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Biomedical subjects

A P Sousa

Publications and source records attributed to A P Sousa.

17 recordsLinked to original sources

The content of the LRS chamber provides a new quality tool for the characterization of the donor platelet profile.

Cobe Trima version 4 is an apheresis system designed for the collection of combinations of Red Blood Cells (RBC), Platelets (PLT) and plasma components from a single donor. The validation of this apheresis system for PLT components in our institution evidenced the LRS efficacy, as leucoreduction was attained on a 100% basis. However, there were some unexpected occurrences regarding the PLT content. Certain donations showed large disagreements between programmed and obtained yields, not being found clear reasons for those outcomes. Furthermore, the mean platelet volume (MPV) was relatively low when compared with other platelets components produced by other methodologies. An investigation was initiated in order to know whether these shortcomings were donor or process/instrument related. A link was established between the raw material (donor), the process/instrument and the final product, and a new tool was introduced by the study of the LRS chamber. The LRS chamber content was assessed and the PLT cellular indices and PLT aggregation states compared with those obtained from the respective donor and the final product from the same origin. The storage stability of the final products was also analyzed based on these same tests to investigate if the initial low MPV had any deleterious effect during the shelf life of the components. Twenty five plateletpheresis donors, three of them new ones, were randomly selected for this study. For the first time, the content of the LRS chamber was used as a quality tool for identification of the cause of unexpected yields. Large aggregates remained in the LRS chamber in certain donors who were prone to undergo spontaneous aggregation, making the platelet yields low and platelet MPV very small. Based on repeated failures and on this new quality parameter showing LRS chamber abnormality, two donors were temporarily deferred from the panel. While it was not possible to identify the causes, it is appropriate to raise the question whether these profiles were Trima version 4 specific or not. Hence, further investigation is needed for a better clarification. In short, the simultaneous analysis of products and LRS content provided useful information not only for the characterization of donor-related phenomena but also helped in the identification of potential shortcomings in the machine performance allowing for remedial action to be taken on evidence based data.

Blood Donors↗

"Third tier" ventral extrastriate cortex in the New World monkey, Cebus apella.

The ventral extrastriate cortex adjacent to the second visual area was studied in the New World monkey Cebus apella, using anaesthetised preparations. The visuotopic organisation and myeloarchitecture of this region demonstrate the existence of a distinct strip of cortex, 3-4 mm wide, with an ordered representation of the contralateral upper visual quadrant, up to 60 degrees eccentricity. This upper-quadrant representation is probably homologous to the ventral subdivision of the third visual complex (V3v) of Old World monkeys, also known as the ventral posterior area. The representation of the horizontal meridian in V3v forms its posterior and medial border with V2, while the upper vertical meridian is represented anterior and laterally, forming a congruent border with the fourth visual area (V4). Central visual fields are represented in posterior and lateral portions of V3v, in the inferior occipital sulcus, while the periphery of the visual field is represented anteriorly, on the tentorial surface. Cortex anterior to V3v, at the ventral occipitotemporal transition, had neurones that had poor visual responses. No representation of the lower quadrant was found adjacent to V3v in ventral cortex. However, we observed cells with perifoveal receptive fields centred in the lower quadrant immediately dorsal to V3v, around the junction of the inferior occipital and lunate sulci. These observations argue against the idea that V3v is an area restricted to the ventral cortex in New World monkeys and support the conclusions of previous anatomical studies in Cebus that showed a continuity of myeloarchitecture and connectional patterns between ventral and lateral extrastriate cortices. Together, these data suggest that V3v may be part of a larger area that extends into dorsolateral extrastriate cortex, overlapping to some extent with the caudal subdivision of the dorsolateral area described in other New World monkeys.

Animals↗

Area V4 in Cebus monkey: extent and visuotopic organization.

We used electrophysiological mapping and myeloarchitectural criteria in order to define the location, extent and visual topography of the fourth visual area (V4) in anesthetized and paralyzed Cebus monkey. Based on these criteria, the borders of V4 with surrounding areas were defined both on the dorsal and ventral cortical surfaces. In addition, to better visualize the visuotopic organization and to evaluate its regularity, we constructed bidimensional maps and projected the recording sites onto them. Area V4 has an almost complete representation of the binocular visual field with the lower visual field represented dorsally (V4d) and the upper field ventrally (V4v). We found this representation to be more extensive than those previously described. The representation of the central portion of the visual field is largely expanded in comparison with that of the periphery. This emphasis in central vision could be related with the involvement of V4 in the ventral stream of visual information processing. Receptive field size increases with increasing eccentricity, while cortical magnification factor decreases. The cortical magnification factor measured along isopolar lines is, on average, 1.5-2.0 times greater than that measured along the isoeccentric lines, suggesting the existence of a small anisotropy in central and peripheral V4.

Animals↗

Cortical projections of area V2 in the macaque.

To determine the locus, extent and topograhic organization of cortical projections of area V2, we injected tritiated amino acids under electrophysiological control into 15 V2 sites in 14 macaques. The injection sites included the foveal representation and representations ranging from central to far peripheral eccentricities in both the upper and lower visual fields. The results indicated that all V2 sites project topographically back to V1 and forward to V3, V4 and MT. There is also a topographically organized projection from V2 to V4t, but this projection is limited to the lower visual field representation. V2 thus appears to project to virtually all the visual cortex within the occipital lobe. In addition to these projections to occipital visual areas, V2 sites representing eccentricities of approximately 30 degrees and greater project to three visual areas in parietal cortex-the medial superior temporal (MST), parieto-occipital (PO) and ventral intraparietal (VIP) areas. This peripheral field representation of V2 also projects to area VTF, a visual area located in area TF on the posterior parahippocampal gyrus. Projections from the peripheral field representation of V2 of parietal areas could provide a direct route for rapid activation of circuits serving spatial vision and spatial attention.

Amino Acids↗

Identification and visuotopic organization of areas PO and POd in Cebus monkey.

Two visual areas of the anterior bank of the parietooccipital sulcus, areas PO and POd, were identified and their visual field representations were studied in six anesthetized and paralyzed Cebus monkeys. The definition of these areas was based on electrophysiological mapping and myeloarchitecture. PO is located in the ventral aspect of the anterior bank of the parietooccipital sulcus and ventral precuneate gyrus. It borders area V2 posteriorly and ventrally in the depth of the parietooccipital sulcus, area V3d laterally, and another undescribed visual area medially. POd was located dorsal to area PO and ventral to architectonic area PE. The representations of the visual field in areas PO and POd are complex. In each hemisphere, these areas have a virtually complete representation of the contralateral visual hemifield. Different from the previously described visual areas, in PO and POd there is a precise organization of isopolar lines and a complex organization of the isoeccentric ones. In PO, as well as in POd, the representation of the horizontal meridian runs dorsoventrally along the parietooccipital sulcus. The upper visual quadrant is represented medially and the lower visual quadrant laterally. A large and complex representation of the periphery, from 20 degrees to 60 degrees eccentricity is present at the lateral and medial portions of these areas. By contrast, the representation of the central 20 degrees is very small in both PO and POd. The central visual field is represented ventrally in PO and dorsally in area POd. Area POd shows a more stratified myeloarchitectonic pattern than PO and both areas can be distinguished from other surrounding areas by their heavier myelinated pattern.

Animals↗

Topographic organization of cortical input to striate cortex in the Cebus monkey: a fluorescent tracer study.

Cortical afferents to area V1 were studied in seven Cebus monkeys by means of retrograde fluorescent tracers. Injections were placed in V1, under electrophysiological guidance, in the regions of representation of both the upper and lower visual quadrants, at eccentricities that ranged from 0.5 to 64 degrees. In all cases retrogradely filled neurons were found in retinotopically corresponding portions of areas V2 and MT, as defined electrophysiologically (Rosa et al: J. Comp. Neurol. 275:326, 1988; Fiorani et al: J Comp Neurol 287:98, 1989). The results also revealed two other visual zones located anterior to V2 here named third and fourth visual areas. A topographical organization of the connections was observed in these areas, with upper quadrant located ventrally and lower quadrant located dorsally. A clear central-peripheral gradient, from the lateral to the medial cortical surface, was also observed in these areas. Lower field injections revealed crude topographic organization in area DZ and a diffuse projecting zone in the annectent gyrus. Peripheral injections in V1 revealed a clear upper and lower field segregation in areas PO and prostriata as well as a complex topography in MST. In addition, another region of labeling revealed the presence of an area, the temporal ventral posterior region, with an organized topographic representation of the upper field, with a central to peripheral gradient, from the lateral to the medial cortical surface. Three groups of cortical areas were distinguished according to the laminar distribution of neurons labeled from V1. In the first group, which is characterized by dense infra- and supragranular labeling, only V2 was included. The second group consists of areas V3, MT, and PO. These areas show dense labeling in the infragranular layers and occasionally sparse labeling in the supragranular layers. Finally, V4 and the other projecting areas, which are characterized by exclusive labeling of the infragranular layers were included in the third group.

Afferent Pathways↗

Cortical streams of visual information processing in primates.

1. The topographic organization of the cortical visual areas in the Cebus monkey and their anatomical connections support the subdivision of the visual pathways into ventral and dorsal streams of visual information processing. 2. We propose that the dorsal stream, as defined by Ungerleider and Mishkin (In: Ingle DJ, Goodale MA and Mansfield RJW (Editors), Analysis of Visual Behavior. MIT Press, Boston, 1982), be subdivided into dorsolateral and dorsomedial streams, which are concerned with different aspects of the processing of motion and spatial perception. 3. The data support the hypothesis of concurrent, modular processing of visual attributes in cortical visual areas in the different streams, and highlight some features of the visual field representation in each area which may reflect functional specialization of these streams. 4. The visual topography is locally disrupted in some cortical areas by the existence of functionally different modules. However, a global visuotopic organization is preserved in most areas. 5. The visuotopic organization may provide the address of space coordinates to integrate information concerning the same retinotopic locus across different visual areas.

Animals↗

Visual area MT in the Cebus monkey: location, visuotopic organization, and variability.

The representation of the visual field in the dorsal portion of the superior temporal sulcus (ST) was studied by multiunit recordings in eight Cebus apella, anesthetized with N2O and immobilized with pancuronium bromide, in repeated recording sessions. On the basis of visuotopic organization, myeloarchitecture, and receptive field size, area MT was distinguished from its neighboring areas. MT is an oval area of about 70 mm2 located mainly in the posterior bank of the superior temporal sulcus. It contains a visuotopically organized representation of at least the binocular visual field. The representation of the vertical meridian forms the dorsolateral, lateral, and ventrolateral borders of MT and that of the horizontal meridian runs across the posterior bank of ST. The fovea is represented at the lateralmost portion of MT, while the retinal periphery is represented medially. The representation of the central visual field is magnified relative to that of the periphery in MT. The cortical magnification factor in MT decreases with increasing eccentricity following a negative power function. Receptive field size increases with increasing eccentricity. A method to evaluate the scatter of receptive field position in multiunit recordings based on the inverse of the magnification factor is described. In MT, multiunit receptive field scatter increases with increasing eccentricity. As shown by the Heidenhain-Woelcke method, MT is coextensive with two myeloarchitectonically distinct zones: one heavily myelinated, located in the posterior bank of ST, and another, less myelinated, located at the junction of the posterior bank with the anterior bank of ST. At least three additional visual zones surround MT: DZ, MST, and FST. The areas of the dorsal portion of the superior temporal sulcus in the diurnal New World monkey Cebus are comparable to those described for the diurnal Old World monkey, Macaca. This observation suggests that these areas are ancestral characters of the simian lineage and that the differences observed in the owl monkey may be secondary adaptations to a nocturnal ecological niche.

Animals↗

Representation of the visual field in the second visual area in the Cebus monkey.

The representation of the visual field in the second visual area (V2) was reconstructed from multiunit visual responses and anatomical tracers. Receptive field plotting was performed during multiple recording sessions in seven Cebus apella monkeys under N2O/O2 and immobilized with pancuronium bromide. V2 forms a continuous belt of variable width around striate cortex (V1) except at the most anterior portion of the calcarine sulcus. In each hemisphere V2 contains a visuotopic representation of the contralateral visual hemifield. The representation of the vertical meridian is adjacent to that of V1 and forms the posterior border of V2. The representation of the fovea of V2 is adjacent to that of V1. The representation of the horizontal meridian (HM) is continuous with that of V1; then it splits to form the anterior border of V2, both dorsally and ventrally. The lower quadrant of the visual field is represented dorsally and the upper quadrant ventrally. The visual topography of V2 is coarser than that of V1. In V2, receptive fields corresponding to recording sites separated by a cortical distance of up to 4 mm may represent the same portion of the visual field. In three additional animals, combined injections of fluorescent tracers along the HM representation in V1 yielded two projection sites at the anterior border of V2. The split of the HM representation is estimated to occur at an eccentricity below 1 degree. Quantitative analysis showed that in V2 the representation of the central visual field is magnified relative to that of the periphery. The cortical magnification factor is greater along the isopolar dimension than along the isoeccentric one. Receptive field size in V2 increases with increasing eccentricity. In sections stained for myelin by the Heidenhein-Wöelcke method V2 can be distinguished from the surrounding cortex for most of its extent.

Animals↗

Visuotopic organization and extent of V3 and V4 of the macaque.

The representation of the visual field in areas V3 and V4 of the macaque was mapped with multiunit electrodes. Twelve Macaca fascicularis were studied in repeated recording sessions while immobilized and anesthetized. V3 is a narrow strip (4-5 mm wide) of myeloarchitectonically distinct cortex located immediately anterior to V2. It contains a systematic representation of the central 35-40 degrees of the contralateral visual field; the representation of the upper quadrant is located ventrally in the hemisphere and that of the lower quadrant, dorsally. There is a small gap between the dorsal (V3d) and ventral (V3v) portions of V3. The representation of the horizontal meridian is adjacent to that in V2 and forms the posterior border of both V3d and V3v. Most or all of the anterior border of V3d consists of the representation of the lower vertical meridian. The entire anterior border of V3v consists of the representation of the upper vertical meridian. V4 is a strip of myeloarchitectonically distinct cortex 5-8 mm wide, immediately anterior to V3. It contains a coarse, but systematic, representation of approximately the central 35-40 degrees of the contralateral visual field. The representation of the upper visual field is located ventrally in the hemisphere. Most of the representation of the lower visual field is located dorsally. The posterior border of V4 corresponds to the representation of the vertical meridian, and the representation of the horizontal meridian is located at or near its anterior border. In both V3 and V4, the representation of the central visual field is magnified relative to that of the periphery. In both areas, the size of receptive fields increases with increasing eccentricity; however, at a given eccentricity, the receptive fields of V4 are larger than those of V3.

Animals↗

Visual topography of V1 in the Cebus monkey.

The representation of the visual field in the striate cortex (V1) was mapped with multiunit electrodes in the Cebus monkey. Nine Cebus apella, anesthetized with N2O and immobilized with pancuromium bromide were studied in repeated recording sessions. In each hemisphere, V1 contains a continuous representation of the contralateral visual hemifield. The representation of the vertical meridian (VM) forms the external border of V1 except at the anteriormost portion of the calcarine fissure. The representation of the horizontal meridian (HM) divides the area so that the representation of the lower visual field is located dorsally, and that of the upper field ventrally. The convoluted surface of V1 can be only partially unfolded, and no precise "flattened" map can be obtained without introducing surface discontinuities. The visual topography of V1 is presented in a series of coronal sections and in "flattened" maps. The representation of the central visual field is magnified relative to that of the periphery in V1. The evaluation of the cortical magnification factors measured along isoeccentric and isopolar dimensions in the partially unfolded model of V1 revealed anisotropies in the representation of the visual field with larger magnification along isopolar lines than along isoeccentric lines. Receptive field size increases with increasing eccentricity, whereas point image size decreases with increasing eccentricity.

Animals↗

Visual receptive fields of units in the pulvinar of cebus monkey.

Visually driven units, isolated in the ventrolateral group -- Pv1g (109) and in subnucleus Pmu (33) of the pulvinar of the cebus monkey, were studied in acute and chronic preparations under nitrous oxide N2O/O2 anesthesia during periods of EEG arousal. Taking into consideration the response properties to static or moving stimuli as well as the organization of the receptive fields, units isolated in the pulvinar were subdivided into 8 groups. Units displaying dynamic properties predominate over static ones. Static units were classified in 3 groups; of these, one showed uniform receptive fields; the remaining two groups, with non-uniform RFs, were further subdivided in terms of orientation selectivity. By testing for directional sensitivity, organization of the RFs and orientation selectivity, the dynamic units were divided in 5 groups. Among these there was a predominance of directional units, displaying uniform RFs and showing orientation selectivity. Although the receptive fields would extend into the ipsilateral hemifield (up to 10 degrees), their centers were always located in the contralateral visual hemifield. Binocularly driven units predominate in both static and dynamic categories.

Animals↗

Visuotopic organization of the cebus pulvinar: a double representation the contralateral hemifield.

The projection of the visual field in the pulvinar nucleus was studied in 17 Cebus monkeys using electrophysiological techniques. Visual space is represented in two regions of the pulvinar; (1) the ventrolateral group, Pvlg, comprising nuclei P delta, P delta, P gamma, P eta and P mu 1; and (2) P mu. In the first group, which corresponds to the pulvinar inferior and ventral part of the pulvinar lateralis, we observed a greater respresentation of the central part of the visual field. Approximately 58% of the volume of the ventrolateral group is concerned with the visual space within 10 degrees of the fovea. This portion of the visual field is represented at its lateral aspects, mainly close to the level of the caudal pole of the lateral geniculate nucleus (LGN). Projection of the vertical meridian runs along its lateral border while that of the horizontal one is found running from the dorsal third of the LGN's hilus to the medial border of the ventro-lateral group. The lower quadrant is represented at its dorsal portion while the upper quadrant is represented at the ventral one. In Pmu the representation is rotated 90 degrees clockwise around the rostrocaudal axis: the vertical meridian is found at the ventromedial border of this nucleus. Thus, the lower quadrant is represented at the later portion of Pmu and the upper at its medial portion. Both projections are restricted to the contralateral hemifield.

Animals↗

Clinical correlations in HIV-1 and HIV-2 infected patients.

In Portugal, the prevalence of human immunodeficiency virus type 2 (HIV-2) seropositivity is higher than in other European countries or North America. Recent literature data points out a possible difference on the pathogenic potential and on the natural history of HIV-1 and HIV-2, suggesting a lower virulence of HIV-2. Facing these hypothesis and the increasing number of HIV-2 cases, we analysed two infected groups HIV-1 and HIV-2, trying to correlate the ophthalmologic lesions present in both populations and searching for a difference in the clinical presentation of the ocular disorder. We studied prospectively 214 patients with HIV infection at several stages, 83% HIV-1 and 17% HIV-2. Ocular manifestations were present in both populations with a significant prevalence in HIV-1 (48%), compared to HIV-2 (19%) (p < 0.005). The ophthalmologic pathology found, particularly noninfectious retinopathy, infectious retinitis and neuro-ophthalmic disorders, were considered important for the disease's diagnosis and prognosis. All these ophthalmic findings were present in the HIV-1 population. In the HIV-2 group the most frequent lesion was noninfectious retinopathy. Within each group, HIV-1 and HIV-2, the comparison of the survival between AIDS patients with and without ocular lesions, revealed a significant shorter survival time in those with ocular pathology (p < 0.001 and p < 0.05). There seems to exist a certain analogy in clinical expression in both groups, although it is possible to admit a lower severity in ocular involvement in patients infected by HIV-2.

AIDS-Related Complex↗