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J A Evers

Publications and source records attributed to J A Evers.

15 recordsLinked to original sources

Taurine efflux and intracellular pH during astrocyte volume regulation.

Cytotoxic cerebral edema is characterized by enlarged astroglial cells. In tissue culture, osmotically swollen astrocytes return toward normal volume over a period of 15-30 min in a process termed regulatory volume decrease (RVD). RVD is due, in part, to net efflux of taurine and other amino acids. Our objective in these studies was to examine changes in astrocyte intracellular pH (pHi) which may be related to taurine loss during RVD. We hypothesized net efflux of anionic taurine abandons a proton inside the cell, thus lowering pHi. Primary cultures of cerebral astrocytes were prepared from neonatal rats pups and grown on glass coverslips. Confluent cells were loaded at 37 degrees C with the fluorescent pH indicator BCECF. Fluorescence intensity ratios for excitation wavelengths of 440 nm and 494 nm (530 nm emission) were computed every 2 sec. Intensity ratios were calibrated to pHi at the end of each experiment using 140 mM KCl plus 8.6 microM nigericin at pH 7.4. pHi was measured in isoosmotic Hepes-buffered saline (290 mOsm) and then in hypoosmotic Hepes-buffered saline (200 mOsm) in the presence of 0.5 mM amiloride. Some solutions also contained 150 microM niflumic acid (NA). Cellular taurine content was determined in parallel studies using HPLC. Changes in pHi were compared between groups using Student's t-test with Bonferroni correction. Significance was assumed if p < 0.05. In isoosmotic saline, mean +/- SEM pHi was 7.58 +/- 0.04 and decreased to 7.35 +/- 0.09 after adding amiloride. Hypoosmotic exposure caused a further drop in pHi of 0.29 +/- 0.03 within 15 min. Recovery of pHi in isoosmotic saline was amiloride-sensitive. Subsequent hypoosmotic exposure after recovery in isoosmotic saline produced a change in pHi which was 81 +/- 9% of the change measured during the initial hypoosmotic exposure. Taurine content decreased from 147 +/- 6 nmol/(mg protein) to 116 +/- 7 nmol(mg protein) during the 15 min hypoosmotic exposure in 0.5 mM amiloride. NA significantly reduced the hypoosmotically induced change in pHi to 0.17 +/- 0.02 while completely blocking taurine loss. Assuming an intracellular buffering power of 13 mM, the NA-sensitive intracellular acidification of cells during hypoosmotic exposure in the presence of 0.5 mM amiloride corresponds to 1.6 mequiv/l additional intracellular H+. This increase in intracellular H+ content is equivalent to approximately 32% of the NA-sensitive loss of taurine. The association of changes in pHi with taurine efflux is supported by these data; however, efflux of other weak acids may contribute to intracellular acidification during astrocyte RVD and a significant portion of taurine must leave the cell with a proton.

Amiloride↗

Brain osmolyte content and blood-brain barrier water permeability surface area product in osmotic edema.

Brain edema was induced in adult rats by intraperitoneal injection of distilled water equivalent to 15% of the animal's body weight. Mean +/- SEM serum osmolality fell from 291 +/- 3 mOsm to 253 +/- 4 mOsm during the next hour while cerebral gray matter water content increased from 79.5 +/- 0.2% to 80.9 +/- 0.2%. Gray matter content of sodium, potassium, taurine, glycine, glutamine, and glutamate were unchanged. However, the blood-brain barrier permeability/surface area product for water decreased by 40%. This alteration in water permeability may represent a response to limit water influx during the first hour of hypoosmotic brain edema.

Animals↗

Astrocyte volume regulation and ATP and phosphocreatine concentrations after exposure to salicylate, ammonium, and fatty acids.

Cellular volume regulation following swelling in hypo-osmotic phosphate-buffered saline (PBS) and ATP and phosphocreatine concentrations of cells incubated in iso-osmotic or hypo-osmotic PBS were measured in primary cultured rat cerebral astrocytes exposed for 30 min to NH4Cl, salicylate, hexanoate, octanoate, and/or dodecanoate. These compounds have been implicated in the pathogenesis of cerebral edema in Reye's Syndrome. NH4Cl (0.10 - 10 mM) had no effect on astrocyte volume regulation or ATP concentration. Salicylate significantly reduced ATP concentrations at 3.0 mM and 10 mM but had no effect on volume regulation. Hexanoate (10 mM and 30 mM) decreased astrocyte ATP content by over 80% while octanoate (10 mM) reduced ATP content by more than 50%. Concentrations of these fatty acids at or below 3.0 mM had no effect on ATP content. Volume regulation was inhibited by 3.0 mM hexanoate and 3.0 mM octanoate but not lower concentrations. Dodecanoate (0.1-3.0 mM) decreased cellular ATP content by 33-51% in iso-osmotic PBS solutions. Phosphocreatine content was reduced by exposure to salicylate or octanoate at concentrations which had no effect on ATP content. These results indicate that astrocyte energy metabolism and volume regulation may be compromised by agents associated with cerebral edema in Reye's Syndrome. Analysis of the dose-dependence of these effects suggests that inhibition of astrocyte energy metabolism is not sufficient to affect volume regulation.

Adenosine Triphosphate↗

Correlations between energy metabolism, ion transport, and water content in astrocytes.

Energy metabolism, ion transport, and water content are interrelated in mechanisms of homeostasis of the brain intracellular and extracellular environment. The simplest model of cell homeostasis, the pump-leak hypothesis, incorporates basic relationships between these variables. Although this model accurately calculates steady-state cell volumes, ion concentrations, and metabolic rates, it fails to predict dynamic changes in these properties during elevated extracellular potassium, metabolic inhibition, and osmotic swelling. We have investigated relationships between ions, energy metabolism, and water content in cerebral astrocytes cultured from the neonatal rat. These cells swell more in hypoosmotic phosphate-buffered saline (PBS) containing NaCl than in hypoosmotic PBS with all NaCl replaced equiosmotically by sucrose. Unidirectional Na+ influx also is greater in cells suspended in hypoosmotic, compared with isoosmotic PBS. These data suggest that astrocytes possess a cell volume dependent mechanism of Na+ accumulation. The influx of Na+ during swelling may be coupled to metabolism via Na-K ATPase and may contribute to the sustained swelling of astrocytes observed in hypoosmotic swelling of the brain in situ.

Animals↗

Increase in ventilation caused by aminophylline in the absence of changes in ventral medullary extracellular fluid pH and carbon dioxide tension.

A study was designed to investigate the possibility that changes in ventral medullary extracellular fluid carbon dioxide tension (PCO2) and hydrogen ion (H+) concentration mediate the ventilatory stimulation induced by systemic administration of aminophylline. Six cats with peripheral chemodenervation (bilateral carotid sinus nerve and vagal neurotomy) were studied while anaesthetised with chloralose urethane and breathing spontaneously at a regulated, constant, and somewhat raised end tidal PCO2. Variables were measured during steady state normoxaemia and 10 and 30 minutes after administration of 17 mg/kg aminophylline (mean (SD) blood concentration of theophylline 14.2 (1.5) mg/l). Aminophylline resulted in a significant and considerable increase in minute ventilation to 155% and 167% above baseline at 10 and 30 minutes. Mean (SD) values for arterial PCO2 were 5.6 (0.6), 5.6 (0.6), and 5.4 (0.6) kPa at 0, 10, and 30 minutes. Values for the ventral medullary extracellular fluid PCO2 were 7.6 (1.1), 7.5 (1.0), and 7.4 (1.0) kPa and for H+ concentration 62.7 (9.3), 62.6 (9.3), and 63.5 (8.0) nmol/l at 0, 10, and 30 minutes. After aminophylline infusion the PCO2 and H+ concentration of the extracellular fluid did not differ significantly from baseline values. It is concluded that in spontaneously breathing, peripherally chemodenervated cats the considerable increase in ventilation that follows an infusion of aminophylline is not mediated by change in the ventral medullary extracellular fluid PCO2 or hydrogen ion concentration.

Aminophylline↗

Effects of aminophylline on hypoxemia-induced ventilatory depression in the cat.

We designed experiments to evaluate changes in ventral medullary (VM) extracellular fluid (ECF) PCO2 and pH during hypoxemia-induced ventilatory depression (VD). Our aim was to investigate effects of aminophylline on VD and VM ECF acid-base variables. We used aminophylline because it inhibits adenosine, which is released within the brain during hypoxemia and could mediate VD. Experiments were performed in seven cats with acute bilateral denervation of carotid sinus nerves and vagi. Cats were anesthetized with chloralose-urethan and breathed spontaneously at a regulated and elevated arterial PCO2 (PaCO2). Measurements were made during normoxemia, hypoxemia, and recovery before (phase I) and after (phase II) aminophylline. By use of strict criteria for definition of VD, during phase II two kinds of responses were observed. Aminophylline prevented VD in five cats. In these cats in phase I, with mean arterial PO2 (PaO2) = 105 and PaCO2 = 42.2 Torr, VM ECF PCO2, [H+], and [HCO3-] were 59.5 +/- 8.6 Torr (mean +/- SD), 60.2 +/- 9.4 neq/l, and 23.1 +/- 3.7 meq/l, respectively. When mean PaO2 dropped to 49 Torr, ventilation decreased 21%, with only small changes in VM ECF acid-base variables. Studies were repeated 30 min after aminophylline (17 mg/kg iv). In phase II, during normoxemia (PaO2 = 110 Torr) VM ECF Pco2, [H+], and [HCO3-] were 55.4 +/- 8.1 Torr, 62.0 +/- 8.0 neq/l and 20.7 +/- 2.5 meq/l, respectively. During hypoxemia (PaO2 = 48 +/- 4 Torr) mean ventilation, VM ECF PCO2, [H+], and [HCO3-] did not change significantly.(ABSTRACT TRUNCATED AT 250 WORDS)

Aminophylline↗

The effect of the phase relationship between the arterial blood gas oscillations and central neural respiratory activity on phrenic motoneurone output in cats.

The aim of the present experiments in artificially ventilated, anesthetized cats was to investigate in which circumstances the timing of the arterial blood gas oscillations within the respiratory cycle can be of importance in determining phrenic motoneurone output. The phase relationship phi was defined as the relative position of the peak of the phrenic bursts within the current continuously measured PaO2 oscillations. It was judged breath by breath whether there was a relationship between phi and neural tidal volume, and neural inspiratory and expiratory duration. Within cats, PETCO2 was kept constant at about 1.5-2% above apneic threshold. It was found that phi indeed partly determined these ventilatory parameters provided the oscillations were large enough. This was evident in normoxia; in moderate hypoxia the influence of phi was demonstrable more easily, i.e. at smaller oscillation amplitudes. In both conditions the effect of phi on neural tidal volume was most pronounced. Neural tidal volume was maximal when peak inspiration coincided with the expiratory trough of the PaO2 oscillations. A 1:1 phase lock between phrenic activity and the ventilatory only occurred when the pump frequency was close to the cats own breathing frequency. Bilateral carotid sinus nerve section abolished the effects of phi.

Animals↗

Effects of metabolic arterial pH changes on medullary ecf pH, csf pH and ventilation in peripherally chemodenervated cats with intact blood-brain barrier.

Brain ecf and csf pH are regulated within narrow limits. In the present study we investigated whether--with an intact blood-brain barrier (bbb)--during acute (isocapnic) metabolic pHa disturbances, brain ecf and csf pH changes occur in the same direction as plasma pH. Experiments were performed in 4 ventilated, vagotomized, and in 17 spontaneously breathing cats. Medullary ecf pH and csf pH were measured with flat pH electrodes. Metabolic pHa disturbances were induced by isocapnic i.v. infusions of HCl and NaHCO3, and by non-isocapnic i.v. bolus injections of NaHCO3. In all cats both sinus nerves were cut. We found that: (1) during acute pHa changes, medullary ecf pH changes rapidly in the same direction despite an intact bbb (no extravasation of Evans Blue); (2) the time courses of the ecf and csf pH responses to a bolus injection of NaHCO3 are quite different: after an initial short (less than 10 sec) decrease, the ecf pH rapidly increases above control, whereas the csf pH shows a rapid and long lasting acidic response; (3) ventilation showed a biphasic response pattern to a NaHCO3 bolus: an initial increase followed by a slow decrease to about control level. It was argued that this response cannot be explained by the observed ecf or csf pH responses alone.

Acid-Base Imbalance↗

Adjuvant BCG immunotherapy for stage I and II malignant melanoma.

Initial adjuvant immunotherapy trials have demonstrated a greater disease-free interval in patients treated with bacille Calmette-Guérin (BCG) compared with historical controls. In this study 149 patients at high risk of recurrence after surgical treatment of local or regional malignant melanoma were given BCG for 2 years and were followed up for a median of 28 months from the start of immunotherapy. The 36 patients in the comparison group had a higher rate of recurrence than the patients treated with BCG, and the rate in the treatment group was close to that reported from a similar study at the University of California at Los Angeles. The relatively long disease-free interval for the high-risk comparison patients in this study suggests that the control groups at other centres may have included patients with unrecognized additional risk. The rates of survival in the Canadian treatment group were also comparable to those reported by other centres. However, reports of a favourable BCG-mediated pattern of recurrence could not be confirmed. Therefore, the routine use of adjuvant BCG immunotherapy is not recommended.

Adult↗

Effects of respiratory and (isocapnic) metabolic arterial acid-base disturbances on medullary extracellular fluid pH and ventilation in cats.

Ventilation is influenced by the brain extracellular fluid (ecf) pH which is sensed by the central chemoreceptors. In the present experiments we have investigated to what extent ventilatory effects of brain ecf pH changes depend on the origin of these pH changes. With this aim we have compared the effects of 'respiratory' (via changes in PaCO2) and 'metabolic' (via isocapnic pHa changes) ecf pH changes on steady state ventilatory activity. Experiments were performed in anaesthetized (both artificially ventilated and spontaneously breathing) cats with cut sinus nerves; medullary surface ecf pH was measured with a glass electrode with a flat pH-sensitive surface. We found that ecf pH changes caused by changes in PaCO2 give rise to greater ventilatory responses than the same ecf pH changes caused by (isocapnic) changes in pHa. Moreover, within the pH ranges measured, isocapnic pHecf-ventilatory response lines at higher PaCO2 are shifted upwards compared with those at lower PaCO2 levels. It was concluded that with the present technique it is impossible to show a unique relation between ecf pH and ventilation.

Acid-Base Imbalance↗

Dynamics of brain extracellular fluid pH and phrenic nerve activity in cats after end-tidal CO2 forcing.

Ventilation is influenced by the interstitial [H+] of the brain. The pHecf, which in turn is determined largely by ventilation (via PaCO2) is sensed by the central chemoreceptors. In order to investigate the dynamics of both pHecf and neural tidal volume, we measured in cats with cut vagi and sinus nerves the dynamic medullary pHecf changes and the associated changes in integrated phrenic nerve activity after end-tidal CO2 forcing. The medullary surface ecf pH was measured with a glass electrode with a flat pH-sensitive surface. After CO2 up-steps, the pHecf changed with a time constant of about 43 sec, after down-steps 30 sec was found. The central time constant of the neural tidal volume response was 50 sec (mode) in both cases, whereas the overall response had a (modal) time constant of 80 sec. The results indicate that pHecf dynamics and the dynamic characteristics of the central neural respiratory organization are about equally important in determining the dynamic neural tidal volume response. It is argued that when PaCO2 changes, the dynamic pHecf change is perfusion limited and macroscopically homogeneous within the brainstem. Therefore, in our view it seems that the location of the central chemoreceptors within the brainstem is of minor importance in determining the dynamic neural tidal volume response to PaCO2 changes.

Animals↗