PubMed Health⌕ Search

Biomedical subjects

H Martens

Publications and source records attributed to H Martens.

At least 37 records · Page 2Linked to original sources

Magnesium transport in the gastrointestinal tract.

Magnesium is an essential (macro) mineral in vertebrates with many biochemical and physiological functions including activation of enzymes, involvement into metabolic pathways, regulation of membrane channels and muscle contraction. Despite these important functions, Mg++ homeostasis is not regulated by hormones, but depends on absorption from the gastrointestinal tract, requirement of the body, and excretion via the kidneys. The present review summarizes data on epithelial Mg++ transport in the gut via paracellular and cellular pathways. Paracellular movement of Mg++ is only important in leaky epithelia as in the small intestine. The transcellular transport of Mg++, luminal uptake and basolateral extrusion, require membrane proteins which increase the low permeability of the membranes and facilitate the movement of Mg++ through these lipid bilayers. Proposals have been made how these proteins could mediate Mg++ transport. There is now a growing body of evidence for a PD-dependent luminal Mg++ uptake via a carrier or channel. Furthermore, PD-independent uptake mechanisms have been demonstrated which may be represented by Mg++/2cation+ exchange or co-transport of Mg++ with anions. The mechanism of a basolateral extrusion is not clear. A Na+/Mg++ exchange, well characterized in non-polar cells, has been suggested which leads to the proposal that there is a secondary active transport system for Mg++. It can readily be learned from this fragmentary knowledge of transepithelial Mg++ transport that future research must be directed to a study of the relevant membrane proteins (carriers or channel for Mg++) in order to close the gap between the incompletely described epithelial Mg++ transport mechanisms and the well established transport systems, e.g. , sodium or glucose.

Animals↗

Pathophysiology of grass tetany and other hypomagnesemias. Implications for clinical management.

Magnesium is an essential mineral with many physiologic and biochemical functions. Surprisingly, Mg homeostasis is not regulated by a hormonal feedback system, but simply depends on inflow (absorption) from the gastrointestinal tract and outflow (endogenous secretion, requirement for milk production, uptake by tissues). Any surplus (inflow greater than outflow) is excreted via urine. Conversely, if the outflow (mainly milk secretion and endogenous loss) exceeds inflow, hypomagnesemia occurs because of the lack of hormonal mechanisms of homeostasis. The major reason for insufficient inflow is a reduced absorption of Mg from the forestomachs. Recent studies from our laboratory and data from the literature permit the proposal of a putative transport model for the secondary active transport of Mg across the rumen epithelium. This model includes two uptake mechanisms across the luminal membrane (PD-dependent and PD-independent) and basolateral extrusion via a Na/Mg exchange. The well-known negative interaction between ruminal K concentration and Mg absorption can be explained on the basis of this model: an increase of ruminal K depolarizes the potential difference of the luminal membrane, PDa, and as the driving force for PD-dependent (or K-sensitive) Mg uptake. Because Na deficiency causes an increase of K concentration in saliva and ruminal fluid, Na deficiency should be considered a potentially important risk factor. The data obtained from in vitro and in vivo studies on the association of Mg transport, changes of ruminal K concentration, and PDa are extensive and confirm the model, if the ruminal Mg concentrations are below 2 to 3 mM. It is further proposed by the model that the PD-independent Mg uptake mechanism is primarily working at high ruminal Mg concentration (above 2 mM). Mg absorption becomes more and more independent of ruminal K with increasing Mg concentration, which can be considered as an explanation for the well-known prophylaxis of hypomagnesemia by increasing oral Mg intake. Fermentation products, NH4+ and SCFA, influence Mg absorption. The possible meaning regarding the pathogenesis of hypomagnesemia is not quite clear. A sudden increase of ruminal NH4+ should be avoided, because high NH4+ concentrations transiently reduce Mg absorption. The most prominent signs of hypomagnesemia are excitations and muscle cramps, which are closely correlated with the Mg concentration in the CSF. It is suggested that the clinical signs are caused by spontaneous activation of neurons in the CNS at low Mg concentrations, which leads to tetany. Prophylactic measures are discussed in context with the known effects on ruminal Mg absorption.

Animals↗

[Serologic study of the prevalence and course of Hantavirus infections in Mecklenburg-Vorpommern].

694 sera obtained from 1994 till 1998 in the general population were examined with a recombinant enzyme immunoassay for hantavirus antibodies against the serotypes Hantaan and Puumala. Positive samples were retested for confirmation with an indirect immunofluorescence assay and a recombinant immunoblot. The observed antibody prevalence of 0.9% signities that Mecklenburg-Vorpommern is not an endemic area. 12 out of 196 patients with a suspected hantavirus infection were confirmed. All proved antibodies were anti-Hantaan. Due to strong cross-reactivity in the Hantaan group, definite determination was not possible with the methods employed. The clinical symptoms corresponded to epidemic nephropathy. One patient developed the hantavirus pulmonary syndrome. Titre controls were carried out. In all professional groups with a high risk of infection (forestry employees, zoo keepers, workers in a stud farm, pest controllers) no increased antibody prevalence was seen. Dialysis patients had the same antibody prevalence as the general population (0.9%).

Adult↗

Thymic neuroendocrine self-antigens. Role in T-cell development and central T-cell self-tolerance.

The repertoire of thymic neuroendocrine precursors plays a dual role in T-cell differentiation as the source of either cryptocrine accessory signals in T-cell development or neuroendocrine self-antigens presented by the thymic major histocompatibility complex (MHC) machinery. Thymic neuroendocrine self-antigens usually correspond to peptide sequences highly conserved during the evolution of one family. The thymic presentation of some neuroendocrine self-antigens is not restricted by MHC alleles. Oxytocin (OT) is the dominant peptide of the neurohypophysial family. It is expressed by thymic epithelial and nurse cells (TEC/TNCs) of different species. Ontogenetic studies have shown that the thymic expression of the OT gene precedes the hypothalamic one. Both OT and VP stimulate the phosphorylation of p125FAK and other focal adhesion-related proteins in murine immature T cells. These early cell activation events could play a role in the promotion of close interactions between thymic stromal cells and developing T cells. It is established that such interactions are fundamental for the progression of thymic T-cell differentiation. Insulin-like growth factor 2 (IGF-2) is the dominant thymic polypeptide of the insulin family. Using fetal thymic organ cultures (FTOCs), the inhibition of thymic IGF-2-mediated signaling was shown to block the early stages of T-cell differentiation. The treatment of FTOCs with an mAb anti-(pro)insulin had no effect on T-cell development. In an animal model of autoimmune type 1 diabetes (BB rat), thymic levels of (pro)insulin and IGF-1 mRNAs were normal both in diabetes-resistant and diabetes-prone BB rats. IGF-2 transcripts were clearly identified in all thymuses from diabetes-resistant adult (5-week) and young (2- and 5-days) BB rats. In marked contrast, the IGF-2 transcripts were absent and the IGF-2 protein was almost undetectable in +/- 80% of the thymuses from diabetes-prone adult and young BB rats. These data show that a defect of the thymic IGF-2-mediated tolerogenic function might play an important role in the pathophysiology of autoimmune Type 1 diabetes.

Adult↗

Mechanisms of Mg(2+) transport in cultured ruminal epithelial cells.

Net Mg(2+) absorption from the rumen is mainly mediated by a transcellular pathway, with the greater part (62%) being electrically silent. To investigate this component of Mg(2+) transport, experiments were performed with isolated ruminal epithelial cells (REC). Using the fluorescent indicators mag-fura 2, sodium-binding benzofuran isophthalate, and 2', 7'-bis(2-carboxyethyl)-5(6)-carboxyfluorescein, we measured the intracellular free Mg(2+) concentration ([Mg(2+)](i)), the intracellular Na(+) concentration ([Na(+)](i)), and the intracellular pH (pH(i)) of REC under basal conditions, after stimulation with butyrate and HCO(-)(3), and after changing the transmembrane chemical gradients for Mg(2+), H(+), and Na(+). REC had a mean resting pH(i) of 6.83 +/- 0.1, [Mg(2+)](i) was 0.56 +/- 0. 14 mM, and [Na(+)](i) was 18.95 +/- 3.9 mM. Exposure to both HCO(-)(3) and HCO(-)(3)/butyrate led to a stimulation of Mg(2+) influx that amounted to 27.7 +/- 5 and 29 +/- 10.6 microM/min, respectively, compared with 15 +/- 1 microM/min in control solution. The increase of [Mg(2+)](i) was dependent on extracellular Mg(2+) concentration ([Mg(2+)](e)). Regulation of pH(i) has been demonstrated to be Na(+) dependent and is performed, for the most part, by a Na(+)/H(+) exchanger. The recovery of pH(i) was fully blocked in nominally Na(+)-free media, even if [Mg(2+)](e) was stepwise increased from 0 to 7.5 mM. However, an increase of [Mg(2+)](i) was observed after reversing the transmembrane Na(+) gradient. This rise in [Mg(2+)](i) was pH independent, K(+) insensitive, dependent on [Mg(2+)](e), imipramine and quinidine sensitive, and accompanied by a decrease of [Na(+)](i). The results are consistent with the existence of a Na(+)/Mg(2+) exchanger in the cell membrane of REC. The coupling between butyrate, CO(2)/HCO(-)(3), and Mg(2+) transport may be mediated by another mechanism, perhaps by cotransport of Mg(2+) and HCO(-)(3).

Animals↗

Involvement of insulin-like growth factors in early T cell development: a study using fetal thymic organ cultures.

The expression of insulin-like growth factor (IGF) and IGF receptor genes was investigated by RT-PCR during ontogeny of the murine thymus. IGF-1, IGF-1R, M6P/IGF-2R genes are expressed in the thymus both in fetal and postnatal life, whereas IGF-2 messenger RNAs (mRNAs) decline after birth but are still detectable on the seventh week. By in situ hybridization, IGF-2 transcripts were located in the outer cortex and medulla of the postnatal thymus, and on the whole surface ofthe epithelial-like network in the fetal thymus. The effects of anti-IGFs and IGF-receptors neutralizing Abs on the generation of pre-T cell subpopulations were then investigated using fetal thymic organ cultures (FTOC). FTOC treatment with an anti-IGF-2 mAb, an anti-IGF-1R mAb, or an anti-M6P/IGF-2R polyclonal Ab induced a blockade of T cell differentiation at the CD4-CD8- stage, as shown by a significant increase in the percentage of CD4-CD8- cells and a decrease in the percentage of CD4+CD8+ cells. Moreover, anti-IGF-2 Ab treatment induced an increase in CD8+ cells suggesting that thymic IGF-2 might have a role in determining differentiation into the CD4 or CD8 lineage. Anti-IGF-1 Ab treatment decreased the proportion in CD4-CD8- cells and increased the frequency in CD4+CD8+. FTOC treatment with anti-(pro)insulin did not exert any significant effect on T cell development. These data indicate that the intrathymic IGF-mediated signaling plays an active role in the early steps of T cell differentiation during fetal development.

Animals↗

[Electrophysiologic changes in rumen epithelium in their effect on magnesium transport--a review].

The forestomach is the main site of Mg2+ absorption in the gastrointestinal tract of ruminants and maintains Mg2+ homeostasis. It has long been known that an increase in K+ intake and, consequently, in ruminal K+ concentration ([K+]) decreases the apparent digestibility of Mg2+, which increases the risk of hypomagnesemia and tetany. The present review summarizes new findings on the mechanisms of Mg2+ absorption across the rumen epithelium. It has been shown that transcellular and active Mg2+ transport is the predominant pathway for Mg2+ transport from lumen to blood. It is well established that the apical uptake of Mg2+ is mediated by a PD-independent of K(+)-insensitive and by a parallel working PD-dependent, K+ sensitive mechanisms. The predominant driving force for the electro-diffusive Mg2+ uptake is PDa, the potential difference across the apical membrane of the rumen epithelium, that amounts to -50 mV under physiological conditions, permitting an effective Mg2+ absorption even at very low luminal Mg2+ concentrations. The antagonism between K+ and Mg2+ absorption can be explained by K+ dependent electrophysiological changes of the rumen epithelium. An elevation of the ruminal [K+] has two different effects that are responsible for the observed reduction of net Mg2+ absorption; (1) It depolarizes PDa and thereby reduces the driving force for the electro-diffusive Mg2+ uptake into the ruminal epithelial cells, hence decreases the cytosolic [Mg2+] and the transcellular component of Mg2+ absorption; (2) It increases the transepithelial potential difference (PDt; blood-side positive) and, hence causes a small, passive backflow of Mg2+ via the paracellular route from the blood side into the lumen. The second, PD-independent uptake mechanism is primarily working at high ruminal [Mg2+]. Therefore the negative effect of K+ can be compensated by this K+ insensitive Mg2+ absorption, if high [Mg2+] are present in the ruminal fluid.

Animals↗

[Porcine stress syndrome and PSE meat: clinical symptoms, pathogenesis, etiology and animal rights aspects].

A review is given about the clinical symptoms, pathogenesis and aetiology of the porcine stress syndrome, furthermore aspects of animal welfare are discussed. The current breeding programmes of pig industry in Germany in many cases include animals with a mutation of the ryanodine-receptor (RYR-1)-gene--homozygous or heterozygous. This situation is the result of an intensive breeding of pigs during the last decades with the intention of increased lean carcass content and corresponding proceeds. The homozygous pigs are more stress susceptible (porcine stress syndrome) and produce meat of poor quality (PSE), which is also the case to some extend in heterozygous animals. The clinical symptoms of this muscle disease are characterised by a deficit of oxygen and a rapid glycolysis accompanied by a production of lactic acid and acidosis primarily in II B white muscle fibres. There is no doubt that a very close causal relation exists between the mutation of the RYR-1 and the porcine stress syndrome as well as the poor meat quality. The present knowledge of this disease, the genetic background, the physiology and pathophysiology of the mutation of the RYR-1 leads to the imperative conclusion to eliminate this mutated RYR-1 by selection of healthy pigs, which has been done successfully in other countries with important pig production. This conclusion is also supported by simple economic reasons because fertility, reproduction and daily weight gain are significantly reduced in stress susceptible pigs. Furthermore, it should be emphasised that regular breeding with the mutated RYR-1 is also a matter of animal welfare. The evident correlation between the mutated RYR-1 and the porcine stress syndrome, which includes degeneration of the muscle, pain and even life threatening malignant hyperthermia, can easily lead to the accusation in the public that diseased animals are used for pig meat production. Consequently, the authors would like to urge the breeding companies and the responsible authorities to discuss the problem with the intention to finish the current breeding programmes using animals with the mutated RYR-1 within a reasonable period of time.

Animal Husbandry↗

[Clinical and subclinical lameness in young fattenin cattle].

Time dependent changes of subclinical and clinical lameness were analysed in 493 fattening bulls in three different herds with a total number of 30,621 animals. In the majority of cases subclinical lameness were observed which were caused by metabolic acidosis or deficiencies in mineral intake (P and probably Ca). The activity of alkaline phosphatase in plasma exhibited an increase and the dry matter in bone (tubera coxae) a decrease before the appearance of clinical symptoms. Changes in bone composition were accompanied by alterations of plasma Ca and P concentrations, which finally led to clinical lameness. Hence the diagnosis was verified by simple laboratory methods as the precondition for successful treatment and prophylaxis of lameness caused by metabolic disorders.

Acidosis↗

[Role of the thymus in the pathophysiology of autoimmune diabetes type 1].

The induction of immunological self-tolerance begins in the thymus during fetal life. The random recombination of gene segments coding for TCR is followed by the negative selection of T cells bearing a TCR directed against self-antigens presented by thymic MHC. Insulin-like growth factor type 2 (IGF-2) is the dominant gene of the insulin family that is transcribed and translated in the thymus of different species. Contrary to the other members of the insulin gene family, IGF-2 gene (IGF2) is not transcribed in the thymus of diabetes-prone BB rats. The absence of thymic IGF2 expression is associated with the diabetogenic autoimmune process in BB rats. This defect could not only contribute to the lymphopenia of BB rats, but also to the absence of central self-tolerance of the insulin family in this animal.

Animals↗

Characterization of the insulin-like growth factor axis in the human thymus.

The components of the insulin-like growth factor (IGF) axis have been investigated in the normal human thymus. Using ribonuclease protection assays (RPA), IGF-II transcripts were detected in the normal human thymus. By reverse transcriptase polymerase chain reaction (RT-PCR) analyses, promoters P3 and P4 were found to be active in the transcription of IGF2 gene within human thymic epithelial cells (TEC). No IGF-II mRNA could be detected in human lymphoid Jurkat T cells with 30 cycles of RT-PCR. By Northern blot analyses, IGFBP-2 to -6 (but not IGFBP-1) were found to be expressed in TEC with a predominance of IGFBP-4. Interestingly, Jurkat T cells only express IGFBP-2 but at high levels. The type 1 IGF receptor was detected in Jurkat T cells but not in human TEC. The identification of the components of the IGF axis within separate compartments of the human thymus adds further evidence for a role of this axis in the control of T-cell development. The precise influence of thymic IGF axis upon T-cell differentiation and immunological self-tolerance however needs to be further investigated.

Blotting, Southern↗

Regulatory role of cAMP in transport of Na+, Cl- and short-chain fatty acids across sheep ruminal epithelium.

Sodium is absorbed in considerable amounts across the ruminal epithelium, whilst its transport is strongly interrelated with the permeation of chloride and short-chain fatty acids (SCFAs). However, regulation of ruminal Na+, Cl-, and SCFA absorption is hardly understood. The present study was therefore performed to characterize the influence of cAMP on sodium and sodium-coupled transport mechanisms in short-circuited, stripped ruminal epithelia of sheep. Elevation of intracellular cAMP concentrations by theophylline (10 mM) or theophylline in combination with forskolin (0.1 mM) significantly reduced mucosal-to-serosal sodium transport, leading to a reduction of net transport. The theophylline- or theophylline-forskolin-induced reduction of sodium transport was accompanied by a decrease in chloride net transport but revealed no effect on propionate flux. Short-chain fatty acids stimulated Na+ transport but their stimulatory effect was almost completely blocked by theophylline-forskolin. In solutions with and without SCFAs, the inhibitory effect of 1 mM amiloride on sodium transport was strongly reduced after theophylline-forskolin pretreatment of the tissues. Blocking the production of endogenous prostaglandins by addition of indomethacin (10 microM) led to a theophylline-sensitive stimulation of unidirectional and net fluxes of sodium. The findings indicate that apical, amiloride-sensitive Na+-H+ exchange and/or basolateral Na+-K+-ATPase can effectively be blocked by cAMP, leading to a decrease in sodium and chloride transport. In the ruminal epithelium, cAMP is a second messenger of prostaglandins, which are released spontaneously under in vitro conditions.

Animals↗

Ca-sensitive Na transport in sheep omasum.

Na transport across a preparation of sheep omasum was studied. All tissues exhibited a serosa-positive short-circuit current (Isc), with a range of 1-4 microeq. h-1. cm-2. A Michaelis-Menten-type kinetic was found between the Na concentration and the Isc (Michaelis-Menten constant for transport of Na = 6.7 mM; maximal transport capacity of Na = 4.16 microeq. h-1. cm-2). Mucosal amiloride (1 mM), phenamil (1 or 10 microM), or serosal aldosterone (1 microM for 6 h) did not change Isc. Removal of divalent cations (Ca and Mg) enhanced Isc considerably from 2.61 +/- 0.24 to a peak value of 11.18 +/- 1.1 microeq. h-1. cm-2. The peak Isc (overshoot) immediately declined to a plateau Isc of approximately 6-7 microeq. h-1. cm-2. Na flux measurements showed a close correlation between changes in Isc and Na transport. Transepithelial studies demonstrated that K, Cs, Rb, and Li are transported, indicating putative nonselective cation channels, which are inhibited by divalent cations (including Ca, Mg, Sr, Ba) and by (trivalent) La. Intracellular microelectrode recordings from the luminal side clearly showed changes of voltage divider ratio when mucosal divalent cations were removed. The obtained data support the assumption of a distinct electrogenic Na transport mechanism in sheep omasum.

Aldosterone↗

Na transport in sheep rumen is modulated by voltage-dependent cation conductance in apical membrane.

The effects of clamping the transepithelial potential difference (PDt; mucosa reference) have been studied in sheep rumen epithelium. Pieces of ruminal epithelium were examined in Ussing chambers, in a part of the experiments combined with conventional intracellular recordings. After equilibration, the tissue conductance (Gt) was 2.50 +/- 0.09 mS/cm(2), the potential difference of the apical membrane (PD(a)) was -47 +/- 2 mV, and the fractional resistance of the apical membrane (fRa) was 68 +/- 2% under short-circuit conditions. Hyperpolarization of the tissue (bloodside positive) depolarized PDa, decreased fRa, and increased Gt significantly. Clamping PDt at negative values caused converse effects on PDa and fRa. All changes were completely reversible. The determination of individual conductances revealed that the conductance of the apical membrane increased almost linearly with depolarization of PDa. The PD-dependent changes were significantly reduced by total replacement of Na. These observations support the assumption of a PD-dependent conductance in the apical membrane that permits enhanced apical uptake of Na even at depolarized PDa. This mechanism appears to be important for the regulation of osmotic pressure in forestomach fluid.

Animals↗

Mg(2+) transport in sheep rumen epithelium: evidence for an electrodiffusive uptake mechanism.

The potential difference (PD)-dependent component of transcellular Mg(2+) uptake in sheep rumen epithelium was studied. Unidirectional (28)Mg(2+) fluxes were measured at various transepithelial PD values, and the unidirectional mucosal-to-serosal (28)Mg(2+) flux (J(Mg)(ms)) was correlated with the PD across the apical membrane (PD(a)) determined by mucosal impalement with microelectrodes. PD(a) was found to be -54 +/- 5 mV, and J(Mg)(ms) was 65.9 +/- 13.8 nmol. cm(-2). h(-1) under short-circuit conditions. Hyperpolarization of the ruminal epithelium (blood-side positive) depolarized PD(a) and, most noticeably, decreased J(Mg)(ms). Further experiments were performed with cultured ruminal epithelial cells (REC). With the aid of the fluorescence probe mag-fura 2, we measured the intracellular free Mg(2+) concentration ([Mg(2+)](i)) of isolated REC under basal conditions at various extracellular Mg(2+) concentrations ([Mg(2+)](e)) and after alterations of the transmembrane voltage. Basal [Mg(2+)](i) was 0.54 +/- 0.08 mM. REC suspended in media with [Mg(2+)](e) between 0.5 and 7.5 mM showed an increase in [Mg(2+)](i) that was dependent on [Mg(2+)](e) and that exhibited a saturable component (Michaelis-Menten constant = 1.2 mM; maximum [Mg(2+)](i) = 1.26 mM). Membrane depolarization with high extracellular K(+) (40, 80, or 140 mM K(+)) and the K(+) channel blocker quinidine (50 and 100 microM ) resulted in a decrease in [Mg(2+)](i). On the other hand, hyperpolarization created by K(+) diffusion (intracellular K(+) concentration > extracellular K(+) concentration) in the presence of valinomycin induced a 15% increase in [Mg(2+)](i). None of the manipulations had any effect on intracellular Ca(2+) concentration and intracellular pH. The results support the assumption that the membrane potential acts as a principal driving force for Mg(2+) entry in REC and suggest that the pathway for this electrodiffusive Mg(2+) uptake across the luminal membrane is a channel or a carrier.

Absorption↗

Tumor necrosis factor alpha decreases, and interleukin-10 increases, the sensitivity of human monocytes to dexamethasone: potential regulation of the glucocorticoid receptor.

Resistance to glucocorticoid therapy has been observed in patients with autoimmune/inflammatory diseases and may be related to the inflammatory process itself. The aim of this study was to examine the ability of tumor necrosis factor alpha (TNFalpha, a proinflammatory cytokine) and interleukin (IL)-10 (an anti-inflammatory cytokine) to differentially regulate the sensitivity of human monocytes/macrophages to glucocorticoids. To accomplish this, we first analyzed the pattern of TNFalpha and IL-10 inhibition by dexamethasone in LPS-stimulated whole-blood cell cultures. Second, we studied the modulation of the sensitivity of these cells to dexamethasone by preincubation with TNFalpha or IL-10 and measurement of LPS-stimulated IL-6 secretion. In addition, we evaluated the effect of dexamethasone on phorbolmyristate-acetate-stimulated IL-1 receptor antagonist secretion by the human monocytic cell line U937. Finally, we investigated whether the modulation of corticosensitivity in TNFalpha- and IL-10-pretreated U937 cells was related to a change of the glucocorticoid receptor concentration and affinity. Dexamethasone had different effects on LPS-induced TNFalpha and IL-10 secretion; whereas it suppressed TNFalpha in a dose-dependent fashion, its effect on IL-10 secretion was biphasic, producing stimulation at lower, and inhibition at higher doses. The concentration of LPS employed influenced the effect of dexamethasone on IL-10 secretion (P < 0.001). Pretreatment with TNFalpha diminished, and with IL-10 improved, the ability of dexamethasone to suppress IL-6 secretion in whole-blood cell cultures (P < 0.01 for both) and to enhance IL-1 receptor antagonist secretion by U937 cells (P < 0.05 for both). TNFalpha decreased (P < 0.001), while IL-10 increased (P < 0.001), the concentration of dexamethasone binding sites in these cells, with no discernible effect on their binding affinity. We conclude that glucocorticoids differentially modulate TNFalpha and IL-10 secretion by human monocytes in a LPS dose-dependent fashion and that the sensitivity of these cells to glucocorticoids is altered by TNFalpha or IL-10 pretreatment; TNFalpha blocks their effects, whereas IL-10 acts synergistically with glucocorticoids. This is accompanied by opposite glucocorticoid receptor changes, respectively opposing and favoring glucocorticoid actions. This study suggests that the pattern of pro-/antiinflammatory cytokine secretion may alter the response of patients to glucocorticoid therapy.

Adult↗

[New players in the physiopathology of water metabolism: the aquaporins].

Aquaporins are transmembrane proteins mediating water transport across plasma membrane of animal, vegetal or bacterial cells. Among the ten aquaporins known in mammals, six are located in kidney and take part in urine concentration. AQP2 is vasopressin regulated, it is the only family member to be implicated in human pathology, such as nephrogenic diabetes insipidus, congestive heart failure, hepatic cirrhosis, nephrotic syndrome or SIADH. Aquaporins are expressed in a wide variety of tissues, such as brain or gastrointestinal tractus, and suggest a role in water tissue exchange, but their real function is still not define. To know the physiological impact of aquaporins, AQP1, AQP3, AQP4 and AQP5 knockout mice have been created and their phenotype analysed.

Animals↗