The diagnostic significance of periportal hepatic necrosis and inflammation

In this review the several types of cell damage and cell death which may be found in liver biopsy specimens are defined. We describe the different processes which occur at the portal/parenchymal or septal/parenchymal interface, viz. periportal spillover, periportal hepatitis, classic or lymphocytic piecemeal necrosis and biliary piecemeal necrosis. The diagnostic implications of these lesions in relation to the clinicopathological diagnosis and prognosis in various liver diseases are discussed.     

Impaired Coronary Microvascular Dilation Correlates with Enhanced Vascular Smooth Muscle MLC Phosphorylation in Diabetes1

Objective: Impaired endothelium‐independent vasodilation is a known consequence of types 1 and 2 diabetes, and the mechanism of impaired vasodilation is not well understood. The following study investigated the effects of types 1 and 2 diabetes in endothelial‐independent vasodilation associated with coronary vascular smooth muscle (VSM) relaxation and contractile signaling mechanisms. Materials and Methods: Type 1 diabetes was induced in Yucatan miniswine via alloxan injection and treated with or without insulin (DM and IDM). Nondiabetic swine served as controls (ND). Expression and/or phosphorylation of determinants of VSM relaxation and contraction signaling were examined in coronary arteries and microvessels. Coronary microvessel relaxation was assessed by using sodium nitroprusside (SNP). In addition, SNP‐induced vasodilation and myosin light‐chain (MLC) phosphorylation was determined in coronary microvessels isolated from ND and type 2 diabetic human atrial appendage. Results: Diabetic impairment in SNP‐induced relaxation was completely normalized by insulin. Soluble guanylate cyclase (sGC) VSM expression decreased in both DM and IDM groups and did not correlate with vasorelaxation. Phosphorylation of MLC and myosin phosphatase increased in the DM group and MLC phosphorylation strongly correlated with impaired VSM relaxation (r=0.670, P<0.01). Coronary microvessels from type 2 diabetic human patients exhibited similarly impaired vasodilation and enhanced VSM MLC phosphorylation. Conclusions: Impaired vasodilation in type 1 diabetes correlates with enhanced VSM MLC phosphorylation. In addition, enhanced VSM MLC phosphorylation is associated with impaired vasodilation in type 2 diabetes in humans.     

Alerting and orienting in Alzheimer's disease

Recently, researchers (E. Festa-Martino, B. R. Ott, & W. C. Heindel, 2004; A. Tales, J. L. Muir, A. Bayer, R. Jones, & R. J. Snowden, 2002; A. Tales, J. L. Muir, A. Bayer, & R. J. Snowden, 2002 have found significantly abnormal spatial orienting together with the abolishment of the alerting effect in Alzheimer's disease (AD). However, these research groups differed in their interpretation of the results. A. Tales, J. L. Muir, A. Bayer, R. Jones, and R. J. Snowden (2002) and A. Tales, J. L. Muir, A. Bayer, and R. J. Snowden (2002) explained their data in terms of two independent processes, whereas E. Festa-Martino et al. (2004) interpreted their findings as indicative of an inverse association, namely that the increased spatial orienting effect in AD was the direct result of the abolition of the phasic alerting effect. In this further study examining exogenous spatial orienting and phasic alerting, the authors present evidence to suggest that the increased spatial orienting effect in AD is not the result of a decreased phasic alerting effect.