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Ferreira I, Schroeder R, Mugerza E, Oyarzabal I, McCarthy ID, Correia AT. Chelidonichthys lucerna (Linnaeus, 1758) Population Structure in the Northeast Atlantic Inferred from Landmark-Based Body Morphometry. Biology (Basel) 2023; 13:17. [PMID: 38248448 PMCID: PMC10812957 DOI: 10.3390/biology13010017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 12/18/2023] [Accepted: 12/20/2023] [Indexed: 01/23/2024]
Abstract
The study of geometric morphometrics among stocks has proven to be a valuable tool in delineating fish spatial distributions and discriminating distinct population units. Variations in fish body morphology can be linked to genetic factors or to phenotypic adaptability in response to environmental variables. The tub gurnard (Chelidonichthys lucerna) is a demersal species that usually lives in the bottom of the continental shelf, being widely distributed along the northeast Atlantic, Mediterranean and Black seas. Worldwide interest in the species has increased since 2006, when ICES recognized its potential for commercial exploitation. However, despite its broad geographic occurrence, to date, research on C. lucerna population structure at large spatial scales is still lacking. In this paper, body geometric morphometrics, using a landmark-based truss network, was applied in order to discriminate C. lucerna populations caught in three different fishery grounds areas along the northeast Atlantic: Conwy Bay (United Kingdom), Biscay Bay (Spain) and Matosinhos (Portugal). The results obtained in this study revealed a high overall relocation success (95%) of samples to their original locations, thus demonstrating the existence of significant regional differences and indicating that we are dealing with different fish population units. Moreover, the data revealed a partial overlap between individuals from Spain and United Kingdom, suggesting that in geographically distant areas these populations may inhabit similar environments. However, to corroborate these findings, future works using a holistic approach with alternative and complimentary stock assessment tools (e.g., genetic and phenotypic natural tags) are highly recommended.
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Affiliation(s)
- Inês Ferreira
- Centro Interdisciplinar de Investigação Marinha e Ambiental (CIIMAR/CIMAR), Terminal de Cruzeiros do Porto de Leixões, Avenida General Norton de Matos S/N, 4450-208 Matosinhos, Portugal
- Faculdade de Ciência e Tecnologia da Universidade Fernando Pessoa (FCT-UFP), Praça 9 de Abril 349, 4249-004 Porto, Portugal
| | - Rafael Schroeder
- Centro Interdisciplinar de Investigação Marinha e Ambiental (CIIMAR/CIMAR), Terminal de Cruzeiros do Porto de Leixões, Avenida General Norton de Matos S/N, 4450-208 Matosinhos, Portugal
- Laboratório de Estudos Marinhos Aplicados (LEMA), Escola Politécnica, Universidade do Vale do Itajaí (UNIVALI), Rua Uruguai 458, Centro, Itajaí 88302-901, Brazil
| | - Estanis Mugerza
- AZTI, Sustainable Fisheries Management, Basque Research and Technology Alliance (BRTA), Txatxarramendi Ugartea z/g, 48395 Sukarrieta, Spain
| | - Iñaki Oyarzabal
- AZTI, Sustainable Fisheries Management, Basque Research and Technology Alliance (BRTA), Txatxarramendi Ugartea z/g, 48395 Sukarrieta, Spain
| | - Ian D. McCarthy
- School of Ocean Sciences, Bangor University, Askew Street, Menai Bridge LL59 5AB, UK
| | - Alberto T. Correia
- Centro Interdisciplinar de Investigação Marinha e Ambiental (CIIMAR/CIMAR), Terminal de Cruzeiros do Porto de Leixões, Avenida General Norton de Matos S/N, 4450-208 Matosinhos, Portugal
- Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto, Rua de Jorge Viterbo Ferreira 228, 4050-313 Porto, Portugal
- Escola de Ciências da Vida e do Ambiente (ECVA), Universidade de Trás-os-Montes e Alto Douro (UTAD), Quinta dos Prados, 5000-801 Vila Real, Portugal
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Ocal D, McCarthy ID, Poole T, Primativo S, Suzuki T, Tyler N, Frost C, Crutch SJ, Yong KXX. Effects of the visual environment on object localization in posterior cortical atrophy and typical Alzheimer's disease. Front Med (Lausanne) 2023; 10:1102510. [PMID: 36926317 PMCID: PMC10011642 DOI: 10.3389/fmed.2023.1102510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Accepted: 01/19/2023] [Indexed: 03/08/2023] Open
Abstract
Introduction Visual processing deficits in Alzheimer's disease are associated with diminished functional independence. While environmental adaptations have been proposed to promote independence, recent guidance gives limited consideration to such deficits and offers conflicting recommendations for people with dementia. We evaluated the effects of clutter and color contrasts on performances of everyday actions in posterior cortical atrophy and memory-led typical Alzheimer's disease. Methods 15 patients with posterior cortical atrophy, 11 with typical Alzheimer's disease and 16 healthy controls were asked to pick up a visible target object as part of two pilot repeated-measures investigations from a standing or seated position. Participants picked up the target within a controlled real-world setting under varying environmental conditions: with/without clutter, with/without color contrast cue and far/near target position. Task completion time was recorded using a target-mounted inertial measurement unit. Results Across both experiments, difficulties locating a target object were apparent through patient groups taking an estimated 50-90% longer to pick up targets relative to controls. There was no evidence of effects of color contrast when locating objects from standing/seated positions and of any other environmental conditions from a standing position on completion time in any participant group. Locating objects, surrounded by five distractors rather than none, from a seated position was associated with a disproportionately greater effect on completion times in the posterior cortical atrophy group relative to the control or typical Alzheimer's disease groups. Smaller, not statistically significant but directionally consistent, ratios of relative effects were seen for two distractors compared with none. Discussion Findings are consistent with inefficient object localization in posterior cortical atrophy relative to typical Alzheimer's disease and control groups, particularly with targets presented within reaching distance among visual clutter. Findings may carry implications for considering the adverse effects of visual clutter in developing and implementing environmental modifications to promote functional independence in Alzheimer's disease.
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Affiliation(s)
- Dilek Ocal
- Dementia Research Centre, Department of Neurodegeneration, UCL Institute of Neurology, University College London, London, United Kingdom
| | - Ian D McCarthy
- Pedestrian Accessibility and Movement Environment Laboratory, Department of Civil, Environmental and Geomatic Engineering, Faculty of Engineering Science, University College London, London, United Kingdom
| | - Teresa Poole
- Dementia Research Centre, Department of Neurodegeneration, UCL Institute of Neurology, University College London, London, United Kingdom.,Department of Medical Statistics, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Silvia Primativo
- Dementia Research Centre, Department of Neurodegeneration, UCL Institute of Neurology, University College London, London, United Kingdom
| | - Tatsuto Suzuki
- Pedestrian Accessibility and Movement Environment Laboratory, Department of Civil, Environmental and Geomatic Engineering, Faculty of Engineering Science, University College London, London, United Kingdom
| | - Nick Tyler
- Pedestrian Accessibility and Movement Environment Laboratory, Department of Civil, Environmental and Geomatic Engineering, Faculty of Engineering Science, University College London, London, United Kingdom
| | - Chris Frost
- Dementia Research Centre, Department of Neurodegeneration, UCL Institute of Neurology, University College London, London, United Kingdom.,Department of Medical Statistics, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Sebastian J Crutch
- Dementia Research Centre, Department of Neurodegeneration, UCL Institute of Neurology, University College London, London, United Kingdom
| | - Keir X X Yong
- Dementia Research Centre, Department of Neurodegeneration, UCL Institute of Neurology, University College London, London, United Kingdom
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Yong KXX, McCarthy ID, Poole T, Ocal D, Suzuki A, Suzuki T, Mengoudi K, Papadosifos N, Boampong D, Tyler N, Frost C, Crutch SJ. Effects of lighting variability on locomotion in posterior cortical atrophy. Alzheimers Dement (N Y) 2020; 6:e12077. [PMID: 33043109 PMCID: PMC7539669 DOI: 10.1002/trc2.12077] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 07/10/2020] [Accepted: 07/28/2020] [Indexed: 12/15/2022]
Abstract
INTRODUCTION Clinical reports describe patients with Alzheimer's disease (AD) exhibiting atypical adaptive walking responses to the visual environment; however, there is limited empirical investigation of such behaviors or factors modulating their expression. We aim to evaluate effects of lighting-based interventions and clinical presentation (visual- vs memory-led) on walking function in participants with posterior cortical atrophy (PCA) and typical AD (tAD). METHODS Participants with PCA (n = 10), tAD (n = 9), and healthy controls (n = 12) walked to visible target destinations under different lighting conditions within two pilot repeated-measures design investigations (Experiment 1: 32 trials per participant; Experiment 2: 36 trials per participant). Participants walked to destinations with the floorpath interrupted by shadows varying in spatial extent (Experiment 1: no, medium, high shadow) or with different localized parts of the environment illuminated (Experiment 2: target, middle, or distractor illuminated). The primary study outcome for both experimental tasks was completion time; secondary kinematic outcomes were proportions of steps identified as outliers (Experiment 1) and walking path directness (Experiment 2). RESULTS In Experiment 1, PCA participants overall demonstrated modest reductions in time taken to reach destinations when walking to destinations uninterrupted by shadows compared to high shadow conditions (7.1% reduction [95% confidence interval 2.5, 11.5; P = .003]). Experiment 2 found no evidence of differences in task performance for different localized lighting conditions in PCA participants overall. Neither experiment found evidence of differences in task performance between conditions in tAD or control participants overall. Completion time in both patient groups was longer relative to controls, and longer in PCA relative to tAD groups. DISCUSSION Findings represent a quantitative characterization of a clinical phenomenon involving patients misperceiving shadows, implicating dementia-related cortico-visual impairments. Results contribute to evidence-based design guidelines for dementia-friendly environments.
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Affiliation(s)
- Keir X. X. Yong
- Dementia Research CentreDepartment of Neurodegenerative DiseaseUCL Queen Square Institute of NeurologyLondonUK
| | - Ian D. McCarthy
- Pedestrian Accessibility and Movement Environment LaboratoryDepartment of Civil, Environmental and Geomatic EngineeringFaculty of Engineering ScienceUniversity College LondonLondonUK
| | - Teresa Poole
- Dementia Research CentreDepartment of Neurodegenerative DiseaseUCL Queen Square Institute of NeurologyLondonUK
- Department of Medical StatisticsFaculty of Epidemiology and Population HealthLondon School of Hygiene & Tropical MedicineLondonUK
| | - Dilek Ocal
- Dementia Research CentreDepartment of Neurodegenerative DiseaseUCL Queen Square Institute of NeurologyLondonUK
| | - Ayako Suzuki
- Pedestrian Accessibility and Movement Environment LaboratoryDepartment of Civil, Environmental and Geomatic EngineeringFaculty of Engineering ScienceUniversity College LondonLondonUK
| | - Tatsuto Suzuki
- Pedestrian Accessibility and Movement Environment LaboratoryDepartment of Civil, Environmental and Geomatic EngineeringFaculty of Engineering ScienceUniversity College LondonLondonUK
| | - Kyriaki Mengoudi
- Centre for Medical Image ComputingDepartment of Computer ScienceFaculty of Engineering ScienceUniversity College LondonLondonUK
| | - Nikolaos Papadosifos
- Pedestrian Accessibility and Movement Environment LaboratoryDepartment of Civil, Environmental and Geomatic EngineeringFaculty of Engineering ScienceUniversity College LondonLondonUK
| | - Derrick Boampong
- Pedestrian Accessibility and Movement Environment LaboratoryDepartment of Civil, Environmental and Geomatic EngineeringFaculty of Engineering ScienceUniversity College LondonLondonUK
| | - Nick Tyler
- Pedestrian Accessibility and Movement Environment LaboratoryDepartment of Civil, Environmental and Geomatic EngineeringFaculty of Engineering ScienceUniversity College LondonLondonUK
| | - Chris Frost
- Dementia Research CentreDepartment of Neurodegenerative DiseaseUCL Queen Square Institute of NeurologyLondonUK
- Department of Medical StatisticsFaculty of Epidemiology and Population HealthLondon School of Hygiene & Tropical MedicineLondonUK
| | - Sebastian J. Crutch
- Dementia Research CentreDepartment of Neurodegenerative DiseaseUCL Queen Square Institute of NeurologyLondonUK
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Karythis S, Cornwell TO, Noya LG, McCarthy ID, Whiteley NM, Jenkins SR. Prey vulnerability and predation pressure shape predator-induced changes in O2 consumption and antipredator behaviour. Anim Behav 2020. [DOI: 10.1016/j.anbehav.2020.07.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Cornwell TO, McCarthy ID, Biro PA. Integration of physiology, behaviour and life history traits: personality and pace of life in a marine gastropod. Anim Behav 2020. [DOI: 10.1016/j.anbehav.2020.03.009] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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McCarthy ID, Whiteley NM, Fernandez WS, Ragagnin MN, Cornwell TO, Suckling CC, Turra A. Elevated pCO 2 does not impair performance in autotomised individuals of the intertidal predatory starfish Asterias rubens (Linnaeus, 1758). Mar Environ Res 2020; 153:104841. [PMID: 31757479 DOI: 10.1016/j.marenvres.2019.104841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Revised: 11/10/2019] [Accepted: 11/12/2019] [Indexed: 06/10/2023]
Abstract
The impacts of ocean acidification remain less well-studied in starfish compared to other echinoderm groups. This study examined the combined effects of elevated pCO2 and arm regeneration on the performance of the intertidal predatory starfish Asterias rubens, as both are predicted to come at a cost to the individual. A two-way factorial experiment (~400 μatm vs ~1000 μatm; autotomised vs non-automised individuals) was used to examine growth rates, lipid content (pyloric caeca and gonads), and calcium content (body wall) in both intact and regenerating arms, as well as subsequent effects on rate of arm regeneration, righting time (behaviour) and mortality over 120 days. Autotomised individuals tended to show lower (not significant), survival and growth. Elevated pCO2 had no effect on mortality, body growth, arm regeneration, righting time or arm calcium content. Lipid content was higher in the pyloric caeca, but not in the gonads, in response to elevated pCO2 irrespective of autotomisation. The results of the study suggest that adult A. rubens remain unaffected by increased pCO2 and/or arm autotomy for 120 days, although longer term experiments are necessary as the results indicated that survival, growth and calcification may be impaired with longer-term exposure to elevated pCO2.
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Affiliation(s)
- Ian D McCarthy
- School of Ocean Sciences, Bangor University, Menai Bridge, Anglesey, LL59 5AB, United Kingdom
| | - Nia M Whiteley
- School of Natural Sciences, Bangor University, Bangor, Gwynedd, LL57 2UW, United Kingdom
| | | | - Marilia N Ragagnin
- Oceanographic Institute, São Paulo University, São Paulo, São Paulo, 05508-120, Brazil
| | - Tomas O Cornwell
- School of Ocean Sciences, Bangor University, Menai Bridge, Anglesey, LL59 5AB, United Kingdom
| | - Coleen C Suckling
- School of Fisheries, Animal and Veterinary Science, University of Rhode Island, Kingston, RI, 02881, USA
| | - Alexander Turra
- Oceanographic Institute, São Paulo University, São Paulo, São Paulo, 05508-120, Brazil
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Turra A, Ragagnin MN, McCarthy ID, Fernandez WS. The effect of ocean acidification on the intertidal hermit crab Pagurus criniticornis is not modulated by cheliped amputation and sex. Mar Environ Res 2020; 153:104794. [PMID: 31582297 DOI: 10.1016/j.marenvres.2019.104794] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2019] [Revised: 09/23/2019] [Accepted: 09/27/2019] [Indexed: 06/10/2023]
Abstract
Impacts of the interactive effects of ocean acidification (OA) with other anthropogenic environmental stressors on marine biodiversity are receiving increasing attention in recent years. However, little is known about how organismal responses to OA may be influenced by common phenomena such as autotomy and sexual dimorphism. This study evaluated the long-term (120 days) combined effects of OA (pH 7.7), experimental cheliped amputation and sex on physiological stress (mortality, growth, number of molts, cheliped regeneration and startle response) and energy budget (lipid and calcium contents) in the intertidal sexually-dimorphic hermit crab Pagurus criniticornis. Crabs exposed to OA reduced survivorship (46%), molting frequency (36%) and lipid content (42%). Autotomised crabs and males molted more frequently (39% and 32%, respectively). Males presented higher regeneration (33%) and lower lipid content (24%). The few synergistic effects recorded did not indicate any clear pattern among treatments however, (1) a stronger reduction in lipid content was recorded in non-autotomised crabs exposed to low pH; (2) calcium content was higher in males than females only for autotomised crabs under control pH; and (3) autotomised females showed a proportionally slower activity recovery than autotomised males. Although our results suggest an effect of long-term exposure to low pH on the physiological stress and energy budget of Pagurus criniticornis, the physiological repertoire and plasticity associated with limb regeneration and the maintenance of dimorphism in secondary sexual characters may provide resilience to long-term exposure to OA.
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Affiliation(s)
- Alexander Turra
- Oceanographic Institute, University of São Paulo, São Paulo, 05508-120, SP, Brazil.
| | - Marilia N Ragagnin
- Oceanographic Institute, University of São Paulo, São Paulo, 05508-120, SP, Brazil
| | - Ian D McCarthy
- School of Ocean Sciences, Bangor University, Menai Bridge, Anglesey, LL59 5AB, United Kingdom
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Pizzochero AC, de la Torre A, Sanz P, Navarro I, Michel LN, Lepoint G, Das K, Schnitzler JG, Chenery SR, McCarthy ID, Malm O, Dorneles PR, Martínez MÁ. Occurrence of legacy and emerging organic pollutants in whitemouth croakers from Southeastern Brazil. Sci Total Environ 2019; 682:719-728. [PMID: 31129551 DOI: 10.1016/j.scitotenv.2019.05.213] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Revised: 05/14/2019] [Accepted: 05/14/2019] [Indexed: 06/09/2023]
Abstract
The whitemouth croaker (Micropogonias furnieri) is one of the most commercially important species along the Atlantic coast of South America. Moreover, some of its biological traits (long life span, inshore feeding, high trophic position) make this species a suitable sentinel of coastal pollution. Here, we investigated contamination by multiple legacy and emerging organic pollutants, such as brominated and chlorinated flame retardants, polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs), in whitemouth croakers from two estuaries (Guanabara and Sepetiba Bays) located in industrialized and urbanized areas in Rio de Janeiro State, Southeastern Brazil. Furthermore, we assessed how biological and ecological features could explain the observed contamination patterns. Regarding brominated flame retardants, concentrations of polybrominated diphenyl ethers (PBDEs) varied from 7.6 to 879.7 pg g-1 wet weight (w.w.), with high contribution of tetra-, penta-, hexa- and deca-BDEs. The sum of chlorinated flame retardants (dechlorane-related compounds, ΣDRC) ranged from <LOD to 41.1 pg g-1 w.w., mostly represented by Dechlorane 603 and Dechlorane Plus (DP). Concentrations of PCDDs and PCDFs varied from <LOD to 1.7 pg g-1 w.w., while the Toxic Equivalent (TEQ-PCDD/Fs) levels ranged from 0.1 to 0.2 pg g-1 w.w. Positive correlations between δ15N and concentrations of tri-, tetra- and penta-BDEs, as well as ΣDRC, DP and anti-DP isomers suggested that ecological factors (namely biomagnification along the food web) influence contamination of whitemouth croakers in the estuaries studied. Moreover, the sum of PBDEs (ΣPBDE), tri- and tetra-BDEs concentrations were negatively correlated with fish size, suggesting that depuration by fishes and/or habitat shift throughout the whitemouth croaker's life cycle might also influence concentrations. Overall, our study emphasized the need for further investigations to help understand the complex patterns of bioaccumulation and biomagnification that seem to exist in Southeastern Brazil.
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Affiliation(s)
- Ana Carolina Pizzochero
- Radioisotope Laboratory, Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Brazil.
| | - Adrián de la Torre
- Persistent Organic Pollutants Group, Environmental Department, CIEMAT, Madrid, Spain
| | - Paloma Sanz
- Persistent Organic Pollutants Group, Environmental Department, CIEMAT, Madrid, Spain
| | - Irene Navarro
- Persistent Organic Pollutants Group, Environmental Department, CIEMAT, Madrid, Spain
| | - Loïc N Michel
- Freshwater and Oceanic Sciences Unit of reSearch (FOCUS), Laboratory of Oceanology, University of Liege, Belgium
| | - Gilles Lepoint
- Freshwater and Oceanic Sciences Unit of reSearch (FOCUS), Laboratory of Oceanology, University of Liege, Belgium
| | - Krishna Das
- Freshwater and Oceanic Sciences Unit of reSearch (FOCUS), Laboratory of Oceanology, University of Liege, Belgium
| | - Joseph G Schnitzler
- Institute for Terrestrial and Aquatic Wildlife Research (ITAW), University of Veterinary Medicine, Hannover, Germany
| | - Simon R Chenery
- British Geological Survey (BGS), Kingsley Dunham Centre, Keyworth, Nottingham, United Kingdom
| | - Ian D McCarthy
- School of Ocean Sciences, Bangor University (BU), Wales, United Kingdom
| | - Olaf Malm
- Radioisotope Laboratory, Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Brazil
| | - Paulo R Dorneles
- Radioisotope Laboratory, Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Brazil
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Cornwell TO, McCarthy ID, Snyder CRA, Biro PA. The influence of environmental gradients on individual behaviour: Individual plasticity is consistent across risk and temperature gradients. J Anim Ecol 2019; 88:511-520. [PMID: 30516829 DOI: 10.1111/1365-2656.12935] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2018] [Accepted: 11/12/2018] [Indexed: 12/21/2022]
Abstract
The expression of individual behaviour as a function of environmental variation (behavioural plasticity) is recognized as a means for animals to modify their phenotypes in response to changing conditions. Plasticity has been studied extensively in recent years, leading to an accumulation of evidence for behavioural plasticity within natural populations. Despite the recent attention given to studying individual variation in behavioural plasticity, there is still a lack of consensus regarding its causes and constraints. One pressing question related to this is whether individual plasticity carries over across temporal and environmental gradients. That is, are some individuals more plastic (responsive) than others in general? Here, we examined the influence of temporal and environmental gradients on individual behavioural responses in a marine gastropod, Littoraria irrorata. We measured individual boldness repeatedly over time and in response to tidal cycle (high vs. low, an index of risk) and daily temperature fluctuations (known to affect metabolism), in a controlled field experiment. On average, boldness increased from high to low tide and with increasing temperature but decreased marginally over time. Individuals also differed in their responses to variation in tide and temperature, but not over time. Those which were relatively bold at high tide (when predation risk is greater) were similarly bold at low tide, whereas shy individuals became much more "bold" at low tide. Most notably, individuals that were more responsive to tide (and thus risk) were also more responsive to temperature changes, indicating that plasticity was correlated across contexts (r = 0.57) and that bolder individuals were least plastic overall. This study provides a rare and possibly first example of consistency of individual behavioural plasticity across contexts, suggesting underlying physiology as a common mechanism, and raises the possibility of correlational selection on plasticity.
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Affiliation(s)
- Tomas O Cornwell
- School of Ocean Sciences, Bangor University, Menai Bridge, Anglesey, UK
| | - Ian D McCarthy
- School of Ocean Sciences, Bangor University, Menai Bridge, Anglesey, UK
| | - C Richard A Snyder
- Eastern Shore Laboratory, Virginia Institute of Marine Science, College of William & Mary, Wachapreague, Virginia
| | - Peter A Biro
- Centre for Integrative Ecology, School of Life and Environmental Sciences, Deakin University, Geelong, Victoria, Australia
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Yong KXX, McCarthy ID, Poole T, Suzuki T, Yang B, Carton AM, Holloway C, Papadosifos N, Boampong D, Langham J, Slattery CF, Paterson RW, Foulkes AJM, Schott JM, Frost C, Tyler N, Crutch SJ. Navigational cue effects in Alzheimer's disease and posterior cortical atrophy. Ann Clin Transl Neurol 2018; 5:697-709. [PMID: 29928653 PMCID: PMC5989777 DOI: 10.1002/acn3.566] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2017] [Revised: 03/01/2018] [Accepted: 03/19/2018] [Indexed: 12/18/2022] Open
Abstract
Objective Deficits in spatial navigation are characteristic and disabling features of typical Alzheimer's disease (tAD) and posterior cortical atrophy (PCA). Visual cues have been proposed to mitigate such deficits; however, there is currently little empirical evidence for their use. Methods The effect of visual cues on visually guided navigation was assessed within a simplified real-world setting in individuals with tAD (n = 10), PCA (n = 8), and healthy controls (n = 12). In a repeated-measures design comprising 36 trials, participants walked to a visible target destination (an open door within a built environment), with or without the presence of an obstacle. Contrast and motion-based cues were evaluated; both aimed to facilitate performance by applying perceptual changes to target destinations without carrying explicit information. The primary outcome was completion time; secondary outcomes were measures of fixation position and walking path directness during consecutive task phases, determined using mobile eyetracking and motion capture methods. Results Results illustrate marked deficits in patients' navigational ability, with patient groups taking an estimated two to three times longer to reach target destinations than controls and exhibiting tortuous walking paths. There were no significant differences between tAD and PCA task performance. Overall, patients took less time to reach target destinations under cue conditions (contrast-cue: 11.8%; 95% CI: [2.5, 20.3]) and were more likely initially to fixate on targets. Interpretation The study evaluated navigation to destinations within a real-world environment. There is evidence that introducing perceptual changes to the environment may improve patients' navigational ability.
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Affiliation(s)
- Keir X X Yong
- Dementia Research Centre Department of Neurodegeneration UCL Institute of Neurology University College London London United Kingdom
| | - Ian D McCarthy
- Pedestrian Accessibility and Movement Environment Laboratory Department of Civil, Environmental and Geomatic Engineering Faculty of Engineering Science University College London London United Kingdom
| | - Teresa Poole
- Dementia Research Centre Department of Neurodegeneration UCL Institute of Neurology University College London London United Kingdom.,Department of Medical Statistics Faculty of Epidemiology and Population Health London School of Hygiene and Tropical Medicine London United Kingdom
| | - Tatsuto Suzuki
- Pedestrian Accessibility and Movement Environment Laboratory Department of Civil, Environmental and Geomatic Engineering Faculty of Engineering Science University College London London United Kingdom
| | - Biao Yang
- Pedestrian Accessibility and Movement Environment Laboratory Department of Civil, Environmental and Geomatic Engineering Faculty of Engineering Science University College London London United Kingdom.,School of Architecture and Urban Planning Harbin Institute of Technology Shenzhen Graduate School Shenzhen China
| | - Amelia M Carton
- Dementia Research Centre Department of Neurodegeneration UCL Institute of Neurology University College London London United Kingdom.,Oxford Health NHS Foundation Trust Oxford United Kingdom
| | - Catherine Holloway
- Pedestrian Accessibility and Movement Environment Laboratory Department of Civil, Environmental and Geomatic Engineering Faculty of Engineering Science University College London London United Kingdom.,Department of Computer Science Faculty of Engineering Science University College London London United Kingdom
| | - Nikolaos Papadosifos
- Pedestrian Accessibility and Movement Environment Laboratory Department of Civil, Environmental and Geomatic Engineering Faculty of Engineering Science University College London London United Kingdom
| | - Derrick Boampong
- Pedestrian Accessibility and Movement Environment Laboratory Department of Civil, Environmental and Geomatic Engineering Faculty of Engineering Science University College London London United Kingdom
| | - Julia Langham
- Department of Medical Statistics Faculty of Epidemiology and Population Health London School of Hygiene and Tropical Medicine London United Kingdom
| | - Catherine F Slattery
- Dementia Research Centre Department of Neurodegeneration UCL Institute of Neurology University College London London United Kingdom
| | - Ross W Paterson
- Dementia Research Centre Department of Neurodegeneration UCL Institute of Neurology University College London London United Kingdom
| | - Alexander J M Foulkes
- Dementia Research Centre Department of Neurodegeneration UCL Institute of Neurology University College London London United Kingdom
| | - Jonathan M Schott
- Dementia Research Centre Department of Neurodegeneration UCL Institute of Neurology University College London London United Kingdom
| | - Chris Frost
- Dementia Research Centre Department of Neurodegeneration UCL Institute of Neurology University College London London United Kingdom.,Department of Medical Statistics Faculty of Epidemiology and Population Health London School of Hygiene and Tropical Medicine London United Kingdom
| | - Nick Tyler
- Pedestrian Accessibility and Movement Environment Laboratory Department of Civil, Environmental and Geomatic Engineering Faculty of Engineering Science University College London London United Kingdom
| | - Sebastian J Crutch
- Dementia Research Centre Department of Neurodegeneration UCL Institute of Neurology University College London London United Kingdom
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McCarthy ID, Owen SF, Watt PW, Houlihan DF. Individuals Maintain Similar Rates of Protein Synthesis over Time on the Same Plane of Nutrition under Controlled Environmental Conditions. PLoS One 2016; 11:e0152239. [PMID: 27018996 PMCID: PMC4809500 DOI: 10.1371/journal.pone.0152239] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2015] [Accepted: 03/10/2016] [Indexed: 11/27/2022] Open
Abstract
Consistent individual differences in animal performance drive individual fitness under variable environmental conditions and provide the framework through which natural selection can operate. Underlying this concept is the assumption that individuals will display consistent levels of performance in fitness-related traits and interest has focused on individual variation and broad sense repeatability in a range of behavioural and physiological traits. Despite playing a central role in maintenance and growth, and with considerable inter-individual variation documented, broad sense repeatability in rates of protein synthesis has not been assessed. In this study we show for the first time that juvenile flounder Platichthys flesus reared under controlled environmental conditions on the same plane of nutrition for 46 days maintain consistent whole-animal absolute rates of protein synthesis (As). By feeding meals containing 15N-labelled protein and using a stochastic end-point model, two non-terminal measures of protein synthesis were made 32 days apart (d14 and d46). As values (mass-corrected to a standard mass of 12 g) showed 2- to 3-fold variation between individuals on d14 and d46 but individuals showed similar As values on both days with a broad sense repeatability estimate of 0.684 indicating significant consistency in physiological performance under controlled experimental conditions. The use of non-terminal methodologies in studies of animal ecophysiology to make repeat measures of physiological performance enables known individuals to be tracked across changing conditions. Adopting this approach, repeat measures of protein synthesis under controlled conditions will allow individual ontogenetic changes in protein metabolism to be assessed to better understand the ageing process and to determine individual physiological adaptive capacity, and associated energetic costs of adaptation, to global environmental change.
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Affiliation(s)
- Ian D. McCarthy
- School of Ocean Sciences, Bangor University, Menai Bridge, Anglesey, United Kingdom
- Instituto Oceanográfico, Universidade de São Paulo, São Paulo, SP, Brazil
- * E-mail:
| | - Stewart F. Owen
- AstraZeneca, Alderley Park, Macclesfield, Cheshire, United Kingdom
| | - Peter W. Watt
- Sport and Exercise Science and Medicine, University of Brighton, Eastbourne, United Kingdom
| | - Dominic F. Houlihan
- School of Biological Sciences, Aberdeen University, Aberdeen, United Kingdom
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12
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McCarthy ID, Brown J. Assessing the reproducibility of fractional rates of protein synthesis in muscle tissue measured using the flooding dose technique. Comp Biochem Physiol A Mol Integr Physiol 2016; 197:9-15. [PMID: 26970581 DOI: 10.1016/j.cbpa.2016.03.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2015] [Revised: 03/02/2016] [Accepted: 03/03/2016] [Indexed: 11/18/2022]
Abstract
The flooding dose technique of Garlick et al. (1980) has become the main method for measuring tissue and whole-animal rates of protein synthesis in ectotherms. However, single tissue samples are used to determine rates of protein synthesis and no studies have examined the pattern of flooding in large tissues such as the white muscle in fishes, which can comprise up to 55% of the wet body mass of a fish and which is poorly perfused. The present study has examined, for the first time, the patterns of flooding and measured rates of protein synthesis in five different regions of the white muscle in the Arctic charr Salvelinus alpinus ranging in size from 25g to 1.6kg following a flooding dose injection of L-[(3)H]-phenylalanine. The results indicate that the degree of flooding (i.e. free pool specific radioactivity relative to that of the injection solution) and elevation in free phenylalanine concentrations can vary between regions but the calculated fractional rates of protein synthesis were similar in four of the five regions studied. The variability in rates of protein synthesis increased with body size with greater variability observed between regions for fish >1kg in body mass. For consistency between studies, it is recommended that samples are taken from the epaxial muscle in the region below the dorsal fin when measuring fractional rates of white muscle synthesis in fishes.
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Affiliation(s)
- Ian D McCarthy
- School of Ocean Sciences, College of Natural Sciences, Bangor University, Askew Street, Menai Bridge, Anglesey LL59 5AB, UK; Laboratorio de Manejo, Ecologia e Conservação Marinha, Instituto Oceanográfico, Universidade de São Paulo, Praça do Oceanográfico 191, Cidade Universitária, 05508-120 São Paulo, SP, Brazil.
| | - James Brown
- School of Biological Sciences, College of Natural Sciences, Bangor University, Deiniol Road, Bangor, Gwynedd, LL57 2UW, UK
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13
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McCarthy ID, Nicholls R, Malham SK, Whiteley NM. Validation of the flooding dose technique to determine fractional rates of protein synthesis in a model bivalve species, the blue mussel (Mytilus edulis L.). Comp Biochem Physiol A Mol Integr Physiol 2015; 191:166-173. [PMID: 26497279 DOI: 10.1016/j.cbpa.2015.10.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2015] [Revised: 10/16/2015] [Accepted: 10/16/2015] [Indexed: 10/22/2022]
Abstract
For the first time, use of the flooding dose technique using (3)H-Phenylalanine is validated for measuring whole-animal and tissue-specific rates of protein synthesis in the blue mussel Mytilus edulis (61mm shell length; 4.0g fresh body mass). Following injection, the phenylalanine-specific radioactivities in the gill, mantle and whole-animal free pools were elevated within one hour and remained elevated and stable for up to 6h following injection of (3)H-phenylalanine into the posterior adductor muscle. Incorporation of (3)H-phenylalanine into body protein was linear over time following injection and the non-significant intercepts for the regressions suggested incorporation into body protein occurred rapidly after injection. These results validate the technique for measuring rates of protein synthesis in mussels. There were no differences in the calculated rates following 1-6h incubation in gill, mantle or whole-animal and fractional rates of protein synthesis from the combined time course data were 9.5±0.8%d(-1) for the gill, 2.5±0.3%d(-1) for the mantle and 2.6±0.3%d(-1) for the whole-animal, respectively (mean values±SEM). The whole-animal absolute rate of protein synthesis was calculated as 18.9±0.6mg protein day(-1). The use of this technique in measuring one of the major components of maintenance metabolism and growth will provide a valuable and convenient tool in furthering our understanding of the protein metabolism and energetics of this keystone marine invertebrate and its ability to adjust and respond to fluctuations, such as that expected as a result of climate change.
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Affiliation(s)
- Ian D McCarthy
- School of Ocean Sciences, College of Natural Sciences, Bangor University, Askew Street, Menai Bridge, Anglesey, LL59 5AB, UK; Laboratorio de Manejo, Ecologia e Conservação Marinha, Instituto Oceanográfico, Universidade de São Paulo, Praça do Oceanográfico 191, Cidade Universitária, 05508-120 São Paulo SP, Brazil.
| | - Ruth Nicholls
- School of Ocean Sciences, College of Natural Sciences, Bangor University, Askew Street, Menai Bridge, Anglesey, LL59 5AB, UK
| | - Shelagh K Malham
- School of Ocean Sciences, College of Natural Sciences, Bangor University, Askew Street, Menai Bridge, Anglesey, LL59 5AB, UK
| | - Nia M Whiteley
- School of Biological Sciences, College of Natural Sciences, Bangor University, Deiniol Road, Bangor, Gwynedd, LL57 2UW, UK
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14
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Tysklind N, Taylor MI, Lyons BP, Goodsir F, McCarthy ID, Carvalho GR. Population genetics provides new insights into biomarker prevalence in dab (Limanda limanda L.): a key marine biomonitoring species. Evol Appl 2013; 6:891-909. [PMID: 24062799 PMCID: PMC3779091 DOI: 10.1111/eva.12074] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2013] [Accepted: 04/03/2013] [Indexed: 12/19/2022] Open
Abstract
Bioindicators are species for which some quantifiable aspect of its biology, a biomarker, is assumed to be sensitive to ecosystem health. However, there is frequently a lack of information on the underlying genetic and environmental drivers shaping the spatiotemporal variance in prevalence of the biomarkers employed. Here, we explore the relative role of potential variables influencing the spatiotemporal prevalence of biomarkers in dab, Limanda limanda, a species used as a bioindicator of marine contaminants. Firstly, the spatiotemporal genetic structure of dab around UK waters (39 samples across 15 sites for four years: 2005–2008) is evaluated with 16 microsatellites. Two temporally stable groups are identified corresponding to the North and Irish Seas (average between basin = 0.007; = 0.022). Secondly, we examine the association between biomarker prevalence and several variables, including genetic structuring, age and contaminant exposure. Genetic structure had significant interactive effects, together with age and some contaminants, in the prevalence of some of the biomarkers considered, namely hyperpigmentation and liver lesions. The integration of these data sets enhanced our understanding of the relationship between biomarker prevalence, exposure to contaminants and population-specific response, thereby yielding more informative predictive models of response and prospects for environmental remediation.
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Affiliation(s)
- Niklas Tysklind
- Molecular Ecology and Fisheries Genetics Laboratory, Environment Centre Wales, School of Biological Sciences, Bangor University Gwynedd, UK
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15
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Abstract
Summary
In order for natural selection to operate, physiological and behavioural traits must exhibit both inter-individual variability and intra-individual consistency (i.e. repeatability) in performance. In this study, we describe individual variation and temporal repeatability in the escape responses of the queen scallop Aequipecten opercularis and determine whether individuals exhibited consistently high or low rankings in different aspects of the escape response. Five measures of individual performance were recorded on 4 occasions (days 0, 2, 7 and 28) providing proxies for sensory acuity (response latency), immediate and sustained swimming performance (burst and average clap-rates) and swimming endurance (total number of claps and total time spent clapping). All components of the escape response exhibited significant inter-individual variability (all P<0.0001). Escape response latency, burst clap-rate, total number of claps and total duration spent clapping maintained significant repeatability over 28 days (all P<0.016). Average clap-rate was repeatable in the short term (2 days, P<0.0001) but repeatability declined by 28 days (P=0.097). Concordance analysis indicated that individuals maintained the same performance rankings over time for each component of the escape response (all P<0.001). In addition, some individuals ranked as consistently high or low performers across response latency, burst and average clap-rate and total number of claps. An individual's ability to evade predators through the provision of an escape response of an appropriate magnitude, subject to physiological, behavioural and organismal constraints, will have clear fitness-related consequences.
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16
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Kempster RM, McCarthy ID, Collin SP. Phylogenetic and ecological factors influencing the number and distribution of electroreceptors in elasmobranchs. J Fish Biol 2012; 80:2055-88. [PMID: 22497416 DOI: 10.1111/j.1095-8649.2011.03214.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
Electroreception is found throughout the animal kingdom from invertebrates to mammals and has been shown to play an important role in prey detection, facilitating social behaviours, the detection of predators and orientation to the earth's magnetic field for navigation. Electroreceptors in elasmobranchs, the ampullae of Lorenzini, detect minute electric fields and independently process these stimuli, thereby providing spatial information to the central nervous system on the location of a source, often potential prey. The ampullae of Lorenzini are individually connected to a single somatic pore on the surface of the skin, with the spatial separation of each pore directly influencing how electrical stimuli are detected and processed. Pore abundance varies across taxonomic groups resulting in unique species-specific differences. The intricate distribution patterns created by the specific positioning of somatic pores on the head are, however, consistent within families, resulting in patterns that are identifiable at higher taxonomic levels. As elasmobranchs evolved, the electrosensory system became more complex and highly specialized, which is evident by a general trend of increasing pore abundance over time. The elasmobranch electrosensory system has evolved to operate efficiently under the environmental conditions of the particular habitat in which a species lives. For example, reduced pore abundance is evident in oceanic pelagic elasmobranchs, for whom visual cues are thought to be of great importance. Pore abundance and spatial distribution may be influenced by multiple factors including head morphology, phylogeny, feeding behaviour and habitat.
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Affiliation(s)
- R M Kempster
- The UWA Oceans Institute and the School of Animal Biology, The University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, Australia.
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17
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Moore ABM, McCarthy ID, Carvalho GR, Peirce R. Species, sex, size and male maturity composition of previously unreported elasmobranch landings in Kuwait, Qatar and Abu Dhabi Emirate. J Fish Biol 2012; 80:1619-1642. [PMID: 22497401 DOI: 10.1111/j.1095-8649.2011.03210.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
This paper presents data from the first major survey of the diversity, biology and fisheries of elasmobranchs in the Persian (Arabian) Gulf. Substantial landings of elasmobranchs, usually as gillnet by-catch, were recorded in Kuwait, Qatar and the Emirate of Abu Dhabi (part of the United Arab Emirates), although larger elasmobranchs from targeted line fisheries were landed in Abu Dhabi. The elasmobranch fauna recorded was distinctive and included species that are undescribed, rare and have a highly restricted known distribution. Numerical abundance was dominated by sharks (c. 80%), of which carcharhinids were by far the most important. The milk shark Rhizoprionodon acutus and whitecheek shark Carcharhinus dussumieri together comprised just under half of all recorded individuals. Around 90% of recorded sharks were small (50-90 cm total length, L(T) ) individuals, most of which were mature individuals of species with a small maximum size (<100 cm L(T) ), although immature individuals of larger species (e.g. Carcharhinus sorrah and other Carcharhinus spp.) were also important. The most frequently recorded batoid taxa were cownose rays Rhinoptera spp., an undescribed whipray, and the granulated guitarfish Rhinobatos granulatus. The first size, sex and maturity data for a wide range of Gulf elasmobranch species are presented (including L(T) at 50% maturity for males of four shark species) and include some notable differences from other locations in the Indo-West Pacific Ocean. A number of concerns regarding the sustainability of the fishery were highlighted by this study, notably that most of the batoid species recorded are classed by the IUCN Red List as vulnerable, endangered, data deficient or not evaluated. Despite their considerable elasmobranch landings, none of the three countries sampled have developed a 'Shark Plan' as encouraged to do so under the FAO International Plan of Action: Sharks. Furthermore, Kuwait and Qatar currently report zero or no elasmobranch landings to the FAO.
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Affiliation(s)
- A B M Moore
- School of Ocean Sciences, Bangor University, Askew Street, Menai Bridge, Anglesey, LL59 5AB, UK.
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18
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Hafez MI, Sandison A, Coombs RRH, McCarthy ID, Hafez ASM. Effects of temperature generated from the Holmium: YAG laser on human osteoblasts in monolayer tissue culture. Methods Mol Biol 2012; 806:377-83. [PMID: 22057464 DOI: 10.1007/978-1-61779-367-7_24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
With the use of lasers for ablation purposes in spinal surgery, the tissue temperature increases above the boiling point of water, leading to tissue ablation by vaporisation. Due to the thermal environment engendered by the use of lasers, there is concern about the safety of the surrounding important structures, such as dura mater, dorsal root ganglia, and nerve roots.
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Affiliation(s)
- Moustafa I Hafez
- Department of Musculoskeletal Surgery, Imperial College London, Charing Cross Hospital, London, UK.
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19
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McCarthy ID, Bloomer Z, Gall A, Keen R, Ferguson-Pell M. Changes in the structural and material properties of the tibia in patients with spinal cord injury. Spinal Cord 2011; 50:333-7. [PMID: 22124349 DOI: 10.1038/sc.2011.143] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
STUDY DESIGN A cross-sectional study. OBJECTIVES To measure the change of structural and material properties at different sites of the tibia in spinal cord-injured patients using peripheral quantitative computerised tomography (pQCT). SETTING Orthopaedic research centre (UK). METHODS Thirty-one subjects were measured--eight with acute spinal cord injury (SCI), nine with chronic SCI and fourteen able-bodied controls. pQCT scans were performed at 2% (proximal), 34% (diaphyseal) and 96% (distal) along the tibia from the tibial plateau. Structural measures of bone were calculated, and volumetric bone mineral density (vBMD) was also measured at all three levels. Muscle cross-sectional area was measured at the diaphyseal level. RESULTS Structurally, there were changes in the cortical bone; in the diaphysis, the shape of the cross-section changed to offer less resistance to AP bending, and the cross-sectional area of the cortical shell decreased both proximally and distally. There were corresponding changes in vBMD in the anterior aspect of the cortical diaphysis, as well as proximal and distal trabecular bone. Changes in muscle occurred more rapidly than changes in bone. CONCLUSION There were clear changes of both structure and material at all three levels of the tibia in chronic SCI patients. These changes were consistent with specific adaptations to reduced local mechanical loading conditions. To assess fracture risk in SCI and also to monitor the effect of therapeutic interventions, the structure of the bone should be considered in addition to trabecular bone mineral density.
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Affiliation(s)
- I D McCarthy
- UCL Institute of Orthopaedics and Musculoskeletal Science, Stanmore, UK.
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20
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Abstract
Protein synthesis is one of the major energy-consuming processes in all living organisms. Post-prandial changes in protein synthesis have been studied in a range of animal taxa but have been little studied in fish larvae. Using the flooding-dose method, we measured post-prandial changes in whole-body rates of protein synthesis in regularly fed red drum Sciaenops ocellatus (Linnaeus) larvae for 24-28 h following their daily meal. Fractional rates of protein synthesis increased from a baseline (pre-feeding) rate of 16% day(-1) to a post-prandial peak of 48% day(-1) ca. 8 h after feeding before declining to 12% day(-1) after 24-28 h. The overall mean daily rate of protein synthesis was calculated as 27% day(-1). Although suggested as energetically impossible in larval poikilotherms, our results show that rates in excess of 30% day(-1) can be attained by larval fishes for a few hours but are not sustained. The average daily energetic cost of protein synthesis was estimated as 34% of daily total oxygen consumption, ranging from 19% immediately before feeding to 61% during the post-prandial peak in protein synthesis. This suggests that during the post-prandial peak, protein synthesis will require a large proportion of the hourly energy production, which, given the limited metabolic scope in fish larvae, may limit the energy that could otherwise be allocated to other energy-costly functions, such as foraging and escape responses.
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Affiliation(s)
- Ian D McCarthy
- School of Ocean Sciences, College of Natural Sciences, Bangor University, Menai Bridge, Anglesey, UK.
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21
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Hussey NE, Brush J, McCarthy ID, Fisk AT. δ15N and δ13C diet–tissue discrimination factors for large sharks under semi-controlled conditions. Comp Biochem Physiol A Mol Integr Physiol 2010; 155:445-53. [DOI: 10.1016/j.cbpa.2009.09.023] [Citation(s) in RCA: 119] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2009] [Revised: 09/21/2009] [Accepted: 09/22/2009] [Indexed: 10/20/2022]
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McCarthy ID, Fuiman LA. Growth and protein metabolism in red drum (Sciaenops ocellatus) larvae exposed to environmental levels of atrazine and malathion. Aquat Toxicol 2008; 88:220-229. [PMID: 18572261 DOI: 10.1016/j.aquatox.2008.05.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2007] [Revised: 04/02/2008] [Accepted: 05/01/2008] [Indexed: 05/26/2023]
Abstract
Contaminant exposure can affect development, growth, and behaviour of fish larvae, but its effect on rates of protein synthesis and protein degradation are not known. The aim of the present study was to examine the effects of a single pulsed dose aqueous exposure to environmentally realistic levels of two contaminants, atrazine (0, 40 and 80 microgl(-1)) and malathion (0, 1 and 10 microgl(-1)), on growth and protein synthesis in red drum (Sciaenops ocellatus) larvae. Growth was assessed in terms of increase in length, weight, and protein content over an 8-day period following exposure. Rates of protein synthesis were measured by the flooding dose technique 2, 4, and 8 days after initial exposure to each contaminant by bathing larvae in seawater containing L-[2,6-(3)H] phenylalanine. Exposure to atrazine had no effect on larval growth in length, but caused marginally significant declines in growth in weight (P=0.05) and protein content (P=0.06). However, protein synthesis rates were significantly higher for atrazine-exposed larvae on days 4 (P=0.04) and 8 (P=0.01), suggesting an increase in rates of protein degradation. On day 8, the efficiency with which synthesised proteins contributed to growth was significantly lower (P=0.04) in atrazine-exposed larvae. In contrast, malathion had no significant effects on growth in length or protein content, but there were significant decreases in growth in weight over 8 days. The only other significant effect of malathion was an increase in protein synthesis on day 2 for treated larvae relative to controls. Previous work [Alvarez, M.C., Fuiman, L.A., 2005. Environmental levels of atrazine and its degradation products impair survival skills and growth of red drum larvae. Aquat. Toxicol. 74, 229-241] reported hyperactivity and increased metabolic rate in larval red drum exposed to atrazine, indicating a clear energetic cost. Our results further emphasise the energetic cost of atrazine exposure through elevated rates of protein synthesis and degradation resulting in reduced protein retention efficiency and lower growth rates. Overall, we conclude that exposure to atrazine from surface water run-off can increase the energy requirements and the larval phase duration in red drum larvae, possibly resulting in reduced survival and recruitment in cohorts exposed to atrazine.
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Affiliation(s)
- Ian D McCarthy
- The University of Texas at Austin, Marine Science Institute, Port Aransas, TX 78373, USA.
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Gómez-Benito MJ, García-Aznar JM, McCarthy ID, Draper E, Wallace A, Doblaré M. LOAD SHARING BETWEEN FRACTURED BONE AND FIXATOR: EXPERIMENTAL AND COMPUTATIONAL ANALYSIS. J Biomech 2008. [DOI: 10.1016/s0021-9290(08)70292-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Kjellson F, Abdulghani S, Tanner KE, McCarthy ID, Lidgren L. Effect of iodixanol particle size on the mechanical properties of a PMMA based bone cement. J Mater Sci Mater Med 2007; 18:1043-51. [PMID: 17265134 DOI: 10.1007/s10856-006-0116-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2005] [Accepted: 02/22/2006] [Indexed: 05/13/2023]
Abstract
Iodixanol (IDX) is a water soluble opacifier widely used in radiographical examinations of blood vessels and neural tissue, and it has been suggested as a potential contrast media in acrylic bone cement. The effect of the iodixanol particle size on the polymerisation process of the bone cement, the molecular weight, and the quasi-static mechanical properties have been investigated in this article. The investigation was performed using radiolucent Palacos powder mixed with 8 wt% of iodixanol with particle sizes ranging from 3 to 20 microm MMD, compared with commercial Palacos R (15 wt% ZrO2) as control. Tensile, compressive and flexural tests showed that smaller particles (groups with 3, 4, and 5 microm particles) resulted in significantly lower mechanical properties than the larger particles (groups with 15, 16, and 20 microm particles). There was no difference in molecular weight between the groups. The thermographical investigation showed that the IDX cements exhibit substantially lower maximum temperatures than Palacos R, with the 4 microm IDX group having the lowest maximum temperature. The isothermal and the constant rate differential scanning calorimetry (DSC) did not show any difference in polymerisation heat (DeltaH) or glass transition temperature (Tg) between radiolucent cement, or cement containing either IDX, or ZrO2. The findings show that the particle size for a bone cement containing iodixanol should be above 8 microm MMD.
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Affiliation(s)
- Fred Kjellson
- Department of Orthopaedics, Lund University Hospital, 221 85 Lund, Sweden.
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25
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Alvarez MDC, Murphy CA, Rose KA, McCarthy ID, Fuiman LA. Maternal body burdens of methylmercury impair survival skills of offspring in Atlantic croaker (Micropogonias undulatus). Aquat Toxicol 2006; 80:329-37. [PMID: 17083986 DOI: 10.1016/j.aquatox.2006.09.010] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2006] [Revised: 09/29/2006] [Accepted: 09/30/2006] [Indexed: 05/06/2023]
Abstract
Methylmercury (MeHg), the organic form of mercury, bioaccumulates easily through the food chain. Fish in high trophic levels can accumulate substantial levels of MeHg and transfer it to their developing eggs. Here, the effects of maternally derived MeHg on the planktonic larval stage of Atlantic croaker were investigated. Adult Atlantic croaker were fed MeHg-contaminated food at three levels: 0, 0.05, and 0.1 mg kg(-1) day(-1) for 1 month. Fish were then induced to spawn and MeHg levels in the eggs were measured (0.04-4.6 ng g(-1)). Behavioral performance of exposed and control larvae was measured at four developmental stages: end of yolk absorption (yolk), end of oil absorption (oil), and 4 and 11 days after oil absorption (oil+4 and oil+11). Behaviors analyzed included survival skills related to foraging and predator evasion: routine behavior (rate of travel, active swimming speed, net-to-gross displacement ratio, and activity) and startle response to a visual and a vibratory stimulus (responsiveness, reactive distance, response distance, response duration, average response speed, and maximum response speed). Maternally transferred MeHg induced concentration-dependent effects on survival skills. Statistical and simulation models applied to predict the ecological consequences of the behavioral effects suggested that maternal transfer of MeHg may substantially lower survival of planktonic stage larvae compared to unexposed larvae. These results also imply that larvae of top predatory fish species, such as blue marlin, may suffer mortality through maternal transfer of MeHg.
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Affiliation(s)
- María del Carmen Alvarez
- The University of Texas Marine Science Institute, 750 Channel View Drive, Port Aransas, TX 78373, USA.
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26
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Forslund C, Persson J, Strömqvist B, Lidgren L, McCarthy ID. Effects of high-intensity focused ultrasound on the intervertebral disc: a potential therapy for disc herniations. J Clin Ultrasound 2006; 34:330-8. [PMID: 16869008 DOI: 10.1002/jcu.20242] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
PURPOSE To determine the potential application of high-intensity focused ultrasound for the minimally invasive treatment of herniated intervertebral discs by developing a probe that produces sufficiently high temperature locally to shrink collagen fibers (65-75 degrees Celsius). MATERIALS AND METHODS A 5-mm ultrasound probe was produced with a geometric focal length of 15 mm. The probe produced 2.5 W of acoustic power and was operated at a frequency of 4.1 MHz. Measurements of temperature increase were performed in discs from bovine tails. In vivo experiments were performed to assess histologic changes in the disc as well as in nerve root and muscle. RESULTS Sufficient temperature increase to produce collagen shrinkage was observed close to the focus of the ultrasound. Temperature measurements in vertebral end plates showed a temperature increase of only 4 degrees Celsius after 60-second exposure of the disc. In vivo experiments revealed histologic changes in the disc consistent with collagen shrinkage, with no adverse effects seen in surrounding tissues. CONCLUSIONS The experiments demonstrated the feasibility of high-intensity focused ultrasound in the treatment of contained herniated discs. This technique has several advantages over other thermal treatment modalities.
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Espahbodi S, Humphries KN, Doré CJ, McCarthy ID, Standfield NJ, Cosgrove DO, Hughes SPF. Colour doppler ultrasound of the lumbar arteries: a novel application and reproducibility study in healthy subjects. Ultrasound Med Biol 2006; 32:171-82. [PMID: 16464662 DOI: 10.1016/j.ultrasmedbio.2005.11.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/27/2005] [Revised: 11/08/2005] [Accepted: 11/17/2005] [Indexed: 05/06/2023]
Abstract
Lumbar arteries are important because they are the main source of blood supply to the lumbar spine structures. However, these vessels and their flow characteristics have received little attention and their role in conditions such as low back pain remains unclear. The present study 1. describes the application of duplex ultrasonography in the assessment of lumbar artery blood flow and 2. evaluates the interobserver and intraobserver reproducibility of lumbar artery Doppler velocimetry. A total of 13 healthy volunteers were evaluated by two different examiners successively on the same day and measurements repeated by the same examiners 1 week later. Peak systolic velocities of lumbar arteries were recorded at an optimal angle below 60 degrees . Overall mean peak systolic velocity (+/-SD) for lumbar arteries was 0.158 +/- 0.051 m/s, and mean Doppler angle (+/-SD) was 24.6 +/- 14.5 degrees . For interobserver variability, the coefficient of variation was 23.4% and SD of differences 0.037 m/s. Reliable results of lumbar artery Doppler velocimetry demonstrate its applicability in future clinical investigations in patients with low back disorders. (E-mail: ).
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Affiliation(s)
- Shima Espahbodi
- Musculoskeletal Section, Department of Acute and Reconstructive Surgery, Division of Surgery Anaesthetics and Intensive Care, Imperial College London, London, UK.
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Abstract
Bone loss during long-term space flight is potentially a significant problem. Bone mineral density measurements show that bone is lost at a rate of about 1% per month from the lumbar spine, and 1.5% per month from the hip. Bone density changes are not uniform throughout the skeleton, and there is accumulating evidence that the distribution of bone density changes may be related to fluid shifts observed in microgravity. The paper summarises the data relating fluid shift of bone density changes in microgravity. In addition, microgravity and ground-based experiment were carried out to investigate the effects of interstitial fluid flow on bone formation. Data from these experiments were interpreted in light of the review data relating fluid shift to bone density changes in microgravity. Both experiments assessed the effect of an external pneumatic venous tourniquet on bone distal to the tourniquet. In the first experiment, a pneumatic tourniquet was designed to be placed around one ankle of a single astronaut on a 180-day mission on the MIR space station. Ultrasound measurements of both calcanei were made during the mission, and dual energy x-ray densitometry (x-ray absorption) measurements were performed at the start and end of the mission. In the second experiment, ground-based experiments have been performed to investigate possible mechanisms for the action of such a tourniquet on bone. A venous tourniquet was designed to be placed around the hind limb of a rat, proximal to the knee, applying a continuous pressure of 30 mmHg. The tourniquet increased significantly tibial fluid weight, periosteal bone formation and intracortical bone remodelling. Some of the effects appeared to due to a nitric oxide dependant pathway. It is proposed that tissue fluid pressures have an effect on bone that is independent of mechanical load, which may explain the variation in bone mineral density observed in space flight.
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Affiliation(s)
- Ian D McCarthy
- Biomechanics and Biomaterials Laboratory, Department of Orthopedics, Lund University Hospital, Lund, Sweden.
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Abstract
BACKGROUND The Ho: YAG laser is used extensively in orthopedic surgery. It offers a minimally invasive method of ablating tissue with precision. Previous studies have explored the effects of laser use on temperature during experimental foraminoplasty. To date, there has been limited work on the effects of thermal stress on cells in this context. Material and methods Cells were exposed either to heated medium or the Ho: YAG laser in the high-power mode. Heated medium was used as a stressor by (I) exposing groups of cells to a constant temperature of 45 degrees C for varying lengths of time: 5, 10, 15 and 20 min, and (II) exposing cells for a fixed length of time (5 min) to varying temperatures: 45 degrees C, 55 degrees C, 65 degrees C with a control treated at 37 degrees C. A third group was subjected to direct laser treatment. The effects of the treatments were assessed using trypan blue staining as a measure of viability and immunocytochemistry was used to measure changes in heat shock protein (HSP) expression. RESULTS There was a negative correlation between cell viability and HSP expression, and between cell viability and the severity of the treatment. INTERPRETATION Our findings suggest a possible role for the Ho: YAG laser in spinal foraminoplasty based on the high level of cell viability in the treatment regimen that most closely mirrored the clinical application of the laser.
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Affiliation(s)
- Osa Emohare
- Imperial College, Faculty of Medicine, London
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Kjellson F, Almén T, Tanner KE, McCarthy ID, Lidgren L. Bone cement X-ray contrast media: A clinically relevant method of measuring their efficacy. J Biomed Mater Res B Appl Biomater 2004; 70:354-61. [PMID: 15264319 DOI: 10.1002/jbm.b.30060] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
It is important to compare different contrast media used in bone cement according to their ability to attenuate X-rays and thereby produce image contrast between bone cement and its surroundings in clinical applications. The radiopacity of bone cement is often evaluated by making radiographs of cement in air at an X-ray tube voltage of 40 kV. We have developed a method for ranking contrast media in bone cement simulating the clinical situation, by (1) choosing the same X-ray tube voltage as used in clinical work, and (2) using a water phantom to imitate the effects of the patients' soft tissue on the X-ray photons. In clinical work it is desirable to have low radiation dose, but high image contrast. The voltage chosen is a compromise, because both dose and image contrast decrease with higher voltage. Three contrast media (ZrO(2), BaSO(4), and Iodixanol) have been compared for degree of "image contrast." Comparing 10 wt % contrast media samples at an X-ray tube voltage of 40 kV, ZrO(2) produced higher image contrast than the other media. However, at 80 kV, using a water phantom, the results were reversed, ZrO(2) produced lower image contrast than both BaSO(4) and Iodixanol. We conclude that evaluations of contrast media should be made with voltages and phantoms imitating the clinical application.
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Affiliation(s)
- F Kjellson
- Department of Orthopaedics, Lund University Hospital, S-221 85 Lund, Sweden.
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Abstract
Water uptake and release characteristics of PMMA cement containing the water-soluble contrast media iohexol or iodixanol have been investigated. The water uptake study revealed that iohexol had the highest uptake of water (3.7%) and that iodixanol had an uptake close to that of Palacos R (2.3% and 1.9%). The curves obtained showed the materials to follow classic diffusion theory, with an initial linearity with respect to t(1/2) making it possible to calculate the diffusion coefficients. This showed iohexol to have the lowest diffusion coefficient, Palacos R the highest, and iodixanol close to that of Palacos R. The release study showed that more iohexol than iodixanol was released from the bone cement; the long-term release was above 25 microg/mL for iohexol compared to slightly above 10 microg/mL for iodixanol. A microCT investigation showed that the risk of developing an observable radiolucent zone is negligible.
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Affiliation(s)
- F Kjellson
- Department of Orthopaedics, Lund University Hospital, Lund, Sweden.
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Abstract
Background: The shear properties of rigid polyurethane (PU-R) foams, routinely used to simulate cancellous bone, are not well characterized. Method of approach: The present assessment of the shear and compressive properties of four grades of Sawbones “Rigid cellular” PU-R foam tested 20 mm gauge diameter dumb-bell specimens in torsion and under axial loading. Results: Shear moduli ranged from 13.3 to 99.7 MPa, shear strengths from 0.7 MPa to 4.2 MPa. Compressive yield strains varied little with density while shear yield strains had peak values with “200 kgm−3” grade. Conclusions: PU-R foams may be used to simulate the elastic but not failure properties of cancellous bone.
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Affiliation(s)
- Mark S Thompson
- Department of Orthopaedics, Lund University Hospital, Lund 22185, Sweden.
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Abstract
OBJECTIVE The objective of this study was to determine of the efficiency of holmium:YAG laser for bone ablation, compared to cartilage and soft tissue of the intervertebral foramen of the lumbosacral spine. BACKGROUND DATA The holmium:YAG (Ho:YAG) laser has been used for ablation of bulging or prolapsed discs and also has the potential for decompression of the nerve root when there is narrowing of the foraminae (foraminoplasty). It is proposed that laser ablation of bone and ligament of the intervertebral foramen for nerve root decompression using the Ho:YAG laser is able to produce sufficient bone ablation without inducing significant thermal necrosis in surrounding tissues due to its short absorption length, which could result in significant clinical advantages. MATERIALS AND METHODS Experiments were performed on samples of laminar bone, facet joint capsule, and cartilage for quantitative and qualitative determination of the effect of Ho:YAG ablation on tissue mass loss using a range of pulse energies from 0.5 to 1.5 J/P at 15 pulses/sec. RESULTS The results showed a significant linear correlation between the mass loss and pulse energy, and between the mass loss and radiant exposure. Electron microscopy and histology showed that the Ho:YAG ablation resulted in a very sharp and clear border with little charring. Applying 0.01 k.J of total energy at two different settings (1.5 J/p, high power, and 0.5 J/p, low power) at 15 pulses/sec, the cross-sectional area/mm(2) of the ablated bone was measured, using light microscopy and the Scion Image analysis program. The ablated areas were 2.28 +/- 0.87 and 1.16 +/- 0.43 mm(2) at high and low power, respectively (p = 0.008).
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Affiliation(s)
- M I Hafez
- Department of Musculoskeletal Surgery, Division of Surgery, Anaesthesia and Intensive Care, Imperial College School of Medicine, Charing Cross Hospital, London, United Kingdom
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Hafez MI, Zhou S, Coombs RR, McCarthy ID. The effect of irrigation on peak temperatures in nerve root, dura, and intervertebral disc during laser-assisted foraminoplasty. Lasers Surg Med 2001; 29:33-7. [PMID: 11500860 DOI: 10.1002/lsm.1083] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
BACKGROUND AND OBJECTIVE The Holmium: YAG (Ho: YAG) laser has been used for the ablation of prolapsed discs but alternative techniques are available, and this application remains controversial. It also has potential for the decompression of nerve roots within narrowed foraminae with the technique of endoscopic laser foraminoplasty. Traditional methods of decompression necessitate a major surgical procedure with potential destabilisation of the lumbar spinal segment. Nevertheless, minimally invasive techniques are attractive only if serious complications can be avoided. This study reports the peak temperatures reached in surrounding tissues with and without saline irrigation. STUDY DESIGN/MATERIALS AND METHODS Investigation of the hypothesis was carried out in excised sheep lumbar spines. T-type thermocouples were used for the measurement of tissue temperatures during laser ablation of nerve root foraminae. The temperature was assessed in the nerve root, dura mater, and disc space. RESULTS The Ho: YAG laser was effective in widening the foraminae by approximately 1.5 mm with a total energy of 4.60 kJ. This was statistically significant in both vertical and horizontal directions (P < 0.0003 and P < 0.00005, respectively). The mean temperature of the nerve root, dura, and disc space during the procedure was 44 +/- 3.1 degrees C, 42.8 +/- 4.7 degrees C, and 41 +/- 3.4 degrees C respectively. There were transient high peaks seen in the temperature profiles. Using saline irrigation at 27 ml/minutes these temperatures were reduced to 34.1 +/- 1.8 degrees C (P = 0.0002), 34.9 +/- 1.5 degrees C (P = 0.002), and 37.2 +/- 1.2 degrees C (P < 0.014), for nerve roots, dura, and disc space respectively. CONCLUSIONS Laser ablation of bone and ligament for nerve root decompression using the Ho: YAG laser may offer substantial advantages, but the risk of serious complication may only be avoided if the technique is combined with saline irrigation.
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Affiliation(s)
- M I Hafez
- Department of Orthopaedic and Trauma Surgery, Imperial College School of Medicine, Charing Cross Campus, Fulham Palace Road, London W6 8RF.
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McCarthy ID, Hughes SPF, Orr JS. An experimental model to study the relationship between blood flow and uptake for bone-seeking radionuclides in normal bone. ACTA ACUST UNITED AC 2001. [DOI: 10.1088/0143-0815/1/2/004] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Abstract
Many Salmo trutta populations consist of non-anadromous (freshwater-resident) brown trout and anadromous (sea-run migratory) sea trout. Although adult brown trout and sea trout can usually be identified using differences in size and body colouration, it is not possible to easily identify eggs/alevins as the progeny of brown trout or sea trout. In this study we show that delta(13)C and delta(15)N, measured using a continuous flow isotope ratio mass spectrometer (CF-IRMS), can accurately identify fish eggs as the progeny of freshwater-resident (delta(13)C(egg) = -25.7 +/- 1.9 per thousand,delta(15)N(egg) = 9.2 +/- 1.8 per thousand) or migratory (delta(13)C(egg) = -19.9 +/- 1.1 per thousand, delta(15)N(egg) = 14. 3 +/- 1.5 per thousand) adult female Salmo trutta. Case studies show that stable isotope analysis is a more reliable technique for distinguishing anadromous adult fish than differentiation using morphological characteristics. For example, stable isotope analysis of brown trout from Loch Eck, Scotland, revealed that some individuals possessed delta(13)C and delta(15)N signatures indicative of marine feeding despite visual identification as freshwater-resident fish. It is most likely that these fish are misidentified sea trout although it possible that these fish may be brown trout that have adopted an estuarine feeding strategy to avoid interspecific competition for food within Loch Eck with salmon, powan and Arctic charr. Most stable isotope studies of fish ecology use terminal tissue sampling to provide sufficient biological material for isotopic analysis; however, our study suggests that adipose fin tissue could provide a comparable measure of delta(13)C and delta(15)N. Such a strategy would be invaluable when studying the trophic ecology or migration patterns of fish of high conservation value.
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Affiliation(s)
- I D McCarthy
- University Field Station, University of Glasgow, Rowardennan, Glasgow G63 0AW, UK.
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Abstract
An experimental model of fracture healing has been used to investigate whether nitric oxide mediated vascular reactivity, determined using laser Doppler flowmetry, is present in bone after a fracture. Times corresponding to Days 0, 1, 3, 7, 14, and 28 after fracture were used to study the injured and contralateral limbs in response to bolus intravenous administration of nitric oxide inhibitor, N-nitro-L-arginine methyl ester, and nitric oxide stimulator, acetylcholine. N-nitro-L-arginine methyl ester administration (1 mumol/kg, 10 mumol/kg, and 100 mumol/kg) caused a dose dependent increase in systemic blood pressure in each of the assessment groups; however, there was no statistical difference between the groups. Doppler flow readings at the fracture site showed measurable changes in local vascular reactivity after drug administration. At Day 1 after fracture, the magnitude of unit change in vascular reactivity in response to N-nitro-L-arginine methyl ester (1 mumol/kg, 10 mumol/kg, and 100 mumol/kg) was significantly higher in the fractured limb compared with the contralateral limb and also when compared with other points of assessment. These results show that nitric oxide mediated vasoreactivity is present about a fracture site and is maximal in the early healing phase, before returning to basal levels as healing progresses. This is compatible with an initial restoration of blood flow at a fracture site by nitric oxide dependent vasodilation of preexisting blood vessels, followed by ingrowth of less nitric oxide dependent angiogenic vessels during the later phase of repair.
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Affiliation(s)
- S A Corbett
- Department of Orthopaedic and Trauma Surgery, Imperial College School of Medicine, London, England
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Corbett SA, Hukkanen M, Batten J, McCarthy ID, Polak JM, Hughes SP. Nitric oxide in fracture repair. Differential localisation, expression and activity of nitric oxide synthases. J Bone Joint Surg Br 1999; 81:531-7. [PMID: 10872379 DOI: 10.1302/0301-620x.81b3.8852] [Citation(s) in RCA: 52] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Our aim was to investigate whether nitric oxide synthase (NOS) isoforms, responsible for the generation of NO, are expressed during the healing of fractures. To localise the sites of expression compared with those in normal bone we made standardised, stabilised, unilateral tibial fractures in male Wistar rats. Immunostaining was used to determine the precise tissue localisation of the different NOS isoforms. Western blotting was used to assess expression of NOS isoform protein and L-citrulline assays for studies on NOS activity. Control tissue was obtained from both the contralateral uninjured limb and limbs of normal rats. Immunohistochemistry showed increased expression of endothelial NOS (eNOS) to be strongest in the cortical blood vessels and in osteocytes in the early phase of fracture repair. Western blot and image analysis confirmed this initial increase. Significantly elevated calcium-dependent NOS activity was observed at day 1 after fracture. Inducible NOS (iNOS) was localised principally in endosteal osteoblasts and was also seen in chondroblasts especially in the second week of fracture healing. Western blotting showed a reduction in iNOS during the early healing period. Significantly reduced calcium-independent NOS activity was also seen. No neuronal NOS was seen in either fracture or normal tissue. Increased eNOS in bone blood vessels is likely to mediate the increased blood flow recognised during fracture healing. eNOS expression in osteocytes may occur in response to changes in either mechanical or local fluid shear stress. The finding that eNOS is increased and iNOS reduced in early healing of fractures may be important in their successful repair.
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Affiliation(s)
- S A Corbett
- Department of Orthopaedic and Trauma Surgery, Imperial College School of Medicine, London, UK
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McGregor AH, Doré CJ, McCarthy ID, Hughes SP. Are subjective clinical findings and objective clinical tests related to the motion characteristics of low back pain subjects? J Orthop Sports Phys Ther 1998; 28:370-7. [PMID: 9836167 DOI: 10.2519/jospt.1998.28.6.370] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Many authors have demonstrated that low back pain sufferers have impaired spinal motion. However, it is not known to what degree the patient's signs and symptoms influence this impairment in motion. The aim of this study was therefore to conduct an explorative study to investigate the relationship between low back pain patients' signs and presenting symptoms and objective measurements of motion. One hundred thirty-eight patients with low back pain completed a questionnaire detailing their signs and symptoms and underwent a full clinical examination. A potentiometric motion analysis system of known accuracy and repeatability was used to measure their spinal motion during a flexion-extension test. The effects of a variety of subjective and clinical findings on the motion characteristics were examined, which revealed that certain factors, such as diagnosis, pain characteristics, symptom severity, and level of disruption, were related to the resulting motion measurements. The strength of these relationships were not as strong as anticipated (accounting for 16-45% of the variability). This suggests that routine objective assessments cannot be used as a substitute for a thorough physical and subjective examination.
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Affiliation(s)
- A H McGregor
- Department of Orthopaedic and Trauma Surgery, Imperial College School of Medicine, London, United Kingdom
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McGregor AH, McCarthy ID, Doré CJ, Hughes SP. Quantitative assessment of the motion of the lumbar spine in the low back pain population and the effect of different spinal pathologies of this motion. Eur Spine J 1997; 6:308-15. [PMID: 9391800 PMCID: PMC3454599 DOI: 10.1007/bf01142676] [Citation(s) in RCA: 56] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
There are few objective means by which disability caused by low back pain (LBP) can be quantified. The purpose of this study was to investigate the usefulness of motion measurements in the assessment of LBP. The motion characteristics of 138 LBP subjects were investigated, and the data compared with a previously published database of normal subjects. Values of range of motion and angular velocity were obtained for all subjects in each plane of motion. Analysis of these motion characteristics demonstrated significant differences (P < 0.0001) between the two populations; however both populations demonstrated considerable intersubject variation. Multiple regression analysis revealed that some of the variance in the LBP population was attributable to the underlying diagnosis. Patients with a spondylolisthesis tended to be hypermobile whilst those with spinal stenosis, disc prolapse or degenerative disc disease tended to be hypomobile. All diagnostic groups showed impairments in their velocity characteristics.
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Affiliation(s)
- A H McGregor
- Royal Postgraduate Medical School, Hammersmith Hospital, London, United Kingdom.
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McCarthy ID, Andhoga M, Batten JJ, Mathie RT. Endothelium-dependent vasodilatation produced by the L-arginine/nitric oxide pathway in normal and ischemic bone. Acta Orthop Scand 1997; 68:361-8. [PMID: 9310041 DOI: 10.3109/17453679708996178] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
We used an experimental model of the perfused isolated rabbit tibia to investigate the vasodilatation produced by nitric oxide in the circulation of bone. Tibiae were perfused at a constant flow rate while the perfusion pressure was monitored continuously. Perfusion pressure was raised by the addition of noradrenaline to the perfusate, and dose responses were measured for bolus doses of acetylcholine and sodium nitroprusside. N omega-nitro-L-arginine methyl ester (L-NAME), an inhibitor of nitric oxide synthesis, was then added to the perfusate at a concentration of 10(-4) M, and the dose responses to acetylcholine and sodium nitroprusside were repeated. Measurements were performed on groups of bones after 0, 6, 12, and 24 hours of normothermic ischemia (n 5, 4, 6, and 9, respectively). Both acetylcholine and sodium nitroprusside produced significant vasodilatation after 0 and 6 hours' ischemia, but no significant response was observed after 12 or 24 hours of ischemia. The vasodilatation produced by acetylcholine was significantly attenuated when L-NAME was added to the perfusate, but the vasodilatation produced by sodium nitroprusside remained unchanged. These findings confirm endothelial production of NO by stimulation of muscarinic receptors on the endothelial cells in bone and indicate that vasodilatation via the L-arginine/NO pathway remains viable for 6 hours after normothermic ischemia.
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Affiliation(s)
- I D McCarthy
- Department of Surgery, Royal Postgraduate Medical School, London, UK.
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Hukkanen M, Corbett SA, Batten J, Konttinen YT, McCarthy ID, Maclouf J, Santavirta S, Hughes SP, Polak JM. Aseptic loosening of total hip replacement. Macrophage expression of inducible nitric oxide synthase and cyclo-oxygenase-2, together with peroxynitrite formation, as a possible mechanism for early prosthesis failure. J Bone Joint Surg Br 1997; 79:467-74. [PMID: 9180331 DOI: 10.1302/0301-620x.79b3.7469] [Citation(s) in RCA: 63] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Aseptic loosening is a major cause of failure of total hip arthroplasty. The adverse tissue response to prosthetic wear particles, with activation of cytokine and prostanoid production, contributes to bone loss around the implants. We have investigated the possibility that inducible nitric oxide synthase (iNOS) and cyclo-oxygenase-2 (COX-2) are expressed in macrophages in the pseudomembrane at the bone-implant interface, thereby contributing to the periprosthetic bone resorption. We also assessed whether peroxynitrite, a nitric oxide (NO)-derived oxidant associated with cellular injury, is generated in the membrane. Enzymatic activity of iNOS was measured using the arginine-citrulline assay technique and prostaglandin E2 (PGE2), as an indicator of COX-2 activity, was measured using an enzyme immunoassay. Cellular immunoreactivity for iNOS, nitrotyrosine (a marker of peroxynitrite-induced cellular injury) and COX-2 was assessed by quantitative peroxidase immunocytochemistry while immunofluorescence methods were used for subsequent co-localisation studies with CD68+ macrophages. The presence of calcium-independent iNOS activity and PGE2 production was confirmed in the homogenised interface membrane. Immunocytochemistry showed that periprosthetic CD68+ wear-debris-laden macrophages were the most prominent cell type immunoreactive for iNOS, nitrotyrosine and COX-2. Other periprosthetic inflammatory and resident cell types were also found to immunolocalise nitrotyrosine thereby suggesting peroxynitrite-induced protein nitrosylation and cellular damage not only in NO-producing CD68+ macrophages, but also in their neighbouring cells. These data indicate that both iNOS and COX-2 are expressed by CD68+ macrophages in the interface membrane and peroxynitrite-induced cellular damage is evident in such tissue. If high-output NO and peroxynitrite generation were to cause macrophage cell death, this would result in the release of phagocytosed wear debris into the extracellular matrix. A detrimental cycle of events would then be established with further phagocytosis by newly-recruited inflammatory cells and subsequent NO, peroxynitrite and prostanoid synthesis. Since both NO and PGE2 have been implicated in the induction and maintenance of chronic inflammation with resulting loss of bone, and peroxynitrite in the pathogenesis of disease states, they may be central to the pathogenesis of aseptic loosening.
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Affiliation(s)
- M Hukkanen
- Royal Postgraduate Medical School, Hammersmith Hospital, London, England, UK
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Brown MF, Hukkanen MV, McCarthy ID, Redfern DR, Batten JJ, Crock HV, Hughes SP, Polak JM. Sensory and sympathetic innervation of the vertebral endplate in patients with degenerative disc disease. J Bone Joint Surg Br 1997; 79:147-53. [PMID: 9020464 DOI: 10.1302/0301-620x.79b1.6814] [Citation(s) in RCA: 195] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
We obtained intervertebral discs with cartilage endplates and underlying cancellous bone at operation from patients with degenerative disc disease and then used immunohistochemical techniques to localise the nerves and nerve endings in the specimens. We used antibodies for the ubiquitous neuronal protein gene product 9.5 (PGP 9.5). Immunoreactivity to neuropeptide Y was used to identify autonomic nerves and calcitonin gene-related peptide (CGRP) and substance P to identify sensory nerves. Blood vessels were identified by immunoreactivity with platelet-endothelial cell-adhesion molecule (CD31; PECAM). In a control group with no known history of chronic back pain, nerve fibres immunoreactive to PGP 9.5 and neuropeptide Y were most closely related to blood vessels, with occasional substance P and CGRP immunoreactivity. In patients with severe back pain and markedly reduced disc height, proliferation of blood vessels and accompanying nerve fibres was observed in the endplate region and underlying vertebral bodies. Many of these nerves were immunoreactive to substance P or CGRP, and in addition, substance P- and CGRP-immunoreactive nociceptors were seen unrelated to blood vessels. Quantification by image analysis showed a marked increase in CGRP-containing sensory nerve fibres compared with normal control subjects. We speculate that a chemotactic response to products of disc breakdown is responsible for the proliferation of vascularity and CGRP-containing sensory nerves found in the endplate region and vertebral body adjacent to degenerate discs. The neuropeptides substance P and CGRP have potent vasodilatory as well as pain-transmitting effects. The increase in sensory nerve endings suggests increase in blood flow, perhaps as an attempt to augment the nutrition of the degenerate disc. The increase in the density of sensory nerves, and the presence of endplate cartilage defects, strongly suggest that the endplates and vertebral bodies are sources of pain; this may explain the severe pain on movement experienced by some patients with degenerative disc disease.
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Affiliation(s)
- M F Brown
- Department of Histochemistry, Royal Postgraduate Medical School, Hammersmith Hospital, London, UK
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Affiliation(s)
- A H McGregor
- Department of Orthopaedic Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London, W12 ONN, UK
| | - I D McCarthy
- Department of Orthopaedic Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London, W12 ONN, UK
| | - S P Hughes
- Department of Orthopaedic Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London, W12 ONN, UK
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McCarthy ID. Clearance of albumin by cortical bone and marrow. Clin Orthop Relat Res 1997:24-9. [PMID: 9005892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Male Sprague-Dawley rats, approximately 300 g, were anesthetized. The jugular vein and carotid artery were cannulated and the left femoral vein was exposed. The femoral vein was then ligated, and 2 minutes later albumin, labeled with 125I, was injected. The albumin was allowed to equilibrate in the vascular system for 3 minutes, and then 1 group of animals was euthanized. Further groups of animals were euthanized after 15, 30, and 60 minutes. Tibias were removed from both legs together with samples of muscle and liver. The tibias were separated into diaphyseal cortex, marrow, and proximal and distal ends. All tissue samples and terminal blood samples were counted for radioactivity, and volumes of distribution were calculated. In cortical bone the volume distribution increased from an initial value of 12.9 +/- 1.1 microL/g to 18.6 +/- 2.5 microL/g at 30 minutes in the control leg (mean +/- standard error of the mean, n = 5). In the congested leg, the volume of distribution increased from 10.6 +/- 0.6 to 19.6 +/- 2.1 microL/g during the same time interval. The difference in rate of increase between the congested and control leg was not statistically significant. Albumin seemed to equilibrate within 3 minutes within the marrow. The data are consistent with the hypothesis that macromolecular transport in the interstitial fluid of cortical bone is coupled to convectional flow from endosteal to periosteal surface. This data may help to understand mechanisms by which venous hypertension has been shown to stimulate bone growth and fracture repair, and also the distribution of bone density changes observed after prolonged exposure to microgravity.
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Affiliation(s)
- I D McCarthy
- Department of Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London, United Kingdom
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McCarthy ID. Investigation of the role of venous pressure in bone changes during prolonged weightlessness. J Gravit Physiol 1996; 3:33-6. [PMID: 11540272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
Affiliation(s)
- I D McCarthy
- Orthopaedic Surgery, Royal Postgraduate Medical School, London, UK
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Reichert ILH, McCarthy ID, Hughes SPF. The Acute Hemodynamic Response to Intramedullary Reaming of the Intact and Osteotomized Tibia: An Experimental Investigation with Radiolabeled Microspheres in the Ovine Tibia. Tech Orthop 1996. [DOI: 10.1097/00013611-199601110-00005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Abstract
STUDY DESIGN The present study investigated the dynamic motion characteristics of the lumbar spine in the normal population using a potentiometric analysis system. OBJECTIVES To assess the ability of a triaxial potentiometric analysis system to measure dynamic motion in the lumbar spine, and to use this system to form a database of dynamic motion characteristics from which normal parameters of motion and the factors affecting this motion could be defined. SUMMARY OF BACKGROUND DATA Spinal motion has been studied using a variety of different methods, the majority of which have been limited either in terms of reliability, accuracy, or invasiveness and many have been only of a static nature. There has been no previous study into the normal dynamic motion characteristics of the lumbar spine. METHODS The accuracy of the system was determined by a series of tests against a calibrated engineering mill, and the reliability of the system was assessed on 10 subjects with repeated measurements over a 3-day period. Values of range of motion and angular velocity were obtained from 203 normal subjects during flexion and extension, lateral flexion, and rotation. RESULTS The results of the calibration testing revealed excellent accuracy, and it was shown that the system was repeatable. Initial analysis of the results indicated that sex differences did exist with men having 58.4 degrees of flexion and women having 53.4 degrees. Age appeared to have an influence on motion, and a gradual reduction was seen with each decade (P < 0.001), with the 20-29-year age range having 59.5 degrees mean flexion, the 30-39-year group having 58.1 degrees, the 40-49-year group having 53.7 degrees, the 50-60-year group having 57.5 degrees, and the 60-70-year group having 45.9 degrees. Multiple regression techniques revealed that only a few factors are important with respect to motion and that these varied according to the characteristic being defined. CONCLUSIONS Range of motion tended to be affected by age and sex, whereas velocity was only affected by distance moved, with occupation and body mass index having little or no influence on the motion. The factors identified could only account for a small proportion of the variation seen, suggesting that it is difficult to predict the motion characteristics with any degree of sensitivity.
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Affiliation(s)
- A H McGregor
- Orthopaedic Surgery Royal Postgraduate Medical School, Hammersmith Hospital, London, United Kingdom
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Thomas Rde W, Batten JJ, Want S, McCarthy ID, Brown M, Hughes SP. A new in-vitro model to investigate antibiotic penetration of the intervertebral disc. ACTA ACUST UNITED AC 1995. [DOI: 10.1302/0301-620x.77b6.7593116] [Citation(s) in RCA: 26] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
We have studied the ability of a range of antibiotics to penetrate intervertebral disc tissue in vitro, using a mouse disc model. Equilibrium concentrations of antibiotics incorporated into the entire disc were determined by bioassay using a microbial growth-inhibition method. Uptake was significantly higher with positively-charged aminoglycosides compared with negatively-charged penicillins and cephalosporins. Uncharged ciprofloxacin showed an intermediate degree of uptake. Our results support the hypothesis that electrostatic interaction between charged antibiotics and negatively-charged glycosaminoglycans in the disc is an important factor in antibiotic penetration, and may explain their differential uptake.
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Thomas RDW, Batten JJ, Want S, McCarthy ID, Brown M, Hughes SP. A new in-vitro model to investigate antibiotic penetration of the intervertebral disc. J Bone Joint Surg Br 1995; 77:967-70. [PMID: 7593116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
We have studied the ability of a range of antibiotics to penetrate intervertebral disc tissue in vitro, using a mouse disc model. Equilibrium concentrations of antibiotics incorporated into the entire disc were determined by bioassay using a microbial growth-inhibition method. Uptake was significantly higher with positively-charged aminoglycosides compared with negatively-charged penicillins and cephalosporins. Uncharged ciprofloxacin showed an intermediate degree of uptake. Our results support the hypothesis that electrostatic interaction between charged antibiotics and negatively-charged glycosaminoglycans in the disc is an important factor in antibiotic penetration, and may explain their differential uptake.
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Affiliation(s)
- R de W Thomas
- Department of Orthopaedics, Royal Postgraduate Medical School, Hammersmith Hospital, London, UK
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