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Biomedical subjects

M Léveillé

Publications and source records attributed to M Léveillé.

12 recordsLinked to original sources

Glycine transport by single human and mouse embryos.

Mouse zygotes and early cleavage-stage embryos have previously been shown to utilize glycine as an organic osmolyte, accumulating it to oppose any decrease in cell volume. Such glycine uptake in early cleavage-stage mouse embryos is via the glycine-specific Gly transporter. Mouse embryos also possess swelling-activated channels which function to release osmotically active glycine and other osmolytes when cell volume becomes too large. In this study it was found that human cleavage-stage embryos also transported glycine via a similarly saturable, sarcosine-inhibitable transporter, implying that the Gly transporter also mediates glycine transport in human embryos. Mouse zygotes have previously been shown to accumulate more intracellular glycine when cultured at increased osmolarities for 24 h. It was found in the current study that this ability was lost as preimplantation mouse embryo development proceeded, and that early cleavage-stage human embryos may also be capable of such osmosensitive accumulation of glycine. Finally, using spare human eggs which had failed to fertilize or cleave, the presence of swelling-activated currents resembling those in mouse zygotes was demonstrated. These data indicate that osmoregulation in early human embryos occurs via similar mechanisms as in the mouse.

Animals↗

Impact of nitric oxide on blood pressure in hemodialysis patients.

Nitric oxide (NO) is a powerful vasoactive agent that contributes to the regulation of blood pressure (BP). However, the role of NO in uremic patients and during the course of hemodialysis is still debated. Blood L-arginine concentrations and exhaled NO concentrations were measured in 22 healthy controls and in 22 hemodialysis patients before and after dialysis. On the basis of their BP response during hemodialysis, the patients were divided into three groups: 6 of the 22 patients presented with a decrease in BP during dialysis (group 1), eight presented with a stable BP (group 2), and eight with an increase in BP (group 3). The exhaled NO concentration was higher in dialysis patients than in healthy controls (22.7 +/- 2.6 ppb in dialysis patients v 16.7 +/- 0.9 ppb in controls, mean +/- SEM, P = 0.044). The predialysis and postdialysis exhaled NO concentrations were inversely correlated with the change in BP during hemodialysis (r = -0.47, P = 0.013). Patients with a decrease in BP (group 1) had the highest NO concentrations; patients with an increase in BP (group 3) had the lowest values; and patients with a stable BP during the course of dialysis (group 2) had intermediary values (trend test, P = 0.0291). In addition, both the exhaled NO concentration and the blood L-arginine concentration decreased during dialysis in all patients (P = 0.005 and P = 0.001, respectively). These results provide several novel insights into NO metabolism and BP regulation during hemodialysis: (1) maintenance hemodialysis is associated with a chronic increase in NO concentrations; (2) changes in BP during hemodialysis are inversely correlated with exhaled NO concentrations, higher NO levels being associated with a decrease in BP and lower NO levels with an increase in BP during dialysis; (3) blood L-arginine levels decrease during hemodialysis, and this reduction may in turn influence NO production.

Adult↗

Metabolic effects of acetate on the heart.

The effects of various substrates (15 mM glucose, 5 mM glucose, 20 mM acetate, or a combination of these substrates) on the coronary blood flow and on the energetic status of myocytes were studied in isolated perfused rat hearts. We demonstrate that low level glucose (5 mM) or high concentration of acetate (20 mM) leads to a simultaneous fall in tissue ATP, rise in tissue adenosine, and significant increment in coronary blood flow. The latter effect is especially marked with 20 mM acetate. Dipyridamole (10(-6) M) does not enhance the vasodilatation induced by acetate. The provision of 15 mM glucose together with 20 mM acetate fully prevents these changes, indicating that the vasodilatation induced by acetate is probably mediated by metabolic changes. The evidence supports the concept that a redistribution of blood flow together with a fall in tissue ATP may explain some of the adverse effects of acetate dialysis in man, and suggests that the provision of glucose may alleviate these changes.

Acetates↗

NMR monitoring of the energy status of skeletal muscle during hemodialysis using acetate.

The concentration of phosphate-containing metabolites in the resting gastrocnemius muscle of three patients in chronic renal insufficiency was monitored by NMR spectroscopy before and during their regular hemodialysis using a conventional acetate bath. During dialysis, the muscle ATP concentration did not change, and no significant pyrophosphate accumulation was seen. The intracellular and extracellular inorganic phosphate concentration fell as expected. It is concluded that the rapid metabolism of acetate induced by dialysis does not affect the concentration of high energy phosphate-metabolites in the resting muscle of acetate-tolerant patients.

Acetates↗

Electromagnetic measurements of duodenal digesta flow in cannulated sheep.

Studies of duodenal digesta flow were made in sheep implanted with an electromagnetic flowmeter probe on the ascending and transverse duodenum and in sheep equipped in the ascending duodenum with a 'Y'-type or 'Ash'-type reentrant cannula or with a 'special simple' cannula. The flow of digesta was recorded between one week and 5 months after surgery. Patterns of the digesta flow through the individual systems of cannulation were compared with that of an implanted probe used as a reference. The order of similarity was Ash reentrant cannula less than Y reentrant cannula less than special simple cannula. The rate of digesta flow was similar for the probe, the Ash reentrant cannula with a one-way valve and the special simple cannula, but it was lower for the Y reentrant cannula due to frequent oscillation of the digesta. It was concluded that accurate quantitative electromagnetic measurements of duodenal digesta flow can now be performed in sheep fitted with the Ash-type reentrant cannula equipped with a one-way valve.

Animals↗