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Biomedical subjects

N Pochon

Publications and source records attributed to N Pochon.

9 recordsLinked to original sources

Microtubule self-organisation depends upon gravity.

The molecular processes by which gravity is transduced into biological systems are poorly, if at all, understood. Under equilibrium conditions, chemical and biochemical structures do not depend upon gravity. It has been proposed that biological systems might show a gravity dependence by way of the bifurcation properties of certain types of non-linear chemical reactions that are far-from-equilibrium. We have found that in-vitro preparations of microtubules, an important element of the cellular cytoskeleton, show this type of behaviour. On earth, the solutions show macroscopic self-ordering, and the morphology of the structures that form depend upon the orientation of the sample with respect to gravity at a critical moment at an early stage in the development of the self-organised state. An experiment carried out in a sounding rocket, showed that as predicted by theories of this type, no self-organisation occurs when the microtubules are assembled under low gravity conditions. This is an experimental demonstration of how a very simple biochemical system, containing only two molecules, can be gravity sensitive. At a molecular level this behaviour results from an interaction of gravity with macroscopic concentration and density fluctuations that arise from the processes of microtubule contraction and elongation.

Centrifugation↗

Microtubule self-organization is gravity-dependent.

Although weightlessness is known to affect living cells, the manner by which this occurs is unknown. Some reaction-diffusion processes have been theoretically predicted as being gravity-dependent. Microtubules, a major constituent of the cellular cytoskeleton, self-organize in vitro by way of reaction-diffusion processes. To investigate how self-organization depends on gravity, microtubules were assembled under low gravity conditions produced during space flight. Contrary to the samples formed on an in-flight 1 x g centrifuge, the samples prepared in microgravity showed almost no self-organization and were locally disordered.

Animals↗

A new device for in vivo measurement of nasal transepithelial potential difference in cystic fibrosis patients and normal subjects.

Measurement of transepithelial potential difference (PD) on the nasal mucosa has been proposed to test for defective ion transport in cystic fibrosis (CF), and its possible correction after gene therapy or other treatments. The "classical" method records nasal PD under the inferior turbinate, with the disadvantage that the tip of the electrode is not seen by the operator. We have developed a purpose-designed perfusion electrode for PD recording on the visible, medial/posterior aspect of the turbinate. We wanted to determine whether such PD recordings adequately discriminate between CF patients and normal subjects. Measurements of baseline PD and response to a standardized perfusion protocol were performed in 20 normal subjects and 12 CF patients. Solutions of amiloride, with or without low chloride buffer were applied for 3 min. Increased baseline PD and depolarization after amiloride discriminated CF patients from normal subjects. Only one CF patient overlapped with the normal range. Superfusion of low chloride buffer with amiloride and terbutaline caused repolarization in 18 out of 20 normal subjects (90%), consistent with physiological Cl- secretion process, but in none of the CF patients. We conclude that measurements of potential difference on the medial/posterior aspect of the turbinate can discriminate between cystic fibrosis patients and normal subjects. At this site, visual control of the measurement is possible, and the mucosa is easily accessible for subsequent cytological sampling or biopsy.

Adult↗

Functional effects of phosphoramidon and captopril on exogenous neuropeptides in human nasal mucosa.

The functional effects of the intranasal application of exogenous vasoactive intestinal polypeptide (VIP), substance P (SP) and calcitonin gene-related peptide (CGRP) were evaluated in 12 healthy volunteers before and after neutral endopeptidase (NEP) inhibition with phosphoramidon (PA) and angiotensin-converting enzyme (ACE) inhibition with captopril. The three neuropeptides increased nasal airway resistance (NAR) measured by anterior rhinomanometry and superficial capillary blood flow measured by laser Doppler flowmetry (LDF). After pretreatment of the nasal mucosa with PA, the effects of VIP, SP and CGRP on the LDF signal, NAR and mucus production were potentiated, whereas local pretreatment with captopril did not modify these functional effects. These observations suggest that NEP, but not ACE, may participate in the catabolism of neuropeptides when applied directly to the human nasal mucosa. Furthermore, since these neuropeptides induced nasal obstruction, increased blood flow and rhinorrhea, a decreased activity of the enzymes involved in their degradation could be involved in the physiopathology of rhinitis symptoms.

Adult↗

Neutral endopeptidase activity and concentration of sensory neuropeptide in the human nasal mucosa.

Human nasal mucosa biopsy samples were studied by biochemical and histological methods to determine whether the concentration of calcitonin gene-related peptide-like immunoreactivity (CGRP-LI) as a marker of sensory nerves was dependent on the activity of neutral endopeptidase-like enzyme (NEP-LE). Mucosal samples from the middle turbinate were obtained from 32 patients undergoing functional endoscopic nasal surgery for non-allergic chronic rhinosinusitis. The degree of symptoms related to nasal obstruction, rhinorrhea and headaches was recorded. The number of inflammatory cells in each biopsy sample was evaluated by conventional histopathological examination. CGRP-LI was measured by radioimmunoassay. The activity of NEP-LE was evaluated in vitro using [3H] Leu5-enkephalin as substrate. A good correlation was observed between increased concentrations of CGRP, abundant inflammatory cells and the intensity of symptoms (R2 = 0.80). A low activity of NEP-LE was associated with a high concentration of both inflammatory cells and CGRP, suggesting that NEP-LE activity was reduced during inflammation. These observations further support the hypothesis that reduced degradation of sensory neuropeptides could be involved in the pathophysiological mechanisms of non-specific chronic rhinosinusitis.

Calcitonin Gene-Related Peptide↗

[Acoustic rhinometry: comparison of pre- and post-septoplasty].

Acoustic rhinometry (AR) is a new, objective method for evaluating the geometry of the nasal cavity, the cross-sectional area and the nasal cavity volume. 36 patients with septal deformities were examined with AR. The values were compared with those of 21 normal controls and also the comparison was made pre-operatively and post-operatively in 18 patients undergoing septoplasty. The results showed that the minimal cross-sectional area (MCSA) was located in the anterior part of the nasal cavity corresponding to the area causing main nasal airway resistance (NAR). After septoplasty, increased MCSA with decreased NAR indicated that MCSA might reflect the state of nasal ventilation function properly, while the nasal cavity volume seemed not to be a sensitive parameter for evaluating nasal ventilation function. As the sensation of nasal airflow presents a different entity than NAR, the interpretation of the results of acoustic rhinometry and rhinomanometry, and the relationship with the subjective symptoms should be made with caution. The choice of surgical indications and the evaluation of medical effect should be made according to both objective examination and subjective symptoms.

Acoustic Stimulation↗

Incidence and surgery of concha bullosa in chronic rhinosinusitis.

Both diagnostic and therapeutical approaches of chronic non-allergic rhinosinusitis have been considerably modified by recently developed endoscopic and radiological means of investigation. Abnormalities of the ostiomeatal complex, such as hypertrophy and pneumatization of the middle turbinate (concha bullosa), seem to be associated with recurrent infections and inflammation of both turbinoseptal and adjacent sinuses mucosa. In 151 patients suffering from chronic non-allergic rhinosinusitis, the CT scan of the rhinosinusal area confirmed the presence of a middle concha bullosa and a mucoperiostal thickening of the adjacent sinusal cavities in 35% of the cases. The surgical treatment included the resection of the anterior third of the pneumatized middle turbinate with concomitant opening of the ethmoidal bulla. This procedure was performed under local anaesthesia and endoscopic control. A marked and long-lasting improvement of the symptoms was obtained in 80% of the patients (p < 0.001). Biochemical analysis of nasal mucosa biopsies in chronic non-allergic rhinosinusitis patients revealed a higher amount of neuropeptides of sensory nerve origin than in controls (p < 0.05). The influence of sensory neuropeptide mechanisms involved in the vicious circle of chronic non-allergic rhinosinusitis is discussed.

Adult↗

Aspergillus endocarditis and myocarditis in a patient with the acquired immunodeficiency syndrome (AIDS). A review of the literature.

We report the post-mortem findings of the case of a 31-year-old male who, through sexual contacts with a female drug addict, was found to be HIV-positive and developed the acquired immunodeficiency syndrome (AIDS) 2 years later. He was treated for various opportunistic infections over the next 7 years when he presented with cardiac abnormalities and multiple cerebral lesions which were responsible for his death. The results revealed Aspergillus fumigatus endocarditis and myocarditis with mycotic thromboembolic extension to the brain, spleen, kidney and pancreas. We review the literature of Aspergillus infection in patients with AIDS and more specifically cardiac involvement with this pathogen.

Acquired Immunodeficiency Syndrome↗