Effect of nitric oxide production on the redox modulatory site of the NMDA receptor-channel complex

Nitric oxide (NO) is an important messenger both systemically and in the CNS. In digital Ca2+ imaging and patch-clamp experiments, clinically available nitroso compounds that generate NO are shown to inhibit responses mediated by the NMDA subtype of the glutamate receptor on rat cortical neurons in vitro. A mechanism of action for this effect was investigated by using the specific NO-generating agent S-nitrosocysteine. We propose that free sulfhydryl groups on the NMDA receptor-channel complex react to form one or more S-nitrosothiols in the presence of NO. If vicinal thiol groups react in this manner, they can form a disulfide bond(s), which is thought to constitute the redox modulatory site of the receptor, resulting in a relatively persistent blockade of NMDA responses. These reactions with NO can afford protection from NMDA receptor-mediated neurotoxicity. Our results demonstrate a new pathway for NO regulation of physiological function that is not via cGMP, but instead involves reactions with membrane-bound thiol groups on the NMDA receptor-channel complex.

Hypothyroidism in adults with sickle cell anemia

Persons with sickle cell anemia have several indications for transfusion of red blood cells. One of the complications of transfusion of red blood cells is iron overload. Iron overload has been associated with multiple endocrine abnormalities. We report herein three cases of hypothyroidism in adult individuals with sickle cell disease. All three patients were over the age of 45 years at the time of the diagnosis and had received multiple units of transfused red blood cells and had serum ferritin levels of greater than 6,000 ng/mL. All patients were diagnosed during times when they were critically ill. Replacement therapy was instituted in all cases; however, all three patients died shortly after the diagnosis of hypothyroidism was made. Congestive heart failure appeared to be a primary cause of death in all three patients. In the one patient in whom a postmortem examination was done, there was evident extensive fibrosis of the thyroid gland as well as extensive deposition of iron in the cells lining the thyroid follicles. We believe that this represents the first report of clinical hypothyroidism in patients with sickle cell anemia who have received multiple transfusions. Awareness of this condition is especially important given that congestive heart failure is common in sickle cell disease.

Intrinsic anion channel activity of the recombinant first nucleotide binding fold domain of the cystic fibrosis transmembrane regulator protein

The first nucleotide binding fold (NBF-1) from the cystic fibrosis transmembrane regulator (CFTR) has been expressed in bacteria and found to bind ATP and to express anion channel activity when reconstituted onto a planar lipid bilayer. This evidence suggests that the NBF forms the anion-selective portion of the CFTR channel. We also found that the recombinant NBF-1 anion channel is blocked by ATP (1 mM), under which condition it appears to have a minimal conductance of approximately 9 pS and an ohmic current-voltage relationship. We further found that the recombinant NBF-1 bearing the delta F508 mutation has nearly identical anion channel activity to that of the wild-type protein but can be distinguished from wild type under bianionic conditions with chloride and gluconate. We conclude from these data that the anion channel activity of the recombinant NBF-1 could represent all or part of the anion conductance mechanism of CFTR and that the role of the ATP binding by the NBF could be to modulate this anion channel activity.

Recombinant synthesis, purification, and nucleotide binding characteristics of the first nucleotide binding domain of the cystic fibrosis gene product

The majority of mutations which lead to clinical cystic fibrosis are located within the two predicted nucleotide binding domains of the cystic fibrosis gene product. We have used a prokaryotic expression system to synthesize and purify the first nucleotide binding domain (NBD-1, amino acids 426-588) with and without the most common mutation associated with the disease (the deletion of phenylalanine at position 508, delta F508). Both wild type and delta F508 NBD-1 bind ATP-agarose in a quantitatively comparable manner; this binding was inhibited by excess Na2ATP, trinitrophenol-ATP, or 8-azido-ATP. Irreversible NBD-1 labeling by an ATP analog was demonstrated using [32P]8-azido-ATP. This covalent labeling was inhibited by preincubation with Na2ATP, with half-maximal inhibition for Na2ATP occurring at approximately 5 mM for both the wild type and delta F508 nucleotide binding domain. These experiments are among the first to confirm the expectation that the cystic fibrosis transmembrane conductance regulator NBD-1 binds nucleotide. Since, under the conditions used in our study, NBD-1 without phenylalanine 508 displays very similar nucleotide binding characteristics to the wild type protein, our results support previous structural models which predict that the delta F508 mutation should not cause an alteration in ATP binding.

Regulation of tissue plasminogen activator in sickle cell anemia

Evidence of activation of the clotting system in individuals with sickle cell anemia (SCA) has been observed by several investigators. It has been suggested that the clotting and fibrinolytic systems may play a role in the pathophysiology of vaso-occlusion in SCA. We reported previously evidence of abnormal fibrinolytic activity as reflected in decreased releasable tissue plasminogen activator (t-PA) using a functional assay. We have examined the mechanism of the decreased functional releasable t-PA in individuals with SCA. We studied 12 patients with respect to releasable t-PA, fast acting inhibitor to t-PA (or PAI-1), and immunoreactive or antigenic t-PA. These SCA individuals were at their baseline states and not taking medications known to interfere with the fibrinolytic or clotting systems. We found that the mean releasable t-PA for the SCA individuals was 0.01 IU/ml of plasma with a standard error of mean (SEM) of 0.01. The mean releasable t-PA of 118 healthy normal controls was 0.70 IU/ml with SEM 0.10 (P less than .001). The mean level of fast-acting inhibitor to t-PA in unoccluded circulation of the SCA patients' plasma was 16.5 IU/ml with SEM of 3.54. The mean plasma levels of fast-acting inhibitor to t-PA in 56 healthy controls was 2.56 IU/ml with SEM of 0.29 (P less than .0001). The SCA patients had a mean baseline t-PA antigen level of 5.98 ng/ml with SEM of 1.72. The mean level of t-PA antigen of 78 healthy controls using the same technique was 4.3 ng/ml with SEM of 2.7 (not significant). The mean baseline functional t-PA for SCA individuals was 0.15 IU/ml with SEM 0.01 and the mean baseline functional t-PA for 118 controls was 0.17 IU/ml with SEM 0.10. These data suggest that the mechanism of decreased releasable t-PA in sickle cell anemia is related to an elevation of fast-acting inhibitor to t-PA and that antigenically t-PA is present in normal quantities in the baseline plasma in this population.

Force deficit of vascularized skeletal muscle grafts in rabbits

Through autografting experiments on 9-g rectus femoris (RFM) muscles in rabbits, we substantiated a previous observation that the maximum isometric tetanic force (Po) and specific Po (N/cm2) of neurovascular-intact grafts are not different from grafts made with neurovascular repair. We then tested the hypotheses that the specific Po of vascularized grafts is significantly less than that of control RFM muscles and the deficit in the specific Po is associated with increases in connective tissue and interstitial space. The specific Po of the grafts was 65% of the value for control RFM muscles. Connective tissue protein concentration of grafts was 3.8 times greater than the control value of 16.6 +/- 3 micrograms/mg wet mass, but this only accounted for a 5% correction in specific Po. The volume of interstitial space did not differ between grafts and control muscles. We conclude that the deficit of 35% in specific Po of vascularized grafts compared with control values is partially explained by an increase in connective tissue, but a 30% unresolved deficit remains.

Totally implantable intravenous catheters in the management of sickle cell anemia

Totally implantable catheters (TICs) have recently been employed for long-term central venous access in patients with sickle cell disease (SCD). We have reviewed our experience with 10 TICs inserted in patients with SCD. These were compared to 33 TICs inserted in patients without SCD (controls). The primary diagnosis was malignancy in most of the controls. The SCD patients experienced a marked increase in total complications (70 vs. 24%), as well as in complications requiring catheter removal (50 vs. 3%). No variable explained these differences except the presence of SCD. The complications requiring catheter removal from SCD patients were infections, catheter thrombosis, and venous thrombosis. The increased risk of these complications must be considered before a catheter is inserted; however, the average useful life of these catheters exceeded 12 months. They remained useful in the care of patients with poor venous access and multiple complications of SCD.

Failure to detect the presence of pluripotential haemopoietic stem cells in the mouse brain

Single cell suspensions prepared from adult mouse brains were tested for the presence of pluripotential haemopoietic stem cells (colony-forming units, CFU) by transfer into an irradiated recipient and enumeration of the CFU in the recipient's spleen. In contrast to the findings of others (Bartlett, 1982), we did not detect CFU after injection of brain cell suspensions, although they were detectable after inoculation with bone marrow cells. The number of CFU in recipients after transfer of increasing numbers of brain cells was the same as that detected in the irradiated controls which had not received any transferred cells. Finally, cells from the brain, in contrast to bone marrow cells, were not able to protect recipient animals from the effects of lethal irradiation.

Comparison of formal language therapy with supportive counseling for aphasia due to acute vascular accident

A total of 60 right-handed patients with acute aphasia due to left hemispheral stroke were randomly assigned to two modes of therapy for six months, beginning one month after the ictus. Conventional speech therapy provided by professional speech pathologists twice weekly was compared with emotionally supportive counseling therapy, also provided by professional speech pathologists at the same intervals. Language function was tested periodically by the Porch Index of Communicative Ability. Fifty of the subjects were also tested at ten months after the ictus. There was no difference in the amount of improvement between the two groups.

Simple method for monitoring 24-hour urinary urea nitrogen excretion

The urine urea nitrogen/urine creatinine excretion ratio (UUN/UCr) of a "spot" urine specimen obtained approximately 5 hours after the last meal of the day can be used to accurately calculate the urinary urea excretion for the previous 24-hour period. Because UUN excretion is largely determined by dietary intake of protein nitrogen, this method can be used to estimate dietary protein intake for the previous 24-hour period. Strategies for using this simple method for inexpensively and continuously monitoring dietary protein intake are discussed.

Support of an anephric dog for 54 days with ambulatory peritoneal dialysis and a newly designed peritoneal catheter

A bilaterally nephrectomized dog was successfully supported with peritoneal dialysis for 54 days, using a radically new design of access catheter and a human dialysis schedule designated as continuous ambulatory peritoneal dialysis. The dog remained active and alert with a stabilized blood urea nitrogen of 30 to 40 mg/dl and a serum creatinine concentration of 4 to 6.5 mg/dl. Problems encountered with the peritoneal dialysis included the propensity for developing peritonitis, anorexia, and a significant plasma protein loss in the dialysate fluid as result of leakage across the peritoneum. Protein loss coupled with anorexia produced a catabolic state, and the animal was euthanatized because of this, at postnephrectomy day 54. The development of a new catheter design alleviated the drainage problems of the straight tube Tenckhoff catheter. Its use coupled with the continuous ambulatory peritoneal dialysis schedule and detailed management techniques allowed using the anephric dog as a model of uremia. In addition, peritoneal dialysis could be a viable treatment for animals presenting with acute reversible anuric or oliguric renal failure where conservative medical management with fluids and diuretics has failed to give clinical improvement.

Inhibitory effect of tunicamycin on the adhesivity and aggregation of embryonic brain cells

Tunicamycin (TM) - (0.1, 1.0 and 10 micrograms/ml) inhibits insignificantly the adhesivity of embryonic mice brain cells during the first 120 min of incubation. The effect is not dose dependent. The concentration of 10 micrograms/ml added at the onset of experiments has a drastic effect during the time period in which cell regeneration, cell movement and formation of aggregates occurs. Up to the 5th day in vitro (DIV), aggregation is completely inhibited and disrupted parts of cells are mostly present in the medium. The concentration of 1 microgram/ml is less effective, and 0.1 microgram/ml is practically without effect. EM analysis shows that tunicamycin (10 micrograms and 1 microgram/ml) diminish the regeneration and integrity of plasmatic membranes, 10 micrograms/ml of tunicamycin destroys cytoplasmatic organelles which is probably the cause of the decline of cellular regeneration and of aggregate formation. Tunicamycin (10 micrograms/ml), if added to the already formed aggregates evokes their disintegration and lower doses (1 microgram/ml) liberated cells from aggregates into the medium.

Developmental changes in head-circumference and mental-performance growth rates: a test of Epstein's phrenoblysis hypothesis

Epstein's phrenoblysis hypothesis states that brain growth and mental growth occur in correlated spurts at 3-10 months and 2-4, 6-8, 10-12 or 13, and 14-16 or 17 years of age. The present study was the first to test statistically such spurts in head-circumference and mental-age growth rates and to assess any correspondence in individual differences between spurts in the two variables in a single sample of children measured serially between 2.5 and 17 years of age. While the statistically significant spurts observed in each variable did fall within the hypothesized age periods, the chance rate for such theoretical concordance was high and several hypothesized spurts were not supported. Moreover, no relationship existed within individuals between head-circumference and mental-age growth-rate patterns.

Ultrastructural and protein synthetic changes in embryonic brain: cells aggregated at 0 degree C

Cells dissociated from brains of 16 to 18 day-old mice embrya were rotated at 37 degrees C and 0 degree C for 7--8 days. While cells aggregated at 37 degrees C formed compact aggregates, cells aggregated at 0 degree C were found in clusters or were randomly distributed. Cells aggregated in the cold did not differ markedly from the controls in their ultrastructural organisation till the 2--3 day in vitro (DIV). Later, significant structural changes, such as distention of cytoplasmic membranes, destruction of mitochondrial membranes, disappearance of ribosomes, shrinkage of nuclei and disturbance of cytoplasmic membranes were apparent. On the 6--7 DIV, groups of cells were separated by a distance of 100 nm and more, and large parts of their cytoplasm disappeared and outside cell perikarya fragments of membranes appeared forming dense debris. However, even at this period some cells were found which did not show signs of degeneration. Protein synthetic activity in aggregated cells increased linearly at 37 degrees C till 7 DIV, whereas in cells aggregated at 0 degree C an inhibition of about 34% was found at 4 DIV and at 7 DIV the curve of 14C leucine incorporation declined almost to zero. It is thus evident that cells aggregated at 0 degree C maintain an almost normal ultrastructural pattern during the first days of cultivation and only protein synthetic activity is lowered. Cellular membranes, damaged during the dissociation partly regenerated even at 0 degrees C and membraneous contacts were formed between several cells.

Further evaluation of the CPI Repeated Item Short Form

Cross-validated the CPI Repeated Item Short Form (RISF). Three populations (police dispatcher recruits (N = 22), college students (N = 30), and penitentiary prisoners (N = 51) were used for comparison purposes. Each S was administered the full-length CPI, from which scores for the short forms were extracted. CPI short-form comparisons were conducted by contrasting intercorrelational matrices, comparing correlations with full length CPI scales, and determining profile validity/invalidity as well as matching profile high and low points. On all of the described comparisons the RISF compared favorably relative to the only other published CPI short form (i.e., the Factor Analyzed Short Form--FASF). The authors conclude the RISF is a good approximation of the full length CPI profiles for both institutionalized and normal populations.

Clients' reasons for dropping out of rehabilitation centers

A high proportion of clients unilaterally drop out of rehabilitation and psychological treatment programs. The purpose of the present study, conducted at a comprehensive rehabilitation center, was (a) to devise an intake interview that would differentiate those clients who would drop out from those who would remain in the program and (b) to interview the dropouts after termination to understand their reasons for leaving their treatment program. Dropouts' responses on these interviews were compared to those of a control group of successful clients who had been matched on demographic variables. The results of the initial interview indicated four factors that successfully identified potential dropouts: (a) unrealistically high expectations, (b) low levels of family support for the client's going to work, (c) parents not working outside the home, and (d) a history of few work responsibilities at home. The final interview suggested four major ways a center should try to reduce the dropout rate; (a) prepare the client for the center by establishing realistic expectations, (b) develop a sense of personal efficacy, (c) obtain family support, and (d) improve social interactions among clients at the center.

Measurement of early spontaneous recovery from aphasia with stroke

The amount of spontaneous change in aphasia was quantified in 44 right-handed patients who were aphasic following a first and unihemispheric stroke. All were initially tested less than 14 days after onset and were reevaluated at a mean of 30 days. The Porch Index of Communicative Ability was administered for objective and precise measurement. Forty-one of the patients demonstrated significant improvement, a finding which must be taken into account in evaluating any claims for effectiveness of speech therapy.