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Biomedical subjects

E J Elliott

Publications and source records attributed to E J Elliott.

61 records · Page 4Linked to original sources

Sprouting and regeneration of sensory axons after destruction of ensheathing glial cells in the leech central nervous system.

To test the importance of glia during regeneration of mechanosensory neuron axons in the leech central nervous system, individual glial cells that ensheathed the axons were destroyed by intracellular protease injection. Recordings with intracellular microelectrodes showed that glial-desheathed axons re-established synaptic connections with their appropriate target cell, a motor neuron, as frequently and as selectively as control, glial-ensheathed axons. Intracellular staining with horseradish peroxidase showed that desheathed regenerating axons sprouted more than controls, and loss of the glial cell in some cases caused uninjured (intact) axons to sprout. Successful, accurate regeneration could occur whether axons grew along normal or along aberrant pathways. The distal stumps of some sensory axons severed from cell bodies and maintained in organ culture survived without their glial sheath for up to 3 weeks. These experiments show that, although loss of the glial cell affects sensory axon growth, the glial cell is not required for accurate axonal regeneration in the leech central nervous system.

Animals↗

Prognostic factors determining response to antidepressant drugs in psychiatric out-patients and general practice.

The outcome of antidepressant drug treatment was measured in 200 patients, 145 seen in psychiatric out-patient clinics and 55 in general practice, after 4 weeks of therapy. The results of the 200 patients taken together suggested that prognosis was largely determined by factors dependent on the natural history of the disorder and that clinical symptoms were unimportant, but when the results for patients in each drug group were analysed separately symptoms were more important than natural history factors. We conclude that clinical symptoms are only important predictors of response to antidepressant drugs when the patients studied are homogeneous with regard to natural history factors, particularly duration of illness.

Antidepressive Agents↗

Three types of acetylcholine response in bivalve heart muscle cells.

1. The acetylcholine (ACh) responses of cardiac muscle cells from three species of bivalves were studied by intracellular recording and ACh ionophoresis. Heart muscle contraction was abolished by bathing in artificial sea water in which Mn(2+) had been substituted for Ca(2+).2. Three different types of membrane potential changes were observed in response to ACh pulses: a slow hyperpolarization in the clam Mercenaria mercenaria, a rapid depolarization which was sometimes followed by a slower hyperpolarization in the muscle Mytilus edulis, and a biphasic response consisting of both a rapid depolarization and slower hyperpolarization in the oyster Crassostrea virginica. All responses were accompanied by an increase in membrane conductance, as measured by passing constant current pulses with an extracellular suction electrode.3. The hyperpolarizing response in all three species was blocked most effectively by methylxylocholine and not very effectively by tubocurarine or hexamethonium. The depolarizing response in Mytilus was blocked preferentially by tubocurarine and hexamethonium, while the depolarizing response in Crassostrea was blocked effectively by tubocurarine only.4. The hyperpolarizing response in all three species was not altered by Cl(-)-free or Na(+)-free sea water, but was affected by changes in external K(+). The rate of change of the inversion potential of this response with change in [K(+)](o) was 59 mV per tenfold concentration change. The depolarizing response of Mytilus was not altered by changes in external Cl(-) or K(+), but was abolished in Na(+)-free sea water. The depolarizing response of Crassostrea was insensitive to external Na(+) or K(+), inverted at -31 mV in normal sea-water, and was altered by changes in [Cl(-)](o). Substituting for Cl(-) with sulphate shifted the inversion potential at a rate of 56-61 mV per tenfold Cl(-) concentration change.5. The three types of ACh response seen in bivalve heart muscle are similar with respect to time course, pharmacological sensitivity and ionic mechanism to the three types of ACh response described in Aplysia central neurones. Analogies can also be drawn with vertebrate ACh responses.

Acetylcholine↗

Acute flaccid paralysis in Australian children.

OBJECTIVES: To describe the epidemiology and causes of acute flaccid paralysis (AFP) in Australian children, and the clinical features of the two most common causes of AFP, Guillain-Barré syndrome and transverse myelitis. METHODS: Monthly active surveillance for AFP was carried out through the Australian Paediatric Surveillance Unit, with AFP defined as 'acute onset of flaccid paralysis in one or more limbs or of bulbar paralysis in any child less than 15 years of age'. RESULTS: Between March 1995 and December 1999, 143 cases of AFP were reported (approximately 0.8 per 100000 children < 15 years of age per annum). The age range was 2 months-14 years and 59% were boys. Out of these children, 137 (96%) were hospitalized and 47 required intensive care. No case of wild or vaccine-associated poliomyelitis was identified. The most common causes of AFP were Guillain-Barré syndrome in 67 (47%) and transverse myelitis in 27 (19%). Other diagnoses included acute disseminated encephalomyelitis, trauma, tick-bite paralysis and infantile botulism. CONCLUSION: The participation of paediatricians in AFP surveillance contributed to the accreditation of Australia (along with the other 36 countries of the western Pacific region) as 'polio free' by the World Health Organization in October 2000. The surveillance also provided data on the frequency of AFP and identified Guillain-Barré syndrome and transverse myelitis as the most common diagnoses. In this large national series, many other conditions that may present as non-polio AFP were identified.

Acute Disease↗