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Biomedical subjects

L Butturini

Publications and source records attributed to L Butturini.

At least 19 recordsLinked to original sources

[Lipids and serum apoproteins in subjects with slight or mild coronary atherosclerosis evaluated with angiography].

In this study 126 subjects (91 males and 35 females, range of age 43-65 years) were studied by coronary angiography. We considered positive for coronary atherosclerosis also patients showing mild or moderate stenosis (> or = 25%). In all subjects we have evaluated serum lipid and apoprotein A-I, B, C-II, C-III and E levels; therefore also cholesterol concentrations in all lipoprotein fractions, separated by sequential ultracentrifugation (VLDL d < 1.006, LDL d 1.006-1.063, HDL d > 1.063 g/ml) and apoprotein B in LDL have been measured. Subjects with coronary atherosclerosis have shown significantly higher levels of total cholesterol, LDL-cholesterol, total cholesterol/HDL-cholesterol and LDL-cholesterol/HDL-cholesterol ratios than controls. Therefore, a lower apo A-I/apo B ratio in males and a higher LDL-apo B levels in females has been found in subjects with coronary atherosclerosis in comparison with controls. The stepwise multiple analysis has demonstrated that LDL-cholesterol levels is the parameter that best correlates with the presence of coronary atherosclerosis. These data confirm the importance of the reduction of LDL-cholesterol levels in primary and secondary prevention of coronary heart disease.

Apolipoproteins

Habitual leisure-time physical activity is associated with differences in various risk factors for coronary artery disease.

Various risk factors for coronary artery disease (CAD) were compared in 100 healthy, male factory workers, divided into two groups of 50 each on the basis of their leisure-time activity. The two groups, designated as sedentary and physically active, were similar in terms of age and body mass index, but the physically active group had a significantly slower pulse rate. In addition, the plasma glucose and insulin responses to an oral glucose load were significantly lower in physically active individuals. Furthermore, fasting plasma triglyceride concentration was significantly lower and the high-density lipoprotein-cholesterol concentration was higher in the physically active individuals. Thus, substantial benefits in terms of CAD risk were associated with increased leisure-time physical activity.

Adult

Hepatic alterations in indomethacin-treated rabbits.

Indomethacin was parenterally administered (6 mg/Kg/day) for 30 days to rabbits, to evaluate changes in serum biochemical parameters and any ultrastructural alterations induced by the drug at the hepatic level. An analysis of the results demonstrated that when the group of rabbits, a statistically significant increase in the serum ALT was found in the treated rabbits. Ultrastructural observations showed the following hepatocyte alterations: 1) minimum mitochondrial alterations 2) mild signs of cholestasis (pericanalicular osmophilic bodies) 3) Smooth endoplasmic reticulum hyperplasia. These findings suggest that indomethacin has the capacity to induce hepatic lesions in the rabbit and this is probably due to the surfactant mechanism.

Alanine Transaminase

The effects of methotrexate (MTX) on bone. A densitometric study conducted on 59 patients with MTX administered at different doses.

The bone density of two groups of patients with osteosarcoma treated with high and low doses of MTX is compared with that of a group of healthy subjects of the same age. Bone density was measured in the radius at the mid point and at the trabecular distal point. In the patients treated with low doses there were differences in bone density as compared with the controls. In those treated with high doses the bone mineral content values were significantly lower than those for the controls (p greater than 0.01) at the trabecular distal point but not at the mid point. The significant reduction in BMC in patients treated with high doses indicated that the osteopaenic effect is dose-dependent. The decrease in density only at the site at which trabecular bone is prevalent shows that MTX acts mainly at the level of this type of bone in accordance with the proven greater sensitivity of trabecular bone to the action of other osteopaenic agents.

Adolescent

[Changes in bone mass with age. Transversal study on a female population using photon densitometry].

In order to evaluate the age-related changes of the bone mineral content (BMC), 281 clinically healthy women (20-80 year old) underwent single photon abosorptiometry (SPA) on the distal third of the radius (where there is a prevalence of cortical bone); 161 subjects of this group were examined also by dual photon absorptiometry (DPA) of the lumbar tract of the spine (L2-L4) (trabecular bone). The relationship of trabecular BMC with age is described by a cubic polynomial regression (r = 0.46; p less than 0.0001) that shows an increase in BMC until 31 years of age followed by a decrease with a minimum at the age of 78; afterwards trabecular BMC adds an apparent increase. No increase in the rate of trabecular BMC loss was seen after the menopause. A positive correlation was found between body weight and vertebral BMC. The behaviour of cortical BMC with age is described by a quadratic regression (r = 0.42; p less than 0.0001) that shows an increase until 32 years of age followed by a decrease. Cortical BMC shows a significant decrease after menopause. No correlation was found between body weight and cortical BMC. These findings underline the different behaviour of trabecular and cortical bone tissue with age; in addition, the relation between trabecular (but not cortical) BMC and body weight argues for an important role of biomechanical factors in the local modulation of bone mass.

Adult

Impaired calcitonin secretion following stimulation in spasmophilic women.

Calcitonin (CT) secretion following stimulation was studied in 9 young women suffering from spasmophilia, this having been diagnosed by clinical and electromyographic criteria. The controls were 9 women, matched by age, who responded negatively to the diagnostic tests. After rapid intravenous infusion (60 sec) of 4 mg/kg/lean body mass of calcium (as gluconate), CT concentration increased measurably (p less than 0.0001) in the controls, while remaining unchanged in the spasmophilic. The average increase per cent vs. the baseline values was 225% in the controls and 34% in those with spasmophilia (p less than 0.005). 5 out of 9 of the patients showed a completely flat curve. This finding, due to a diminished CT reserve in spasmophilia, may be considered a possible diagnostic feature as well as a fundamental pathological element in the reduction of the intracellular calcium pool responsible for the neuromuscular hyperexcitability. Moreover, the therapeutic use of the hormone in this condition is to be encouraged.

Adult

The pathophysiology of calcitonin in man.

It is generally accepted that calcitonin (CT) induces a decrement in cytosolic Ca++, and an increase of cAMP in target cells of several organs and tissues. This happens particularly in bone, where osteoclast activity and size decreases, along with the widely-known hypocalcaemic and hypophosphoraemic effect of the hormone. The physiological role of CT appears to be of importance in pregnancy and perhaps in infancy, when it antagonizes possible excessive bone loss. Some experimental evidence shows that CT may be involved in the maintenance of post-meal calcaemia. It is not yet established whether paucity of CT plays any important role in the pathogenesis of pathological conditions such as post-menopausal and senile osteoporosis.

Adult

[Noninvasive study of the bone using single- and dual-photon densitometry: effects of age and menopause on bone density of normal and osteoporotic female population].

The assessment of bone status is so far usually performed by means of the relatively simple methods of radiographs and radiogrammetry, which are not always able to give a correct information about bone mineral content (B.M.C.) especially in cases of cortical osteoporosis. Among the other non-invasive methods, single- and dual-photon absorptiometry are of particular interest for their relatively low cost, precision, accuracy and repetitibility, giving the patient a very slight dose of radioactivity. Dual-photon device, in particular, offers the possibility to investigate B.M.C. in the bones surrounded with large amount of tissue, even in obese people. To assess bone status of feminine population, we have analyzed 238 patients, divided into 3 groups (normal pre- and post-menopausal women, and osteoporotic) measuring their radius and lumbar spine B.M.C. with single- and dual-photon absorptiometry. As a result, B.M.C. of both measuring sites appears closely correlated with age, and with the duration of menopause. In our group, cortical bone density showed a postmenopausal rate of loss higher than the trabecular. Vertebral measurements, too, were more closely correlated with age when corrected for body surface area. Osteoporotic group showed a B.M.C. significantly lower than the age-matched group of normal women both in spine and in radius: in conclusion, all these findings stress the importance of a widespread population surveillance in order to individuate and treat the patients at risk of spontaneous fractures.

Adolescent

[The hormonal response to hypercalcemic stimulation: the difference between male and female young people].

The aim of our study was to evaluate the pattern of response of thyroid Calcitonin (CT) secretory cells in young healthy people after specific stimulation. For this purpose, test of 60'' i.v. calcium infusion in a dose of 4 mg/Kg lean body mass was employed. Blood samples were taken at times-5', 0', 2', 5', 10', 15', and 30' after the infusion, to determine total Calcium (Ca), ionized calcium (Ca++) and CT concentrations. As a result, plasma CT increased significantly (f = 24.51, p less than 0.000001) in both sexes, while males showed stimulated CT values about double than the female ones: the difference was statistically significant throughout the test. In males too, we observed a strong and significant (r = 0.92, p less than 0.01) correlation between ionized calcium increases and CT responses. This correlation was found neither in males as regards total calcium, nor in females. In conclusion, our data confirm the higher CT secretion in males, indicating also a more constant pattern of response in this sex. Eventually, ionized calcium proves to be the real effective provocative stimulus for CT secretion.

Adult