Factors predicting the acute effect of pamidronate on serum calcium in hypercalcemia of malignancy

Summary In this study we retrospectively reviewed results of the first 9 days of treatment with pamidronate at doses of 30 mg (n=13), 45 mg (n=9), and 90 mg (n=13) in an attempt to see what factors influenced the response of serum calcium to pamidronate.The nadir of serum calcium obtained post treatment was correlated with pretreatment levels of nephrogenous cyclic adenosine monophosphate (NcAMP), the renal tubular threshold for phosphate reabsorption (TmPO4), and the renal tubular threshold for calcium reabsorption (TmCa). Using the post treatment serum calcium levels, patients were divided into good and poor responders depending on whether a normal serum calcium was obtained.Pretreatment NcAMP was significantly correlated with the magnitude of the response of serum calcium (r=0.45, P=0.0001). Pretreatment NcAMP was significantly higher in the poor responders (mean±SEM): 65.0±9.4 nmol/liter GF (poor responders) versus 29.6±6.3 (good responders), P=0.004. NcAMP as a predictor of the acute response of serum calcium showed a sensitivity of 93% and a specificity of 72%. Pretreatment TmPO4 was negatively correlated with the serum calcium response post treatment (r=-0.41, P=0.003). However, though TmPO4 tended to be lower in the poor responders, this was not statistically significant [0.65 mmol/liter GF±0.09 (poor responders) versus 0.76 mmol/liter GF±0.06 (good responders)]. As a predictor of the acute response of serum calcium, TmPO4 was less good with a sensitivity of 70% and specificity of 58%. No significant correlation was present between TmCa and the serum calcium response. A significant negative correlation was evident between NcAMP and TmPO4 (r=-0.35, P=0.003), however, no significant correlation was evident between NcAMP and TmCa or TmPO4 and TmCa.These results suggest that in a hypercalcemic patient where evidence exists for the presence in circulation of a factor with PTH-like activity (i.e., NcAMP is elevated or TmPO4 is low) the response of serum calcium to pamidronate is less good. NcAMP would appear to be a useful predictor of the response of serum calcium, whereas TmPO4 is less discriminating.     

Synergistic Regulation of Cytosolic Ca2+ Concentration by Adenosine and alpha1-Adrenergic Agonists in Mouse Striatal Astrocytes

Adenosine has a broad array of actions on neurons but astrocytes also possess adenosine receptors. We have previously shown that adenosine, by acting on astrocytes in the striatum, can modulate neuronal responses mediated by receptors coupled to phospholipase C through an astrocyto - neuronal interaction. In addition, adenosine was found to potentiate the alpha1-adrenergic production of inositol phosphates in astrocytes. The mechanism involved in this potentiation was further investigated by examining the effects of adenosine and alpha1-adrenergic receptor agonists on cytosolic Ca2+ in cultured striatal astrocytes from the embryonic mouse in primary culture. When used alone, methoxamine, a selective agonist of alpha-adrenergic receptors or 2-chloroadenosine, a stable analogue of adenosine, induced a transitory increase in cytosolic Ca2+, but their combined addition led to a sustained increase in cytosolic Ca2+, which seems to be due to a Ca2+ influx, because it was not observed in the absence of external Ca2+. Voltage independent Ca2+ channels contribute to this process and different blockers of voltage-operated calcium channels, such as dihydropyridines, phenylalkylamines, La3+ or Co2+ were ineffective in suppressing the sustained cytosolic Ca2+ elevation. Three observations suggest the implication of arachidonic acid in the observed potentiation: (i) arachidonic acid induced a sustained elevation of cytosolic Ca2+ similar to that evoked by the coapplication of methoxamine and 2-chloroadenosine; (ii) the addition of arachidonic acid during the calcic plateau produced by the combined application of the agonists did not increase further cytosolic Ca2+ levels; (iii) in the presence of methoxamine, 2-chloroadenosine induced a release of arachidonic acid. The stimulation of phospholipase C and the resulting activation of protein kinase C induced by methoxamine seem to be required for the potentiating effect of 2-chloroadenosine on cytosolic Ca2+. In fact, the direct activation of protein kinase C by an exogenous diacylglycerol analogue mimicked the effect of methoxamine because, in this condition, 2-chloroadenosine alone evoked a sustained elevation of cytosolic Ca2+. Therefore, methoxamine, through the successive activation of phospholipase C and protein kinase C, could allow a lipase, probably phospholipase A2, to be stimulated by 2-chloroadenosine. Arachidonic acid has already been shown to trigger the opening of K+ channels and the formation of inositol phosphates in other cell types. Therefore, in striatal astrocytes, 2-chloroadenosine, through an arachidonic acid-mediated hyperpolarization, could increase the Ca2+ driving force and thus improve Ca2+ influx through inositol phosphate-gated channels. This hypothesis is further supported by the suppressing effect of a 50 mM KCI-induced depolarization on the long lasting elevation of cytosolic Ca2+ seen in the combined presence of 2-chloroadenosine and methoxamine.     

Distribution and metabolic fate of adenosine nucleotides in the membrane of storage vesicles from bovine adrenal medulla

Summary The reactions of adenosine ¹⁴C- and ³²P-labelled ATP with isolated membranes from catecholamine storage vesicles of the bovine adrenal medulla were studied. In presence of Mg²⁺ about twice as much of ³²P-radioactivity combined with the membrane as ¹⁴C-adenosine compounds at 31°C and also at 0°C, while in the absence of Mg²⁺ the amounts of ¹⁴C and ³²P incorporated were similar for both substances. Autoradiography of the SDS-polyacrylamide gel after electrophoresis of the ³²P-ATP-treated membrane protein showed two distinct zones corresponding to protein bands. Sonication released twice as much ³²P-ATP as ¹⁴C-ATP from the space within the membrane particles indicating that at least half of the ATP present in this space did not contain its original terminal phosphate group. About 40–45% of the ³²P-radioactivity was incorporated in the membrane lipids, whereas only small amounts of ¹⁴C-radioactivity were extracted with the lipids. About 1/3 of the incorporated ¹⁴C-radioactivity was not extractable with acids. The same amount remained in the ³²P-ATP treated preparation acid-stably bound after extraction of the lipids and thus must be firmly bound ATP. When the reaction of the membrane preparation with labelled ATP was performed at 0°C the fractions of the acid-stably bound ³²P- and ¹⁴C-radioactivity increased. About 1 nmole/mg of protein (10–15%) of the bound ³²P-radioactivity was exchangeable against unlabelled ATP, while only a very small fraction (<0.5 nmole/mg protein) of the ¹⁴C-radioactivity was exchanged against unlabelled ATP. Preincubation of the membrane particles with ATP-Mg²⁺ at 0°C induced 30% inhibition of the ATPase activity and abolition of the net uptake of catecholamines. Different K _m values obtained from initial velocity studies of ATPase activity and the overall-incorporation of ³²P-radioactivity indicated that a direct correlation between these processes did not exist. Different strong inhibitory effects exerted by ADP on the ATPase activity and net uptake of catecholamine at the one hand and the overall ³²P- and ¹⁴C-incorporation at the other hand supported that view. It is concluded that only small fractions of the observed ³²P-and ¹⁴C-incorporation can be involved in the ATP-hydrolyzing reaction.     

卡托普利对病毒性心肌炎小鼠心肌线粒体结构及其酶活性的影响

目的　研究卡托普利对病毒性心肌炎小鼠心肌线粒体结构和三磷酸腺苷 (ATP)酶活性变化的影响。方法　将雄性Balb/c小鼠随机分为柯萨奇病毒B3 (CVB3 )感染组、CVB3 感染加卡托普利治疗组和对照组。以d3、d14为两个时相点 ,比较线粒体超微结构 ,线粒体Na+ K+ ATP酶、Ca2 + ATP酶活性变化。结果　感染组心肌细胞线粒体结构破坏 ,线粒体Na+ K+ ATP酶、Ca2 + ATP酶活性较对照组显著下降 (P均 <0 .0 1)。卡托普利治疗组各时相点线粒体结构破坏较轻 ,线粒体Na+ K+ATP 酶、Ca2 + ATP酶活性较感染组明显增高 (P均 <0 .0 5 )。结论　病毒性心肌炎早期即可见心肌线粒体结构破坏 ,ATP酶活性下降。卡托普利可有效保护心肌线粒体结构和功能     

果糖二磷酸钠镁对大鼠脑出血的保护作用

目的 :研究果糖二磷酸钠镁 (FDPM )对脑出血的保护作用。方法 :以胶原酶尾状核注射诱导大鼠脑出血模型 ,观察FDPM对大鼠脑出血后神经病学评分、脑含水量、血脑屏障通透性及脑组织病理改变的影响。结果 :FDPM 4 0 0mg·kg-1可降低脑出血大鼠神经病学评分 ,降低脑组织含水量 ,改善血脑屏障通透性 ,减轻脑组织病理改变 ,其作用强于相似剂量的 1,6 二磷酸果糖或硫酸镁 ,而FDPM 133mg·kg-1没有明显作用。结论 :FDPM对脑出血有显著的保护和治疗作用 ,其作用强于相似剂量的 1,6 二磷酸果糖或硫酸镁。     

腺苷A1受体阻断剂对学习记忆的影响及机制分析腺苷A1受体阻断剂对学习记忆的影响及机制分析

目的探讨腺苷A₁受体阻断剂对学习记忆的影响及其与胆碱能、氨基酸能神经的关系。方法采用避暗实验、分光光度法和HPLC法,观察腺苷A₁受体特异性阻断剂8-环戊-1,3-二丙基黄嘌呤(DPCPX)对东莨菪碱(Scop)、2-氨基-5-磷戊酸(AP₅)致小鼠记忆障碍及脑胆碱酯酶(AChE)活性、氨基酸水平的影响。结果DPCPX可显著改善Scop致记忆障碍,但对AP₅致记忆障碍无影响；在体内外高剂量DPCPX可显著抑制小鼠脑AChE活性；DPCPX icv可显著升高小鼠脑Glu和Asp含量,降低GABA含量,使脑内Glu/GABA比值显著升高。结论腺苷A₁受体特异性阻断剂DPCPX可显著改善Scop而不能改善AP₅致记忆障碍,在高剂量时可影响脑AChE活性和脑氨基酸水平、升高脑内Glu/GABA比值。     

Synthesis of [18F]‐labeled adenosine analogues as potential PET imaging agents

The syntheses of adenosine analogues, 2′‐deoxy‐2′‐[¹⁸F]fluoro‐9‐β‐D ‐arabinofuranosyladenine ([¹⁸F]‐FAA) and 3′‐deoxy‐3′‐[¹⁸F]fluoro‐9‐β‐D ‐xylofuranosyladenine ([¹⁸F]‐FXA) are reported. Adenosine ( 1 ) was converted to its methoxytrityl derivatives 2 and 3 as a mixture. After separation, these derivatives were converted to their respective triflates 4 and 5 . Each triflate was reacted with tetrabutylammonium[¹⁸F]fluoride to produce 6b or 7b , which by acidic hydrolysis yielded compounds 8b and 9b . Crude preparations were purified by HPLC to obtain the desired pure products. The radiochemical yields were 10‐18% decay corrected (d. c.) for 8b and 30‐40% (d. c.) for 9b in 4 and 3 runs, respectively. Radiochemical purity was >99% and specific activity was >74 GBq/μmol at the end of synthesis (EOS). The synthesis time was 90‐95 min from the end of bombardment (EOB). Copyright © 2003 John Wiley & Sons, Ltd.     

卷柏化学成分研究卷柏化学成分研究

目的研究中药卷柏(Selaginella tamariscina (Beauv.) Spring)水提物中的化学成分。方法利用Sephadex LH-20及硅胶等色谱技术进行分离纯化,根据理化性质、光谱数据进行结构鉴定。结果得到4个化合物,分别鉴定为1-羟基-2-［2-羟基-3-甲氧基-5-(1-羟基乙基)-苯基］-3-(4-羟基-3,5-二甲氧基苯基)-丙烷-1-O-β-D-葡糖苷(卷柏苷B,I),腺苷(II),鸟苷(III),熊果苷(IV)。结论卷柏苷B为新化合物,腺苷、熊果苷、鸟苷为首次从卷柏属植物中分离得到。     

腺苷A_1受体参与兔脊髓缺血预适应的保护作用

目的　探讨腺苷A1 受体是否参与兔脊髓缺血预适应 (IPC)的保护作用。方法　采用腹主动脉肾下段夹闭法建立兔脊髓缺血模型。动物分为 7组 ,即缺血损伤组 :使脊髓缺血 2 0min ;IPC组 :脊髓预缺血 6min ,再灌注 30min后再次使脊髓缺血 2 0min;8 环戊基 1 ,3 二丙黄嘌呤 (DPCPX ,腺苷A1 受体阻断剂 ) +IPC组及DMSO溶剂 +IPC组 :在IPC前分别ipDPCPX及DMSO ,其余步骤同IPC组 ;DPCPX +缺血损伤组 :在脊髓 2 0min缺血前ipDPCPX ,其余步骤同缺血损伤组 ;预缺血组 :使脊髓缺血 6min;DPCPX +预缺血组 :在脊髓 6min缺血前ipDPCPX ,其余步骤同预缺血组。所有组再灌注48h后 ,进行后肢神经功能评分 ,然后取脊髓进行组织病理学观察。结果　与缺血损伤组相比 ,IPC明显改善脊髓缺血后兔后肢神经功能和减轻脊髓病理学损伤 ;DPCPX完全取消IPC对脊髓缺血的保护作用 ,而DMSO不能取消IPC的保护作用 ;单给DPCPX并不能进一步加重缺血损伤。缺血 6min及DPCPX +缺血 6min均不能引起脊髓缺血损伤。结论　腺苷A1 受体参与兔脊髓IPC的保护作用     

吡啶-2,6(1H,3H)二酮生物碱对ADP、AA、Collagen诱导的兔血小板聚集的影响

目的观察吡啶－２，６（１Ｈ，３Ｈ）二酮生物碱（ＳＨ１）对ＡＤＰ、ＡＡ、Ｃｏｌｌａｇｅｎ诱导的兔血小板聚集的影响。方法用比浊法测定了ＳＨ１体外对兔血小板聚集的影响。结果ＳＨ１对３种诱导剂的最大抑制率分别为６２．１６％、４５．２５％、５３．６７％。大剂量组明显加快ＡＤＰ诱导的兔血小板聚集后的解聚速度。ＳＨ１显著延长Ｃｏｌａｇｅｎ的诱导起聚时间。结论ＳＨ１０．８～４．０ｍｍｏｌＬ－１范围内明显抑制ＡＡ、ＡＤＰ、Ｃｏｌａ－ｇｅｎ诱导的兔血小板聚集。其抑制作用有明显的量效关系。其机制待进一步研究。