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Biomedical subjects

M Neumann

Publications and source records attributed to M Neumann.

317 records · Page 18Linked to original sources
PubMedDate not supplied

[Bone density--reference values in German men. A study of the lumbar spine with the Lunar-DPX-densitometer].

UNLABELLED: The DXA-technique is a well established method to study bone mineral density (BMD). Until now there are no reliable reference data based on the male population of Germany. QUESTION: Are the data base, given by the manufacturer transferable to the male population in Germany? METHODS: So a cross sectional study based on 715 healthy males with German ethnic background (age 20-89) was carried out. Comparison was made to the ap spine reference data of northern Europe. RESULTS: The peak bone mass was 1,26 +/- 0,17 g/cm2 at the age of 20-24 years. After that the BMD decreases to the sixth decade (1,09 +/- 0,18 g/cm2), further on there is an increase to 1,18 +/- 0,21 g/cm2 in the ninth decade. CONCLUSION: Looking at a comparable Swedish study there are no significant differences, looking at a Finnish study there are statistically significant differences in the sixth decade (t = 3,246) and seventh decade (t = 2,413). The results of our study complete the data base until now, but one should be careful to transfer the data base provided by the manufacturer.

Absorptiometry, Photon↗
PubMedDate not supplied

Effects of vanadate on isolated vascular tissue: biochemical and functional investigations.

Vanadate is a potent inhibitor of Na+,K+-ATPase derived from bovine aorta. The Ca2+, Mg2+-ATPase of the same preparation was inhibited at 10 times higher concentrations. Compared with [3H]ouabain, 48V bound quickly to bovine aortic microsomes. Equilibrium binding experiments revealed one high-affinity, low-capacity and one low-affinity binding site for 48V, whereas [3H]ouabain possessed only one binding site of high affinity. A high NADH-vanadate reductase activity was measured in the same preparation, suggesting that, in this tissue, vanadate may be converted to vanadyl, a form to which the Na+,K+-ATPase is relatively insensitive. An increase in the contractile force of isolated rabbit aorta was measured with the following potency: phenylephrine greater than ouabain greater than vanadate. The order in intrinsic activity was as follows: phenylephrine congruent to ouabain greater than vanadate. The action of vanadate was rapid in onset and stable over several hours, while that of ouabain was slow and transitory. Vanadate increased tension in isolated rabbit veins to an extent similar to phenylephrine, but at concentrations two orders of magnitude higher. Vanadate action decreased with decreasing (Ca2+)0, but remained constant at a constant ratio of (Ca2+)0/(Na+)2(0). Vanadate-induced increases in tension were decreased by verapamil by about 43% and persisted in a solution in which Na+ was replaced by Li+. Vanadate increased electrically stimulated contractions. It is concluded that most of the effect of vanadate is due to an increase in calcium influx into the smooth muscle cell and that the effect of vanadate on Na+,Ca2+ exchange is of minor importance.

Animals↗
PubMedDate not supplied

Functional characteristics of optimized arterial tree models perfusing volumes of different thickness and shape.

The relationship between the 'shape of an organ' and the 'cost of blood transport' to perfuse its tissue was evaluated on the basis of optimized arterial model trees simulated to perfuse square-based 100-cm(3) volumes of different shape ('flat' versus 'thick' as defined by the ratio of thickness to side-length h/s < or =1). Specifically, the effects of 'shape' on tree structure, blood transport, and on hemodynamic characteristics were investigated. Branching models of arterial trees were generated by constrained constructive optimization (CCO), based on an identical set of model parameters. All model trees were geometrically and topologically optimized for intravascular volume. Tree structures achieved tremendous savings of blood (transport medium) in comparison to a system of separate tubes. Thickening the perfusion volume (increasing h/s) resulted in a significant decrease of mean transport length, deposition time, and intravascular total volume in the tree. 'Thick' perfusion volumes induced CCO trees to branch more symmetrically into a number of equivalent subtrees repetitiously splitting into smaller ones; 'flat' structures were dominated throughout by a few asymmetrically branching major vessels. In summary, we conclude from systematic variation of shape that thicker perfusion volumes (h/s >0.1) facilitate efficient delivery of blood in comparison to large amounts of 'dead volume' to be carried over long distances in very thin pieces of tissue.

Arteries↗
PubMedDate not supplied

MDR hamster cells exhibiting multiple altered gene expression: effects of dexniguldipine-HCl (B859-35), cyclosporin A and buthionine sulfoximine.

An actinomycin D selected, multidrug-resistant (MDR) hamster CHO subline showed strong expression of the P-glycoprotein and sorcin genes together with several other alterations such as a: (i) reduced growth rate, (ii) lowered topoisomerase II, (iii) lowered glutathione-S-transferase-P gene expression, and (iv) the emergence of a 15.5 kDa protein. Besides high resistances to adriamycin, actinomycin D, and vincristine, we observed a lowered sensitivity towards bleomycin, a rather hydrophilic drug usually not involved in P-glycoprotein associated MDR. Moreover, the MDR subline showed a pronounced collateral (enhanced) sensitivity towards the sterically pure dihydropyridine anticancer drug dexniguldipine-HCl (B859-35) preventing its characterization for MDR modulation here. At a non-cytotoxic dose (10 microM) the immunosuppressive cyclic peptide cyclosporin A completely abolished the resistance to vincristine, partially reversed the resistance to teniposide and strongly enhanced the sensitivity towards bleomycin, while not influencing the drug sensitivities of the parental cell line. Buthionine sulfoximine (BSO), an agent depleting cellular glutathione levels, distinctly increased the sensitivity towards teniposide at nontoxic doses (50 microM) exclusively in the MDR subline, while it did not alter vincristine or bleomycin cytotoxicity.

Adenine Phosphoribosyltransferase↗
PubMedDate not supplied

[The treatment of acute fatty liver of pregnancy using plasma exchange].

A 33-year-old gravida 6, para 5, developed acute fatty liver of pregnancy at 35 weeks' gestation. This clinical picture was seen after caesarean section and delivery of a healthy infant. Post partum hepatic dystrophy associated with coma hepatica, acute renal failure and disseminated, intravascular coagulation was successfully treated with three large-volume plasmaphereses using FFP exchange plasma in combination with haemodialysis. The patient survived and her liver function was restored to normal.

Acute Kidney Injury↗
PubMedDate not supplied

Deafferentation pain exacerbated by subarachnoid lidocaine and relieved by subarachnoid morphine. Case report.

BACKGROUND AND OBJECTIVES: Neuropathic pain syndromes are often resistant to traditional pharmacologic treatment. The authors describe a patient with chronic deafferentation pain of the legs associated with peripheral neuropathy that was refractory to multidisciplinary pain clinic management. METHODS: Numerous medications had been tried, including nortriptyline, mexiletine, and oral and parenteral opioids. Spinal cord stimulation was also ineffective, despite a satisfactory pattern of stimulation-induced paresthesias. For diagnostic purposes, differential spinal anesthesia with lidocaine and morphine was performed, with evoked potential monitoring used to evaluate the intensity of spinal anesthetic block. RESULTS: Paradoxically, lidocaine spinal anesthesia exacerbated pain, whereas subarachnoid morphine provided rapid pain relief. Long-term pain control has been maintained with an implanted spinal infusion pump. CONCLUSIONS: Evoked potential data acquired during lidocaine spinal anesthesia and the rapid pain relief provided by subarachnoid morphine suggest that deafferentation pain may involve segmental, opioid-sensitive dorsal horn pain generators. The long-term pain relief afforded the patient demonstrates that subarachnoid opioids may be efficacious for some forms of neuropathic pain.

Adult↗
PubMedDate not supplied

BCR/ABL modulates the cytokine and retinoic acid response of c-Rel in human myeloid cells.

A human myeloid cell line, Mo7, and a daughter cell line expressing the bcr/abl oncogene, Mo7-P210, were used in a comparative study analyzing the effects of p210BCR/ABL expression on tyrosine phosphorylation, specific DNA binding and expression of the proto-oncoprotein c-Rel. The steady state expression of c-Rel was indistinguishable in both cell lines. Tyrosine phosphorylation and DNA binding of c-Rel were slightly elevated in Mo7-P210 cells. Further, Mo7 and Mo7-P210 cells showed different responses concerning c-Rel after stimulation with cytokines and retinoic acid. The results presented here demonstrate that c-Rel can be modulated by hematopoietic cytokines and suggest that bcr/abl expression has an impact on these responses and that c-Rel may be a downstream effector for p210BCR/ABL.

Base Sequence↗