. To test the ability of heat-reared rats to respond to an adrenergic drive, carbon dioxide production was measured at five doses of noradrenaline in rats reared at either 20 or 30 degrees C. Noradrenaline-induced carbon dioxide production was greater at all doses in 20 degrees C rats, but sensitivity to noradrenaline was the same in heat-reared and control animals. These findings support the conclusion that the thermoregulatory deficit induced by heat rearing is due to a change induced in the nervous system.

Intramuscular acupuncture-like electrical stimulation inhibits stretch reflexes in contralateral finger extensor muscles

Electro-acupuncture is one of many physical measures used to relieve musculoskeletal pain and to improve the associated restricted range of motion. Experiments were designed to determine whether or not acupuncture-like stimulation inhibits stretch reflexes in an arm extensor muscle in human volunteers. Surface electromyographic recordings were made on the right extensor digitorum communis muscle and averaging techniques were used to study the reflex responses to brief deflection of the finger with a solenoid-driven probe. The ratio M1:M2 of two components of the reflex was reduced during continuous acupuncture-like stimulation of the contralateral first dorsal interosseus and extensor digitorum communis muscles near their motor points (acupuncture points LI 4 and LI 11). Concomitant changes in skin temperature were observed on the forehead and in the arm in which acupuncture-like stimulation was used. In control experiments, when the acupuncture needles were inserted subcutaneously and stimulated with the same current parameters at distinctly uncomfortable intensities, no change in the reflexes occurred. These findings show that acupuncture-like stimulation exerts physiologic effects on the central nervous system, mediated presumably by muscle afferent fibers. The effects may be relevant to relief of muscle spasm and musculoskeletal pain, and restoration of mobility.

The dynamic properties of trigeminal thermoreceptors following heat-rearing in rats

Dynamic properties of thermoresponsive units at the caudal trigeminal nucleus are not modified by heat-rearing. The modification of the thermoregulatory system by heat-rearing is unlikely to be a consequence of altered thermoreceptive function at this level. Rats were reared at ambient temperatures of 30 degrees C (heat-reared) and 20 degrees C (controls). Extracellular recordings of thermoresponsive units at the caudal trigeminal nucleus were made while the facial receptive fields of these thermoresponsive units were stimulated with 6 different rates of temperature change (+0.5, +0.1, +0.02, -0.02, -0.1 and -0.5 degrees C/sec). All thermoresponsive units encountered were cold-sensitive. The static maxima were clustered around 13.5 degrees C and did not differ between treatment groups. Dynamic maxima occurred at temperatures around 29-30 degrees C and were not different in thermoresponsive neurones from the two treatment groups. There was no difference between the two treatment groups in the dynamic activity of trigeminal cold-responsive neurones at any of the 42 combinations of temperature and rate of temperature change examined.

Evidence for on-off control of heat dissipation from the tail of the rat

Anterior hypothalamic temperature, tail vasoactivity, and tail heat loss were observed in unanaesthetised rats resting at an ambient temperature that was varied between 25 and 35 degrees C between experiments, but was held constant within an experiment. Vasodilation and vasoconstriction at the tail were qualitatively detectable by the appearance and disappearance of temperature differences between the tail surface overlying the ventral arterial supply, and the lateral venous drainage. Vasodilation detected this way was an abrupt singular event (being either on or off), and preceded subsequent exponential changes in tail surface temperature and heat loss. Within the ambient temperature range of 29--33 degrees C, the following sequence occurred in a 20-min cycle, despite the noncycling constant environmental and metabolic heat loads: tail vasodilation - 0.2 to 0.4 degrees C fall in hypothalamic temperature - tail vasoconstriction - 0.2 to 0.4 degrees C rise in hypothalamic temperature. This behaviour, consistent with the limit-cyclic behaviour of some nonlinear controllers, as well as the abrupt two-state nature of vasoactivity at the rat tail, provides evidence that the mechanism can be described by an on-off control model. In addition, angiography suggests that vasoconstriction rather than countercurrent heat exchange provides the major barrier to core to tail heat flow during the "off" phase.