Associations between body composition, physical capabilities and pulmonary function in healthy older adults

BACKGROUND/OBJECTIVES

There are positive associations between pulmonary function (PF) and fat-free mass as well as muscle strength. Contrarily, negative associations were found with indirect measures of visceral adipose tissue (VAT). We aimed to differentiate between associations of body composition and PF by assessing mediating and moderating effects of physical capabilities.

SUBJECTS/METHODS

Cross-sectional data were assessed among 40 healthy, free-living elderly (20 males) aged 65.1-81.2 years (mean±s.d. age: 72.2±4.3 years; body mass index: 25.6±3.7 kg/m²). Total and regional skeletal muscle (SM), and adipose tissue (AT) were measured using whole-body magnetic resonance imaging. Muscle strength by handgrip dynamometry, physical activity (PA) by questionnaire, and physical performance by gait speed and sit-to-stand test (STS). Forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV₁) were assessed by spirometry.

RESULTS

Positive associations between height-standardized FVC (FVCI) as well as FEV₁ (FEVI), and SM (r=0.435-0.520, P<0.05) were found; subcutaneous AT (SAT) and FVCI correlated negatively (r=-0.374; P<0.05). HGS and PA correlated positively with FEVI (r=0.456-0.608, P<0.05), HGS also with FVCI (r=0.595, P<0.05). Stepwise multiple regression using FVCI and FEVI as dependent variables, and total/thoracic SM, VAT, SAT, HGS, PA and physical performance as independent variables showed that (i) only HGS entered the regression for predicting FVCI (R²=0.351; standard error of estimation (SEE)=0.32 l), and (ii) HGS and PA explained 50% of FEVI (SEE=0.23 l). HGS mediated the relationship between SM and PF; the STS moderated the relationship between SM and FVCI.

CONCLUSIONS

In healthy elderly, PF is positively associated with SM; physical capabilities mediate and moderate these relationships.

Investigations of the partitioning and residence times of Po-210 and Pb-210 in a riverine system in Southeast Michigan, USA

Some of the daughter products in the (222)Rn-decay series, such as (210)Po and (210)Pb, have been widely used as tracers and chronometers in aqueous systems. We measured the concentrations of (210)Pb and (210)Po in the dissolved (≤0.5 μm), bulk (unfiltered) and particulate phases (≥1 μm) collected in the Clinton River in the Lake St. Clair watershed in Southeast Michigan in order to investigate their partitioning between particulate and dissolved phases. Activity measurements of the dissolved and particulate phases revealed that an average of 38% (range: 12-59%) and 33% (range: 12-66%) of the total (210)Pb and (210)Po, respectively, in the water column was found in the particulate phase. The activity of dissolved and total (210)Pb was higher than that of (210)Po because of the higher atmospheric depositional fluxes of (210)Pb compared to (210)Po. Although the calculated Kd values of (210)Pb and (210)Po were similar, there was an inverse relationship between the Kd and suspended particulate matter concentration, indicating the presence of a particle concentration effect and we attribute this observation to the presence of significant amounts of colloidal (210)Po and (210)Pb in the dissolved phase. The fractionation factors for Po and Pb were found to be less than 1 in most cases. The first-order box model calculation-based residence times with respect to scavenging varied from 2 to 25 days for (210)Pb and 19-78 days for (210)Po, indicating higher particle-reactivity of (210)Pb compared to (210)Po.

Wait times, patient satisfaction scores, and the perception of care

OBJECTIVES

To analyze the impact of waiting time on patient satisfaction scores; not only of satisfaction with the provider in general, but also with the specific perception of the quality of care and physician abilities.

STUDY DESIGN

Using surveys regarding patient satisfaction with provider care, data was collected from a sample of 11,352 survey responses returned by patients over the course of 1 year across all 44 ambulatory clinics within a large academic medical center. While a small minority of patients volunteered identification, the surveys were made anonymously.

METHODS

A questionnaire with Health Consumer Assessment of Healthcare Providers and Systems patient satisfaction and waiting time queries was administered via mail to all clinic patients-roughly 49,000-with a response rate of 23%. Employing a standard statistical approach, results were tabulated and stratified according to provider scores and wait time experience, and then analyzed using statistical modeling techniques.

RESULTS

While it is well established that longer wait times are negatively associated with clinical provider scores of patient satisfaction, results indicated that every aspect of patient experience-specifically confidence in the care provider and perceived quality of care-correlated negatively with longer wait times.

CONCLUSIONS

The clinical ambulatory patient experience is heavily influenced by time spent waiting for provider care. Not only are metrics regarding the likelihood to recommend and the overall satisfaction with the experience negatively impacted by longer wait times, but increased wait times also affect perceptions of information, instructions, and the overall treatment provided by physicians and other caregivers.

Mercury from chlor-alkali plants: measured concentrations in food product sugar

Mercury cell chlor-alkali products are used to produce thousands of other products including food ingredients such as citric acid, sodium benzoate, and high fructose corn syrup. High fructose corn syrup is used in food products to enhance shelf life. A pilot study was conducted to determine if high fructose corn syrup contains mercury, a toxic metal historically used as an anti-microbial. High fructose corn syrup samples were collected from three different manufacturers and analyzed for total mercury. The samples were found to contain levels of mercury ranging from below a detection limit of 0.005 to 0.570 micrograms mercury per gram of high fructose corn syrup. Average daily consumption of high fructose corn syrup is about 50 grams per person in the United States. With respect to total mercury exposure, it may be necessary to account for this source of mercury in the diet of children and sensitive populations.

The challenge for excellence at the University of Louisville: implementation and outcomes of research resource investments between 1996 and 2006

In the decade beginning in 1996, the National Institutes of Health (NIH) budget doubled, whereas NIH funding at the University of Louisville School of Medicine increased nearly sevenfold. The schools of nursing and dentistry, the other Health Science Center schools at Louisville, experienced comparable growth. The University of Louisville was thus one of the fastest growing research enterprises in the country during this period. While there was an infusion of state funds, the authors believe that the magnitude of the research growth depended more critically on development of an effective strategic plan with closely monitored outcomes. This process included first the identification of programs of distinction deserving of investment and then the reallocation of resources from units that were not research-intensive to those that were. The strategy focused on (1) the recruitment of endowed chairs and their teams (thus the popular name for the program "Bucks for Brains"), (2) the implementation of new promotion and tenure standards, (3) the creation of research-productivity linked salary incentives, (4) the implementation of posttenure review, and (5) an effort to improve research infrastructure, including core facilities, and physical plant. The authors describe how the investment by the Commonwealth of Kentucky was structured and how accountability to the state facilitated this growth. This description of how postsecondary education reform and the infusion of modest resources through the Research Challenge Trust Fund were leveraged into a substantial return-on-investment at Louisville could serve as a guide to schools during this time of NIH budgetary constraint.

Post-tenure review at the University Of Louisville School Of Medicine: a faculty development and revitalization tool

In 1994, the University of Louisville board of trustees mandated that each school develop a methodology for post-tenure review. Ten years after implementation, this article provides an update on the process and its outcomes. In the case of an unsatisfactory evaluation, a faculty member is re-reviewed two years later. Failed reviews trigger the creation of a faculty development plan. The plan includes specific and measurable requirements to be met within one year, with an additional year to demonstrate success. The plan must clearly state objective goals related to the area of deficiency, development activities that the faculty member will engage in, and resources the institution will provide for the faculty member to achieve the stated goals. Soon after implementation, an increase in retirement rates was observed. Since then, more than 250 post-tenure reviews have been completed in the school of medicine, and over 95% of faculty reviewed received ratings of satisfactory. Outcomes for faculty receiving ratings of unsatisfactory vary. Overall, results suggest that post-tenure review at the University of Louisville School of Medicine has facilitated faculty revitalization not only for those who failed, but also for others as they prepare for the evaluation process. The key to the success of this program is its nonpunitive nature. The focus on faculty development and the resulting reinvigoration of the careers of faculty put a positive spin on what otherwise would have been perceived as a top-down measure to increase faculty accountability.

Universal conductance and conductivity at critical points in integer quantum Hall systems

The sample averaged longitudinal two-terminal conductance and the respective Kubo conductivity are calculated at quantum critical points in the integer quantum Hall regime. In the limit of large system size, both transport quantities are found to be the same within numerical uncertainty in the lowest Landau band, and , respectively. In the second-lowest Landau band, a critical conductance is obtained which indeed supports the notion of universality. However, these numbers are significantly at variance with the hitherto commonly believed value . We argue that this difference is due to the multifractal structure of critical wave functions, a property that should generically show up in the conductance at quantum critical points.

Materials used in drinking water distribution systems: contribution to taste-and-odor

In order to assist drinking water utilities with identifying the possible sources and causes of taste-and-odor conditions associated with materials used in distribution systems, we evaluated information from case studies and a database from the National Sanitation Foundation (NSF), International. This database identified chemicals that had leached from drinking water system components during testing of materials under ANSI/NSF Standard 61, which provides information to water utilities on potential taste-and-odor and health concerns from the use of new materials. The data were arranged to provide a process for locating the potential source of a taste-and-odor event. After a sensory analysis is conducted on the drinking water samples, the descriptor can be matched with categories on the "Drinking Water Taste and Odor Wheel 2000" in order to suggest the candidate material.

Utility quick test for analyzing materials for drinking water distribution systems for effect on taste-and-odor

A workshop of international drinking water experts was convened in Sedona, Arizona, March 26-27, 2001 for the purpose of developing a method for testing drinking water system components for their potential to contribute to taste-and-odor problems in drinking water. The workshop participants derived a method using provisions from European Standards as well as newly developed approaches. It is intended that this method can serve as a temporary procedure for water utilities, as well as a recommended template to derive an official standard. Materials to be tested may include pipes, fittings, ancillaries, joints, lubricants, tanks, and reservoirs. The recommended method includes a migration (leaching) test with chlorinated water, followed by sensory analysis of the samples from the migration test after dechlorination. Sensory analyses use both statistical (e.g., triangle test) and descriptive (e.g. Flavor Profile Analysis) techniques. A decision tree for the results is provided.

Effects of chlorine and chloramines on earthy and musty odors in drinking water

Water treatment plants in the US may operate under the assumption that chlorine masks earthy and musty odors from geosmin and 2-methylisoborneol (MIB) in drinking water. To test this hypothesis, we evaluated the effects of chlorine and chloramines on geosmin and MIB by two sensory analysis approaches--a statistical Pairwise Comparison Test, and Flavor Profile Analysis (FPA). All Pairwise Ranking test statistics were significant (p<0.05); we conclude that panelists can differentiate minor differences in geosmin and MIB concentrations in a Pairwise Comparison Test even in the presence of chlorine. FPA appeared to be more challenging in discerning subtle differences in concentrations of geosmin or MIB than did the Pairwise Comparison Test, and the presence of chlorine (0.5-20 mg/L) and chloramines (3-24 mg/L) confused the panelists (i.e showed a larger error in the intensity of response reported by the panel), but did not necessarily mask geosmin or MIB.

Early GABA(A) receptor clustering during the development of the rostral nucleus of the solitary tract

While there is an abundance of gamma-aminobutyric acid (GABA) in the gustatory zone of the nucleus of the solitary tract of the perinatal rat, we know that GABAergic synapse formation is not complete until well after birth. Our recent results have shown that GABA(B) receptors are present at birth in the cells of the nucleus; however, they do not redistribute and cluster at synaptic sites until after PND10. The present study examined the time course of appearance and redistribution of GABA(A) receptors in the nucleus. GABA(A) receptors were also present at birth. However, in comparison to GABA(B) receptors, GABA(A) receptors underwent an earlier translocation to synaptic sites. Extrasynaptic label, for example, of GABA(A) receptors was non-existent compared to GABA(B) receptors at PND10 and well-defined clusters of GABA(A) receptors could be seen as early as PND1. We propose that while GABA(A), receptors may play an early neurotransmitter role at the synapse, GABA(B) receptors may play a non-transmitter neurotrophic role.

Morphology of neurons cultured from subdivisions of the mouse cochlear nucleus

This study was designed to characterize the dendritic organization of cochlear nucleus (CN) cells grown in primary cell culture and to assess differences among cultures grown from different regions of CN. Cultures were prepared from postnatal mice and processed using microtubule-associated protein 2 (MAP2) or gamma-aminobutyric acid (GABA) immunohistochemistry. CN neurons were successfully cultured from preparations grown from either the anteroventral subdivision of the nucleus (AVCN), the posterior region [posteroventral (PVCN) and dorsal (DCN) subnuclei], or the whole CN, although the cultured neurons did not exhibit complex dendritic patterns characteristic of CN neurons in vivo. Neurons cultured from the entire nucleus exhibited an increased rate of survival compared to those cultured from either the anterior or posterior regions, although similar types of cells were observed in all preparations. The majority of cultured CN neurons were GABA-positive and had soma areas that were similar to the areas of immature GABAergic neurons measured in CN sections. Small cells (soma areas <or=60 microm(2)) with one to three symmetrically organized dendrites and large non-GABAergic cells (>or=120 microm(2)) were also present in significant numbers. Overall, CN cultures consisted of a heterogeneous population of neurons that had less elaborate dendritic organizations than cells of corresponding size that have been described in adult animals in vivo.

Subcellular localization of GABA receptors in the central nervous system using post-embedding immunohistochemistry

The following detailed protocol can be applied to demonstrate the localization of GABA receptors in CNS neurons at the ultrastructural level. While others have investigated receptors at the electron microscopic level using immunocytochemical techniques, the appearance of the tissue is usually poor and analyses of the distribution of receptors is limited. The methodology described in this paper allows for optimal preservation of the tissue while retaining immunogenicity. It does this, in part, by utilizing a balanced salt solution washout in conjunction with fixation. When the ionic composition of a fixative solution differs from extracellular fluids, like in most fixation protocols for electron microscopy, ultrastructural changes may occur in the tissue. Balanced salt solutions, like the Tyrode solution used here, helps maintain the normal extracellular environment allowing the fixing agent to reach sufficient concentration to bring about permanent and more optimal fixation even when reduced amounts of glutaraldehyde are required to preserve antigenicity. Therefore, unlike many protocols for post-embedding immunoelectronmicroscopy, this method allows for superior preservation of tissue ultrastructure compared to results previously published by others.

Redistribution and increased specificity of GABA(B) receptors during development of the rostral nucleus of the solitary tract

Recent results show that there is an abundance of gamma-aminobutyric acid (GABA) before GABAergic synapses have formed in the gustatory zone of the nucleus of the solitary tract. These results suggest that a non-synaptic, developmental function may exist for GABA prior to synaptogenesis. However, GABA exerts its physiological effect via its receptors, the development of which is a largely unknown process. The developmental expression of one of the GABA receptors in the young nucleus of the solitary tract is the focus of this study. The development of GABA(B) receptors was investigated by light and electron microscopy. The results suggest that before the development of GABAergic synapses, GABA(B) receptors are diffusely distributed. When GABAergic synapses form, the receptors become clustered. Quantitative postembedding immunohistochemical studies at the electron microscopic level show that extrasynaptic labeling for GABA(B) receptors decreases during development, but synaptic labeling increases. Increased specificity of neurotransmitter receptors at synapses has been shown in other systems during development, including other central nervous system structures, but this may be the first demonstration of the phenomenon using quantitative electron microscopy.

Levitation of current carrying states in the lattice model for the integer quantum Hall effect

The disorder driven quantum Hall to insulator transition is investigated for a two-dimensional lattice model. The Hall conductivity and the localization length are calculated numerically near the transition. For uncorrelated and weakly correlated disorder potentials the current carrying states are annihilated by the negative Chern states originating from the band center. In the presence of correlated disorder potentials with correlation length larger than approximately half the lattice constant the floating up of the critical states in energy without merging is observed. This behavior is similar to the levitation scenario proposed for the continuum model.

Changes in GABA-immunoreactivity during development of the rostral subdivision of the nucleus of the solitary tract

GABA plays an important role in the processing of gustatory information in the rostral nucleus of the solitary tract. The following study used post-embedment immunohistochemistry in the rat brainstem to localize GABA at both the light and electron microscopic levels to characterize the developmental distribution of GABA and synaptogenesis of GABA-immunoreactive terminals in the rostral nucleus of the solitary tract. During the first postnatal week, GABA is present in the rostral nucleus of the solitary tract, but less of it is synaptic than any time later in development. Of the few synaptic terminals present at postnatal day 1, less than 20% are GABA-immunoreactive. This proportion more than doubles to reach adult levels by postnatal day 10. By weaning (postnatal day 20), GABA-immunoreactive cells are found in nearly the same density as in the adult. Development continues after weaning and is characterized by a disproportionate loss of non-GABA-containing cells. Finally, one previously identified subtype of GABA-immunoreactive terminal matures very late during the postweaning phase of development. The study provides the first analysis of the development of GABA-related circuitry in the rostral nucleus of the solitary tract using anatomical methods. These data provide the background with which to view the emerging physiology of developing taste neurons.

Development of salt-responsive neurons in the nucleus of the solitary tract

The rodent gustatory system has become a popular and useful model for the study of brain development because of this system's protracted period of postnatal maturation and its sensitivity to subtle changes in the animal's sensory environment. The goal of this investigation was to improve our understanding of dendritic remodeling exhibited by second-order gustatory neurons by presenting a comprehensive and definitive description of the development of the dendritic architecture of taste-sensitive neurons in the rostral nucleus of the solitary tract. Extracellular and intracellular recording and intracellular labeling techniques were used to examine the structure and function of individual gustatory neurons in three groups of rats: (1) Postnatal day 13-21 (PND13-21), (2) Postnatal day 22-28 (PND22-28), and (3) Adult (postnatal day 60-90). We found that neurons that responded to all three of the salts in our taste array ("Salt Sensitive") exhibited a striking increase in the number of dendritic branch points, maximum branch order, swelling density, and spine density between the PND13-21 and PND22-28 periods. These increases were followed by a period of dendritic remodeling during which the values for all measures except spine density decreased significantly. The neurons that did not respond to all three salts exhibited no change in the number of dendritic branches, branch order, or spine density during development, but they did undergo a decrease in swelling density. We also found that there was a significant decrease in the total dendritic length and cell volume of Salt Sensitive neurons between the PND22-28 and Adult periods, whereas the cells that did not respond to all three salts exhibited an increase in dendritic length and cell volume between postnatal day 28 and adulthood. Finally, we found that the dendrites of the Adult Salt Sensitive neurons were more restricted in the rostrocaudal axis than either the PND13-21 or PND22-28 Salt Sensitive cells. In contrast, there were no significant changes in the rostrocaudal extent of the dendritic arbors of cells that did not respond to all three salts. When viewed in the context of the extant literature and our own preliminary studies that used modified salt diets, we propose that these results provide strong support for the hypothesis that there is a relationship between postnatal dendritic development (particularly remodeling) and the animal's sensitivity to salts.

Adoption and failure of the "Boyer model" at the University of Louisville

In the 1990s two factors had a major impact on the promotion and tenure process at the University of Louisville (UL) School of Medicine. Clinical reimbursements declined, and as they did, faculty hired as income-generating clinicians continued to be evaluated as researchers. In addition, with legislation ending mandatory retirement, accountability and the requirement for demonstrations of continued competency increased. In part because of the need to recognize service and the need to evaluate post-tenure faculty, the Board of Trustees launched several ambitious initiatives that were collectively entitled "Redefinition of Faculty." The eventual acceptance of the policies under this umbrella included the adoption of the four kinds of scholarship defined by Ernest Boyer. However, because of faculty unrest regarding other facets of this initiative, compromises in the way that the Boyer model was adopted rendered the governance documents untenable. The difficulties with how the UL School of Medicine adopted the Boyer model are detailed, as are some of the lessons learned. Despite the difficulties, the concepts in Boyer's treatise have not been abandoned; the UL School of Medicine has embraced the need for a broadened view of scholarship in its newly emerging governance documents in which, for example, clinical service, formerly unrecognized as a promotable activity, is now recognized as such.

Structure and function of gustatory neurons in the nucleus of the solitary tract. IV. The morphology and synaptology of GABA-immunoreactive terminals

In the visual, auditory and somatosensory systems, insight into the synaptic arrangements of specific types of neurons has proven useful in understanding how sensory processing within that system occurs. The neurotransmitter GABA is present in the nucleus of the solitary tract and based on the fact that the vast majority of cells respond to GABA, its agonists and antagonists, and that over 45% of synaptic terminals in the rostral subdivision of the nucleus of the solitary tract are GABA-immunoreactive, GABA is thought to play an important role in gustatory processing. The following study was carried out to establish the distribution of GABA-immunoreactive terminals within the nucleus of the solitary tract. Specifically, the distribution on to physiologically-identified gustatory neurons was determined using post-embedding electron immuno-histochemistry. GABA-immunoreactive terminals synapse with gustatory neuronal somata and all portions of their dendrites, but non-GABAergic terminals synapse only with distal dendrites of the gustatory cells and on to correspondingly small unidentified dendritic profiles in the neuropil. There is a differential distribution of two subtypes of GABA-immunoreactive terminals on to proximal and distal portions of the gustatory neurons as well. Finally, a model for the synaptic arrangements involving gustatory and GABAergic neurons is proposed.

Structure and function of gustatory neurons in the nucleus of the solitary tract. III. Classification of terminals using cluster analysis

In sensory systems, insight into synaptic arrangements on cells of known physiological response properties has helped our understanding of the structural basis for these properties. To carry out these types of studies, however, synaptic types in the region of interest must be defined. Unfortunately, defining synaptic types in the brainstem has proved to be a challenging enterprise. Our study was done to classify synapses in the gustatory part of the nucleus solitarius using objective quantitative criteria and a cluster analysis procedure. Cluster analysis allows classification of a population of objects, such as synaptic terminals, into groups that exhibit similar characteristics. Six terminal types were identified using cluster analysis and subsequent analyses of variance and post hoc tests. Unlike classification schemes used for the cerebral cortex, where synaptic apposition density thickness and shape of vesicles is useful (Gray's Type I and II synapses), the concentration of vesicles in a terminal was a more useful measurement with which to classify terminals in the nucleus solitarius. To validate that vesicle density (vesicles/microm2) is a useful defining characteristic to classify terminals in the nucleus solitarius, terminals of a known type were used. GABAergic terminals were identified using postembedding immunohistochemical techniques, and their vesicle density was determined. GABAergic terminals fall into the range of two of the terminal types defined by the cluster analysis and, based on vesicle density, two types of GABAergic terminals were identified. We conclude that vesicle density is a helpful means to identify synapses in this brainstem nucleus.

Localization of proteins associated with the outer hair cell plasma membrane in the gerbil cochlea

There is substantial evidence that the motility of mammalian outer hair cells is generated close to or within the plasma membrane. Several analogies between the outer hair cell cortical lattice and the membrane-related cytoskeleton of erythrocytes have been noted. In erythrocytes a member of the anion exchanger protein family, AE1, also known as Band 3, is involved in membrane-cytoskeleton linkage via Protein 4.1. In the following paper, the presence of these two proteins in gerbilline outer hair cells is confirmed by western blot. Furthermore, co-localization of these two proteins was detected in the lateral wall of outer hair cells by immunofluorescence and postembedding electron immunohistochemistry. Band 3 is restricted to this region, whereas Protein 4.1 has a somewhat more dispersed distribution. Thus, the structure of these sensory receptor cells may result from an adaptation of a strategy used by other motile cells. The proteins investigated likely have a support function and may comprise "pillars" seen between the lateral plasma membrane and the cytoskeleton in micrographs of outer hair cells. The possibility that Band 3 comprises "protein particles" seen in the lateral plasma membrane, or maybe directly involved in the voltage-dependent force generation in outer hair cells, is also discussed.

Developmental changes in the dendritic architecture of salt-sensitive neurons in the nucleus of the solitary tract

Recent studies have provided evidence that brainstem gustatory neurons undergo substantial dendritic growth during a period of postnatal development that coincides with the maturation of their response to salts, suggesting a relationship (perhaps causal) between the physiology and morphology of developing salt-sensitive neurons. In an initial effort to explore this issue, we used extracellular and intracellular recording and intracellular labeling techniques to examine the structure and function of individual gustatory neurons in the rostral nucleus of the solitary tract (rNST) of young (postnatal day [P] 22-28) and adult rats. We found that P22-28 cells that responded to all three of the salts in our taste array had a greater dendritic length, a greater cell volume, and more dendritic branches than the cells that responded to one salt. As a group, taste-sensitive neurons in P22-28 animals had a higher maximum dendritic branch order and a trend toward more dendritic branch points than gustatory neurons in adult animals. The dendritic arbors of P22-28 taste neurons that responded to all three salts were larger (greater surface area and volume), more extensive in the rostrocaudal axis and exhibited a higher maximum branch order, more branch points and higher swelling density than adult cells that responded to all three salts. These results demonstrate that the morphology of salt-sensitive gustatory neurons in developing animals is closely related to the number of salts that evoke a response. The data also support the postulate that gustatory neurons in the rat brainstem undergo substantial dendritic remodeling between the fourth week of life and adulthood. Dendritic remodeling may play an important role in the maturation of the rNST response to NaCl.

Expression of chemokine receptors by subsets of neurons in the central nervous system

IL-8 is expressed by activated and neoplastic astrocytes and enhances the survival of hippocampal neurons in vitro. Since mRNA encoding chemokine receptors have been demonstrated in brain, the expression of chemokine receptors by specific cell types in anatomic regions of the central nervous system (CNS) was investigated. Archival tissues from various regions of the CNS were stained with specific mAbs to the Duffy Ag/receptor for chemokines, a promiscuous receptor that binds selected chemokines; the specific receptor for IL-8 (CXCR1); and the receptor (CXCR2) shared by IL-8 and melanoma growth stimulatory activity. The Duffy Ag/receptor for chemokines was expressed exclusively by Purkinje cells in the cerebellum. Chemokine binding and radioligand cross-linking confirmed the presence of a high affinity, promiscuous chemokine receptor in the cerebellum. Although CXCR1 was not expressed in the CNS, CXCR2 was expressed at high levels by subsets of projection neurons in diverse regions of the brain and spinal cord, including the hippocampus, dentate nucleus, pontine nuclei, locus coeruleus, and paraventricular nucleus, and in the anterior horn, interomediolateral cell column, and Clarke's column of the spinal cord. Fibers that express CXCR2 included those in the superior cerebellar peduncle and the substantia gelatinosa. Immunohistochemical analysis of the involved brain tissues from patients with Alzheimer's disease revealed expression of CXCR2 in the neuritic portion of plaques surrounding deposits of amyloid. These data suggest that chemokines may play a role in reactive processes in normal neuronal function and neurodegenerative disorders.

Expression of chemokine receptors by subsets of neurons in the central nervous system

IL-8 is expressed by activated and neoplastic astrocytes and enhances the survival of hippocampal neurons in vitro. Since mRNA encoding chemokine receptors have been demonstrated in brain, the expression of chemokine receptors by specific cell types in anatomic regions of the central nervous system (CNS) was investigated. Archival tissues from various regions of the CNS were stained with specific mAbs to the Duffy Ag/receptor for chemokines, a promiscuous receptor that binds selected chemokines; the specific receptor for IL-8 (CXCR1); and the receptor (CXCR2) shared by IL-8 and melanoma growth stimulatory activity. The Duffy Ag/receptor for chemokines was expressed exclusively by Purkinje cells in the cerebellum. Chemokine binding and radioligand cross-linking confirmed the presence of a high affinity, promiscuous chemokine receptor in the cerebellum. Although CXCR1 was not expressed in the CNS, CXCR2 was expressed at high levels by subsets of projection neurons in diverse regions of the brain and spinal cord, including the hippocampus, dentate nucleus, pontine nuclei, locus coeruleus, and paraventricular nucleus, and in the anterior horn, interomediolateral cell column, and Clarke's column of the spinal cord. Fibers that express CXCR2 included those in the superior cerebellar peduncle and the substantia gelatinosa. Immunohistochemical analysis of the involved brain tissues from patients with Alzheimer's disease revealed expression of CXCR2 in the neuritic portion of plaques surrounding deposits of amyloid. These data suggest that chemokines may play a role in reactive processes in normal neuronal function and neurodegenerative disorders.

The use of cluster analysis for cell typing

In invertebrates, large neurons, identifiable in each animal, have proven to be useful models for investigating basic neurobiological phenomena. In vertebrates, the number of neurons and the complexity of nervous systems increase and 'identifiability' is lost. To compensate for this, other approaches must be adopted to study the vertebrate brain. One successful approach has been to identify cell types, recognizable in each individual. The identification of cell types in central nuclei has helped us understand the organization of these nuclei and has provided an important foundation for examining possible relationships between the structure and function of neurons. Unfortunately, not all nuclei are composed of neurons of readily identifiable types. Nuclei lacking distinct cell types are, in general, less well understood than nuclei with morphologically distinct cell types. This article describes a statistical approach known as cluster analysis that we used to define cell types in the nucleus of the solitary tract-a nucleus that had been suggested to contain identifiable cell types but within which cell typing had proven difficult. Similar techniques have been used to classify Golgi-impregnated cells in the ventrobasal complex of the dog, the subthalamic nucleus of the bushbaby and the human retina. Cluster analysis has also been used in the gustatory system, in general, and nucleus of the solitary tract, in specific, to classify electrophysiologically characterized cells. The method also includes a technique for verifying the utility of the resulting classification.

Anatomical correlates of the passive properties underlying the developmental shift in the frequency map of the mammalian cochlea

As the cochlea develops, the cells in the basal cochlea become sensitive to progressively higher frequencies. To identify features of cochlear morphology that may underlie the place code shift, measurements of infant and adult gerbil cochleas were made at both the light and electron microscopic levels. The measurements included areas of the cochlear duct, basilar membrane, and organ of Corti, height and width of the basilar membrane, thickness of the tympanic cover layer, thickness of the upper and lower basilar membrane fiber bands, and optical density of the basilar membrane. The results indicated that basilar membrane dimensions do not change as the place code shifts and that regions that code for the roughly the same frequency (e.g., approximately 11.2 kHz) at different ages can have basilar membranes of very different dimensions. In contrast, the size of the organ of Corti and the thickness of fiber bands inside the basilar membrane do change in ways consistent with the shift in the frequency map.

Development of intracellular Ca-ATPase in the gerbil outer hair cell lateral wall

The development of Ca-ATPase immunoreactivity in gerbil outer hair cells (OHCs), assayed by immunofluorescence and postembedding immunocytochemistry, is reported here. In the adult, a linear array of label is seen inside the lateral plasma membrane. The ultrastructural distribution of Ca-ATPase near the OHC lateral plasma membrane was examined using immunogold cytochemistry and showed this calcium pumping enzyme to be present throughout the subsurface cisternal complex (SSC), especially near the innermost layers. During development, Ca-ATPase immunoreactivity appeared in patches near the lateral plasma membrane of some OHCs of the third row by 12 days after birth (DAB). By 15-16 DAB, punctate immunoreactivity was detected in the second and first rows. At 20 DAB, immunostaining near OHC lateral plasma membrane was increased, but was less continuous than OHC staining in the adult cochlea. The appearance of Ca-ATPase in OHCs coincides with the onset of auditory function and isolated OHC motility in the gerbil. The ultrastructural demonstration of abundant sites of calcium pumps in the SSC supports a role for this structure in the intracellular storage of calcium. These findings suggest a possible role of Ca-ATPase and the SSC in the regulation of slow motility of OHCs which has been reported to depend on intracellular calcium concentration.

Structure and function of gustatory neurons in the nucleus of the solitary tract: II. Relationships between neuronal morphology and physiology

This study employed intracellular recording and labeling techniques to examine potential relationships between the physiology and morphology of brainstem gustatory neurons. When we considered the neuronal response to the four "prototypic" tastants, we were able to demonstrate a positive correlation between breadth of responsiveness and the number of dendritic branch points. An analysis of the response to eight tastants also revealed an association between dendritic spine density and the breadth of responsiveness, with more narrowly tuned neurons exhibiting more spines. Interestingly, a neuron's "best response" was a relatively poor predictor of neuronal morphology. When we focused on those neurons that responded to only one tastant, however, a number of potentially important relationships became apparent. We found that the cells that only responded to quinine were smaller than the neurons that only responded to NaCl, HCl, or sucrose. The HCl-only neurons, however, were more widespread in the rostrocaudal dimension that the neurons that only responded to NaCl. A number of additional structure-function relationships were identified when we examined the neuronal response to selected tastants. We found that neurons that responded to sucrose but not quinine, as well as neurons that responded to quinine but not sucrose, were more widespread in the mediolateral dimension than neurons that responded to both sucrose and quinine. We also discovered that the neurons that responded to NaCl, but not to NH4Cl or KCl, were larger than neurons that responded to all three salts. We believe that these results support the hypothesis that there are relationships between the structure and function of gustatory neurons in the nucleus of the solitary tract, with the data highlighting the importance of three themes: 1) the relationship between dendritic specializations and tuning, 2) the relationship between dendritic arbor orientation and response properties, and 3) the potential importance of stimulus-specific neurons.

A therapeutic preschool for abused children: the KEEPSAFE Project. Kempe Early Education Project Serving Abused Families

Twenty-four children attended a therapeutic preschool for physically and sexually abused children, the Kempe Early Education Project Serving Abused Families (KEEPSAFE), over a 3-year period from 1985-1988. The program provided early education and therapy for abused children so that they could improve developmentally, socially, and emotionally, with the aim that the children would be suitable to enter the public education system. The therapeutic preschool was combined with a home visitation program for the child's parents or primary caretaker, focusing on improving the quality of interaction between the adult and child. The majority of children made developmental gains at a faster rate than would normally be expected as measured by the McCarthy Scales of Children's Abilities and the Peabody Picture Vocabulary Test. Although all 24 children were thought at onset of intervention to be unable to participate in a public school setting, after 12 months in the program over 79% were staffed into the public school system eight (33.3%) into a regular classroom. Three others (12.5%) needed residential care, and two were too young to enter public school. Even though a therapeutic preschool is expensive in terms of the high staff to child ratio needed, it is likely to be beneficial in improving the developmental skills of abused children.

Patterns of GFAP-immunoreactivity parallel the tonotopic axis in the developing dorsal cochlear nucleus

The role of glia in the development of tonotopic and laminar organization in the auditory central nervous system has not been well characterized. In other systems, glia immunoreactive for glial fibrillary acidic protein (GFAP) appear to function in development of radial, laminar and topographic organization. Using a polyclonal antibody to GFAP, we have characterized the development of GFAP-immunoreactivity in the dorsal cochlear nucleus (DCN), a laminated and tonotopically organized central auditory system structure. Results suggest that in this nucleus, the GFAP-immunoreactive processes are not found within or between developing laminae, rather glial processes are observed parallel to presumptive isofrequency sheets before primary afferents have invaded the nucleus. Thus, GFAP-immunoreactive processes are positioned to play an early role in establishing the tonotopic axis of the DCN.

The development of glycine-like immunoreactivity in the dorsal cochlear nucleus

Both anatomical and physiological lines of evidence suggest that inhibitory influences are active early in the development of the dorsal cochlear nucleus (DCN). Data from physiological/pharmacological studies suggest that in the adult these inhibitory influences may be mediated at least in part by the neurotransmitter glycine. Using a polyclonal antibody to examine the development of glycine in the DCN, we have observed that glycine-like immunoreactive cell bodies and punctate label are present in the DCN by the day of birth in the hamster and in the kitten at least 10 days prior to birth. In contrast to the development of immunoreactivity for glutamic acid decarboxylase (GAD) (Schweitzer et al., 1993), glycine-like immunoreactivity shows a homogeneous distribution throughout the DCN from the day of birth through adulthood. In addition, glycine immunoreactivity is present earlier than GAD-immunoreactivity and is present well before these brain structures become responsive to air-borne sounds. Thus, glycine is present in the very young animal and may mediate inhibitory effects that occur early in development.

Longitudinal and radial differences in the subsurface cisternal system in the gerbil cochlea

Many features of cochlear anatomy vary systematically radially and longitudinally within the organ of Corti. There is limited evidence that along the longitudinal axis of the cochlea the thickness of the subsurface cisternal system in the outer hair cells (OHCs) changes. Similarly a radial gradient may exist. The thickness of the subsurface cisternal system in OHCs was measured in gerbils to determine if there are differences between the three rows of OHCs and in OHCs in different locations along the length of the organ of Corti. The results suggest that there is a longitudinal as well as a radial gradient of subsurface cisternal system thickness. These gradients are the inverse to those for efferent innervation of OHCs. It is possible that these differences may contribute to the increased susceptibility to trauma and ototoxic compounds characteristic of the innermost and basalmost OHCs.

Cell types in the rostral nucleus of the solitary tract

The rostral subdivision of the nucleus of the solitary tract (rNST) is not laminated or otherwise organized into clearly segregated cell types. Although a variety of experimental approaches have yielded a wealth of information, the definition of cell types in this nucleus has been difficult, as reflected in the sometimes contradictory literature on morphological cell typing. The present review discusses how rNST neurons have been classified in the past and adds to the evidence that distinct neuron types exist in this nucleus. Consistencies in the literature, as well as inconsistencies among studies, are discussed. Furthermore, we have included a summary of our own results that help provide additional data relevant to cell typing. The definition of cell types in other central nervous system nuclei has helped our understanding of the organization of these nuclei and our understanding of the relationships between the morphology and function of neurons. It is hoped that this synthesis of the extant literature will facilitate the many ongoing efforts to correlate neuronal morphology and physiology in the gustatory system.

Changing patterns of peanut agglutinin labelling in the dorsal cochlear nucleus correspond to axonal ingrowth

Various studies have suggested that glycoconjugates may influence connectivity and lamination in the developing central nervous system and may function as barriers to neuritic extension. It has been proposed that the peanut agglutinin lectin labels a glycoconjugate subserving a barrier function. We chose to investigate the distribution of this peanut-agglutinin-labelled glycoconjugate in the dorsal cochlear nucleus of the developing hamster since the development of the dorsal cochlear nucleus is well characterised and its axons obey laminar boundaries. The distribution of peanut agglutinin label throughout the cochlear nucleus delineated zones that cochlear axons fail to invade. In the dorsal cochlear nucleus, laminar differences were reduced on postnatal d 13 and virtually disappearing by postnatal d 23. Label in the molecular layer dissipated as axons and dendrites grew into this layer. These patterns of peanut agglutinin binding correspond to axonal ingrowth and are consistent with a barrier function for glycoconjugates in the molecular layer.

Structure and function of gustatory neurons in the nucleus of the solitary tract. I. A classification of neurons based on morphological features

Prior investigations in other laboratories have provided convincing evidence that the neurons of the rostral nucleus of the solitary tract (rNST) can be grouped according to their physiological response properties or morphologic features. The present study is based on the premise that the response properties of gustatory neurons are related to, and perhaps governed by, their morphology and connectivity. In this first phase of our ongoing investigation of structure-function relationships in the rNST of the rat, we have used intracellular injection of neurobiotin to label individual physiologically characterized gustatory neurons. A total of 63 taste-sensitive neurons were successfully labeled and subjected to three-dimensional quantitative and qualitative analysis. A cluster analysis using six morphologic features (total cell volume, soma area, mean segment length, swelling density, spine density, and number of primary dendrites) was used to identify six cell groups. Subsequent analyses of variance and posthoc comparisons verified that each of these six groups differed from all others with respect to at least one variable, so each group was "typified" by at least one of the six morphologic features. Neurons in group A were found to be the smallest neurons in the sample. The cells in group B had small somata and exhibited the highest swelling density of any group. Group C neurons were distinguished by dendrites with long, spine-free branches. These dendrites were significantly longer than those of any other group except Group F. The neurons in group D had more primary dendrites than any other group. Group E neurons possessed dendrities with the lowest swelling density but the most spines of any group. The cells in group F were the largest neurons in our sample and possessed the largest somata of any group. Thus overall cell size and density of dendritic spines and swellings were found to be particularly important variables in this classification scheme. Our preliminary results suggest that the number and density of dendritic spines (as well as other morphologic features) may be related to a given neuron's most effective stimulus, indicating that it will indeed be possible to use the criteria established in the present investigation to derive structure-function relationships for gustatory neurons in the rNST.