Pharmakologische und therapeutische (p-Chlorphenylalanin) Studien über das Carcinoidsyndrom bei 11 Fällen

Zusammenfassung Von 11 Carcinoidpatienten mit vermehrter Serotonin-Synthese hatten 10 Patienten Diarrhöe, 9 Patienten nachweisbare Lebermetastasen und 7 Patienten zeigten eine Kardiopathie. Sieben Patienten hatten spontane Flushanfälle. Bei diesen Patienten konnte ein Flush auch durch intravenöse Injektion von Aminen oder Bradykinin hervorgerufen werden. Bei 3 Patienten ohne Spontanflush in der Anamnese konnte ein Flush durch Provokation nicht ausgelöst werden. Der durch Amine provozierte Flush wurde von allen Patienten als dem Spontanflush gleich empfunden. Nur die Hälfte der Patienten empfanden den Bradykinin induzierten Flush gleich dem Spontanflush. Regitinbehandlung verhindert den durch Amine provozierten Flush und verminderte die Anzahl der spontanen Flushanfälle.Die Behandlung mit p-Chlorphenylalanin (PCP) in einer Dosierung bis zu 3 g täglich resultierte bei allen Patienten in einer Verminderung der 5-Hydroxyindolessigsäure-Ausscheidung und der Diarrhöe. Bei 3 Patienten mit vermehrter 5-Hydroxytryptophan-Ausscheidung wurde diese durch PCP vermindert, was darauf hindeutet, daß die Tryptophanhydroxylase durch PCP gehemmt wird. Die PCP-Behandlung, die bis zu einer Dauer von 120 Tagen durchgeführt wurde, zeigte bei den Patienten keine Nebenwirkungen.Mit Unterstützung der Schwedischen Cancer-Gesellschaft.     

Role of the vagal afferents in substance P-induced respiratory responses in anaesthetized rabbits

Since substance P (SP)-like immunoreactivity has been demonstrated in vagal sensory fibres of bronchopulmonary origin, it was considered of interest to (1) characterize the pattern of responses to SP injected into the pulmonary as well as the systemic arterial system, and (2) assess the types of vagal afferents that are affected by SP. Experiments were performed on 15 pentobarbital-anaesthetized, spontaneously breathing rabbits. Efferent phrenic nerve activity was monitored as an index of central respiratory neural output. Intra-atrial injections of SP into the pulmonary circulation (100 ng kg-1) increased the respiratory rate, and peak integrated phrenic amplitude by 47 +/- 8 and 40 +/- 4%, respectively, above the controls. In addition, SP elicited augmented breaths (ABs) within 2-3 s in 67% of the trials. In contrast to right atrial injections, no ABs and no significant changes in respiratory rate were observed in response to intra-aortic injections of SP (100 ng kg-1). Tidal phrenic activity rise after aortic injections of SP was significantly less as compared with right atrial administrations of SP. Since both routes of administration decreased the arterial blood pressure to the same extent, these respiratory responses were not likely secondary to cardiovascular changes. After administration of an SP antagonist (D-Arg-D-Trp7,9, Leu11, SP), respiratory responses to SP were significantly attenuated. Also, the rate of occurrence of ABs elicited by releasing the tracheal occlusions was reduced (control 95 vs. 14% SP antagonist). Bilateral vagotomy abolished the tachypnoeic response and reduced the magnitude of the phrenic nerve increments caused by right atrial injection of SP.(ABSTRACT TRUNCATED AT 250 WORDS)     

Influenza: Diagnosis,epidemiology, prophylaxis

Sans résumé     

Comparison of single-shot localization methods (STEAM and PRESS) for in vivo proton NMR spectroscopy

Two single-shot localization techniques, STEAM and PRESS, are analyzed with regard to specifications for in vivo localized proton NMR. In particular, attention is paid to optimum signal intensity per unit volume, sensitivity to motion and diffusion, shortest attainable echo time, water suppression and editing possibilities. Experimental results are shown for cat brain at 4.7 T and human brain at 1.5 T. Both STEAM and PRESS are highly effective localization methods. For long echo times, PRESS is the method of choice, because it offers a factor of two gain in signal intensity. In addition, the method is less sensitive to motion and diffusion, and not susceptible to multiple-quantum effects. STEAM offers advantages for observation of (coupled) metabolites with short T2, because (a) shorter TEs can be attained and (b) effective water suppression sequences can be implemented without penalty in echo time. Differences relating to editing possibilities and B1 dependence, possibly important in choosing a method, are discussed.     

Effects of subacute treatment with toluene on cerebrocortical alpha- and beta-adrenergic receptors in the rat. Evidence for an increased number and a reduced affinity of beta-adrenergic receptors

Subacute treatment with toluene (80-1500 p.p.m.) produces a dose-dependent reduction of affinity and increase in density of the beta-adrenergic antagonist [3H]dihydroalprenolol binding sites in the frontoparietal cortex of the male rat, while the binding characteristics of alpha 1-adrenergic ([3H]WB 4101) and alpha 2-adrenergic ([3H]p-aminoclonidine) binding sites in the same region is unaffected by this treatment as evaluated in vitro. Therefore, it is suggested that the cortical beta-adrenergic receptors are particularly vulnerable to the action of toluene in vivo. It is speculated that as a result cortical beta-adrenergic neurotransmission may be altered following exposure to low concentrations of toluene, possibly related to the physico-chemical properties of toluene, leading to changes in membrane fluidity.     

Clostridium difficile toxins A and B inhibit human immune response in vitro.

Two Clostridium difficile toxins isolated from strain VPI 10463 were tested for their effect on different human T-cell proliferation systems. In mitogen- and antigen-driven T-cell proliferation systems, toxins inhibited the proliferative response in a dose-dependent fashion. In interleukin-2-driven culture systems, no effect of toxins could be found on preactivated T cells. We suspected that monocytes were the influenced cells, since in antigen- and mitogen-driven systems monocytes were necessary for the proliferative response, whereas the interleukin-2-driven system was independent of monocytes. To prove this concept, purified monocytes were treated with toxins. The treatment was found to markedly reduce the capacity of monocytes to stimulate T-cell proliferation. No inhibition of the proliferative response was measured when, instead of monocytes, resting or preactivated T cells were treated with toxins. These experiments clearly show that C. difficile toxins interact with monocytes and not with T cells. The effect of toxins on cells of the immune system might be one factor in the development of pseudomembranous colitis.     

Localisation of CEA, β-HCG,SP1, and keratin in the tissue of lung carcinomas

Summary One hundred and twenty seven cases of lung tumors were studied by the immunoperoxidase technique for the presence of CEA and-HCG. Twenty-nine of these tumors were additionally stained for keratin and SP1. CEA and SP1 could be demonstrated in 80% of the studied cases, while-HCG was found in only 9%. SP1 revealed an almost identical staining pattern to CEA and keratin was found only in squamous cell carcinomas. The tissue positivity of none of these three markers correlated with tumor size, lymphnodal involvement or histological type.This study was supported by Deutsche Stiftung für Krebsforschung - Dr. Mildred Scheel-Stiftung     

Übergerinnbarkeit induziert durch Heroin und Amphetamin

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