Prolate-spheroid ("rugby-shaped") hohlraum for inertial confinement fusion

A novel rugby-ball shaped hohlraum is designed in the context of the indirect-drive scheme of inertial-confinement fusion (ICF). Experiments were performed on the OMEGA laser and are the first use of rugby hohlraums for ICF studies. Analysis of experimental data shows that the hohlraum energetics is well understood. We show that the rugby-ball shape exhibits advantages over cylinder, in terms of temperature and of symmetry control of the capsule implosion. Simulations indicate that rugby hohlraum driven targets may be candidates for ignition in a context of early Laser MegaJoule experiments with reduced laser energy.

Enhanced effects of aminolaevulinic acid-based photodynamic therapy through local hyperthermia in rat tumours

The possibility of enhancing aminolaevulinic acid (ALA)-based photodynamic therapy (PDT) by simultaneous application of localised hyperthermia (HT) was evaluated. Treatments of rat DS-sarcomas included: (i) control, (ii) ALA administration (375 mg kg(-1), i.p.), no illumination, (iii) 'nonthermal' illumination, (iv) ALA-PDT: that is, ALA administration, 'nonthermal' illumination, (v) localised HT, 43 degrees C, 60 min (vi) ALA-PDT+HT: ALA administration with full spectrum irradiation resulting in ALA-PDT and HT. Tumour volume was monitored for 90 days or until a target volume (3.5 ml) was reached. No differences were seen between the first three groups, with all tumours reaching the target volume by 8-11 days. A total of 13 and 15% of tumours did not reach the target volume by day 90 following HT or ALA-PDT treatment, respectively. ALA-PDT+HT showed the greatest antitumour effect (P=0.0001), with 61% of the tumours not reaching the target volume. Viability and in vitro growth were also assessed in cells from tumours excised after treatment. ALA-PDT+HT reduced the fraction of viable tumour cells by 85%, and in vitro culture showed pronounced growth delay compared to control cells. These results demonstrate an enhanced antitumour effect upon ALA+HT, which appears to involve direct cell toxicity rather than solely vascular damage.

Arginine Vasotocin Modulates a Sexually Dimorphic Communication Behavior in the Weakly Electric fish APTERONOTUS LEPTORHYNCHUS

South American weakly electric fish produce a variety of electric organ discharge (EOD) amplitude and frequency modulations including chirps or rapid increases in EOD frequency that function as agonistic and courtship and mating displays. In Apteronotus leptorhynchus, chirps are readily evoked by the presence of the EOD of a conspecific or a sinusoidal signal designed to mimic another EOD, and we found that the frequency difference between the discharge of a given animal and that of an EOD mimic is important in determining which of two categories of chirp an animal will produce. Type-I chirps (EOD frequency increases averaging 650Hz and lasting approximately 25ms) are preferentially produced by males in response to EOD mimics with a frequency of 50–200Hz higher or lower than that of their own. The EOD frequency of Apteronotus leptorhynchus is sexually dimorphic: female EODs range from 600 to 800Hz and male EODs range from 800 to 1000Hz. Hence, EOD frequency differences effective in evoking type-I chirps are most likely to occur during male/female interactions. This result supports previous observations that type-I chirps are emitted most often during courtship and mating. Type-II chirps, which consist of shorter-duration frequency increases of approximately 100Hz, occur preferentially in response to EOD mimics that differ from the EOD of the animal by 10–15Hz. Hence these are preferentially evoked when animals of the same sex interact and, as previously suggested, probably represent agonistic displays. Females typically produced only type-II chirps. We also investigated the effects of arginine vasotocin on chirping. This peptide is known to modulate communication and other types of behavior in many species, and we found that arginine vasotocin decreased the production of type-II chirps by males and also increased the production of type-I chirps in a subset of males. The chirping of most females was not significantly affected by arginine vasotocin.

Dendritic modulation of burst-like firing in sensory neurons

This report describes the variability of spontaneous firing characteristics of sensory neurons, electrosensory lateral line lobe (ELL) pyramidal cells, within the electrosensory lateral line lobe of weakly electric fish in vivo. We show that these cells' spontaneous firing frequency, measures of spike train regularity (interspike interval coefficient of variation), and the tendency of these cells to produce bursts of action potentials are correlated with the size of the cell's apical dendritic arbor. We also show that bursting behavior may be influenced or controlled by descending inputs from higher centers that provide excitatory and inhibitory inputs to the pyramidal cells' apical dendrites. Pyramidal cells were classified as "bursty" or "nonbursty" according to whether or not spike trains deviated significantly from the expected properties of random (Poisson) spike trains of the same average firing frequency, and, in the case of bursty cells, the maximum within-burst interspike interval characteristic of bursts was determined. Each cell's probability of producing bursts above the level expected for a Poisson spike train was determined and related to spontaneous firing frequency and dendritic morphology. Pyramidal cells with large apical dendritic arbors have lower rates of spontaneous activity and higher probabilities of producing bursts above the expected level, while cells with smaller apical dendrites fire at higher frequencies and are less bursty. The effect of blocking non-N-methyl-D-aspartate (non-NMDA) glutamatergic synaptic inputs to the apical dendrites of these cells, and to local inhibitory interneurons, significantly reduced the spontaneous occurrence of spike bursts and intracellular injection of hyperpolarizing current mimicked this effect. The results suggest that bursty firing of ELL pyramidal cells may be under descending control allowing activity in electrosensory feedback pathways to influence the firing properties of sensory neurons early in the processing hierarchy.

Viral infections in interferon-gamma receptor deficiency

Interferon-gamma receptor deficiency is a recently described immunodeficiency that is associated with onset of severe mycobacterial infections in childhood. We describe the occurrence of symptomatic and often severe viral infections in 4 patients with interferon-gamma receptor deficiency and mycobacterial disease. The viral pathogens included herpes viruses, parainfluenza virus type 3, and respiratory syncytial virus. We conclude that patients with interferon-gamma receptor deficiency and mycobacterial disease have increased susceptibility to some viral pathogens.

Plasticity of feedback inputs in the apteronotid electrosensory system

Weakly electric fish generate an electric field surrounding their body by means of an electric organ typically located within the trunk and tail. Electroreceptors scattered over the surface of the body encode the amplitude and timing of the electric organ discharge (EOD), and central components of the electrosensory system analyze the information provided by the electroreceptor afferents. The electrosensory system is used for electrolocation, for the detection and analysis of objects near the fish which distort the EOD and for electrocommunication. Since the electric organ is typically located in the tail, any movement of this structure relative to the rest of the body alters the EOD field, resulting in large changes in receptor afferent activity. The amplitude of these reafferent stimuli can exceed the amplitudes of near-threshold electrolocation signals by several orders of magnitude. This review summarizes recent studies of the South American weakly electric fish Apteronotus leptorhynchus aimed at determining how the animals differentiate self-generated or reafferent electrosensory stimuli from those that are more behaviorally relevant. Cells within the earliest stages of central electrosensory processing utilize an adaptive filtering technique which allows the system preferentially to attenuate reafferent as well as other predictable patterns of sensory input without degrading responses to more novel stimuli. Synaptic plasticity within the system underlies the adaptive component of the filter and enables the system to learn to reject new stimulus patterns if these become predictable. A Ca2+-mediated form of postsynaptic depression contributes to this synaptic plasticity. The filter mechanism seen in A. leptorhynchus is surprisingly similar to adaptive filters described previously in mormyrid weakly electric fish and in elasmobranchs, suggesting that this mechanism may be a common feature of sensory processing systems.

Modulation of calcium-dependent postsynaptic depression contributes to an adaptive sensory filter

Modulation of calcium-dependent postsynaptic depression contributes to an adaptive sensory filter. J. Neurophysiol. 80: 3352-3355, 1998. The ability of organisms to ignore unimportant patterns of sensory input may be as critical as the ability to attend to those that are behaviorally relevant. Mechanisms used to reject irrelevant inputs range from peripheral filters, which allow only restricted portions of the spectrum of possible inputs to pass, to higher-level processes, which actively select stimuli to be "attended to." Recent studies of several lower vertebrates demonstrate the presence of adaptive sensory filters, which "learn," with a time course of a few minutes, to cancel predictable patterns of sensory input without compromising responses to novel stimuli. Predictable stimuli include "reafferent" stimuli, which occur as a result of an animal's own activity, as well as stimuli that are simply repetitive. The adaptive characteristic of these filters depends on an anti-Hebbian form of synaptic plasticity that modulates the strength of multisensory dendritic inputs resulting in the genesis of "negative image" signals, which cancel the predicted pattern of sensory afference. This report provides evidence that the mechanism underlying the anti-Hebbian plasticity involves the modulation of a calcium-dependent form of postsynaptic depression.

T lymphocytes with a normal ADA gene accumulate after transplantation of transduced autologous umbilical cord blood CD34+ cells in ADA-deficient SCID neonates

Adenosine deaminase-deficient severe combined immunodeficiency was the first disease investigated for gene therapy because of a postulated production or survival advantage for gene-corrected T lymphocytes, which may overcome inefficient gene transfer. Four years after three newborns with this disease were given infusions of transduced autologous umbilical cord blood CD34+ cells, the frequency of gene-containing T lymphocytes has risen to 1-10%, whereas the frequencies of other hematopoietic and lymphoid cells containing the gene remain at 0.01-0.1%. Cessation of polyethylene glycol-conjugated adenosine deaminase enzyme replacement in one subject led to a decline in immune function, despite the persistence of gene-containing T lymphocytes. Thus, despite the long-term engraftment of transduced stem cells and selective accumulation of gene-containing T lymphocytes, improved gene transfer and expression will be needed to attain a therapeutic effect.

Plasticity in an electrosensory system. III. Contrasting properties of spatially segregated dendritic inputs

Efferent neurons of the first-order electrosensory processing center of the brain, the electrosensory lateral line lobe (ELL), receive electroreceptor afferent input as well as feedback inputs descending from higher centers. These ELL efferents, pyramidal cells, adaptively filter predictable patterns of sensory input while preserving sensitivity to novel stimuli. The filter mechanism involves integration of centrally generated predictive inputs with the afferent inputs being canceled. The predictive inputs, referred to as "negative image" inputs, terminate on pyramidal cell apical dendrites and generate responses that are opposite those resulting from the predictable afference, hence integration of these signals results in attenuation of pyramidal cell responses. The system also shows a robust form of plasticity; the pyramidal cells learn, with a time course of a few minutes, to cancel new patterns of repetitive inputs. This is accomplished by adjusting the strength of excitatory and inhibitory apical dendritic inputs according to an anti-Hebbian learning rule. This study focuses on the properties of two separate pathways that convey descending information to pyramidal cell apical dendrites. One pathway terminates proximally, nearer to the pyramidal cell body, whereas the other terminates distally. Recordings of ELL evoked potentials, extracellular pyramidal cell spike responses, and intracellularly recorded synaptic potentials show that the pyramidal cells respond oppositely to moderate-frequency (> approximately 8 Hz) single pulse stimulation or repeated (1/s) tetanic activation of these two pathways. Repetitive activation of the proximally terminating pathway results in highly facilitating responses due to potentiation of pyramidal cell excitatory postsynaptic potentials (EPSPs). These same stimuli applied to the distally terminating pathway result in a reduction of pyramidal cell responses due to depression of EPSPs and potentiation of inhibitatory postsynaptic potentials (IPSPs). Anti-Hebbian plasticity was demonstrated by pairing tetanic stimulation of either pathway with changes in the postsynaptic cell's membrane potential. After stabilization of the response potentiation due to tetanic stimulation of the proximally terminating pathway, paired postsynaptic hyperpolarization resulted in further increases in spike responses and additional potentiation of pyramidal cell EPSPs. Paired postsynaptic depolarization reduced subsequent responses to the tetanus, depressed EPSP amplitudes, and, in many cases, potentiated IPSPs. The same pattern of plasticity was observed when postsynaptic hyper- or depolarization was paired with tetanic stimulation of the distally terminating pathway except that the plasticity was superimposed on the depressed pyramidal cell responses resulting from stimulating this pathway alone. Modulation of a postsynaptic form of synaptic depression is proposed to account for the anti-Hebbian plasticity associated with both pathways.

The syndrome of autoimmune interstitial nephritis and membranous nephropathy

A 2-year-old male patient was evaluated for Fanconi syndrome with hypertension and failure to thrive. Renal biopsy revealed autoimmune interstitial nephritis with membranous nephropathy. The patient developed autoimmune hemolytic anemia and intractable diarrhea with villous atrophy of the jejunum. He progressed to end-stage renal disease and was transplanted without recurrent disease. Immune work-up done prior to immunosuppressive therapy showed marked elevation of IgE. Studies of T lymphocyte cytokine production showed normal production of interleukin-4 but depressed levels of interferon-gamma. The simultaneous occurrence of autoimmune interstitial nephritis and membranous nephropathy in a young male represents a unique syndrome. Abnormalities of T lymphocyte subpopulations and their cytokines may be involved in the pathogenesis of this disorder.

The generation and subtraction of sensory expectations within cerebellum-like structures

The generation of expectations about sensory input and the subtraction of such expectations from actual input appear to be important features of sensory processing. This paper describes the generation of sensory expectations within cerebellum-like structures of four distinct groups of fishes: Mormyridae; Rajidae; Scorpaenidae; and Apteronotidae. These structures consist of a sheet-like array of principal cells. Apical dendrites of the principal cells extend out into a molecular layer where they are contacted by parallel fibers. The basilar regions of the arrays receive primary afferent input from octavolateral endorgans, i.e., electroreceptors, mechanical lateral line neuromasts, or eighth nerve endorgans. The parallel fibers in the molecular layer convey various types of information, including corollary discharge signals associated with motor commands, sensory information from other modalities such as proprioception, and descending input from higher stages of the sensory modality that is processed by the structure. Associations between the signals conveyed by the parallel fibers and particular patterns of sensory input to the basal layers lead to the generation of a negative image of expected sensory input within the principal cell array. Addition of this negative image to actual sensory input results in the subtraction of expected from actual input, allowing the unexpected or novel input to stand out more clearly. Intracellular recording indicates that the negative image is probably generated by means of anti-Hebbian synaptic plasticity at the parallel fiber to principal cell synapse. The results are remarkably similar in the different fishes and may generalize to cerebellum-like structures in other sensory systems and taxa.

Plasticity in an electrosensory system. II. Postsynaptic events associated with a dynamic sensory filter

1. This report summarizes studies of the changes in postsynaptic potentials that occur as pyramidal cells within the primary electrosensory processing nucleus learn to reject repetitive patterns of afferent input. The rejection mechanism employs "negative image inputs" that oppose or cancel electroreceptor afferent inputs or patterns of pyramidal hyperpolarization or depolarization caused by intracellular current injection. Feedback pathways carrying descending electrosensory as well as other types of information provide the negative image inputs. This study focuses on the role of a directly descending projection from a second-order electrosensory nucleus the nucleus praeeminentialis (nP), which provides excitatory and inhibitory inputs to the apical dendrites of electrosensory lateral line lobe (ELL) pyramidal cells. 2. Electrical stimulation of the pathway linking the nP to the ELL was used to activate descending inputs to the pyramidal cells. Pyramidal cell activity was typically increased due to stimulation of this pathway. Tetanic stimulation of the descending pathway paired with either electrosensory stimuli that inhibited pyramidal cells, or hyperpolarizing current injection, increased the excitation provided by subsequent stimulation of this pathway. Pairing tetanic stimulation with excitatory electrosensory stimuli or depolarizing current injection had the opposite effect. Subsequent activation of the descending pathway inhibited pyramidal cells. 3. Intracellular recordings showed that the increased firing of pyramidal cells evoked by stimulation of the descending pathway following tetanic stimulation paired with postsynaptic hyperpolarization resulted from larger amplitude and longer-duration excitatory postsynaptic potentials (EPSPs). The shift in the effect of activity in this descending pathway to providing net inhibitory input to the pyramidal cells after paired presynaptic activity and postsynaptic depolarization probably results from the potentiation of inhibitory postsynaptic potentials (IPSPs). The EPSP and IPSPs evoked by activity in this descending pathway can be continuously adjusted in amplitude, thereby counterbalancing patterns of pyramidal cell excitation and inhibition received from the periphery with the result that repetitive patterns of afferent activity are strongly attenuated.

Plasticity in an electrosensory system. I. General features of a dynamic sensory filter

1. In this study we describe changes in neuronal responses within the primary electrosensory processing nucleus of a weakly electric fish that occur when the fish are exposed to repetitive patterns of electrosensory stimuli. Extracellular single-unit recordings show that pyramidal cells within the electrosensory lateral line lobe develop, over a time course of several minutes, an insensitivity to repetitive stimuli applied to a cell's receptive field (local stimulus). The pyramidal cell response cancellation only develops if the local stimulus is applied simultaneously with a diffuse pattern of electrosensory stimulation that affects the entire fish, or with proprioceptive stimuli. 2. The mechanism by which responses to repetitive afferent inputs are canceled relies on the central generation of "negative image inputs" that provide increased inhibitory input to a cell's apical dendrites at times when excitatory afferent input is increased. The negative image input becomes excitatory when afferent excitation is reduced or when input from inhibitory interneurons is predominant. The integration of a specific pattern of receptor afferent input with the complementary negative image input results in strong attenuation of pyramidal cell responses. The negative image inputs are plastic, so that a single pyramidal cell can learn to reject a variety of afferent input patterns. 3. These electric fish commonly experience repetitive electrosensory signals as a result of changes in posture. Because the electric organ is located in the trunk and tail, cyclical movements associated with exploratory behaviors result in amplitude modulations (AMs) of the electric field, and these AMs alter electroreceptor afferent firing frequency but not the firing frequency of second-order pyramidal cells. The adaptive cancellation mechanism described in this study can account for the insensitivity of pyramidal cells to reafferent electrosensory stimulation caused by tail movements and other postural changes. 4. The tail movements generate proprioceptive as well as electrosensory inputs, and either of these signals alone provides sufficient information for the generation of negative image inputs. The size of the negative image is larger, however, if both inputs are active. 5. The synaptic plasticity underlying the development of negative image inputs has a long-term component; under appropriate conditions changes in synaptic efficacy persist for > 30 min. 6. Normally functioning glutamatergic synapses are necessary for the expression of the synaptic plasticity associated with this cancellation mechanism. The development of negative image responses is blocked by micropressure ejection of the glutamate antagonist 6,7-dinitroquinoxaline-2,3-dione into the neighborhood of the pyramidal cell apical dendrites. 7. The adaptive cancellation of repetitive inputs is based on anti-Hebbian mechanisms; that is, correlated pre- and postsynaptic activity lead to a reduction in the excitatory input provided by the plastic synapses. As has been shown for several other systems, the cancellation mechanism reduces the cells responses to reafferent patterns of sensory input. In addition, the results of this study indicate that the mechanism may be more general, enabling the system to also cancel patterns of input resulting from exogenous stimuli.

Pyramidal-cell plasticity in weakly electric fish: a mechanism for attenuating responses to reafferent electrosensory inputs

Recordings within the posterior eminentia granularis of the weakly electric fish, Apteronotus leptorhynchus, revealed multiple types of proprioceptive units responsive to changes in the position of the animal's trunk and tail. Intracellular labelling showed that the proprioceptor recordings were made from axons that ramify extensively within the EGp. The location of the somata giving rise to these axons is presently unknown. Electroreceptor afferent responses to electric organ discharge amplitude modulations caused by movement of the animal's tail were compared to responses caused by electronically generated AMs of similar amplitude and time course. These did not differ. Electrosensory lateral line lobe pyramidal cells responded significantly less to electric organ discharge amplitude modulations caused by changing the animal's posture as compared to electronically produced AMs, suggesting that central mechanisms attenuate pyramidal cell responses to reafferent electrosensory inputs. Experiments in which the pattern of reafferent input associated with changes in posture was altered revealed that the pyramidal cells learn, over a time course of several minutes, to reject new patterns of input. Both proprioceptive input and descending electrosensory input to the posterior eminentia granularis are involved in generating the observed plastic changes in pyramidal cell responsiveness.

Commissural neurons of the electrosensory lateral line lobe of Apteronotus leptorhynchus: morphological and physiological characteristics

Extracellular injections of horseradish peroxidase were used to label commissural cells connecting the electrosensory lateral line lobes of the weakly electric fish Apteronotus leptorhynchus. Multiple commissural pathways exist; a caudal commissure is made up of ovoid cell axons, and polymorphic cells' axons project via a rostral commissure. Intracellular recording and labeling showed that ovoid cells discharge spontaneously at high rates, fire at preferred phases to the electric organ discharge, and respond to increased receptor afferent input with short latency partially adapting excitation. Ovoid cell axons ramify extensively in the rostro-caudal direction but are otherwise restricted to a single ELL subdivision. Polymorphic cells are also spontaneously active, but their firing is unrelated to the electric organ discharge waveform. They respond to increased receptor afferent activity with reduced firing frequency and response latency is long. Electrical stimulation of the commissural axons alters the behavior of pyramidal cells in the contralateral ELL. Basilar pyramidal cells are hyperpolarized and nonbasilar pyramidal cells are depolarized by this type of stimulation. The physiological results indicate that the ovoid cells participate in common mode rejection mechanisms and also suggest that the ELLs may function in a differential mode in which spatially restricted electrosensory stimuli can evoke heightened responses.

T lymphocyte ontogeny in adenosine deaminase-deficient severe combined immune deficiency after treatment with polyethylene glycol-modified adenosine deaminase

Adenosine deaminase (ADA) deficiency causes severe combined immune deficiency (SCID) by interfering with the metabolism of deoxyadenosine, which is toxic to T lymphocytes at all stages of differentiation. Enzyme replacement with polyethylene glycol-modified ADA (PEG-ADA) has been previously shown to correct deoxyadenosine metabolism and improve mitogen-induced T lymphocyte proliferation. We studied the biochemical and immunologic effects of PEG-ADA in two infants with ADA-deficient SCID. While in a catabolic state, higher doses of PEG-ADA than previously described were required to normalize deoxyadenosine metabolism. After biochemical improvement, the patients recovered immune function in a pattern similar to that observed in normal thymic ontogeny and in patients with immunological reconstitution after bone marrow transplantation. Immune reconstitution was marked by the sequential appearance in the peripheral blood of phenotypic T lymphocytes corresponding to successive stages of thymic differentiation. Functional reconstitution was marked by the successive appearance of mitogen responses dependent on exogenous in vitro IL-2, mitogen responses not requiring exogenous IL-2, antigen-specific responses dependent on exogenous IL-2, and finally, antigen-specific responses not requiring exogenous IL-2. Natural killer function was tested in one patient and normalized with PEG-ADA therapy. Optimal PEG-ADA therapy appears to normalize thymic differentiation in ADA-deficient SCID, resulting in normal antigen-specific immune function.

The role of amino acid neurotransmitters in the descending control of electroreception

The roles of amino acid neurotransmitters in determining the processing characteristics of the electrosensory lateral line lobe (ELL) in Apteronotus leptorhynchus were investigated by studying the responses of ELL output neurons to pressure ejection of various neurotransmitter agonists and antagonists alone and in combination with simple electrosensory stimuli. 1. Pressure ejection of L-glutamate into the ELL dorsal molecular layer caused either excitation or inhibition of ELL efferent neurons (pyramidal cells). The sign of these responses reversed with changes in the position of the pressure pipette. Histological verification of drug ejection sites relative to recorded cells and diffusion estimates indicate that excitatory and inhibitory responses result from glutamate activation of pyramidal cells and of inhibitory interneurons, respectively. 2. ELL output cells respond to both NMDA and non-NMDA glutamate agonists and the responses are attenuated by co-ejection of specific antagonists indicating that both AMPA/kainate and NMDA receptors exist on pyramidal cell apical dendrites. 3. Gamma-aminobutyric acid inhibits basilar and nonbasilar pyramidal cells when ejected near their apical dendrites and disinhibits them when ejected near surrounding inhibitory interneurons confirming the presence of GABA receptors on these cell types. 4. An NMDA antagonist did not alter pyramidal cell responses to electrosensory stimuli but a non-NMDA antagonist altered both responses to the stimuli and firing frequency shortly following stimulus cessation.

A single intravenous infusion of gamma globulin as compared with four infusions in the treatment of acute Kawasaki syndrome

BACKGROUND

Treatment of acute Kawasaki syndrome with a four-day course of intravenous gamma globulin, together with aspirin, has been demonstrated to be safe and effective in preventing coronary-artery lesions and reducing systemic inflammation. We hypothesized that therapy with a single, very high dose of gamma globulin would be at least as effective as the standard regimen.

METHODS

We conducted a multicenter, randomized, controlled trial involving 549 children with acute Kawasaki syndrome. The children were assigned to receive gamma globulin either as a single infusion of 2 g per kilogram of body weight over 10 hours or as daily infusions of 400 mg per kilogram for four consecutive days. Both treatment groups received aspirin (100 mg per kilogram per day through the 14th day of illness, then 3 to 5 mg per kilogram per day).

RESULTS

The relative prevalence of coronary abnormalities, adjusted for age and sex, among patients treated with the four-day regimen, as compared with those treated with the single-infusion regimen, was 1.94 (95 percent confidence limits, 1.01 and 3.71) two weeks after enrollment and 1.84 (95 percent confidence limits, 0.89 and 3.82) seven weeks after enrollment. Children treated with the single-infusion regimen had lower mean temperatures while hospitalized (day 2, P less than 0.001; day 3, P = 0.004), as well as a shorter mean duration of fever (P = 0.028). Furthermore, in the single-infusion group the laboratory indexes of acute inflammation moved more rapidly toward normal, including the adjusted serum albumin level (P = 0.004), alpha 1-antitrypsin level (P = 0.007), and C-reactive protein level (P = 0.017). Lower IgG levels on day 4 were associated with a higher prevalence of coronary lesions (P = 0.005) and with a greater degree of systemic inflammation. The two groups had a similar incidence of adverse effects (including new or worsening congestive heart failure in nine children), which occurred in 2.7 percent of the children overall. All the adverse effects were transient.

CONCLUSIONS

In children with acute Kawasaki disease, a single large dose of intravenous gamma globulin is more effective than the conventional regimen of four smaller daily doses and is equally safe.

Clinical and epidemiologic characteristics of patients referred for evaluation of possible Kawasaki disease. United States Multicenter Kawasaki Disease Study Group

STUDY OBJECTIVES

(1) To determine those diseases that most often mimic Kawasaki disease (KD) in the United States. (2) To examine the physical findings and laboratory studies that influenced experienced clinicians to exclude the diagnosis of KD. (3) To compare epidemiologic features of patients with KD and patients referred for evaluation of possible KD in whom alternative diagnoses were established.

DESIGN

Case comparison study.

SETTING

Seven pediatric tertiary care centers.

PATIENTS

Consecutive sample of 280 patients with KD and 42 comparison patients examined within the first 14 days after onset of fever.

MEASUREMENTS AND MAIN RESULTS

(1) Infectious diseases, particularly measles and group A beta-hemolytic streptococcal infection, most closely mimicked KD and accounted for 35 (83%) of 42 patients in the comparison group. (2) The standard diagnostic clinical criteria for KD were fulfilled in 18 (46%) of 39 patients in whom other diagnoses were established. (3) Patients with KD were significantly less likely to have exudative conjunctivitis or pharyngitis, generalized adenopathy, and discrete intraoral lesions, and more likely to have a perineal distribution of their rash. The patients with KD were also more likely to have anemia and elevated erythrocyte sedimentation rate; leukocyte count less than 10 X 10(3)/mm3 and platelet count less than 200 X 10(3)/mm3 were significantly less prevalent in patients with KD. (4) Residence within 200 yards of a body of water was more common among KD patients.

CONCLUSIONS

(1) Measles and streptococcal infection should be excluded in patients examined for possible KD. (2) Laboratory studies that may be useful in discriminating patients with KD from those with alternative diagnoses include hemoglobin concentration, erythrocyte sedimentation rate, and serum alanine aminotransferase activity. (3) Residence near a body of water may be a risk factor for the development of KD.

Morphological correlates of pyramidal cell adaptation rate in the electrosensory lateral line lobe of weakly electric fish

1. Extracellular HRP injections into the nucleus praeeminentialis dorsalis (NPd) of Apteronotus leptorhynchus retrogradely labeled a population of electrosensory lateral line lobe (ELL) efferent cells, deep basilar pyramidal cells, that differ morphologically from the previously described basilar and nonbasilar pyramidal cells. These neurons are found deep in the ELL cellular layers; they have small cell bodies and very short sparsely branching apical dendritic trees. The previously described basilar and nonbasilar pyramidal cells are larger, have extensive apical dendrites and are found more superficially. 2. Axon terminals of the deep basilar pyramidal cells were recorded from in the NPd and labeled with lucifer yellow. These NPd afferents have high, regular spontaneous firing rates, and respond tonically to changes in electric organ discharge amplitude. 3. Deep basilar pyramidal cell bodies were recorded from and labeled in the ELL, and these showed the same physiological responses as did the NPd afferent fibers. 4. In addition, basilar pyramidal cells were found which had spontaneous activity patterns and adaptation characteristics intermediate to those typical of the superficial basilar pyramidal cells and the deep basilar pyramidal cells. The size of the pyramidal cells' apical dendritic trees and the placement of their somata within the dorsoventral extent of the ELL cellular layers are highly correlated with the neurons' physiological properties.

Descending control of electroreception. I. Properties of nucleus praeeminentialis neurons projecting indirectly to the electrosensory lateral line lobe

The first-order CNS processing region within the electrosensory system, the electrosensory lateral line lobe, receives massive descending inputs from the nucleus praeeminentialis as well as the primary afferent projection. The n. praeeminentialis receives its input from the electrosensory lateral line lobe as well as from higher centers; hence this nucleus occupies an important position in a feedback loop within the electrosensory system. This report describes the physiological properties of a category of n. praeeminentialis neurons characterized by very high spontaneous firing frequency, but relatively poor sensitivity to electrolocation targets as compared to neurons in the electrosensory lateral line lobe. These neurons are specialized to encode long-term changes in electric organ discharge amplitude with high resolution. Intracellular recording and Lucifer yellow staining of these neurons show that they are the previously described multipolar neurons of the n. praeeminentialis, and they project bilaterally to the posterior eminentia granularis. Posterior eminentia granularis efferents project to the electrosensory lateral line lobe forming its dorsal molecular layer. Hence, these multipolar cells influence the electrosensory lateral line lobe circuitry indirectly. The information that the multipolar cells encode regarding the electric organ discharge amplitude may be needed for a gain control mechanism operative within the electrosensory lateral line lobe. Previous studies have shown that the indirect projection from the n. praeeminentialis to the electrosensory lateral line lobe must be intact for this gain control mechanism to operate.

Descending control of electroreception. II. Properties of nucleus praeeminentialis neurons projecting directly to the electrosensory lateral line lobe

The nucleus praeeminentialis projects to the electrosensory lateral line lobe via 2 distinct pathways. Neurons that project to the posterior eminentia granularis and therefore influence the electrosensory lateral line lobe indirectly are described in the preceding report. This report describes the physiological properties and anatomical characteristics, revealed with Lucifer yellow staining, of n. praeeminentialis neurons that project directly to the ventral molecular layer of the electrosensory lateral line lobe. The neurons studied were the stellate cells described by Sas and Maler (1983), and we found 2 physiological subtypes of these. These neurons typically had no spontaneous activity, but responded vigorously to either increased electric organ discharge amplitude on the contralateral side of the body (ST-E cells) or to decreased amplitude (ST-I cells). These neurons also responded to low-frequency sinusoidal electric organ discharge amplitude modulations (AM) but were inhibited by AMs having frequencies greater than about 16 Hz. These stellate neurons were unable to encode information about long-term changes in electric organ discharge amplitude, but they responded very well to moving electrolocation targets. The relatively long response latency of these neurons suggests that they receive inputs from higher centers in addition to those from the electrosensory lateral line lobe. It is suggested that these cells alter the sensitivity of restricted populations of output cells in the electrosensory lateral line lobe and process temporally and spatially restricted stimuli. They may act to increase the intensity of the neural representation of important stimuli.

Functional analysis of sexual dimorphism in an electric fish, Hypopomus pinnicaudatus, order Gymnotiformes

Hypopomus pinnicaudatus, an electric fish, has a marked sexual dimorphism in its tail filament. Sexually mature males have long, 'feathered' tails as compared with females. The sexual dimorphism emerges when a fish reaches about 110 mm total length. Mature males have larger electrocytes which are more widely spaced and more numerous than those in mature females. The biphasic electric organ discharge (EOD) is longer in males than in females. The peak-to-peak amplitude of the male's EOD is weaker than a female's of the same total length. The weaker discharge is unexpected given the increase in size and number of electrocytes. It is suggested that the reduction in EOD amplitude is a consequence of the increase in EOD duration among males. Further, female choice probably played a role in the evolution of long duration EODs among males, and males may have secondarily grown long tails to compensate for the loss in active space that would otherwise accompany a weaker EOD.

Prediction of persistent immunodeficiency in the DiGeorge anomaly

To assess the natural history of the immune defect in DiGeorge anomaly, we reviewed serial immunologic studies in 18 patients. The diagnosis was made with criteria based on the concept of the DiGeorge anomaly as a field defect. Initial or early follow-up laboratory examination suggested moderate to normal T cell function in 14 patients. None of these patients have lost T cell capability; they have never had infections characteristic of T cell deficiency. Four patients had clinical and laboratory evidence of profound immunodeficiency. A decreased number of CD4+ cells (less than 400/microliters) and a decrease in phytohemagglutinin responsiveness (stimulation index less than 10) may be useful in discriminating patients with immunodeficiency; absolute lymphocyte count and immunoglobulin values were not informative. At the time of surgery, the thymus was not found in 11 of 14 patients; however, only two of these patients had immunodeficiency. Patients with a persistently low number of CD4+ cells and decreased phytohemagglutinin response are candidates for immunologic reconstitution.

Electrolocation in the presence of jamming signals: behavior

Electrolocation behavior of Apteronotus leptorhynchus was studied by monitoring the animal's ability to maintain orientation to a variety of moving electrolocation targets. The primary goal of this study was to determine the relative effectiveness of various types of electrical 'jamming signals' in disrupting electrolocation performance. 1. Two measures of electrolocation performance were used: The latency between the electrolocation target motion and the fish's following response, and the minimum distance separating the fish from the target during the target movement sequence. Latency increased and minimum fish-target distance decreased as target size was decreased, and when large diameter ceramic targets were used as control stimuli the fish were less able to avoid, and frequently collided with, these 'electrically transparent' objects. 2. Four types of jamming signals were used in attempts to mask the electrosensory input used for electrolocation. Broad-band noise and sinusoidal signals, different in frequency by a few Hz from the animal's personal electric organ discharge (DF stimuli), were used to jam the tuberous electroreceptors. Five Hz and 50 Hz sinusoidal signals were used to jam the low-frequency or ampullary receptor system. Both the noise and the DF stimuli were effective in reducing electrolocation performance, and the threshold intensity for behavior deterioration was about three-fold lower for DF stimuli as compared to the noise. The rate of change of response deterioration as a function of increasing jamming intensity was, however, not different for these two types of stimuli. Neither the 50 Hz nor the 5 Hz jamming signals caused electrolocation deterioration when presented alone. However, 5 Hz jamming, when added to either the noise or DF jamming, did result in significant increments in response deterioration. This suggests that the ampullary receptors can provide supplementary information for electrolocation. 3. Electrolocation performance deterioration was also studied with various difference frequencies between an animal's EOD and the sinusoidal jamming stimulus. Increasing DF results in decreased electrolocation deterioration, but even at the highest DF frequencies used (128 Hz) significant response degradation was observed. 4. The apparent differences in the effectiveness of noise and DF stimulation in reducing electrolocation performance are largely accounted for by the differential effects of the tuberous electroreceptor filter characteristics on these two types of signals.

Electrolocation in the presence of jamming signals: electroreceptor physiology

Responses of ampullary and tuberous electroreceptor afferents were studied using moving electrolocation targets and electrical modulations of the animal's electric organ discharge as stimuli. The ability of the electroreceptors to encode these stimuli was measured with and without various forms of electrical jamming signals. The goal of this study was to measure the deterioration in electroreceptor responses due to the jamming signals, and to compare these results with the behavioral measures of electrolocation under the same conditions of jamming as described in the preceding report (Bastian 1987). 1. Three types of jamming stimuli were used to interfere with the tuberous electroreceptor afferents' ability to respond to the test stimuli mentioned above: Broad-band noise, high frequency stimuli consisting of a sinusoidal waveform having a frequency maintained at a chosen difference frequency (DF) from the EOD frequency of the fish being studied, and 5 or 50 Hz sinusoidal stimuli. 2. The tuberous receptor afferents' spontaneous frequency was sensitive to continuous presentation of all but the 5 Hz jamming signals. The 4 Hz DF signal caused the largest increase in spontaneous activity, the 50 Hz stimulus was intermediate in effectiveness, and the noise stimulus caused the smallest increase. Estimates of the variability of the ongoing receptor activity were also made, and both the 4 Hz DF and the 50 Hz stimuli reduced the coefficient of variation of the receptor activity, but noise had no significant effect on this parameter. Noise, 4 Hz DF, and 50 Hz jamming signals also reduced the tuberous receptors' responses to a 100 ms EOD amplitude modulation, and the 5 Hz stimulus was again ineffective. 3. Noise and 4 Hz DF jamming were also effective in reducing tuberous receptor afferents' responses to a moving metal electrolocation target. The 4 Hz DF stimulus was most effective in reducing the receptor's ability to encode information about the target. Receptor responses showed about a three-fold larger decrease per 10 dB increase in DF jamming amplitude as compared to similar sized increases in noise amplitude. Threshold target distances were also determined with and without noise and DF jamming, and again, the noise stimulus was less effective in reducing the distance at which electrolocation targets were just detectable. 4. Recordings from ampullary receptor afferents confirmed that the galvanic potentials produced by metal electrolocation targets stimulate these receptors while EOD distortions caused by such objects probably do not.(ABSTRACT TRUNCATED AT 400 WORDS)

Neural correlates of novelty detection in pulse-type weakly electric fish

Evoked potentials (EPs) and single unit recordings from various electrosensory-processing regions of several pulse-type gymnotiform species were made to investigate neural activity patterns that could be associated with novelty detection. Whereas the electrosensory afferents and cells in the ELL exhibited only minor changes in response size as stimuli were presented less frequently (novel stimuli), most units studied in the torus semicircularis (TS) showed very strong, increased responsiveness to stimuli presented less frequently relative to stimuli presented persistently (at every EOD event. The responses of the TS were graded with respect to stimulus frequency. The discrimination between novel and persistent stimuli by the TS occurred with stimuli presented transversely or longitudinally with respect to the fish's long axis, and regardless of the timing of the stimulus with respect to the fish's pacemaker-related signal (PS). When electrosensory novelties were presented persistently the responses of the TS rapidly habituated. This may indicate that activity in this region of the TS is novelty related. This novelty-related activity in the TS can be correlated with certain aspects of the fish's behavior, i.e., EOD interval length during a behavioral novelty response. However, TS activity may continue to indicate the occurrence of electrosensory novelties after the behavior has habituated. It is suggested that the novelty-related activity of the TS of these fish is necessary, but not sufficient, for the production of electrosensory novelty-induced behavioral responses. Lesions of the region of the TS containing the rapidly-habituating neurons abolished the electrosensory novelty response, but not that resulting from visual and auditory stimulation.

Gain control in the electrosensory system: a role for the descending projections to the electrosensory lateral line lobe

The responses of E-cells, basilar pyramidal cells, of the electrosensory lateral line lobe (ELLL) were studied in normal animals (Apteronotus leptorhynchus) and in fish in which a component of the descending input from the midbrain n. praeeminentialis to the ELLL was interrupted by lesions or by application of local anesthetics. This treatment increased the responsiveness of these neurons by 100 to 300%. A method is described by which the animal's electric organ discharge (EOD) can be increased or decreased in amplitude. Responses of E-cells to a brief stationary electrosensory stimulus and to moving electrolocation targets were studied in normal and in lesioned animals with normal and altered EOD amplitudes. Large reductions in EOD amplitude, approximately 50%, result in no significant changes in the average size of E-cells' responses to either type of electrosensory stimulus in normal animals. Interruption of the descending input, however, results in a loss of the E-cells' ability to maintain constant response size when the EOD amplitude is reduced. Increases in EOD amplitude cause reductions in the size of E-cell responses to the moving electrolocation targets and to the stationary stimulus. The effects of increased EOD amplitude are present in normal animals and in animals in which the descending input is interrupted. The descending input to the ELLL seems to function as a gain control mechanism that is capable of compensating for losses in stimulus strength resulting from reduced EOD amplitude. The component of the descending input studied here does not seem to play a role in the response of the system to increases in EOD amplitude. These results are discussed in conjunction with the known details of the ELLL circuitry and its connections with other brain areas.

Gain control in the electrosensory system mediated by descending inputs to the electrosensory lateral line lobe

The electrosensory lateral line lobe (ELLL) of weakly electric fish, the primary electrosensory processing station, receives a large descending input from the midbrain in addition to the input from the electroreceptor afferents. The role of a major component of this descending input in determining the properties of ELLL output neurons was investigated. The descending input was reduced or eliminated by microinjections of the local anesthetic lidocaine or by small lesions. This treatment increased the responses of the ELLL output neurons to suprathreshold stimuli by about 300% and also increased the size of the neurons' receptive fields for moving electrolocation targets and the resolution with which they encode target distance. The neurons' threshold sensitivity and tuning to amplitude modulation frequency were unchanged by removal of the descending input. The results of this study show that this portion of the descending input to the ELLL normally mediates an inhibition that controls the responsiveness of ELLL output neurons. This descending input could function as a gain control mechanism, allowing the animal to modulate the sensitivity of the electrosensory system in response to changing environmental conditions.

The electric sense of weakly electric fish

Recent studies of electroreception have been particularly successful in three different areas: Electroreceptors are tuned to the dominant frequency of the animal's EOD, and their tuning follows natural and experimentally induced shifts in EOD frequency. Steroid hormones influence the electric organ pacemaker frequency in the genus Sternopygus, and the tuning of electroreceptors will follow hormone-induced frequency shifts only if the receptors experience the animal's EOD. The frequency tuning of electroreceptors reveals properties similar to those of cochlear hair cells, and electroreceptors may be suitable model systems for in vitro studies of cellular and molecular aspects of electrical filter mechanisms in hair cells. In contrast to the South American or gymnotoid electric fish, the African or mormyrid electric fish evaluate electroreceptive information with the help of corollary discharges of their electric-organ pacemaker. The corollary discharge inhibits input from knollenorgan receptors so that, in the context of social communication, the animal only perceives EODs of neighbors but not its own. The corollary discharge at the same time enhances input from most mormyromasts so that the animal, in the context of electrolocation, selectively receives feedback from its own EODs. Finally, responses of ampullary electroreceptors to the animal's own EODs are centrally nulled by an elaborate and modifiable efference copy so that the animal is only informed about "nontrivial", low-frequency events in its environment. Laminated and topographically organized structures in the hindbrain and midbrain of gymnotoid fish are being studied with regard to neuroanatomical fine structure and functional organization. Different laminae and cell types in the hindbrain are specialized for the extraction of specific stimulus features, such as modulations of phase or amplitude in a sinusoidal stimulus regime. This information is passed on to the midbrain for the computation of more complex stimulus variables, such as the difference in phase modulations reported from different parts of the body surface. The torus semicircularis of the midbrain is designed for parallel processing of information from different parts of the body surface and for parallel computation of different stimulus variables for the control of behavioral responses. Electrical and visual information converge in the tectum opticum, which harbors a multimodal representation of sensory space.

Phase-sensitive midbrain neurons in Eigenmannia: neural correlates of the jamming avoidance response

Neurons in the torus semicircularis of the weakly electric fish Eigenmannia encode phase differences between sinusoidal electrical stimuli received in different body regions. These fish normally experience time-varying phase differences when the electric organ discharge fields of two or more individuals overlap. These phase differences supply information necessary for the animal's jamming avoidance behavior.

Relationship between behavioral indices of aggression and hostile content on the TAT for incarcerated young women

The role played by fantasy in moderating the overt expression of aggression was investigated by examining the relationship between aggressive behavior and hostile content on the Thematic Apperception Test. A Behavior Rating Scale, Behavior Checklist, and Aggressiveness of Offense Scale (Matranga, 1976) were used to measure the aggressive behavior of 15 incarcerated women between 16 and 20 yr. old. No support was found for the hypothesis that hostile content on the TAT is negatively correlated with behavioral measures of aggression. Instead, results suggested that there is no significant relationship between these variables, at least with an incarcerated, predominantly Native female population.

Effects of sudden changes in external sodium concentration on twitch tension in isolated muscle fibers

When [Na] was suddenly introduced to single muscle fibers (Xenopus or frog), which had been pretreated with Na-free solution (Tris-substituted), the time-course of twitch recovery was very variable, half-time ranging from less than 1 S to 5 S. The [Na] vs. twitch height relationship was also variable. In small Xenopus fibers, decreases of [Na] to 50% increased the twitch, while in large Xenopus fibers twitch height remained constant or decreased as [Na] was decreased to 50%. The apparent diffusion constant (D') of Na+ or K+, calculated from the time-course of twitch recovery and the [Na] vs. twitch relation, and from the time-course of the slow repolarization upon sudden reduction of [K] was about 1-1.5 X 10(-6) cm2/S. This is one order of magnitude smaller than the diffusion constants in an aqueous solution. Even if the tortuosity factor of the T system is taken into account, there remains a substantial discrepancy. Although our value of D' is subject to various errors, if we accept the value, the twitch recovery is predicted to be either very quick or slow depending upon the variation of [Na]-twitch relation and fiber size. Thus, both quick and slow twitch recoveries can be explained by the diffusion time of Na+ in the T system, and therefore the results are consistent with the idea that the T system is excitable.

Receptive fields of cerebellar cells receiving exteroceptive input in a Gymnotid fish

Single neurons in the caudal lobe of the cerebellum of the weakly electric fish Apteronotus albifrons respond to distortions in the normal electric field produced by the animal. Moving plastic or metal objects as well as a simpler stimulus, a moving electrical dipole, produce adequate distortions of the fish's field to cause the cerebellar cells to respond. The moving dipole stimulated small enough areas of the fish's skin, as determined by the responses of single electroreceptors, to allow maps of the receptive fields of single cerebellar cells to be produced. The receptive fields seen varied widely in complexity from relatively small excitatory or inhibitory areas to larger fields containing multiple excitatory and inhibitory areas usually bordering one another. Most cells studied displayed directional responses. Usually qualitatively different responses resulted from opposite directions of movement, and less frequently units were seen in which no response resulted from movement opposite the direction which caused responses; Varying the rate of stimulus movement caused only small changes in the responses of cerebellar cells; however, motionless stimuli applied over areas of skin known to respond to moving stimuli produced weaker responses of the appropriate sign for that area. Movement seems to be an important component of the stimulus for these cells. Cells were also seen which responded to visual as well as to electroreceptive input. Responses to each of these two modalities presented above were quite different. The cells recorded from frequently displayed burst discharges similar to those produced by Purkinje cells in other lower vertebrates, and most of the cells studied are believed to be Purkinje cells. A somatotopic relationship was found between the position of the center of a receptive field on the fish's body and the position of the cell in the brain. All of the results obtained are compatible with the hypothesis that the caudal lobe of the cerebellum is processing electroreceptive information related to object detection.

Action potential in the transverse tubules and its role in the activation of skeletal muscle

The double sucrose-gap method was applied to single muscle fibers of Xenopus. From the "artificial node" of the fiber, action potentials were recorded under current-clamping condition together with twitches of the node. The action potentials were stored on magnetic tape. The node was then made inexcitable by tetrodotoxin or by a sodium-free solution, and the wave form of the action potential stored on magnetic tape was imposed on the node under voltage-clamp condition (simulated AP). The twitch height caused by the simulated AP's was always smaller than the twitch height produced by the real action potentials, the ratio being about 0.3 at room temperature. The results strongly suggest that the transverse tubular system is excitable and is necessary for the full activation of twitch, and that the action potential of the tubules contributes to about 70 % of the total mechanical output of the normal isotonic twitch at 20 degrees C. Similar results were obtained in the case of tetanic contraction. At a temperature near 10 degrees C, twitches produced by the simulated AP were not very different (85 % of control amplitude) from the twitches caused by real action potentials. This indicates that the excitability of the tubules becomes less necessary for the full activation of twitch as the temperature becomes lower.

Double sucrose-gap method applied to single muscle fiber of Xenopus laevis

Passive electrical properties (internal conductance, membrane conductance, low frequency capacity, and high frequency capacity obtained from the foot of the action potential) of normal and glycerol-treated muscle of Xenopus were determined with the intracellular microelectrode technique. The results show that the electrical properties of Xenopus muscle are essentially the same as those of frog muscle. Characteristics of the action potential of Xenopus muscle were also similar to those of frog muscle. Twitch tension of glycerol-treated muscle fibers of Xenopus recovered partially when left in normal Ringer for a long time (more than 6 h). Along with the twitch recovery, the membrane capacity increased. Single isolated muscle fibers of Xenopus were subjected to the double sucrose-gap technique. Action potentials under the sucrose gap were not very different from those obtained with the intracellular electrode, except for the sucrose-gap hyperpolarization and a slight tendency toward prolongation of the shape of action potential. Twitch contraction of the artificial node was recorded as a change of force from one end of the fiber under the sucrose gap. From the time-course of the recorded force and the sinusoidal stress-strain relationship at varying frequencies of the resting muscle fiber, the time-course of isotonic shortening of the node was recovered by using Fourier analysis. It was revealed that the recorded twitch force can approximately be regarded as isotonic shortening of the node.