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Biomedical subjects

H Carlier

Publications and source records attributed to H Carlier.

At least 37 records · Page 2Linked to original sources

Rupture of the diaphragm caused by blunt trauma. Review of 54 successive cases.

From 1970 to 1987, 54 patients were treated for rupture of the diaphragm as a result of blunt trauma, mostly due to road accidents. In more than 75% of the cases, other severe post-traumatic lesions were noted in association with the rupture. There were 46 lesions in the left hemidiaphragm. An early diagnosis was made 34 times (i.e., within 24 h after the accident). This is why it is so important to interpret plain X-ray films of the thorax and abdomen correctly, perhaps after inserting a nasogastric tube. In general, exploration by laparotomy is preferred. Thoracolaparotomy is only used in cases of thoracic or thoracoabdominal injuries associated with important lesions in the lungs or mediastinal organs or in the case of longstanding ruptures accompanied by herniation of different organs. The total mortality was 20%. Death was due to hypovolemia, serious brain injuries, or multiple organ failure (MOF) due to sepsis.

Adolescent↗

Differential intestinal absorption of two fatty acid isomers: elaidic and oleic acids.

The absorption of 14C-labeled oleic acid and 14C-labeled elaidic acid was studied in bile- and pancreatic juice-diverted adult rats. In some cases these acids were compared with 14C-labeled palmitic acid absorption. Sodium taurocholate-emulsified test infusates containing an equimolar mixture of monopalmitin and two fatty acids (oleic and elaidic or palmitic), one of which was 14C labeled, were infused through a duodenal canula. The chyle was collected from the mesenteric lymphatic vessel by plastic tubing. Among the three fatty acids studied, oleic acid exhibited the highest lymphatic recovery rate (43-50%). Elaidic and palmitic acids appeared more slowly and in lesser amounts (10-17%). Simultaneously, the highest amount of chylomicrons was observed when the lipid emulsion contained oleic acid alone; the lowest was observed when elaidic acid was the only unsaturated fatty acid. Experimental data have also shown that compared with elaidic acid, oleic acid is preferentially incorporated into the lymph triglycerides. We can conclude from the data presented that the enterocytic enzymes involved in the absorption of lipids show a high degree of specificity related to the fatty acid isomery, since the absorption of elaidic acid differs markedly from its isomer oleic acid.

Animals↗

Effect of monensin and nocodazole on the intestinal lipid esterification in mouse jejunal organ culture.

The ability of mouse jejunal explants to esterify a lipid emulsion containing oleic acid, palmitic acid and monopalmitin has been studied in different in vitro experimental conditions. The incubating lipid solution must have a minimum volume for obtaining optimal triglyceride esterification by the cultured intestinal mucosa. In our incubating conditions the exchange of oleic for palmitic acid does not significantly modify the amount of lipids esterified by the explants in 15 min. Monensin or nocodazole, added to the culture medium of intestinal explants for 3 hr, significantly change the amount of lipids esterified and secreted. The inhibition observed after nocodazole treatment disappears, however, when the explants are rinsed and the culture is allowed to continue for an additional 3 hr in a drug-free medium. These results suggest that the regulation of lipid metabolism can be studied in organ culture.

Animals↗

Lipid esterification and secretion by the mouse intestine in organ culture.

Explants of adult mouse jejunum were cultured for different time periods and incubated in presence of a lipid diet emulsified by sodium taurocholate or complexed with albumin. The esterification of fatty acids and the secretion of triglycerides and phospholipids were measured and compared to the lipid absorption observed in vivo after the perfusion of the same diet. The results show that, in vitro, the enterocytes esterify the fatty acids present in the medium and secrete them with a yield improving during the culture and even better than the absorption observed in the in vivo experiments.

Alkaline Phosphatase↗

Influence of the diet on the portal and lymph transport of decanoic acid in rats. Simultaneous study of its mucosal catabolism.

The absorption route of decanoic acid, a medium chain fatty acid, infused in the intestinal lumen in the presence and absence of long chain fatty acids, has been analyzed. Ex vivo perfusion of isolated intestinal loop and intestinal lymph fistula was the technique used. Decanoic acid infused alone was essentially transported through the portal system. If infused in association with monopalmitin, oleic or palmitic acid, up to 3% of decanoic acid could be diluted in the lymph. Moreover, decanoic acid oxidation by the mucosa increased significantly with palmitic acid and in contrast decreased with oleic acid. These data show that both intestinal absorption processes and mucosal oxidation of the medium chain fatty acids are modulated by the lipid components of the diet.

Animals↗

Inhibition of protein synthesis and intestinal absorptive cell ultrastructure in cycloheximide or puromycin-treated rats.

Inhibitors of protein synthesis are useful for the investigation of some aspects of intestinal fatty acid absorption. The aim of the present study was to investigate both the biochemical and morphological effects of two inhibitors of protein synthesis on the intestinal mucosa of adult rats. Our results showed that 4 or 4 1/2 h after a single dose of cycloheximide or multiple doses of puromycin, the inhibition of protein synthesis in the jejunal mucosa, measured by the incorporation of 14C-leucine, stabilized at 60% of the controls. At the same time, these two drugs had different effects on absorptive cell morphology: cycloheximide definitely altered the apical surface of these cells, disorganizing their cytoplasm; puromycin did not modify brush border morphology but remodeled the mitochondria and the Golgi complexes.

Animals↗

[Intraenterocytic metabolism and blood uptake of caproic and oleic acids in control and actidione-cycloheximide-treated rats].

Intestinal absorption of capric and oleic acids from the intestinal lumen into mesenteric portal vein blood was investigated in control and actidione-cycloheximide-treated rats using the ex vivo vascular perfusion technique. The measurement of 14C-labeled lipids, 14CO2 and 14C-labeled acid-soluble products was simultaneously carried out with blood collected at 5-min intervals for 60 min. The enterocyte catabolism of capric and oleic acids, one of which was preferentially absorbed via the blood, has been interpreted by the different processes of absorption. The greater enterocyte catabolic activity with capric acid, compared to oleic acid, could be related to the slight affinity of FABP Z for this medium-chain fatty acid and also to lack of capric acid esterification; a non-negligible fraction of this fatty acid actually disappeared from the lumen and was catabolized into the enterocyte at an early stage of its absorption. The actidione-cycloheximide treatment affected oleic acid absorption via the blood to a greater degree than that of capric acid. But it modified both intestinal blood absorption and the catabolism of the two fatty acids in the same manner.

Animals↗

Biochemical and electron microscope radioautographic study of intestinal absorption of tritiated palmitic and oleic acids in control and actidione-cycloheximide-treated rats.

Intestinal absorption of tritiated palmitic and oleic acids was investigated in control and actidione-cycloheximide-treated rats. Pancreatic juice was collected and 24 hr later an intestinal loop was cannulated in situ. A 90 mumole-lipid emulsion composed of an equimolar mixture of monopalmitin, palmitic and oleic acids with bile was infused with either 3H-labeled palmitic or oleic acid. After 15 or 30 min biochemical analysis was carried out to follow the uptake and the transfer of the labeled fatty acids. Mucosa was removed for both biochemical analysis of lipid classes and the ultrastructural or radioautographic electron microscope study depending on the radioactive activity. Following actidione-cycloheximide treatment, the uptake of both fatty acids decreased, but the amount of lipids in the mucosa greatly increased, while amount of the reesterification of fatty acids in the mucosa diminished. Consequently the amount of infused palmitic acid which was transferred in 15 min decreased from 36% in the absence of treatment to 4.6% when treatment was used. The corresponding figures for oleic acid are 70% and 20.9%. Unstructured lipids were in the intercellular spaces, indicating that a cytotoxic effect had occurred which produced a defect in the lipoprotein particle organization. The Golgi complex, in the final step of the chylomicron synthesis before exocytosis, showed low level of radioautographic reaction indicating less participation by the complex in lipid transfer. The various processes which were inhibited during long-chain fatty acid absorption from the luminal area to the Golgi complex included fatty acid binding by proteins, enzymatic acylation and esterification, apoprotein participation. This inhibition explains why long-chain fatty acid absorption was greatly impaired. Moreover, our observations compared with those obtained during decanoic acid absorption, particularly our radioautography based observations, emphasize the important role of the Golgi complex which requires intense membrane turnover during lipid absorption.

Animals↗

[Use of the ex vivo vascular perfusion technique in the rat for the study of the intestinal absorption of fatty acids into the blood].

Lipid emulsion containing tritiated decanoic or oleic acid was infused in an isolated intestinal loop in situ. An ex vivo vascular perfusion technique has been used, allowing the continuous sampling of mesenteric portal blood. With decanoic acid the amount of radioactivity recovered in portal blood was high and similar for actidione-cycloheximide treated and control Rats. On the contrary the amount of radioactivity recovered in control Rats after oleic acid absorption was low. These results show that the ex vivo vascular perfusion technique can be used to study the non-esterified fatty acid intestinal absorption.

Animals↗

[Intestinal lymphatic absorption of labelled oleic acid in the normal rat and rat treated with actidione-cycloheximide or acetoxycycloheximide].

Actidione-cycloheximide or acetoxycycloheximide treated and control Rats prepared with main mesenteric lymph duct cannulation were infused with a 90 mumol lipid emulsion composed of an equimolar mixture of monopalmitin, palmitic acid and 14C oleic acid and added with bile. In control Rats 75% of 14C oleic was recovered in lymph instead of 4,5% in treated rats. Although a low amount of lipids was concerned in this experiment, actidionecycloheximide and acetoxycycloheximide strongly inhibit intestinal absorption of oleic acid in lymph.

Animals↗

[Puromycin action on intestinal lipid absorption in male and female rats].

The effect of puromycin on absorption balance and mucosal lipid distribution was studied during intestinal absorption of 14C oleic acid and 3H palmitic acid, using the isolated intestinal loop of male and female rats in situ. In puromycin-treated animals, mucosal lipid uptake was reduced and mucosal lipid content increased, particularly with oleic acid and in male rats. The phospholipids were significantly reduced. As revealed by mucosal accumulation of free fatty acids, esterification was particularly inhibited with oleic acid and in female rats. These results might explain why portal blood radioactivity was higher in treated rats than in the controls. Puromycin effect occurred at different stages of lipid absorption and varied with sex.

Animals↗

[Actidione-cycloheximide and the route of intestinal absorption of lipids in the rat].

The effect of actidione-cycloheximide on the intestinal absorption of 14C oleic acid was studied on male rats using the ex vivo perfusion technique in control rats and those treated with a protein synthesis inhibitor. With the amounts of lipid infused, the radioactivity recovered in portal blood lipids was the same in treated rats and in controls. However, differences were observed in the appearance of oleic acid in the portal blood during the first 15 min. When protein synthesis was inhibited, absorption occurred earlier via the portal blood. The absorption balance in this type of experiment was considerably lower than normal absorption probably because or surgical stress. In conclusion, when esterification was impaired, oleic acid seemed to be absorbed via the portal blood at the beginning of the experiment like short or medium-chain fatty acids.

Animals↗

[Biochemical and ultrastructural study of actidione-cycloheximide effect on fat intestinal absorption in the rat (author's transl)].

The biochemical and ultrastructural aspects of intestinall fat absorption and chylomicron formation have been studied in rats treated with actidione-cycloheximide. Rats were prepared with a catheter in the main mesenteric lymph duct. The next day, primor rapeseed oil containing 14C triolein was infused in the duodenum of control rats and actidione-cycloheximide treated rats four hours before experiments. In each case, the quantity of lipids absorbed was determined after six hours, and the lipids present in the mucosa were studied as were those present in the lymph collected throughout the absorption period. Furthermore, the ultrastructural study of the mucosa and the morphological study of the lymph lipoprotein particles were carried out using electron microscopy. Disappearance of intraluminal lipids and mucosal lipids appeared slightly impaired after actidione-cycloheximide treatment, but only a very small proportion of the infused lipids were recovered in the intestinal lymph (0.05% compared to 3% in control rats, Table I). The amount of esterified lipids found in the mucosa, after six hours, was clearly lower (49%) when compared with those of control rats (79%) (Table II). This suggests that, following inhibition of protein synthesis by actidione-cycloheximide, lymph fat absorption was much impaired. An alteration in cellular structure appeared in microscopic observations of treated rat enterocytes (Fig. 2 and 3) compared with the control (Fig. 1). Many whorl formations and autophagic vacuoles were included in these cytotoxic effects during lipid absorption. Treated animal enterocyte lipid particles did not have the organized structure of those in the controls. While lymph particles of control rats revealed a regular progression in size (Fig. 4A, B), lymph particles of treated-rats showed a few large chylomicrons (equal or far larger than in the controls) among small particles (Fig. 4 C, D, E); furthermore, evidence of coalescence might be observed (Fig. 4 F). All these observations emphasize the prevailing role of the different protein structures of the enterocytes during lipid intestinal absorption, particularly for chylomicron organization after long-chain fatty acid uptake.

Animals↗

[Electron microscopic study of secretion of chylomicrons in the rat by enterocytes in lymphatic capillary lumen].

Rats were fed on a 20% fat diet; 30 min. or 2 hrs later intestinal jejunal cells were fixed in situ; samples were taken and processed for subsequent study by electron microscopy. Chylomicron secretion was followed from the enterocyte to the lymphatic capillary lumen. Chylomicrons entered the lamina propria through breaks in the basal membrane at intercellular space level. Their penetration into the lymphatic capillary lumen occurred through the open junctions of the endothelial cells normally kept closed by desmosomal formations.

Animals↗

[Influence of rapeseed oil feeding on morphology and oxidative properties of mitochondria isolated from the rat heart].

Mitochondria from heart of rats fed a diet rich in rapeseed oil for two months from weaning, oxidized oleic acid a little better than those from animals fed a control diet containing peanut oil; but their activity decreased much more in presence of potassium cyanide which is an oxidation inhibitor. When observed by electronic microscopy, mitochondria from heart of rats fed rapeseed oil were more mumerous and more mitochondria of great size were encountered as compared with control rats. Biochemical data seemed to show a decrease of activity or quantity of certain enzymatic systems in mitochondria from heart of animals fed rapseed oil. Cyanide could more easily inhibit these enzymatic systems because of their deficiency. It can be thought that it is the mitochondria of great size which are implicated in this phenomenon since their growth is not accompanied by an increase of their content in certain enzymes which are just sensitive to cyanide. A mixture richer in mitochondria of big size, thus poorer in certain enzymes for an equal protein content in drastic conditions, such as partial anoxia since cyanide blocks the respiratory chain.

Administration, Oral↗